Preface I. On the Shoulders of Bakhtin and Vygotsky 1. The Woman Who Climbed Up the House 2. A Practice Theory of Self and Identity II. Placing Identity and Agency 3. Figured Worlds 4. Personal Stories in Alcoholics Anonymous 5. How Figured Worlds of Romance Become Desire III. Power and Privilege 6. Positional Identities 7. The Sexual Auction Block IV. The Space of Authoring 8. Authoring Selves 9. Mental Disorder, Identity, and Professional Discourse 10. Authoring Oneself as a Woman in Nepal V. Making Worlds 11. Play Worlds, Liberatory Worlds, and Fantasy Resources 12. Making Alternate Worlds in Nepal 13. Identity in Practice Notes References Credits Index

/pdf/identity-and-agency-in-cultural-worlds-4ninhgaoz5.pdf

Identity and Agency in Cultural Worlds

This paper is concerned with the economics of mental health. We argue that mental health economics is like health economics only more so: uncertainty and variation in treatments are greater; the assumption of patient self-interested behavior is more dubious; response to financial incentives such as insurance is exacerbated; the social consequences and external costs of illness are formidable. We elaborate on these statements and consider their implications throughout the chapter. Special characteristics' of mental illness and persons with mental illness are identified and related to observations on institutions paying for and providing mental health services. We show that adverse selection and moral hazard appear to hit mental health markets with special force. We discuss the emergence of new institutions within managed care that address long-standing problems in the sector. Finally, we trace the shifting role of government in this sector of the health economy.

/pdf/economics-and-mental-health-2t1oezm19h.pdf

Economics and mental health

guidelines handed down ad hoc by Congress.

https://ir.uiowa.edu/cgi/viewcontent.cgi?article=5640&context=etd

"The harder heroism of the hospital:" Union veterans and the creation of disability, 1862-1910

This article examines how the biomedical industrial complex has ensnared social work within a foreign conceptual and practice model that distracts clinical social workers from the special assistance that they can provide for people with mental distress and misbehavior. We discuss (1) social work’s assimilation of psychiatric perspectives and practices during its pursuit of professional status, (2) the persistence of psychiatric hospitalization despite its coercive methods, high cost, and doubtful efficacy, (3) the increasing reliance on the Diagnostic and Statistical Manual of Mental Disorders despite its widely acknowledged scientific frailty, and (4) the questionable contributions of psychoactive drugs to clinical mental health outcomes and their vast profits for the pharmaceutical industry, using antipsychotic drugs as a case example. We review a number of promising social work interventions overshadowed by the biomedical approach. We urge social work and other helping professions to exercise intellectual independence from the reigning paternalistic drug‐centered biomedical ideology in mental health and to rededicate themselves to the supportive, educative, and problem‐solving methods unique to their disciplines.

/pdf/clinical-social-work-and-the-biomedical-industrial-complex-6qyc8lisqo.pdf

Clinical Social Work and the Biomedical Industrial Complex

This article suggests the merits of conceptualizing incarceration as including institutionalization in a wide variety of enclosed settings, including prisons, jails, institutions for the intellectu...

Phyllis R. Miller

Papers

Mental Institutions in America. Social Policy to 1875

Personality Development and Deviation