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Being Mentally Ill: A Sociological Theory / Edition 3
     

Being Mentally Ill: A Sociological Theory / Edition 3

by Thomas J. Scheff
 

ISBN-10: 0202305872

ISBN-13: 9780202305875

Pub. Date: 12/31/1999

Publisher: Transaction Publishers

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

Overview

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.

Product Details

ISBN-13:
9780202305875
Publisher:
Transaction Publishers
Publication date:
12/31/1999
Series:
Social Problems and Social Issues Series
Edition description:
New Edition
Pages:
220
Product dimensions:
6.00(w) x 9.00(h) x 0.54(d)

Table of Contents

Prefaceix
Part IIntroduction
1Biological Psychiatry and Labeling Theory3
Effectiveness of Psychoactive Drugs6
Placebo Reactions7
Are Psychoactive Drugs Safe?8
Challenging the Rule of Biopsychiatry10
The Emotional/Relational World13
Gove's Critique of the Labeling Theory of Mental Illness15
2Individual and Social Systems in Deviance17
Part IITheory
3Social Control as a System31
Areas of Social Control40
The Societal Reaction to Deviance45
Conclusion50
4Residual Deviance53
The Origins of Residual Rule-Breaking58
Prevalence63
The Duration and Consequences of Residual Rule-Breaking65
5The Social Institution of Insanity69
Individual and Interpersonal Systems in Role-Playing70
Learning and Maintaining Role Imagery74
Normalization and Labeling84
Acceptance of the Deviant Role86
A Note on Feedback in Deviance-Amplifying Systems94
Conclusion97
Part IIIThe Power of the Psychiatrist
6Decisions in Medicine101
Type 1 and Type 2 Errors103
Decision Rules in Medicine104
Basic Assumptions106
The "Sick Role"108
Implications for Research110
7Negotiating Reality: Notes on Power in the Assessment of Responsibility115
The Process of Negotiation120
A Contrasting Case123
Discussion126
Conclusion: Negotiation in Social Science Research130
Part IVThe Emotional/Relational World
8A Psychiatric Interview: Alienation between Patient and Psychiatrist135
Social Action and Natural Language136
Example of Interaction Ritual: The Opening Exchange in a Conversation139
Embarrassment and Anger: The Feeling Trap of Shame-Rage141
Interpretation and Context145
Implicature, Context, and Social Structure152
9Labeling in the Family: Hidden Shame and Anger157
Pride, Shame, and the Social Bond159
A New Labeling Theory161
Labeling in the Family: A Case Study (Based on Scheff 1989)161
Labeling by Psychiatrists171
Conclusion172
Part VSummary and Review
10Conclusion177
Symptom, Context, and Meaning177
Typification in Diagnosis182
Mental Illness and Social Status188
Implications of the Emotional/Relational World for Treatment and Research197
AppendixImpact of the 1966 Edition on Legislative Change201
References203
Index213

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