Principles of Social Psychiatry, 2e
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Social psychiatry is concerned with the effects of the social environment on the mental health of the individual, and with the effects of the person with a mental disorder on his/her social environment. The field encompasses social interventions, prevention and the promotion of mental health. This new edition of Principles of Social Psychiatry provides a broad overview of current thinking in this expanding field and will be a source of ideas both in research and for the management of mental disorder. It opens by putting social psychiatry in perspective, within both psychiatry and the social sciences. From the patient's perspective, the outermost influence is the culture in which they live, followed by their neighbourhoods, workmates, and friends and family. The next section considers how we conceptualize the social world, from families through cultural identify and ethnicity to the wider social environment.

The book reviews the social determinants and consequences of the major mental disorders before considering interventions and service delivery at various levels to mitigate these. It closes with a review of the social impact of mental illness around the world and a thoughtful essay by the editors on the current state of social psychiatry and where it is heading.


Dinesh Bhugra is Professor of Mental Health and Cultural Diversity at the Institute of Psychiatry in London. He is currently President of the Royal College of Psychiatrists, having previously served as Dean. In May 2009, he was elected as an International Fellow of the American Psychiatric Association, in recognition of having made significant and continued contributions to the field of psychiatry. He has authored/co authored over 200 papers, 50 chapters and 14 books, the most recent volume being Culture and Self-harm, Handbook of Psychiatry. He is editor of the International Review of Psychiatry.

Craig Morgan is Senior Lecturer at the Institute of Psychiatry, King's College London and Associate Member of the Social Psychiatry Unit, University of Oxford. He has completed higher degrees at the Universities of Oxford and London and his research focuses on the impact of social and cultural factors on the onset, course and outcome of mental disorders. He has authored numerous academic papers and book chapters on these topics and has co-edited a book on the relationship between the social environment and serious mental disorder, Society and Psychosis. He is on the editorial board of Psychological Medicine.


List of Contributors.

Foreword (Mario Maj).


Social Psychiatry: Alive and Kicking (Dinesh Bhugra and Craig Morgan).

Part One Perspectives and Methods.

1 The Historical Development of Social Psychiatry (Julian Leff).

2 Why Psychiatry Has to be Social (Paul E. Bebbington).

3 Categories and Continuums (Peter Tyrer).

4 Social, Biological and Personal Constructions of Mental Illness (Derek Bolton).

5 Social Science Perspectives: A Failure of the Sociological Imagination (Craig Morgan and Arthur Kleinman).

6 Concepts and Challenges in Capturing Dynamics of the Wider Social Environment (Stephani L. Hatch and Dana March).

7 Qualitative Research Methods (Joanna Murray).

Part Two Components of the Social World.

8 The Social Epidemiology of Mental Disorder (Ronald C. Kessler, Philip S. Wang and Hans-Ulrich Wittchen).

9 Families and Psychosis (Juliana Onwumere, Ben Smith and Elizabeth Kuipers).

10 Culture and Its Influence on Diagnosis and Management (Dinesh Bhugra and Susham Gupta).

11 Culture and Identity (Julian Leff).

12 Globalization and Psychiatry (Rahul Bhattacharya, Susham Gupta and Dinesh Bhugra).

13 Trauma and Disasters in Social and Cultural Context (Laurence J. Kirmayer, Hanna Kienzler, Abdel Hamid Afana and Duncan Pedersen).

Part Three Social Determinants.

14 Fundamental Social Causes of Health Inequalities (Jo C. Phelan and Bruce G. Link).

15 The Sociodevelopmental Origins of Psychosis (Craig Morgan and Gerard Hutchinson).

16 Depression (Tom K. J. Craig).

17 Common Mental Disorders (Christoph Lauber).

18 Suicide (Gwendolyn Portzky and Kees van Heeringen).

19 Personality Disorder (Priya Bajaj and Mike Crawford).

20 Drug Use, Drug Problems and Drug Addiction: Social Influences and Social Responses (John Strang, Michael Gossop and John Witton).

21 Eating Disorders (Mervat Nasser).

22 Social Factors that Influence Child Mental Health (Nisha Dogra).

23 Social Determinants of Late Life Disorders (Robert Stewart).

Part Four Social Consequences and Responses.

24 Responses to the Onset of Mental Health Problems: Issues and Findings from Research on Illness Behaviour and the Use of Health Services (Bernice A. Pescosolido).

25 Gender and Reproductive Health (Louise Howard).

26 Stigma and Discrimination (Graham Thornicroft, Nisha Mehta, Elaine Brohan and Aliya Kassam).

27 Taking Inequality's Measure: Poverty, Displacement, Unemployment and Mental Health (Kim Hopper).

28 Health Economics and Psychiatry: The Pursuit of Efficiency (Martin Knapp and Jennifer Beecham).

Part Five Social Interventions.

29 Team Structures in Community Mental Health (Tom Burns).

30 Prevention (Tristan McGeorge, Sean Cross and Rachel Jenkins).

31 Principles of Social Intervention (Richard Warner).

32 Social Interventions for Psychosis (David Kingdon, Yoshihiro Kinoshita and Stefan Gleeson).

33 Social Management of Common Mental Disorders (Patricia R. Casey).

34 Problem-Solving Therapy for People with Personality Disorders (Mary McMurran, Christine Maguth Nezu and Arthur M. Nezu).

35 Social Support (Traolach S. Brugha).

36 Modern Social Networking and Mental Health (Keir Jones, James Woollard and Dinesh Bhugra).

37 The Psychiatric–Child Protection Interface: Research to Inform Practice (Colin Pritchard).

Part Six Global Mental Health.

38 Mental Health in Europe: Learning from Differences (Mirella Ruggeri and Maria Elena Bertani).

39 East Meets West: Current Mental Health Burdens in Greater China (Roger M. K. Ng and Zhanjiang Li).

40 Social Psychiatry in India (R. Thara and R. Padmavati).

41 Social Psychiatry in Africa: Evidence and Challenges (Oye Gureje and Victor Makanjuola).

42 Social Psychiatry in the Americas (Pedro Ruiz).


43 Where Next for Social Psychiatry? (Dinesh Bhugra and Craig Morgan).



"This should be of interest not only to those in the mental health professions who are committed to the practice and investigation of social psychiatry but to all who are engaged in the mental health system irrespective of their theoretical persuasions." (Transcultural Psychiatry, July 2011)

"Since it is claimed that depression is the fourth most common cause of health-related disability, there is a perceived need for effective psychological interventions that can be delivered within the community on a large scale. Low-cost ways of reducing the financial and human burden of common mental disorders are thoroughly explored in this book."(International Journal of Social Psychiatry, 2011)

"The chapter by Dinesh Bhugra and Susham Gupta on culture and its influence on diagnosis and management could be a useful free-standing training manual for mental health professionals working in a cross-cultural or multicultural setting" (International Journal of Social Psychiatry, 2011)