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Innovations in social psychiatry1

Published online by Cambridge University Press:  09 July 2009

J. K. Wing
J. K. Wing*
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, London
*
2Address for correspondence: Professor J. K. Wing, MRC Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF.
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Synopsis

Social psychiatry, like social medicine of which it is a part, has two basic sciences – biology and sociology. People with psychiatric disorders suffer from acute breakdowns or chronic impairments which can be severely disabling in themselves, but these are often precipitated, amplified or maintained by social pressures and social disadvantages and by personal reactions, such as a loss of self-esteem and self-confidence. It is impossible, therefore, to draw a line between the medical and the social aspects of treatment, care and prevention.

The chief innovations during the past 40 years have been made in the context of a change-over from a system of care based on large institutions towards a more open but much looser and less-coordinated system of smaller units managed by staff from different professions who have developed their own, sometimes conflicting, views as to the best ways of helping the mentally disabled. Nevertheless, knowledge has accumulated which, if properly applied, could lead to a better quality of life for the ill and disabled and a decrease in the burden placed upon relatives. Further innovations are now required which will lead to the development of a responsible, comprehensive and integrated mental health service.

It is not yet known whether social measures taken to relieve or prevent lesser psychiatric disorders will lead to a decrease in the incidence or prevalence of more severe conditions and this question deserves further investigation. There is evidence, however, that relatively inexpensive help can be useful in the short term.

Progress will depend upon the accumulation of new knowledge. One of the most encouraging trends has been the improvement of evaluative designs and methods aimed at testing ideas for improving services, thus allowing planners to make better informed decisions.

Type
Research Article
Information
Psychological Medicine , Volume 10 , Issue 2 , May 1980 , pp. 219 - 230
Copyright
Copyright © Cambridge University Press 1980

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Footnotes

1

This paper was first presented as the Sir Geoffrey Vickers Lecture, delivered to the Mental Health Foundation, May 1979.

References

Allderidge, P. (1979). Hospitals, madhouses and asylums: cycles in the care of the insane. British Journal of Psychiatry 134, 321–334.CrossRefGoogle ScholarPubMed
Apte, R. Z. (1968). Halfway Houses. Bell: London.Google Scholar
Barnes, J. & Connelly, N. (eds.) (1978). Social Care Research. Bedford Square Press: London.Google Scholar
Bellak, L. (ed.) (1964). Handbook of Community Psychiatry. Grune and Stratton: New York.Google Scholar
Bennett, D. H. (1975). Techniques of industrial therapy, ergotherapy and recreative methods. In Psychiatrie der Gegenwart volume 3 (ed. Kisker, K. P., Meyer, J. E., Müller, C. and Strömgren, E.), pp. 743–778. Springer-Verlag: Berlin.Google Scholar
Brown, G. W. & Birley, J. L. T. (1970). Social precipitants of severe psychiatric disorders. In Psychiatric Epidemiology (ed. Hare, E. H. and Wing, J. K.), pp. 321–326. Oxford University Press: London.Google Scholar
Brown, G. W., Birley, J. L. T. & Wing, J. K. (1972). Influence of family life on the course of schizophrenic disorders: a replication. British Journal of Psychiatry 121, 241–258.CrossRefGoogle ScholarPubMed
Clark, D. H. & Cooper, L. W. (1960). Psychiatric half-way hostel: a Cambridge experiment. Lancet i, 588.CrossRefGoogle Scholar
Creer, C. (1978). Social work with patients and their families. In Schizophrenia: Towards a Modern Synthesis (ed. Wing, J. K.), pp. 233–252. Academic Press: London.Google Scholar
Creer, C. & Wing, J. K. (1974). Schizophrenia at Home. National Schizophrenia Fellowship: Surbiton.Google Scholar
Cross, K. W., Hassall, C. & Gath, D. (1972). Psychiatric day-care: the new chronic population. British Journal of Preventive and Social Medicine 26, 199–204.Google ScholarPubMed
Edwards, C. & Carter, J. (1979). Day services and the mentally ill. In Community Care for the Mentally Disabled (ed. Wing, J. K. and Olsen, R.), pp. 36–59. Oxford University Press: London.Google Scholar
Foucault, M. (1967). Madness and Civilization: A History of Insanity in the Age of Reason (trans. Howard, R.). Tavistock: London.Google Scholar
Goffman, E. (1961) Asylums: Essays of the Social Situation of Mental Patients and Other Inmates. Doubleday: New York.Google Scholar
Goldberg, D. P. (1972). The Detection of Psychiatric Illness by Questionnaire. Oxford University Press: London.Google Scholar
Henderson, S., Duncan-Jones, P., Byrne, D. G., Scott, R. & Adcock, S. (1979). Psychiatric disorder in Canberra: a standardised study of prevalence. Acta Psychiatrica 60, 355–374.CrossRefGoogle ScholarPubMed
Hewett, S. (1979). Somewhere to live. In The Care of the Mentally Disordered (ed. Olsen, R.), pp. 57–76. BASW: London.Google Scholar
Hewett, S., Ryan, P. & Wing, J. K. (1975). Living without the mental hospitals. Journal of Social Policy 4, 391–404.CrossRefGoogle Scholar
Holland, S. (1979). The development of an action and counselling service in a deprived urban area. In New Methods of Mental Health Care (ed. Meacher, M.), pp. 95–106. Pergamon: Oxford.Google Scholar
Jones, K. (1979). Integration or disintegration of the Mental Health Service. In New Methods of Mental Health Care (ed. Meacher, M.), pp. 3–14. Pergamon: Oxford.Google Scholar
Leach, J. (1979). Providing for the destitute. In Community Care for the Mentally Disabled (ed. Wing, J. K. and Olsen, R.), pp. 90–105. Oxford University Press: London.Google Scholar
Leach, J. and Wing, J. K. (1978). The effectiveness of a service for helping destitute men. British Journal of Psychiatry 133, 481–492.CrossRefGoogle ScholarPubMed
Leff, J. (1978). Social and psychological causes of the acute attack. In Schizophrenia: Towards a New Synthesis (ed. Wing, J. K.), pp. 139–166. Academic Press: London.Google Scholar
Lewis, A. J. (1962). Ebb and flow in social psychiatry. Yale Journal of Biology and Medicine 35, 62–83.Google ScholarPubMed
Mann, S. & Cree, W. (1976). ‘New’ long-stay patients: a national sample of 15 mental hospitals in England and Wales, 1972–3. Psychological Medicine 6, 603–616.CrossRefGoogle Scholar
Mechanic, D. (1970). Problems and prospects in psychiatric epidemiology. In Psychiatric Epidemiology (ed. Hare, E. H. and Wing, J. K.), pp. 3–22. Oxford University Press: London.Google Scholar
National Schizophrenia Fellowship (1979). Home Sweet Nothing. Surbiton.Google Scholar
Olsen, R. (ed.) (1976). Differential Approaches in Social Work with the Mentally Disordered. BASW: Birmingham.Google Scholar
Parkes, C. M. (1979). The use of community care in prevention. In New Methods of Mental Health Care (ed. Meacher, M.), pp. 49–68. Pergamon: Oxford.Google Scholar
Priestley, D. (1979). Helping a self-help group. In Community Care for the Mentally Disabled (ed. Wing, J. K. and Olsen, R.), pp. 24–35. Oxford University Press: London.Google Scholar
Ryan, P. (1979). Residential care for the mentally disabled. In Community Care for the Mentally Disabled (ed. Wing, J. K. and Olsen, R.), pp. 60–89. Oxford University Press: London.Google Scholar
Ryan, P. & Wing, J. K. (1979). Patterns of residential care. In Alternative Patterns of Residential Care for Discharged Psychiatric Patients (ed. Olsen, R.), pp. 77–110. BASW: London.Google Scholar
Scheff, T. J. (1966). Being Mentally Ill. Aldine: Chicago.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C. & Kalton, G. W. (1966). Psychiatric Illness in General Practice. Oxford University Press: London.Google Scholar
Simon, B. (1978). Mind and Madness in Ancient Greece. Cornell University Press: Ithaca.Google Scholar
Tidmarsh, D. & Wood, S. (1972). Psychiatric aspects of destitution. In Evaluating a Community Psychiatric Service (ed. Wing, J. K. and Hailey, A. M.), pp. 327–342. Oxford University Press: London.Google Scholar
Vaughn, C. & Leff, J. P. (1976). The influence of family and social factors on the course of psychiatric illness. British Journal of Psychiatry 129, 125–137.CrossRefGoogle ScholarPubMed
Wansbrough, N., Cooper, P. & Mitchell, B. (1979). The employment patterns of former psychiatric patients. In New Methods of Mental Health Care (ed. Meacher, M.), pp. 171–186. Pergamon: Oxford.Google Scholar
Williams, A. (1979). One economist's view of social medicine. Epidemiology and Community Health 33, 3–7.CrossRefGoogle ScholarPubMed
Wilson, E. (1975). Sociobiology: The New Synthesis. Harvard University Press: Cambridge, Mass.Google Scholar
Wing, J. K. (1957), Family care systems in Norway and Holland. Lancet ii, 884.CrossRefGoogle Scholar
Wing, J. K. (1960). A pilot experiment on the rehabilitation of long-hospitalised male schizophrenic patients. British Journal of Preventive and Social Medicine 14, 173.Google ScholarPubMed
Wing, J. K. (ed.) (1975). Schizophrenia from Within. National Schizophrenia Fellowship: Surbiton.Google Scholar
Wing, J. K. (1977). The management of schizophrenia in the community. In Psychiatric Medicine (ed. Usdin, G.), pp. 427–478. Brunner/Mazel: New York.Google Scholar
Wing, J. K. (1978). Reasoning about Madness. Oxford University Press: London.Google Scholar
Wing, J. K. & Brown, G. W. (1970). Institutionalism and Schizophrenia. Cambridge University Press: London.CrossRefGoogle Scholar
Wing, J. K. & Freudenberg, R. K. (1961). The response of severely ill chronic schizophrenic patients to social stimulation. American Journal of Psychiatry 118, 311.CrossRefGoogle ScholarPubMed
Wing, J. K. & Hailey, A. M. (eds.) (1972). Evaluating a Community Psychiatric Service. Oxford University Press: London.Google Scholar
Wing, J. K. & Olsen, R. (eds.) (1979). Social Care for the Mentally Disabled. Oxford University Press: London.Google Scholar
Wing, J. K., Bennett, D. H. & Denham, J. (1964). The Industrial Rehabilitation of Long-stay Schizophrenic Patients. Medical Research Council Memo. No. 42. HMSO: London.Google ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: London.Google Scholar
Wing, J. K., Nixon, J. M., Mann, S. A. & Leff, J. P. (1977). Reliability if the PSE (ninth edition) used in a population survey. Psychological Medicine 7, 505–516.CrossRefGoogle Scholar
Wing, J. K., Mann, S. A., Leff, J. P. & Nixon, J. M. (1978). The concept of a ‘case’ in psychiatric population surveys. Psychological Medicine 8, 203–217.CrossRefGoogle ScholarPubMed
Wing, L. (1971) Autistic Children: A Guide for Parents. Constable: London.Google Scholar
Wing, L. (1978). Systematic recording of behaviour and skills of retarded and psychotic children. Journal of Autism and Childhood Schizophrenia 8, 79–97.CrossRefGoogle ScholarPubMed
Wing, L. & Gould, J. (1979). Severe impairments of social interaction and associated abnormalities in children: epidemiology and classification. Journal of Autism and Childhood Schizophrenia 9, 11–29.Google ScholarPubMed
Wing, L., Wing, J. K., Griffiths, D. & Stevens, B. (1972). An epidemiological and experimental evaluation of industrial rehabilitiation of chronic psychotic patients in the community. In Evaluating a Community Psychiatric Service (ed. Wing, J. K. and Hailey, A. M.), pp. 283–308. Oxford University Press: London.Google Scholar
Wood, S. M. (1976). Camberwell Reception Centre: a consideration of the need for health and social services of homeless single men. Journal of Social Policy 5, 389–399.CrossRefGoogle Scholar