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| Preface | ix | |
| Part I | Introduction | |
| 1 | Biological Psychiatry and Labeling Theory | 3 |
| Effectiveness of Psychoactive Drugs | 6 | |
| Placebo Reactions | 7 | |
| Are Psychoactive Drugs Safe? | 8 | |
| Challenging the Rule of Biopsychiatry | 10 | |
| The Emotional/Relational World | 13 | |
| Gove's Critique of the Labeling Theory of Mental Illness | 15 | |
| 2 | Individual and Social Systems in Deviance | 17 |
| Part II | Theory | |
| 3 | Social Control as a System | 31 |
| Areas of Social Control | 40 | |
| The Societal Reaction to Deviance | 45 | |
| Conclusion | 50 | |
| 4 | Residual Deviance | 53 |
| The Origins of Residual Rule-Breaking | 58 | |
| Prevalence | 63 | |
| The Duration and Consequences of Residual Rule-Breaking | 65 | |
| 5 | The Social Institution of Insanity | 69 |
| Individual and Interpersonal Systems in Role-Playing | 70 | |
| Learning and Maintaining Role Imagery | 74 | |
| Normalization and Labeling | 84 | |
| Acceptance of the Deviant Role | 86 | |
| A Note on Feedback in Deviance-Amplifying Systems | 94 | |
| Conclusion | 97 | |
| Part III | The Power of the Psychiatrist | |
| 6 | Decisions in Medicine | 101 |
| Type 1 and Type 2 Errors | 103 | |
| Decision Rules in Medicine | 104 | |
| Basic Assumptions | 106 | |
| The "Sick Role" | 108 | |
| Implications for Research | 110 | |
| 7 | Negotiating Reality: Notes on Power in the Assessment of Responsibility | 115 |
| The Process of Negotiation | 120 | |
| A Contrasting Case | 123 | |
| Discussion | 126 | |
| Conclusion: Negotiation in Social Science Research | 130 | |
| Part IV | The Emotional/Relational World | |
| 8 | A Psychiatric Interview: Alienation between Patient and Psychiatrist | 135 |
| Social Action and Natural Language | 136 | |
| Example of Interaction Ritual: The Opening Exchange in a Conversation | 139 | |
| Embarrassment and Anger: The Feeling Trap of Shame-Rage | 141 | |
| Interpretation and Context | 145 | |
| Implicature, Context, and Social Structure | 152 | |
| 9 | Labeling in the Family: Hidden Shame and Anger | 157 |
| Pride, Shame, and the Social Bond | 159 | |
| A New Labeling Theory | 161 | |
| Labeling in the Family: A Case Study (Based on Scheff 1989) | 161 | |
| Labeling by Psychiatrists | 171 | |
| Conclusion | 172 | |
| Part V | Summary and Review | |
| 10 | Conclusion | 177 |
| Symptom, Context, and Meaning | 177 | |
| Typification in Diagnosis | 182 | |
| Mental Illness and Social Status | 188 | |
| Implications of the Emotional/Relational World for Treatment and Research | 197 | |
| Appendix | Impact of the 1966 Edition on Legislative Change | 201 |
| References | 203 | |
| Index | 213 |