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Being Mentally Ill : A Sociological Study - Thomas J. Scheff

Being Mentally Ill

A Sociological Study

Paperback

Published: 31st December 1999
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In incorporating social process into a model of the dynamics of mental disorders, this text questions the individualistic model favoured in current psychiatric and psychoanalytic theory. While the conventional psychiatric viewpoint seeks the causes of mental illness, Scheff views "the symptoms of mental illness" as the violation of residual rules - social norms so taken for granted that they are not explicitly verbalized. The sociological theory developed by Scheff to account for such behaviour provides a framework for studies reported in subsequent chapters. Two key assumptions emerge: first, that most chronic mental illness is in part a social role; and second, that societal reaction may in part determine entry into that role. Throughout, the sociological model of mental illness is compared and contrasted with more conventional medical and psychological models in an attempt to delineate significant problems for further analysis and research. This third edition has been revised and expanded to encompass the controversy prompted by the first edition, and also to re-evaluate developments in the field. New to this edition are discussions of the use of psychoactive drugs in the treatment of mental illness, changing mental health laws, new social science and psychiatric studies, and the controversy surrounding the labelling theory of mental illness itself.

Prefacep. ix
Introduction
Biological Psychiatry and Labeling Theoryp. 3
Effectiveness of Psychoactive Drugsp. 6
Placebo Reactionsp. 7
Are Psychoactive Drugs Safe?p. 8
Challenging the Rule of Biopsychiatryp. 10
The Emotional/Relational Worldp. 13
Gove's Critique of the Labeling Theory of Mental Illnessp. 15
Individual and Social Systems in Deviancep. 17
Theory
Social Control as a Systemp. 31
Areas of Social Controlp. 40
The Societal Reaction to Deviancep. 45
Conclusionp. 50
Residual Deviancep. 53
The Origins of Residual Rule-Breakingp. 58
Prevalencep. 63
The Duration and Consequences of Residual Rule-Breakingp. 65
The Social Institution of Insanityp. 69
Individual and Interpersonal Systems in Role-Playingp. 70
Learning and Maintaining Role Imageryp. 74
Normalization and Labelingp. 84
Acceptance of the Deviant Rolep. 86
A Note on Feedback in Deviance-Amplifying Systemsp. 94
Conclusionp. 97
The Power of the Psychiatrist
Decisions in Medicinep. 101
Type 1 and Type 2 Errorsp. 103
Decision Rules in Medicinep. 104
Basic Assumptionsp. 106
The "Sick Role"p. 108
Implications for Researchp. 110
Negotiating Reality: Notes on Power in the Assessment of Responsibilityp. 115
The Process of Negotiationp. 120
A Contrasting Casep. 123
Discussionp. 126
Conclusion: Negotiation in Social Science Researchp. 130
The Emotional/Relational World
A Psychiatric Interview: Alienation between Patient and Psychiatristp. 135
Social Action and Natural Languagep. 136
Example of Interaction Ritual: The Opening Exchange in a Conversationp. 139
Embarrassment and Anger: The Feeling Trap of Shame-Ragep. 141
Interpretation and Contextp. 145
Implicature, Context, and Social Structurep. 152
Labeling in the Family: Hidden Shame and Angerp. 157
Pride, Shame, and the Social Bondp. 159
A New Labeling Theoryp. 161
Labeling in the Family: A Case Study (Based on Scheff 1989)p. 161
Labeling by Psychiatristsp. 171
Conclusionp. 172
Summary and Review
Conclusionp. 177
Symptom, Context, and Meaningp. 177
Typification in Diagnosisp. 182
Mental Illness and Social Statusp. 188
Implications of the Emotional/Relational World for Treatment and Researchp. 197
Impact of the 1966 Edition on Legislative Changep. 201
Referencesp. 203
Indexp. 213
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9780202305875
ISBN-10: 0202305872
Series: Social Problems and Social Issues
Audience: Professional
Format: Paperback
Language: English
Number Of Pages: 234
Published: 31st December 1999
Publisher: Taylor & Francis Inc
Country of Publication: US
Dimensions (cm): 22.9 x 15.2  x 1.52
Weight (kg): 0.36
Edition Number: 3
Edition Type: New edition