Abstract
This chapter introduces the major themes of this handbook. These themes address how society shapes the thoughts, feelings, and actions of its members in ways that are considered to be mental illness, and the consequences of having, or being thought to have, a mental illness. This subject matter encompasses the medical model and alternative perspectives, including the social construction of mental illness, the medicalization of deviant states and behaviors, and the experiences and understandings of persons with mental illnesses. The sociological search for the causes of mental illness frequently examines how social inequality leads to disproportionate exposure to social stress, as well as limits the resources that might otherwise ameliorate the adverse effects of stress exposure. This etiological perspective also addresses how major social institutions, such as family, work, and religion, shape the likelihood of developing a disorder. An additional emphasis concerns the social consequences of disorder, such as, stigma, encounters with the legal system, and effects on the family. Finally, the handbook considers how mental health problems are arrayed over time in trajectories that have cumulative consequences for people’s lives.
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- 1.
The terms mental health and mental illness are often used as antonyms, although the concept of health usually includes dimensions of well-being that go beyond the mere absence of illness.
- 2.
Social construction refers to an invention or artifact created by a particular culture or society in which meanings are attributed to ideas or practices, a perceived social reality that appears to be natural or real because it is taken for granted.
- 3.
There are exceptions to this generalization, such as Alzheimer’s disease, in which the accumulation of beta-amyloid causes plaques in the brain that result in dementia, although even in this case, the cause of these accumulations is uncertain.
- 4.
Sociologists usually distinguish between the concept of disease as a pathological condition and illness as the subjective awareness of being unwell. This distinction is less commonly used in the mental health area because of the controversy over whether these states can legitimately be considered diseases.
- 5.
Etiological factors may exert stronger effects among some social groups than others, thereby generating group differences in disorder even when the groups have similar exposures. These differences, sometimes referred to as differential vulnerability, are in actuality proxies for the differential distribution of the resources that help to prevent the deleterious effects of etiological factors (Aneshensel, 1992).
Abbreviations
- APA:
-
American Psychiatric Association
- CIDI:
-
Composite International Diagnostic Interview
- DIS:
-
Diagnostic Interview Schedule
- DSM:
-
Diagnostic and Statistical Manual of Mental Disorders
- ECA:
-
Epidemiologic Catchment Area Studies
- MDD:
-
Major depressive disorder
- NIMH:
-
National Institute of Mental Health
- PTSD:
-
Posttraumatic stress disorder
- SES:
-
Socioeconomic status
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Aneshensel, C.S., Phelan, J.C., Bierman, A. (2013). The Sociology of Mental Health: Surveying the Field. In: Aneshensel, C.S., Phelan, J.C., Bierman, A. (eds) Handbook of the Sociology of Mental Health. Handbooks of Sociology and Social Research. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-4276-5_1
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