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Mental disorder and violence: an empirical picture in context
- Authors:
- PILGRIM David, ROGERS Anne
- Journal article citation:
- Journal of Mental Health, 12(1), February 2003, pp.7-18.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The assumed relationship between mental disorder and violence is empirically contested and yet politicians remain concerned about the special threat which psychiatric patients allegedly pose to public safety. This paper aims to explore how this public policy scenario has arisen. The evidence about dangerousness in psychiatric populations is examined in relation to patient, ecological and socio-economic factors. Given that the above evidence provides only weak grounds for concern about psychiatric patients being disproportionately dangerous, the skewed policy discourse noted in the background is explained by describing three contextualising factors: public prejudice; the widening remit of deviance-control by psychiatry during the twentieth century; and inconsistent societal sanctions about dangerousness.
Mental health policy and the politics of mental health: a three part tier analytical framework
- Authors:
- PILGRIM David, ROGERS Anne
- Journal article citation:
- Policy and Politics, 27(1), January 1999, pp.13-24.
- Publisher:
- Policy Press
This article offers a broad unifying analytical framework which includes this range and variety while bringing some order into a field which can overwhelm individual scholars. The framework has three tiers: macro, meso and micro. These refer respectively to global and transhistorical factors; national and cultural factors; and local and personal factors. A case study is outlined (mental health, violence and coercion) to illustrate the utility of the framework. Its advantages and limits are then discussed in relation to interdisciplinarity and transdisciplinarity.
Disordered personalities and disordered concepts
- Author:
- PILGRIM David
- Journal article citation:
- Journal of Mental Health, 10(3), June 2001, pp.253-265.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Article explores the uncertainties surrounding the diagnosis of personality disorder. Problems in relation to the reliability and validity of the diagnosis are examined, and their implications for our understanding of causation and decisions about intervention are discussed. Because of the difficulties surrounding the diagnosis, some suggestions are offered about an improved inter-disciplinary research agenda. Also because people with this diagnosis create extensive consternation and uncertainty for health and welfare professionals, some suggestions are made about providing an informed and supportive corporate response in localities. Concludes with a discussion of personality disorder and social policy.