Social psychiatry is concerned with the effects of the social environment on the mental health of the individual, and with the effects of the person with a mental disorder on his/her social environment. The field encompasses social interventions, prevention and the promotion of mental health. This new edition of
Principles of Social Psychiatry provides a broad overview of current thinking in this expanding field and will be a source of ideas both in research and for the management of mental disorder. It opens by putting social psychiatry in perspective, within both psychiatry and the social sciences. From the patient's perspective, the outermost influence is the culture in which they live, followed by their neighbourhoods, workmates, and friends and family. The next section considers how we conceptualize the social world, from families through cultural identify and ethnicity to the wider social environment.
The book reviews the social determinants and consequences of the major mental disorders before considering interventions and service delivery at various levels to mitigate these. It closes with a review of the social impact of mental illness around the world and a thoughtful essay by the editors on the current state of social psychiatry and where it is heading.
List of Contributors ix
Foreword xiiiMario Maj
Preface xv
Social Psychiatry: Alive and KickingDinesh Bhugra and Craig Morgan
Part One Perspectives and Methods 1
1 The Historical Development of Social Psychiatry 3Julian Leff
2 Why Psychiatry Has to be Social 13Paul E. Bebbington
3 Categories and Continuums 31Peter Tyrer
4 Social, Biological and Personal Constructions of Mental Illness 39Derek Bolton
5 Social Science Perspectives: A Failure of the Sociological Imagination 51Craig Morgan and Arthur Kleinman
6 Concepts and Challenges in Capturing Dynamics of the Wider Social Environment 65Stephani L. Hatch and Dana March
7 Qualitative Research Methods 77Joanna Murray
Part Two Components of the Social World 89
8 The Social Epidemiology of Mental Disorder 91Ronald C. Kessler, Philip S. Wang and Hans-Ulrich Wittchen
9 Families and Psychosis 103Juliana Onwumere, Ben Smith and Elizabeth Kuipers
10 Culture and Its Inuence on Diagnosis and Management 117Dinesh Bhugra and Susham Gupta
11 Culture and Identity 133Julian Leff
12 Globalization and Psychiatry 141Rahul Bhattacharya, Susham Gupta and Dinesh Bhugra
13 Trauma and Disasters in Social and Cultural Context 155Laurence J. Kirmayer, Hanna Kienzler, Abdel Hamid Afana and Duncan Pedersen
Part Three Social Determinants 179
14 Fundamental Social Causes of Health Inequalities 181Jo C. Phelan and Bruce G. Link
15 The Sociodevelopmental Origins of Psychosis 193Craig Morgan and Gerard Hutchinson
16 Depression 215Tom K. J. Craig
17 Common Mental Disorders 227Christoph Lauber
18 Suicide 237Gwendolyn Portzky and Kees van Heeringen
19 Personality Disorder 249Priya Bajaj and Mike Crawford
20 Drug Use, Drug Problems and Drug Addiction: Social Inuences and Social Responses 259John Strang, Michael Gossop and John Witton
21 Eating Disorders 277Mervat Nasser
22 Social Factors that Inuence Child Mental Health 285Nisha Dogra
23 Social Determinants of Late Life Disorders 295Robert Stewart
Part Four Social Consequences and Responses 305
24 Responses to the Onset of Mental Health Problems: Issues and Findings from Research on Illness Behaviour and the Use of Health Services 307Bernice A. Pescosolido
25 Gender and Reproductive Health 321Louise Howard
26 Stigma and Discrimination 331Graham Thornicroft, Nisha Mehta, Elaine Brohan and Aliya Kassam
27 Taking Inequalitys Measure: Poverty, Displacement, Unemployment and Mental Health 341Kim Hopper
28 Health Economics and Psychiatry: The Pursuit of Efciency 371Martin Knapp and Jennifer Beecham
Part Five Social Interventions 385
29 Team Structures in Community Mental Health 387Tom Burns
30 Prevention 397Tristan McGeorge, Sean Cross and Rachel Jenkins
31 Principles of Social Intervention 411Richard Warner
32 Social Interventions for Psychosis 425David Kingdon, Yoshihiro Kinoshita and Stefan Gleeson
33 Social Management of Common Mental Disorders 439Patricia R. Casey
34 Problem-Solving Therapy for People with Personality Disorders 449Mary McMurran, Christine Maguth Nezu and Arthur M. Nezu
35 Social Support 461Traolach S. Brugha
36 Modern Social Networking and Mental Health 477Keir Jones, James Woollard and Dinesh Bhugra
37 The PsychiatricChild Protection Interface: Research to Inform Practice 483Colin Pritchard
Part Six Global Mental Health 499
38 Mental Health in Europe: Learning from Differences 501Mirella Ruggeri and Maria Elena Bertani
39 East Meets West: Current Mental Health Burdens in Greater China 517Roger M. K. Ng and Zhanjiang Li
40 Social Psychiatry in India 531R. Thara and R. Padmavati
41 Social Psychiatry in Africa: Evidence and Challenges 541Oye Gureje and Victor Makanjuola
42 Social Psychiatry in the Americas 551Pedro Ruiz
Epilogue 559
43 Where Next for Social Psychiatry? 561Dinesh Bhugra and Craig Morgan
Index 565