Social Aspects of Schizophrenia Care

  • Oliver Freudenreich
Part of the Current Clinical Psychiatry book series (CCPSY)


Schizophrenia is never treated in a vacuum: the social aspects of care (social determinants of health) and adversity matter for realistic treatment planning. Recognizing barriers to care in the form of structural violence and advocating for improvements are an ethical professional duty. In addition, this chapter highlights the pernicious effects of stigma on patient’s outcomes which include social exclusion and loneliness.


Social adversity Social determinants of health (SDOH) Homelessness Structural violence Racism Social advocacy Psychosocial history Stigma Loneliness 


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Additional Resources


    1. Griffin M, Weiss Block J, editors. In the company of the poor : conversations between Dr. Paul Farmer and Fr. Gustavo Gutierrez. Maryknoll, New York: Orbis Books; 2013. – If you are interested in accompaniment, solidarity, or structural violence, then this book is for you. Gustavo Gutierrez from Lima, Peru is one of the father’s of liberation theology. While you may not like it’s theoretical foundations (theology and Marxism), there is value in its ethical stance towards improving the social lives of the poor.Google Scholar


    1. Montenegro RE. My name is not “interpreter” [A piece of mind]. JAMA. 2016;315:2071–2. – Mandatory reading if you believe the American experience is the same for everybody in our “post-racial” world. The author who is an accomplished physician and sociologist and who happens to be Latino provides a striking example of microagression when he was mistaken for the valet.CrossRefGoogle Scholar
    2. Weissman MM. Stigma [A piece of my mind]. JAMA. 2001;285:261–2. – If you believe there is parity between medical care and mental health care, read this essay about one patient and his mother who encounter both treatment systems. While written in 2001, this powerful essay is as current as ever.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Oliver Freudenreich
    • 1
  1. 1.Department of PsychiatryMassachusetts General HospitalBostonUSA

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