Mental health articles

OF mental health care and mentally ill

November, 2012

Agoraphobia without History of Panic Disorder

A person with this disorder has never had problems that meet criteria for panic disorder. Instead, he or she fears, and may avoid, situations in which it would be difficult or embarrassing to leave in the event of the sud- den onset of anxiety, which may represent a “limited symptom attack” that would not include […]

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The relationship of 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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Violence and mental disorder

While public prejudice, backed up at times by the views of politicians simply assumes that mental disorder predicts violence to others, the considered empirical position about this relationship has varied over time. Broadly three phases can be identified: 1 The negative relationship phase. Studies of the relationship between mental disorder and violence between 1925 and […]

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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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