Psychiatry and Public Affairs


Book Description

This stimulating collection bears witness to the insight that psychiatrists, with their special training and background and concern for human relationships, can contribute solutions to major problems of public affairs and public policy. The contributors represent the summation and distillation of the best thinking of psychiatry's leaders. They represent a variety of experiences and viewpoints, making possible a many-faceted approach to problems of national and international concern. Based on completely documented reports of individual members and symposium discussions, Psychiatry and Public Affairs examines four major areas of public interest: the social responsibility of psychiatry, emphasizing the psychiatric aspects of school desegregation; psychiatry's role in international relations and understanding cross-cultural communication and working abroad; studies of forceful indoctrination or "brainwashing" and the social and psychiatric implications of the threat of nuclear war. Contributors and contributions included here are "Physical and Social Isolation," Jack Vernon; "Psychiatric Aspects of Chinese Thought Reform," Robert J. Lifton; "Patterns of Reactions to Severe Chronic Stress in American Army POWs to the Chinese," Edgar H. Schein; "The Coming Struggle for More Responsibility," Pare Lorentz; "Some Implications of the Fall-Out Problem," Maurice B. Visscher; "Psychological Aspects of the Nuclear Arms Race," Franklin C. McLean; "Solitary Confinement," Milton Meltzer; and "Sleep Deprivation," David Tyler. Psychiatry and Public Affairs explores ideas and problems on the advancing edge of psychiatry. The Group for the Advancement of Psychiatry (GAP) envisages a continuing program of work according to the following aims: to collect and appraise significant data in the field of psychiatry, mental health, and human relations; to re-evaluate old concepts and to develop and test new ones; and to apply the knowledge thus obtained fo




Doctors of Deception


Book Description

Mechanisms and standards exist to safeguard the health and welfare of the patient, but for electroconvulsive therapy (ECT)—used to treat depression and other mental illnesses—such approval methods have failed. Prescribed to thousands over the years, public relations as opposed to medical trials have paved the way for this popular yet dangerous and controversial treatment option. Doctors of Deception is a revealing history of ECT (or shock therapy) in the United States, told here for the first time. Through the examination of court records, medical data, FDA reports, industry claims, her own experience as a patient of shock therapy, and the stories of others, Andre exposes tactics used by the industry to promote ECT as a responsible treatment when all the scientific evidence suggested otherwise. As early as the 1940s, scientific literature began reporting incidences of human and animal brain damage resulting from ECT. Despite practitioner modifications, deleterious effects on memory and cognition persisted. Rather than discontinue use of ECT, the $5-billion-per-year shock industry crafted a public relations campaign to improve ECT’s image. During the 1970s and 1980s, psychiatry’s PR efforts misled the government, the public, and the media into believing that ECT had made a comeback and was safe. Andre carefully intertwines stories of ECT survivors and activists with legal, ethical, and scientific arguments to address issues of patient rights and psychiatric treatment. Echoing current debates about the use of psychopharmaceutical interventions shown to have debilitating side-effects, she candidly presents ECT as a problematic therapy demanding greater scrutiny, tighter control, and full disclosure about its long-term cognitive effects.




Social Work, Mental Health, and Public Policy in Diverse Contexts


Book Description

The discipline of social policy, oftentimes deemed a part of social work as a profession, was born in the West. Unlike social policy that started with the post-war idea of a welfare state in the mid-20th century, social work traces its roots to individual casework pioneered by the Charity Organization Society (COS), early social administration including state-wide poverty relief (an advocacy effort of the COS but with deep roots in the English Poor Laws of the 17th century), and social action emphasizing political activities to improve social conditions (originating from the Settlement House Movement which began in the 1880s). The development of social work is historically intertwined with that of public welfare, philanthropy, and charity and is an inherently international subject. This conception is broader than “international social work” as a discrete field of professional practice, which crosses geopolitical borders and all levels of social and economic organizations with a focus on development. However, each nation has a story of its own in terms of professionalization of social work in the evolution of public welfare and philanthropic/charitable undertaking within its particular economic, political, social, and cultural settings. A wide-ranging and in-depth study of various (especially non-Western) country cases is essential to an adequate, comprehensive understanding of the social work profession, which is also a basic requirement of its value of diversity. China is undoubtedly an important case with the largest population on earth. It’s also unique in view of so-called Chinese characteristics which are sometimes fundamentally different from other (particularly Western) societies. It’s even intriguing given the country’s lengthy, complex history and its recent, rapid rise to a global superpower with a claim of national goals and core values that seem to be rather considerable to social work as a helping profession. Therefore, any significant lessons learned from the Chinese experiences would help with a better international understanding and further advancement of social work and public welfare at a global scale.







The Social Determinants of Mental Health


Book Description

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.













National Library of Medicine Current Catalog


Book Description

First multi-year cumulation covers six years: 1965-70.




Evaluation of the Department of Veterans Affairs Mental Health Services


Book Description

Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.