Hutchinson, Gerard; Hickling, Frederick W.
Author Affiliation, Ana.
Department of Community Health and Psychiatry
Problems in society, problem in psychiatry
International Review of Psychiatry
Date of Publication
Societal problems are fundamental in fostering a clearer understanding of psychiatric epidemiology. We illustrate this by juxtaposing the findings of high rates of psychosis in the population of Caribbean origin in Britain with the dissatisfaction with mental health services in general . The problem in psychiatry is therefore mirrored by a problem in society which have similar bases in terms of relationships with institutional structures in Britain. The origins of psychiatry and the concept of schizophrenia are discussed with a view to identifying the historical and cultural influences which informed their genesis. An exploration of the assumptions which have informed psychiatric diagnosis and treatment and the factors that contribute to social inequality must be considered together in mounting appropriate research and clinical responses to the problems of this population in Britain. These findings in Britain therefore have important implications for the understanding of psychiatry as a socio-cultural as well as scientific practice and consequently for the categorization of mental illness.....