This book examines the relationship between social class and mental illness in Northern Europe during the 20th century. Contributors explore the socioeconomic status of mental patients, the possible influence of social class on the diagnoses and treatment they received in psychiatric institutions, and how social class affected the ways in which the problems of minorities, children and various ‘deviants’ and ‘misfits’ were evaluated and managed by mental health professionals. The basic message of the book is that, even in developing welfare states founded on social equality, social class has been a significant factor that has affected mental health in many different ways – and still does.
This book examines the relationship between social class and mental illness in Northern Europe during the 20th century. Contributors explore the socioeconomic status of mental patients, the possible influence of social class on the diagnoses and treatment they received in psychiatric institutions, and how social class affected the ways in which the problems of minorities, children and various 'deviants' and 'misfits' were evaluated and managed by mental health professionals. The basic message of the book is that, even in developing welfare states founded on social equality, social class has been a significant factor that has affected mental health in many different ways - and still does.
The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.
The new national mental health program now underway in the United States is based on the concept of focusing the care and treatment of the mentally ill within the community. In undertaking a new venture, there is profit in learning about other experiences pursuing the same goals. A number of services have been operating in European settings for many years. This report, which profiles various European mental health services, is for planners, administrators, professionals, and citizen leaders in mental health in the United States.
This book promotes a historically and culturally sensitive understanding of trauma during and after World War II. Focusing especially on Eastern and Central Europe, its contributors take a fresh look at the experiences of violence and loss in 1939–45 and their long-term effects in different cultures and societies. The chapters analyze traumatic experiences among soldiers and civilians alike and expand the study of traumatic violence beyond psychiatric discourses and treatments. While acknowledging the problems of applying a present-day medical concept to the past, this book makes a case for a cultural, social and historical study of trauma. Moving the focus of historical trauma studies from World War I to World War II and from Western Europe to the east, it breaks new ground and helps to explain the troublesome politics of memory and trauma in post-1945 Europe all the way to the present day. This book is an outcome of a workshop project ‘Historical Trauma Studies,’ funded by the Joint Committee for the Nordic Research Councils in the Humanities and Social Sciences (NOS-HS) in 2018–20. Chapters 4, 5 and 6 are available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.
Social inequalities are established features of the distribution of physical disease in the UK and many other developed countries. In most physical diseases, a clear trend of poorer health is evident with each step down the hierarchy of social position. By contrast, the nature of the links between social position and mental illness in the general population has appeared less clear. This lack of clarity is problematic, as mental disorders are major causes of disability, especially in adults of working age. Social Inequalities and the Distribution of the Common Mental Disorders presents in-depth and up-to-date research, looking at the links between social position, ethnicity and mental health. Its findings will have implications for mental health professionals and policy makers.
Health at a Glance: Europe 2018 presents comparative analyses of the health status of EU citizens and the performance of the health systems of the 28 EU Member States, 5 candidate countries and 3 EFTA countries.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
