This book offers a comprehensive Marxist critique of the business of mental health, demonstrating how the prerogatives of neoliberal capitalism for productive, self-governing citizens have allowed the discourse on mental illness to expand beyond the psychiatric institution into many previously untouched areas of public and private life including the home, school and the workplace. Through historical and contemporary analysis of psy-professional knowledge-claims and practices, Bruce Cohen shows how the extension of psychiatric authority can only be fully comprehended through the systematic theorising of power relations within capitalist society. From schizophrenia and hysteria to Attention-Deficit Hyperactivity Disorder and Borderline Personality Disorder, from spinning chairs and lobotomies to shock treatment and antidepressants, from the incarceration of working class women in the nineteenth century to the torture of prisoners of the ‘war on terror’ in the twenty-first, Psychiatric Hegemony is an uncompromising account of mental health ideology in neoliberal society.

This book examines a collaboration between traditional Māori healing and clinical psychiatry. Comprised of transcribed interviews and detailed meditations on practice, it demonstrates how bicultural partnership frameworks can augment mental health treatment by balancing local imperatives with sound and careful psychiatric care. In the first chapter, Māori healer Wiremu NiaNia outlines the key concepts that underpin his worldview and work. He then discusses the social, historical, and cultural context of his relationship with Allister Bush, a child and adolescent psychiatrist. The main body of the book comprises chapters that each recount the story of one young person and their family’s experience of Māori healing from three or more points of view: those of the psychiatrist, the Māori healer and the young person and other family members who participated in and experienced the healing. With a foreword by Sir Mason Durie, this book is essential reading for psychologists, social workers, nurses, therapists, psychiatrists, and students interested in bicultural studies.

Based on extensive research, this book is a fundamental critique of psychiatry that examines the foundations of psychiatry, refutes its basic tenets, and traces the workings of the industry through medical research and in-depth interviews.

A study of schizophrenia arising from an anthropological investigation in a modern psychiatric hospital.

"A superb, up-to-date feminist analysis of the borderline condition. . . . Characterized by stereotypically feminine qualities, such as poor interpersonal boundaries and an unstable sense of self, borderline diagnosis has been questioned by many as a veiled replacement of the hysteria diagnosis. . . . Wirth-Cauchon includes narratives from women exhibiting the theoretical underpinnings of the borderline diagnosis. . . . The author is rigorous in her analysis, and mainstream academics and diagnosticians should take note lest they create yet another label that disregards the contradictory and conflicting expectations experienced by so many women. Includes an excellent bibliography and a wealth of good reference. Highly recommended."-Choice "This book contributes to a rich, feminist interdisciplinary theoretical understanding of women's psychological distress, and represents an excellent companion volume to Dana Becker's book titled Through the Looking Glass."-Psychology of Women Quarterly "Wonderfully written. . . . [The] argument proceeds with an impeccable and transparent logic, the writing is sophisticated, evocative, even inspired. This work should have enormous appeal."- Kenneth Gergen, author of Realities and Relationships "Impressive in its synthesis of many different ideas . . . both clinicians and people diagnosed with BPD may find much of value in Wirth-Cauchon's thoughtful and provoking analysis."-Metapsychology At the beginning of the twentieth century, "hysteria" as a medical or psychiatric diagnosis was primarily applied to women. In fact, the term itself comes from the Greek, meaning "wandering womb." We have since learned that this diagnosis had evolved from certain assumptions about women's social roles and mental characteristics, and is no longer in use. The modern equivalent of hysteria, however, may be borderline personality disorder, defined as "a pervasive pattern of instability of self-image, interpersonal relationships, and mood, beginning in early adulthood and present in a variety of contexts." This diagnosis is applied to women so much more often than to men that feminists have begun to raise important questions about the social, cultural, and even the medical assumptions underlying this "illness." Women are said to be "unstable" when they may be trying to reconcile often contradictory and conflicting social expectations. In Women and Borderline Personality Disorder, Janet Wirth-Cauchon presents a feminist cultural analysis of the notions of "unstable" selfhood found in case narratives of women diagnosed with borderline personality disorder. This exploration of contemporary post-Freudian psychoanalytic notions of the self as they apply to women's identity conflicts is an important contribution to the literature on social constructions of mental illness in women and feminist critiques of psychiatry in general. Janet Wirth-Cauchon is an associate professor of sociology at Drake University.

Originally published in 1978, with the reform of the 1959 Mental Health Act under consideration, it was time to re-examine the recent policy of desegregating the mentally ill and treating them within general hospital psychiatric units rather than in mental hospitals. This shift in policy reflected a number of significant trends in contemporary British psychiatry. It signified the acceptance of the idea that mental disorder is like a physical illness and should be treated as such, within the same buildings. It had also brought the psychiatric profession closer to the mainstream of medicine and had conferred on it a status similar to that enjoyed by other branches of the medical profession. In this study, however, the authors question much of British psychiatric practice at the time. Part of the book is devoted to explaining how the psychiatric profession had been able to establish a hegemony over the mental health field, and consequently subordinate the other mental health professions to minor roles. The main emphasis of the book is on the controversial policy of desegregation of the mentally ill. The historical development of general psychiatric units is discussed, then a case study documenting the ‘careers’ of three patients who passed through one such unit is presented, providing a fascinating insight into the way in which the unit operated as a diagnostic and therapeutic centre. Finally, an analysis is made of some of the issues raised by the study. In particular, the staff structure of psychiatric centres and the processes of assessment and treatment are considered in detail.

The Routledge International Handbook of Critical Mental Health offers the most comprehensive collection of theoretical and applied writings to date with which students, scholars, researchers and practitioners within the social and health sciences can systematically problematise the practices, priorities and knowledge base of the Western system of mental health. With the continuing contested nature of psychiatric discourse and the work of psy-professionals, this book is a timely return to theorising the business of mental health as a social, economic, political and cultural project: one which necessarily involves the consideration of wider societal and structural dynamics including labelling and deviance, ideological and social control, professional power, consumption, capital, neoliberalism and self-governance. Featuring original essays from some of the most established international scholars in the area, the Handbook discusses and provides updates on critical theories of mental health from labelling, social constructionism, antipsychiatry, Foucauldian and Marxist approaches to critical feminist, race and queer theory, critical realism, critical cultural theory and mad studies. Over six substantive sections, the collection additionally demonstrates the application of such theoretical ideas and scholarship to key topics including medicalisation and pharmaceuticalisation, the DSM, global psychiatry, critical histories of mental health, and talk therapy. Bringing together the latest theoretical work and empirical case studies from the US, the UK, Australia, New Zealand, Europe and Canada, the Routledge International Handbook of Critical Mental Health demonstrates the continuing need to think critically about mental health and illness, and will be an essential resource for all who study or work in the field.