Access your Project MUSE content using one of the login options below Close(X)
Browse Results For:
Mental Health Policy in the United States since 1950
The past half-century has been marked by major changes in the treatment of mental illness: important advances in understanding mental illnesses, increases in spending on mental health care and support of people with mental illnesses, and the availability of new medications that are easier for the patient to tolerate. Although these changes have made things better for those who have mental illness, they are not quite enough. In Better But Not Well, Richard G. Frank and Sherry A. Glied examine the well-being of people with mental illness in the United States over the past fifty years, addressing issues such as economics, treatment, standards of living, rights, and stigma. Marshaling a range of new empirical evidence, they first argue that people with mental illness—severe and persistent disorders as well as less serious mental health conditions—are faring better today than in the past. Improvements have come about for unheralded and unexpected reasons. Rather than being a result of more effective mental health treatments, progress has come from the growth of private health insurance and of mainstream social programs—such as Medicaid, Supplemental Security Income, housing vouchers, and food stamps—and the development of new treatments that are easier for patients to tolerate and for physicians to manage. The authors remind us that, despite the progress that has been made, this disadvantaged group remains worse off than most others in society. The "mainstreaming" of persons with mental illness has left a policy void, where governmental institutions responsible for meeting the needs of mental health patients lack resources and programmatic authority. To fill this void, Frank and Glied suggest that institutional resources be applied systematically and routinely to examine and address how federal and state programs affect the well-being of people with mental illness.
Political Group Dynamics and Foreign Policy-making
Strategic issues and crises in foreign policy are usually managed by relatively small groups of elite policymakers and their closest advisors. Since the pioneering work of Irving Janis in the early 1970s, we have known that the interplay between the members of these groups can have a profound and, indeed, at times a pernicious influence on the content and quality of foreign policy decisions. Janis argued that "groupthink," a term he used to describe a tendency for extreme concurrence-seeking in decision-making groups, was a major cause of a number of U.S. foreign policy fiascoes. And yet not all small groups suffer from groupthink; in fact many high-level bodies are handicapped by an inability to achieve consensus at all. Beyond Groupthink builds upon and extends Janis's legacy. The contributors develop a richer understanding of group dynamics by drawing on alternate views of small-group dynamics. The relevant literature is reviewed and the different perspectives are explored in detailed case studies. The contributors link the group process to the broader organizational and political context of the policy process and stress the need to develop a multi-level understanding of the collegial policy-making process, combining the insights drawn from micro-level theories with those derived from study of broader political phenomena. The contributors include Alexander George, Sally Riggs Fuller, Paul D. Hoyt, Ramon J. Aldag, Max V. Metselaar, Bertjan Verbeek, J. Thomas Preston, Jean A. Garrison, and Yaacov Y. I. Vertzberger. This book should appeal to political scienctists and international relations specialists, as well as researchers in social psychology, public administration, and management interested in group decision-making processes. Paul 't Hart is Associate Professor, Department of Public Administration, Leiden University and Scientific Director of of the Leiden-Rotterdam Crisis Research Center. Eric Stern is Professor of Political Science at Stockholm University. Bengt Sundelius is Professor of Political Science at Stockholm University.
Cultural History and Developmental Psychology
In 1900, Ellen Key wrote the international bestseller The Century of the Child. In this enormously influential book, she proposed that the world's children should be the central work of society during the twentieth century. Although she never thought that her "century of the child" would become a reality, in fact it had much more resonance than she could have imagined.
The idea of the child as a product of a protective and coddling society has given rise to major theories and arguments since Key's time. For the past half century, the study of the child has been dominated by two towering figures, the psychologist Jean Piaget and the historian Philippe Ariès. Interest in the subject has been driven in large measure by Ariès's argument that adults failed even to have a concept of childhood before the thirteenth century, and that from the thirteenth century to the seventeenth there was an increasing "childishness" in the representations of children and an increasing separation between the adult world and that of the child. Piaget proposed that children's logic and modes of thinking are entirely different from those of adults. In the twentieth century this distance between the spheres of children and adults made possible the distinctive study of child development and also specific legislation to protect children from exploitation, abuse, and neglect. Recent students of childhood have challenged the ideas those titans promoted; they ask whether the distancing process has gone too far and has begun to reverse itself.
In a series of essays, Beyond the Century of the Child considers the history of childhood from the Middle Ages to modern times, from America and Europe to China and Japan, bringing together leading psychologists and historians to question whether we unnecessarily infantilized children and unwittingly created a detrimental wall between the worlds of children and adults. Together these scholars address the question whether, a hundred years after Ellen Key wrote her international sensation, the century of the child has in fact come to an end.
Combining cognitive and evolutionary research with traditional humanist methods, Nancy Easterlin here demonstrates how a biocultural perspective in theory and criticism opens up new possibilities for literary interpretation. Easterlin maintains that the goal of literary interpretation is still of central intellectual and social value. Taking an open yet judicious approach, she argues, however, that literary interpretation stands to gain dramatically from a fair-minded and creative application of cognitive and evolutionary research. This work does just that, expounding a biocultural method that charts a middle course between overly reductive approaches to literature and traditionalists who see the sciences as a threat to the humanities. Easterlin applies her biocultural method to four major subfields within literary studies: new historicism, ecocriticism, cognitive approaches, and evolutionary approaches. After a thorough review of each subfield, she reconsiders it in light of relevant research in cognitive and evolutionary psychology and provides a textual analysis of literary works from the romantic era to the present, including William Wordsworth’s “Simon Lee” and the Lucy poems, Mary Robinson’s “Old Barnard,” Samuel Taylor Coleridge’s “Dejection: An Ode,” D. H. Lawrence’s The Fox, Jean Rhys’s Wide Sargasso Sea, and Raymond Carver’s “I Could See the Smallest Things.” A Biocultural Approach to Literary Theory and Interpretation offers a fresh and reasoned approach to literary studies that at once preserves the central importance that interpretation plays in the humanities and embraces the exciting developments of the cognitive sciences.
This comprehensive volume is the first to offer guidance to clinicians and researchers treating or studying bipolar disorder in older adults. Growing numbers of elderly people are affected by this serious mental illness. Presenting the most recent information, experts in the fields of bipolar disorder, geriatrics, and mental health services research cover late-life bipolar disorder in four major domains: epidemiology and assessment, treatment, complexity and comorbidity, and specialized care delivery. Revealing the effect of the aging process on the disease, they address diagnosis patterns over the life course, rating scales of assessment, pharmacologic and psychological therapies, adherence to treatment, effects of cultural factors, assessing the quality of care, and legal and ethical issues. An important tool for clinicians, this book will serve as a springboard for further research into this complex disorder.
Depression and Gender in the Age of Self-Care
Winston Churchill called his own depression his "black dog." Black Dogs and Blue Words analyzes contemporary rhetoric surrounding depression and maintains that the techniques and language of depression marketing strategies target women and young girls, encoding a series of gendered messages about health and illness and encouraging self-diagnosis and self-medication. As depression and other forms of mental illness move from the medical-professional sphere to the consumer-public, the boundary at which distress becomes disease grows ever-more encompassing, the need for remediation and treatment increasingly warranted.
Essays in Psychoanalytic Folkloristics
Bloody Mary in the Mirror mixes Sigmund Freud with vampires and The Little Mermaid to see what new light psychoanalysis can bring to folklore techniques and forms.
Ever since Freud published his analysis of Jewish jokes in 1905 and his disciple Otto Rank followed with his groundbreaking The Myth of the Birth of the Hero in 1909, the psychoanalytic study of folklore has been an acknowledged part of applied psychoanalysis.
However, psychoanalysts, handicapped by their limited knowledge of folklore techniques, have tended to confine their efforts to the Bible, to classical mythology, and to the Grimm fairy tales. Most folklorists have been slow to consider psychoanalysis as a method of interpreting folklore.
One notable exception is folklorist Alan Dundes. In the seven fascinating essays of Bloody Mary in the Mirror, psychoanalytic theory illuminates such folklore genres as legend (in the vampire tale), folktale (in the ancient Egyptian tale of two brothers), custom (in fraternity hazing and ritual fasting), and games (in the modern Greek game of "Long Donkey"). One of two essays Dundes co-authored with his daughter Lauren Dundes, professor of sociology at Western Maryland College, successfully probes the content of Disney's The Little Mermaid, yielding new insights into this popular reworking of a Hans Christian Andersen favorite.
Among folk rituals investigated is the girl's game of "Bloody Mary." Elementary or middle school-age girls huddle in a darkened bathroom awaiting the appearance in the mirror of a frightening apparition. The plausible analysis of this well-known--if somewhat puzzling--American rite is one of many surprising and enlightening finds in this book.
All of the essays in this remarkable volume create new takes on old traditions. Bloody Mary in the Mirror is an expedition into psychoanalytic folklore techniques and constitutes a giant step towards realizing the potential Freud's work promises for folklore studies.
Alan Dundes is professor of anthropology and folklore at the University of California, Berkeley. Among many others, his books include Interpreting Folklore (1980) and From Game to War and Other Psychoanalytic Essays on Folklore (1997). He edited Mother Wit from the Laughing Barrel: Readings in the Interpretation of Afro-American Folklore (1991), which was published by University Press of Mississippi.
Thinking at the Limit with Freud and Lacan
In The Book of Love and Pain, Juan-David Nasio offers the first exclusive treatment of psychic pain in Freudian and Lacanian psychoanalytic literature. Using insights gained from more than three decades as a practicing psychoanalyst, Nasio addresses the limits faced by the analyst in attempting to think and treat pain psychoanalytically. He suggests that while pain is about separation and loss, psychic pain is intensified by paradoxical overinvestment in the lost loved one. Included are discussions of the pain of mourning, the pain of jouissance, unconscious pain, pain as an object of the drive, pain as a form of sexuality, pain and the scream, and the pain of silence. In offering a phenomenological description of psychic pain, The Book of Love and Pain fills a gaping void in psychoanalytic research and will play an important role in our understanding of the human psyche.