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As Director of the Division of Mental Health at the World Health Organization, and subsequently President of the World Psychiatric Association, Norman Sartorius has over many years been in a position to survey the state of psychiatry worldwide and to campaign for greater equity and honesty in the clinical and research agenda. The essays collected in this 2002 book represent his latest thinking, as well as including his own selection from among a few of his innumerable speeches and previously published articles. They range from trenchant critiques of mental health service delivery and prevention to more light-hearted, anecdotal pieces on the use of language and how to get things done. All point to the core concerns for mental health programmes today: definition of needs; the role of psychiatry worldwide; and the challenges that urbanization presents for mental health. This is a book that every psychiatrist will wish to own.
This book presents the largest international study of psychological disorders seen in primary health care. Centres in fourteen countries participated in this investigation, including Brazil, Chile, China, India, Nigeria and the USA as well as several European countries. The study has shown how people with mental disorders present their problems to doctors and how likely their disorders are to be detected and treated.
This book makes a highly innovative contribution to overcoming the stigma and discrimination associated with mental illness – still the heaviest burden both for those afflicted and those caring for them. The scene is set by the presentation of different fundamental perspectives on the problem of stigma and discrimination by researchers, consumers, families, and human rights experts. Current knowledge and practice used in reducing stigma are then described, with information on the programmes adopted across the world and their utility, feasibility, and effectiveness. The core of the volume comprises descriptions of new approaches and innovative programmes specifically designed to overcome stigma and discrimination. In the closing part of the book, the editors – all respected experts in the field – summarize some of the most important evidence- and experience-based recommendations for future action to successfully rewrite the long and burdensome ‘story’ of mental illness stigma and discrimination.
This new edition charts the increased range of mental health outcome domains that are now measurable, while reflecting a new emphasis on positive outcomes and recovery, and the central role of the service user's experience.
In order to help people with a mental illness it is important to be able to understand and measure the severity of distressing and disabling experiences that can affect behavior. SCAN is a form of interview, found acceptable to patients, which provides a detailed and accurate picture of the "mental state". When analyzed by computer, SCAN provides diagnoses that are comparable wherever the system is used. The ninth edition of the Present State Examination (PSE-9) was published in 1974 and served to link the two main approaches to the description and classification of psychological problems. SCAN/PSE-10 builds on the experience of extensive tests using PSE-9. It retains the main features of PSE-9 and links together the latest two international classification systems: ICD-10 and DSM-IV. This reference manual is a companion to the SCAN interview schedule and software. It describes the rationale and development of the system and provides a valuable introduction to its uses.
Millions of people and their families are affected by mental illness; it causes untold pain and severely impairs their ability to function in the world. In recent years, we have begun to understand and develop a range of effective treatments for mental illness. Even with this shift from moralistic views to those emphasizing the biological and genetic origins of mental illness, punitive treatment and outright rejection remain strong. Public attitudes toward mental illness are still more negative than they were half a century ago, and the majority of those afflicted either do not receive or cannot afford adequate care. As a result of all of these troubling facts, applying the term "stigma" to ...
The German version of this work has a long tradition, and this fourth edition is the first to see an English version. Its main feature is the international approach regarding both authors and topics. The four internationally renowned editors were able to acquire the leading specialists for each field as contributors to the book. No less than 120 authors, half of them from non-German speaking countries, ensure an extremely high standard and that cross-cultural aspects are considered. Another major feature is that the book presents the evidence such that it may be examined from at least four different entry points -- via basic disciplines of psychiatric knowledge about groups defined by demographic criteria. Detailed linkages to other chapters allow the inclusion of neighbouring disciplines, such as the neurosciences and molecular biology. Contemporary Psychiatry is also unique in including chapters on psychiatric disorders caused by catastrophes, disasters etc. -- aspects totally neglected by normal textbooks. While this book gives an overall view of the state of the art of psychiatric knowledge, it even goes so far as to suggest future perspectives.
First Published in 1998. Routledge is an imprint of Taylor & Francis, an informa company.
How do some families create more healthful environments for their children? How do we explain the health status differences between men and women, blacks and whites, and different communities or cultures? How is stress generated in the workplace? What accounts for the persistent social class differences in mortality rates? Why do societies experience higher rates of mortality after economic recession? Such fundamental questions about the social determinants of health are discussed in depth in this wide-ranging and authoritative book. Well-known contributors from North America and Europe assess the evidence for the diverse ways by which society influences health and provide conceptual frameworks for understanding these relationships. The book opens with a broad review of research on the social environment's contribution to health status and then addresses particular social factors: the family, the community, race, gender, class, the economy, the workplace and culture. The concluding two chapters examine the contribution of medicine to the improved health of Americans and recast the health care policy debate in a broad social policy context.