Recovery from Schizophrenia: Psychiatry and Political Economy
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The chapter on schizophrenia in the Third World is maybe the most philosophically interesting because it raises major questions of how to conceptualize mental illness in different cultures, or whether schizophrenia is a universal concept that can be applied equally in all cultures. Similar issues arise in applying the concept of schizophrenia to previous centuries, in rather less urgent form. Warner does not press these issues philosophically, and keeps the conceptual discussion to the minimum necessary for his main purposes.
The chapter on the Third World attempts to cover a huge area in relatively few pages, and could easily be expanded to a book of its own. Nevertheless, philosophers and medical anthropologists will find his discussion here fascinating, and it could serve as a starting place for a sustained investigation of the cultural variation in the understanding of schizophrenia. As a philosopher, I don't have the expertise in the wide range of empirical literature, from Western economic history, through non-Western medical anthropology, the history of psychiatry, modern clinical studies, to modern psychopharmacology and genetics to judge the adequacy of Warner's survey of the field or his interpretation.
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- Recovery from Schizophrenia : Psychiatry and Political Economy by Richard Warner (1988, Hardcover).
- ISBN 13: 9780415092609.
- Recovery From Schizophrenia: Psychiatry And Political Economy.
Indeed, one wonders how many people would be competent to assess the whole range of claims in the book. Nevertheless, it has stood up to the criticism of previous editions and is up to date with recent information. It is careful and nuanced, as well as reasonably thorough in its argument.
Warner, R., “Recovery from schizophrenia in the Third World,” Psychiatry, . The middle section of the book looks at the impact of political economy on. Editorial Reviews. Review. "This is a useful book for libraries to own useful for students in a wide variety of disciplines." -- Choice. About the Author. Richard.
For anyone who is interested in the debate over the best policy for treating schizophrenia, and the economic factors relevant to mental health treatment, Recovery from Schizophrenia is essential reading. We feature over in-depth reviews of a wide range of books and DVDs written by our reviewers from many backgrounds and perspectives. We update our front page weekly and add more than twenty new reviews each month.
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Lists with This Book. This book is not yet featured on Listopia. Community Reviews. Showing Rating details. More filters. Sort order. Jun 23, Kevin Bass rated it it was amazing. One of the best investigations of the social dimensions of schizophrenia that exist.
Warner is a rigorous critic of the literature, a competent intellectual, and a systematic thinker. This is a classic. James rated it it was amazing May 28, Rob rated it it was amazing Dec 21, Peter Mcloughlin rated it it was amazing Jan 08, Paul Cruickshank rated it it was amazing Feb 13, David Marsden rated it it was amazing Aug 16, Caroline rated it it was ok Oct 04, Since the s, consumers, family members and concerned care providers have formed a patchwork Recovery Movement to reform the U.
The PSR model et al. Mueser et al. In , the Recovery Movement garnered Bush Administration support. Advocate Amy Jones elaborated:. Who do you say things like that to? Compliance stops critical thinking ….
Due to the importance of dharma , children and the continuity of lineage the children of mentally ill people were considered no less important , Indian parents made great efforts to secure a marriage partner for their mentally ill child, knowing that marriage would protect them from stigma, especially if they had children Thara et al. I have bad credit and no checking account and so I have a rent payee. Case managers often shared the fears, sorrows, frustrations and small victories of the members. We invited a few colleagues from around the world to send a sentence or two to honor Dick on this day. Understanding efforts to change the culture of the U.
Why do we teach consumers that the only way to get what you want is to wait for someone to give it to you? October The success of PSR programs and case managers was measured by the number of hospital days clients had in a given period, with more hospital days indicating less program efficacy Floersch ; Lunbeck Estroff et al. Coercion was necessary, Brodwin , p. After hospitalization, consumers were assigned to a case manager and started the process over again.
Coercive practices, although possibly necessary, also had negative effects on the therapeutic alliance between case managers and their clients Angell et al. Understanding efforts to change the culture of the U. Any attempt to understand the way a health care system changes its institutional culture should build on accumulated anthropological knowledge about the relationship between culture and health care.
Existing anthropological research provides valuable critiques of U. Recently, schizophrenia researchers Jenkins and Carpenter-Song , p. PEP was open Thursday through Sunday from 9 to 4 to accommodate homeless people who had nowhere to go on the weekends. Riverside operated Monday through Friday from 9 to 5. Many wanted to work; half of adults with mental health disorders considered themselves able to work Kaye and opinion surveys repeatedly found that most consumers desired employment services and supports Cook Even so, finding jobs was difficult due to societal and self-stigma.
Pescosolido et al.
Recovery from Schizophrenia--Psychiatry and Political Economy
The potential loss of medical insurance was also a major disincentive to work. People with mental illnesses in part-time and even full-time jobs lacked adequate mental health coverage Cook In contrast, government psychiatric disability benefits guaranteed insurance coverage for expensive psychiatric services and prescriptions Iglehart Subsisting below the poverty level DHHS led many members to live a nomadic lifestyle on what Hopper et al.
At least one-third of Usonians diagnosed with schizophrenia shared this fate Warner , p. They provided a place to go during the day, a way to connect with case managers and peers, access to a hot lunch, some interesting training classes and sometimes even a family-style environment. We learn from these experiences of failure and know what not to do again.
Despite these directives, members often endured the daily strain of poverty, crime, homelessness and stigma. Luhrmann , pp. After traveling in the United States, de Tocqueville [] , p. De Tocqueville [] , p. On the other hand, U. How did these attempts seem to help or hinder healing from schizophrenia? What lessons can we take from attempts to implement the recovery philosophy at Horizons to inform other similar efforts? Vera shuffled across the stage, shoulders hunched:. If you met me a couple of years ago, you would have seen me walking around overmedicated, no self-esteem, no self-worth and even more so—afraid.
I was afraid to make a move one way—to go back to work. I was afraid for another hospitalization …. My life was really changing for the worse until I became empowered. And then I realized that for my recovery it was more important than to help myself to help others. Staff need to change …. We need your help to change the behaviors and mentality of staff today!
Empowering yourself to take back your life means exercising your freedom of choice—a fundamental right you have as an independent individual person …. Do not see me and treat me as if I were disabled.
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Just do what you need to do. The way recovery was rolled out as an agency initiative felt very paternalistic towards staff and staff picked up on that. You want to empower people, but it only makes the members against us feeling worse. Recovery aggravated this and made it sound like staff was the enemy blocking the route to a better life. April Meet Earl: bearded, lacking teeth, grizzled and gray, pensive and generally unresponsive, but grateful for the new boots Shelby offered.
He immediately began unlacing his tattered tennis shoes with long, deeply cracked yellow fingernails, mumbling about frostbite. Shelby quietly suggested he change his shoes in the bathroom instead. As Earl walked toward the bathroom, Shelby sighed heavily.
So recovery says that my client has to make his own choices about meds and housing and what he does with his day and how he spends his money all by himself. February Bruce also had reservations about the recovery philosophy letting members control their own money:. I know full well he is going to use it all in those first few days to rent a hotel and smoke crack and get a prostitute … the rest of the month he will be broke, sick and tired and homeless and I will be almost powerless to help him with no money.
Oh yeah, and I am not supposed to help because he has to take personal responsibility for his choices. May As he spoke, he shared the wizened look of his clients. Case managers often shared the fears, sorrows, frustrations and small victories of the members.
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