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from
Part I
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Theoretical and conceptual foundations
By
Craig Morgan, Section of Social and Cultural Psychiatry Health Service and Population Research Department Box 33, Institute of Psychiatry De Crespigny Park, London, UK
The relationship between psychiatry and the social sciences has a chequered history, with examples of both fruitful collaboration and periods of extreme animosity, the legacy of which is an ongoing ambivalence of each towards the other. Perhaps the core idea that unified the amorphous perspectives of the 'antipsychiatry' movement was that mental illness was a myth, a social construction designed to silence difference. Research in the social sciences has an important contribution to make to the understanding of how social contexts shape the course and outcome of schizophrenia and other psychoses, and how one can intervene to moderate these contexts and improve long-term outcomes. From the inception of the discipline, sociologists have been interested in the social patterning and determinants of health and illness. This body of work can be considered under two headings: structural strain theory and social stress theory.
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