Sense and nonsense in the social psychiatry concept

The term social psychiatry was justified when coined as a name denoting a psychiatric sub-discipline in order to promote the development of this specific aspect of psychiatric research and practice which, at the time, ran counter to established theory. At present, however, social psychiatry is in danger of becoming isolated, of developing in the boundary regions of psychiatric practice, and thus failing to fulfil its actual role of permeating psychiatry as a whole. The term social psychiatry is regarded as an expression of this isolation and should be avoided.     

The illness concept in adolescent psychiatry

This paper introduces some important views on the clinical entities of the adolescent psychiatry in Japan. Shimizu shows the transitional region between neurosis, schizophrenia and normal. Murakami's new classification tells the relationship among the psychiatric disorders, especially about the borderline disorder. Hatotani's scheme deals with the atypical psychoses very well. According to the idea of Griesinger's "Einheitspsychose" arranges my symptomatic picture several ambiguous symptoms of the adolescent psychiatric disorders. In this picture we can understand the meaning of the borderline disorder. At last I give the catastrophic model of psychiatric disorders.     

The social concept of disease

In the discussion of such social questions as “how should alcoholics be treated by society?” and “what kind of people are responsible in the face of the law?”, is “disease” a value-free or value-laden notion, a natural or a normative one? It seems, for example, that by the utterance ‘alcoholism should be classified as a disease’ we mean something like the following: the condition called alcoholism is similar in morally relevant respects to conditions that we uncontroversially label diseases, and therefore we have a moral obligation to consider alcoholism a disease. So there are grounds to think that, in the discussion of social questions, our concept of disease is strongly value-laden. However, it does not follow that the medical concept of disease is likewise value-laden. In this paper I distinguish between the medical and social concepts of disease, arguing that the naturalist-normativist debate is concerned with the former, but not the latter. Therefore, we need not settle the naturalist-normativist debate in order to conclude that the social concept of disease is value-laden.     

The social epidemiologic concept of fundamental cause

The goal of research in social epidemiology is not simply conceptual clarification or theoretical understanding, but more importantly it is to contribute to, and enhance the health of populations (and so, too, the people who constitute those populations). Undoubtedly, understanding how various individual risk factors such as smoking and obesity affect the health of people does contribute to this goal. However, what is distinctive of much on-going work in social epidemiology is the view that analyses making use of individual-level variables is not enough. In the spirit of Durkheim and Weber, S. Leonard Syme makes this point by writing that just “as bad water and food may be harmful to our health, unhealthful forces in our society may be detrimental to our capacity to make choices and to form opinions” conducive to health and well-being. Advocates of upstream (distal) causes of adverse health outcomes propose to identify the most important of these “unhealthful forces” as the fundamental causes of adverse health outcomes. However, without a clear, theoretically precise and well-grounded understanding of the characteristics of fundamental causes, there is little hope in applying the statistical tools of the health sciences to hypotheses about fundamental causes, their outcomes, and policies intended to enhance the health of populations. This paper begins the process of characterizing the social epidemiological concept of fundamental cause in a theoretically respectable and robust way.

Problems in practice and research in social psychiatry

Notion and contents of social psychiatry are explained on the basis of own experiences and results in research. In this connection the author deals more in detail with questions of practice and research, the performance of diagnostics and therapy and the connecting elements of these partial tasks.     

Reinvigorating the concept of situation in social psychology

The concept of situation has a long and venerable history in social psychology. The author argues that recent approaches to the concept of situation have confused certain important elements. Herein, the author proposes that attention to three of these elements will reinvigorate the concept of situation in social psychology: (a) that the analysis of situations should begin with their objective features; (b) that situations should be conceptualized as affordances; and (c) that the interpersonal core of situations, in particular the extent to which they are influenced by relationships, is the proper and most profitable focus for social psychology. These elements are consistent with recent developments in the study of situated social cognition and may help better define social psychology's position within the sciences.     

experience of social support among working mothers: a concept map

The purpose of the study was to identify, categorize, and provide a model for the understanding of social support among Korean working mothers. The participants were interviewed and asked what kind of social support they received that allowed them to maintain work and family life. Using multidimensional scaling and hierarchical clustering analysis to generate a concept map, 5 thematic clusters were identified: Husband, Workplace, Family, Child, and Government. Items in the Husband, Workplace, and Family clusters were rated by participants as the most important types of support. Child and Government items were rated considerably lower.     

The concept of social class: the contribution of Everett Hughes

In French Canada in Transition (1943) and a set of related essays written between 1933 and 1941, Everett Hughes, a key figure in the "Second Chicago School" of sociology developed a novel and noteworthy conceptualization of social class. This contribution, which was not recognized outside of French-language sociology in Quebec, was an integral element of Hughes's "interpretive institutional ecology" theoretical frame of reference. It combined elements of the classical ecological theory of class (human ecology, functionalism, Simmel), aspects of a Weber-inspired analysis of class, status, and political power, and elements of a proto-dependency analysis of Quebec's industrialization in the 1930s.     

Divergences in American psychiatry during the Depression: somatic psychiatry, community mental hygiene, and social reconstruction

The differences between somatic psychiatrists and mental hygienists, already apparent earlier, became much more pronounced during the Depression years, partly as a consequence of their different perspectives on this social crisis. Somatic psychiatrists, emboldened by the apparent success of new medical treatment methods, reasserted the central position of the mental hospital within psychiatry, attempted to improve the discipline's position within medicine, and promoted basic research. Mental hygienists, following the ideal of prevention, proposed far-reaching programs of community mental hygiene to alleviate widespread mental distress. A small group of mental hygienists embraced socialism and advocated measures of radical social reconstruction.