Almost a Revolution
Almost a Revolution

Author: Paul S. Appelbaum

Publisher: Oxford University Press, USA

Published: 1994

Total Pages: 260

ISBN-13: 9780195068801

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Doubts about the reality of mental illness and the benefits of psychiatric treatment helped foment a revolution in the law's attitude toward mental disorders over the last 25 years. Legal reformers pushed for laws to make it more difficult to hospitalize and treat people with mental illness, and easier to punish them when they committed criminal acts. Advocates of reform promised vast changes in how our society deals with the mentally ill; opponents warily predicted chaos and mass suffering. Now, with the tide of reform ebbing, Paul Appelbaum examines what these changes have wrought. The message emerging from his careful review is a surprising one: less has changed than almost anyone predicted. When the law gets in the way of commonsense beliefs about the need to treat serious mental illness, it is often put aside. Judges, lawyers, mental health professionals, family members, and the general public collaborate in fashioning an extra-legal process to accomplish what they think is fair for persons with mental illness. Appelbaum demonstrates this thesis in analyses of four of the most important reforms in mental health law over the past two decades: involuntary hospitalization, liability of professionals for violent acts committed by their patients, the right to refuse treatment, and the insanity defense. This timely and important work will inform and enlighten the debate about mental health law and its implications and consequences. The book will be essential for psychiatrists and other mental health professionals, lawyers, and all those concerned with our policies toward people with mental illness.

Suicide in America
Suicide in America

Author: Herbert Hendin

Publisher: W. W. Norton & Company

Published: 1996-02

Total Pages: 322

ISBN-13: 9780393313680

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Who commits suicide in this country, and why? Should we legalize assisted suicide and euthanasia? What has the last decade taught us about those who are suicidal? In this new edition of his acclaimed work, Dr. Herbert Hendin addresses these and other important questions. Demonstrating that treatment of seriously suicidal people is possible, he also shows how our social policy toward suicide is marked by misconception. He evaluates the "right-to-die" movement, and in a comprehensive new chapter he presents a powerful portrait of euthanasia and assisted suicide in the Netherlands. Interviews with the leading practitioners and proponents are included. This book, integrating psychological and social knowledge, has much to say not only about how we die but also about how we choose to live.

Conservatorship
Conservatorship

Author: Alex V. Barnard

Publisher: Columbia University Press

Published: 2023-09-26

Total Pages: 552

ISBN-13: 0231558325

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Winner, 2024 Eliot Freidson Outstanding Publication Award, Medical Sociology Section, American Sociological Association Is involuntary psychiatric treatment the solution to the intertwined crises of untreated mental illness, homelessness, and addiction? In recent years, politicians and advocates have sought to expand the use of conservatorships, a legal tool used to force someone deemed “gravely disabled,” or unable to meet their needs for food, clothing, or shelter as a result of mental illness, to take medication and be placed in a locked facility. At the same time, civil liberties and disability rights groups have seized on cases like that of Britney Spears to argue that conservatorships are inherently abusive. Conservatorship is an incisive and compelling portrait of the functioning—and failings—of California’s conservatorship system. Drawing on hundreds of interviews with professionals, policy makers, families, and conservatees, Alex V. Barnard takes readers to the streets where police encounter homeless people in crisis, the locked wards where people receiving treatment are confined, and the courtrooms where judges decide on conservatorship petitions. As he shows, California’s state government has abdicated authority over this system, leaving the question of who receives compassionate care and who faces coercion dependent on the financial incentives of for-profit facilities, the constraints of underresourced clinicians, and the desperate struggles of families to obtain treatment for their loved ones. This book offers a timely warning: reforms to expand conservatorship will lead to more coercion but little transformative care until government assumes accountability for ensuring the health and dignity of its most vulnerable citizens.