China Mills

Bio: China Mills is an academic researcher from RMIT University. The author has contributed to research in topics: Mental health & Global mental health. The author has an hindex of 14, co-authored 39 publications receiving 770 citations. Previous affiliations of China Mills include University of Sheffield & University of Oxford.

Decolonizing Global Mental Health: The psychiatrization of the majority world

Abstract: Decolonizing Global Mental Health is a book that maps a strange irony. The World Health Organization (WHO) and the Movement for Global Mental Health are calling to ‘scale up’ access to psychological and psychiatric treatments globally, particularly within the global South. Simultaneously, in the global North, psychiatry and its often chemical treatments are coming under increased criticism (from both those who take the medication and those in the position to prescribe it). The book argues that it is imperative to explore what counts as evidence within Global Mental Health, and seeks to de-familiarize current ‘Western’ conceptions of psychology and psychiatry using postcolonial theory. It leads us to wonder whether we should call for equality in global access to psychiatry, whether everyone should have the right to a psychotropic citizenship and whether mental health can, or should, be global. As such, it is ideal reading for undergraduate and postgraduate students, as well as researchers in the fields of critical psychology and psychiatry, social and health psychology, cultural studies, public health and social work.

Social isolation: A conceptual and measurement proposal

Abstract: Social isolation is a deprivation of social connectedness. It is a crucial aspect that continues to be named by people as a core impediment for achieving well-being and as a relevant factor for understanding poverty. The notion of social isolation has been discussed within a diversity of theories that have provided rich insights into particular aspects of social isolation. However, there is no agreement on the core components of this social malady or on how to measure it. Although the challenge of conceptualising and measuring social connectedness is daunting, this paper argues that existing research in several fields provides solid ground for a common concept and for the construction of basic internationally comparable indicators that measure specific aspects of social isolation. In particular, this paper aims to contribute to the debate on social connectedness and its measurement in three ways: (1) presenting a working definition that, while doing justice to the rich insights advanced by different theories, stresses relational features in the life experience of people; (2) emphasising the relevance of isolation for poverty analysis; and (3) proposing some indicators to measure social connectedness that could be feasibly incorporated into a multi-topic household survey.

Measures of social isolation

Abstract: Social isolation is a deprivation of social connectedness. It is a crucial aspect that continues to be named by people as a core impediment for achieving well-being and as a relevant factor for understanding poverty. However it is not routinely included in surveys that provide data on multidimensional poverty measurement. Although the challenge of measuring social connectedness is daunting, this paper argues that existing research in several fields provides solid ground for the construction of basic internationally comparable indicators that measure specific aspects of social isolation. In particular, this paper synthesises the relevant literature on the measurement of social isolation and related phenomena, and on the basis of this synthetic review, proposes a module of indicators to measure social connectedness that could be feasibly incorporated into an internationally comparable multi-topic household survey.

Globalising Mental Health or Pathologising the Global South? Mapping the Ethics, Theory and Practice of Global Mental Health

Abstract: Embodied in the very concept of Global Mental Health (an area that is emerging as both a field of study and a global movement), mental health is conceptualised as being ‘global’; mental disorders are constructed as having ‘a physical basis in the brain…they can affect everyone, everywhere’ and are understood to be ‘truly universal’ (WHO, 2001a:x, 22) The construction of ‘mental disorder’ as universal is used to draw attention to inequalities in access to mental health care and treatment globally – the ‘treatment gap’ - and to push to scale up mental health services in low and middle-income countries (LMICs) based on those in high-income countries (HICs) This push arises from two separate, yet interrelated, arenas; the World Health Organization (WHO), and the Movement for Global Mental Health (MGMH) (wwwglobalmentalhealthorg)

The Psychiatrization of Poverty: Rethinking the Mental Health–Poverty Nexus

Abstract: The positive association between ‘mental illness’ and poverty is one of the most well established in psychiatric epidemiology. Yet, there is little conclusive evidence about the nature of this relationship. Generally, explanations revolve around the idea of a vicious cycle, where poverty may cause mental ill health, and mental ill health may lead to poverty. Problematically, much of the literature overlooks the historical, social, political, and cultural trajectories of constructions of both poverty and ‘mental illness’. Laudable attempts to explore the social determinants of mental health sometimes take recourse to using and reifying psychiatric diagnostic categories that individualize distress and work to psychiatrically reconfigure ‘symptoms’ of oppression, poverty, and inequality as ‘symptoms’ of ‘mental illness’. This raises the paradoxical issue that the very tools that are used to research the relationship between poverty and mental health may prevent recognition of the complexity of that relationship. Looking at the mental health–poverty nexus through a lens of psychiatrization (intersecting with medicalization, pathologization, and psychologization), this paper recognizes the need for radically different tools to trace the messiness of the multiple relationships between poverty and distress. It also implies radically different interventions into mental health and poverty that recognize the landscapes in which lived realities of poverty are embedded, the political economy of psychiatric diagnostic and prescribing practices, and ultimately to address the systemic causes of poverty and inequality.

Nudge: Improving Decisions about Health, Wealth, and Happiness

Abstract: NUDGE: IMPROVING DECISIONS ABOUT HEALTH, WEALTH, AND HAPPINESS by Richard H. Thaler and Cass R. Sunstein Penguin Books, 2009, 312 pp, ISBN 978-0-14-311526-7This book is best described formally as a general explanation of and advocacy for libertarian paternalism, a term coined by the authors in earlier publications. Informally, it is about how leaders, systems, organizations, and governments can nudge people to do the things the nudgers want and need done for the betterment of the nudgees, or of society. It is paternalism in the sense that "it is legitimate for choice architects to try to influence people's behavior in order to make their lives longer, healthier, and better", (p. 5) It is libertarian in that "people should be free to do what they like - and to opt out of undesirable arrangements if they want to do so", (p. 5) The built-in possibility of opting out or making a different choice preserves freedom of choice even though people's behavior has been influenced by the nature of the presentation of the information or by the structure of the decisionmaking system. I had never heard of libertarian paternalism before reading this book, and I now find it fascinating.Written for a general audience, this book contains mostly social and behavioral science theory and models, but there is considerable discussion of structure and process that has roots in mathematical and quantitative modeling. One of the main applications of this social system is economic choice in investing, selecting and purchasing products and services, systems of taxes, banking (mortgages, borrowing, savings), and retirement systems. Other quantitative social choice systems discussed include environmental effects, health care plans, gambling, and organ donations. Softer issues that are also subject to a nudge-based approach are marriage, education, eating, drinking, smoking, influence, spread of information, and politics. There is something in this book for everyone.The basis for this libertarian paternalism concept is in the social theory called "science of choice", the study of the design and implementation of influence systems on various kinds of people. The terms Econs and Humans, are used to refer to people with either considerable or little rational decision-making talent, respectively. The various libertarian paternalism concepts and systems presented are tested and compared in light of these two types of people. Two foundational issues that this book has in common with another book, Network of Echoes: Imitation, Innovation and Invisible Leaders, that was also reviewed for this issue of the Journal are that 1 ) there are two modes of thinking (or components of the brain) - an automatic (intuitive) process and a reflective (rational) process and 2) the need for conformity and the desire for imitation are powerful forces in human behavior. …