Sociology and Anthropology in psych

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thelastpsych

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I've become very interested recently in sociological themes regarding mental health, but realized I have very scarse training in cultural/anthropological aspects of psych.

Do you guys have any reading recomendations? (Books, papers, journals, ...) . How should I best approach this particular field?

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Give us more background.
Are you an undergrad? Med Student? Resident?
What's your goal?
What do you plan to achieve?
 
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Give us more background.
Are you an undergrad? Med Student? Resident?
What's your goal?
What do you plan to achieve?
I'm an attending psychiatrist who recently graduated from a very biologically-centered residency program. I was very into the more patophysiological and neuroscientific underpinnings of mental health, but have been gradually getting more interested in sociological and cultural aspects of mental health. Inequality of access to services, how different subpopulations experience mental health problems, what aspects of our cultural and western ethos is changing or shaping mental health, these questions began to spring more oftenly in my mind.

Since I have basically no formal education in this area, my goal would be to read an initial textbook or introductory material to this particular approach. I've skimmed a bit trough some texts, like Sassz's "The Myth of Mental Ilness" but never really dedicated time to it, and now would certainly appreciate some insights.

In terms of achievement plans, I don't know - self-education would ceirtanly be the most proeminent, but I would be interested to see if there is some kind of research career or other pathways that utilizes our particular background in mental health applied to sociology or anthropology.
 
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There are multiple closely related fields that you could look into, namely social psychiatry, cultural psychiatry, and psychiatric anthropology. American Psychiatric Publishing publishes a textbook on the topic of clinical aspects of cultural psychiatry, although it hasn't been updated in some time, but it still might be a great place to start to get a broad overview. I did a quick Amazon search and there do seem to be more up-to-date textbooks related to the field, including one from Oxford University Press. Both culture and psychiatry being such broad themes themselves, these related fields have a lot of breadth as well.

If you wanted to explore its history and get a sense of just how much breadth these fields have, the roots of social psychiatry go back some way: A sociologist named Durkheim studied suicide rates and connected it to social upheaval. The culturally specific manifestations of illness that are often mentioned in passing in training (e.g., koro, ataque de nervios, piblokto, etc.) are related to controversial debates on whether the DSM itself contributes to a cultural spread of Western conceptualizations of disease. One of my own ancestors, an anthropologist, tried to understand in the 1950's whether schizophrenia manifested differently in different cultural groups and he also looked at techniques of dream analysis in the Ute people, discussing their similarities to psychoanalytic techniques, among many other examples. And that's just a spattering of examples of topics within the field. It's really expansive.

One thing that I find interesting is that even my own subspecialty, CL psychiatry, which some think of as a more biological field for the highly medical context in which it is practiced, must have strongly seen itself as more connected to social psychiatry in the past, as in 1968, its journal (formerly called Psychosomatics and now renamed the Journal of the Academy of Consultation-Liaison Psychiatry) had both a social psychiatry and a sociology/anthropology editor (see screenshot below). This is kind of mind-blowing to me, because it's just hard to see what role dedicated social psychiatry and anthropology editors would even play in today's conception of CL psychiatry. I guess it's a just a sign of the decline in focus on the last four syllables of the biopsychosocial in much of the practice of psychiatry--not to say that there aren't those like yourself, the above poster (Splik), and many others who try to combat this decline by thinking and practicing in a holistic way.

Thanks for tolerating me writing at length about it! I hope myself or the above poster left you some helpful crumbs to follow.

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The Perspectives of Psychiatry by Paul R. McHugh MD

A good starting point for shifting from biological to a pragmatic view. It is not a particular "skill" per se like psychodynamics, but informs the psychiatric approach. Great read.
 
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Here is a list of some books that might be interesting that I posted many years ago: Psychodynamic related book suggestions

There are many many good reads. I'm not sure that a textbook is the way to go.
Those were excellent suggestions. Although mental illnesses are not directly caused by social and cultural aspects as some hardcore antipsychiatry folk would like to believe., they can be one of the many casual factors (along with genetic, biological, psychological) to a mental illness, and definetely shape a person's perception of themselves and of their culture around them - the stigma of schizophrenia, or the focus on productivity in the modern world for example. They create the context, and mold the very perception and prognosis (along with many other factors, of course) of patients and their disorders.

As a young doctor just now practicing psychiatry independently, I'm wondering what can be done to help aleviate people's suffering in this front. Sure, most problems in this area seem systemic (you are not going to change the unemployment status of your city directly), but there might be something that can be adressed as practicioners. Since I enjoy working with SMI patients with often dire socioeconomic conditions, this question came to mind in a clearer way now. Not sure how to proceed with this though, thoughts would be appreciated!
 
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TAlthough mental illnesses are not directly caused by social and cultural aspects as some hardcore antipsychiatry folk would like to believe., they can be one of the many casual factors (along with genetic, biological, psychological) to a mental illness, and definetely shape a person's perception of themselves and of their culture around them - the stigma of schizophrenia, or the focus on productivity in the modern world for example. They create the context, and mold the very perception and prognosis (along with many other factors, of course) of patients and their disorders.

As a young doctor just now practicing psychiatry independently, I'm wondering what can be done to help aleviate people's suffering in this front. Sure, most problems in this area seem systemic (you are not going to change the unemployment status of your city directly), but there might be something that can be adressed as practicioners. Since I enjoy working with SMI patients with often dire socioeconomic conditions, this question came to mind in a clearer way now. Not sure how to proceed with this though, thoughts would be appreciated!
[Insert something about not missing the forest for the trees here]

I browse podcasts and read the titles for similar content. I listen to it while doing chores at home. I do make note of specific topics to follow up on and then look up the speakers, whether it be a guest or host, to see if they have any pertinent books or publications. I have a long reading list now
For example the Huberman Lab podcast with Dr. Kay Tye.
Today I did Evolutionary Anthropology with Herman Ponzer on Ologies with Alie Ward. This one's very 'light' and focuses on metabolism, but I think it might provide some leads into particular periods of human evolution to consider.

I hope this comment is useful to you
 
Here are a bunch of lectures on Cultural Psychiatry out of McGill that may be of interest

 
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