Mental health articles
OF mental health care and mentally ill
The case of ‘dangerous and severe personality disorder’
In recent years, the British State has exerted its right to impose an administrative concept of personality disorder in order to cut through or over-ride professional ambivalence. This has involved the construction of and use of a new category of ‘dangerous and severe personality disorder’ (DSPD) and new legislation has been devised to provide legal […]
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The problematic status of personality disorder
Although the overwhelming concern of the State and psychiatry during the nineteenth century was lunacy, ‘moral insanity’ was also described: The moral principles of the mind are strongly perverted or depraved; the power of self government is lost or greatly impaired and the individual is found to be incapable not of talking or reasoning upon […]
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Mentally disordered offenders
Forensic psychiatry is concerned with the management of those who are ‘doubly deviant’ – those who are considered to have committed a criminal act and who are deemed to be mentally abnormal. Forensic psychiatry is charged with the management of lawbreakers and others who come before the courts. Thus, its area of jurisdiction is principally […]
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Legal versus medical control of madness
During the early nineteenth century, in Britain as well as other emerging capitalist economies in Europe and North America, the systematic control of madness began. The system involved the State setting out laws and prompting, or prescribing, public spending on asylums. The building of county and borough asylums was encouraged by the County Asylums Act […]
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Who is psychiatry’s client?
One of the ambiguities surrounding psychiatric work is whether or not the identified patient is the actual client of the service. Clearly, some party other than the patient is being served under those sections of the Mental Health Act which empower professionals to remove a person’s liberty and/or impose treatment interventions against the patient’s will. […]
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Antidepressants have been associated with disabling effects
Antidepressants have been associated with a number of disabling effects, including tiredness, dry mouth, loss of libido and impotence, blurred vision, constipation, weight gain and palpitations. The tricyclic version of this type of drug was implicated in around 10 per cent of deaths from self-poisoning in Britain in the early 1980s. Tricyclics have now been […]
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Why have physical treatments tended to predominate?
From a user’s perspective, the fact that psychiatric treatments are biased more towards drugs and ECT is indeed a problem. Not only do patients (understandably) expect their subjective sense of well-being to improve as a result of psychiatric treatment, they have higher expectations of the helpfulness of psychological and combined treatments than physical interventions alone. […]
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A brief social history of psychiatric treatment
Sedgwick notes that two broad responses to emotional problems can be traced to antiquity. On the one hand, attempts have been made to tamper with the bodies of people with emotional afflictions, for example douching them in water or drilling holes in their skulls to allow evil spirits to escape. On the other hand, in […]
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Literature on psychiatric patient satisfaction and dissatisfaction
The emerging body of satisfaction research about mental health services has commonly adopted a needs-assessment approach. This has usually assessed patient satisfaction according to ‘normative need’; that is need defined by an acknowledged expert and typically ascertained by means of standardized assessment tools. These approaches have been linked to the emphasis on ‘quality assurance’, which […]
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Suicide and mental disorder
The social control of psychiatric patients, both in hospital and community settings, is not limited to the question of violence to others. Mental health services are also concerned with reducing the incidence of self-harm and selfneglect. Rates of suicide among psychiatric patients are high for a number of reasons. Their labour market disadvantage places them […]
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Mental health articles
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