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Lessons from the Mental Health Act Commission for England and Wales: the limitations of legalism-plus-safeguards
- Author:
- PILGRIM David
- Journal article citation:
- Journal of Social Policy, 41(1), January 2012, pp.61-81.
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
The Mental Health Act Commission for England and Wales was closed down in 2009. This article uses data from its final report to provide a snapshot between social group membership and mental health status in modern society. The focus of the report was on race, gender and age in settings that have become more coercive and less therapeutic over time. This article uses some aspects of the report to discuss the implications of lawful psychiatric coercion being predicted by social group membership. The work of the Commission furnished useful information in this regard, but its framework for data collection could not illuminate a more established picture of the class gradient in mental health problems. This article considers how material adversity may explain the racial patterning of coercively detained psychiatric populations, and how normative aspects of risk-taking in the community and in hospital may explain the findings on age and gender. The article concludes by querying the ameliorative impact of government appointed ‘visitorial’ bodies. It argues that legalism-plus-safeguards is a questionable basis for meaningfully bringing discriminatory powers to book, or for reversing the differential impact of pathogenic social forces.
A sociology of mental health and illness
- Authors:
- ROGERS Ann, PILGRIM David
- Publisher:
- Open University Press
- Publication year:
- 2005
- Pagination:
- 269p., bibliog.
- Place of publication:
- Maidenhead
- Edition:
- 3rd ed.
The revised edition of this best-selling book provides a clear overview of the major aspects of the sociology of mental health and illness. As well as drawing upon a range of social theories and methods to illustrate its points, it provides the reader with information which is organized along dimensions of class, gender, race and age. The mental health professions are critically analysed and long standing debates about the role of legalism explored. Organizational aspects of psychiatry are examined as well as the growing relevance of community mental health work. The book ends with a discussion of the various ways in which psychiatric patients and their relatives can be understood in their social context.
A sociology of mental health and illness
- Authors:
- ROGERS Anne, PILGRIM David
- Publisher:
- Open University Press
- Publication year:
- 2010
- Pagination:
- 327p., bibliog.
- Place of publication:
- Maidenhead
- Edition:
- 4th ed.
This fourth edition updates existing chapters and contains a new chapter entitled ‘public health and the pursuit of happiness’ reflecting the recent focus on the creation of mentally healthy societies. The editors aim to further dismantle professional pretensions surrounding the mastery of mental health problems by focusing on the social, economic and political determinants of mental well-being and highlighting the recent and considerable changes in sociology, social psychiatry, policy analysis and therapeutic law. Chapters cover: Perspectives on mental health, including those from psychiatry, psychoanalysis and psychology; Stigma revisited and lay representations of mental health problems; Social class and mental health; Women and men; Race and ethnicity; Age and ageing; Mental health professions; Treatment of people with mental health problems; Organisation of mental health work; Psychiatry and legal control; and Users of mental health services.
A sociology of mental health and illness
- Authors:
- PILGRIM David, ROGERS Anne
- Publisher:
- Open University Press
- Publication year:
- 1999
- Pagination:
- 254p.,bibliog.
- Place of publication:
- Buckingham
Provides an overview of the major aspects of the sociology of mental health and illness. Draws on a range of social theories and methods to illustrate points, provides information organised along class, gender, race and age boundaries, and critically analyses the mental health professions. Looks critically at debates around mental health legislation, and examines organisational aspects of psychiatry. Includes a chapter on community mental health work. Concludes with a discussion of the various ways in which psychiatric patients and their relatives can be understood in their social context.