Findings and Issues

  • John J. Schwab
  • Mary E. Schwab
Part of the Topics in General Psychiatry book series (TGPS)


The results of the epidemiologic studies that have been reviewed supply a number of reasonably consistent findings that constitute the core of our scientific knowledge in social psychiatry and point to major pathways for future research. In this chapter we will list the salient findings and then discuss some of the issues that they involve.


Mental Disorder Mental Illness Community Mental Health Lower Social Class Lower Social Status 


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  1. 1.
    Leighton, A. H.: In: Kaplan, B. H., Wilson, R. N., and Leighton, A. H. (Eds.): Further Explorations in Social Psychiatry. New York: Basic Books, 1976, p. 14.Google Scholar
  2. 2.
    Esquirol, J. E.: A treatise on insanity [1845]. In: Goshen, C. E. (Ed.): Documentary History of Psychiatry; A Source Book on Historical Principles. New York: Philosophical Library, 1967.Google Scholar
  3. 3.
    Eaton, J. H., and Weil, R. J.: Culture and Mental Disorder. New York: Free Press of Glencoe, 1955.Google Scholar
  4. 4.
    Hinkle, L. E.: The effect of exposure to culture change, social changes, and changes in interpersonal relationships on health. In: Dohrenwend, B. S., and Dohrenwend, B. P. (Eds.): Stressful Life Events: Their Nature and Effects. New York: John Wiley and Sons, 1974, pp. 9–44.Google Scholar
  5. 5.
    Halliday, A.: A General View of the Present State of Lunatics and Lunatic Asylums in Great Britain and Ireland, and in Some Other Kingdoms. London: Thomas and George Underwood, 1828.Google Scholar
  6. 6.
    Roth, W. F., and Luton, F. H.: The mental health program in Tennessee:I. Description of the original study programs; II. Statistical report of a psychiatric survey in a rural county, Am. J. Psychiatry, 99:662–675, 1943.Google Scholar
  7. 7.
    Strömgren, E.: Statistical and genetical population studies within psychiatry: Methods and principal results. In Congrès International de Psychiatrie Vol. VI, Psychiatrie Sociale. Paris: Hermann etcie, 1950, pp. 155–192.Google Scholar
  8. 8.
    Hollingshead, A. B., and Redlich, F. C: Social Class and Mental Illness: A Community Study. New York: John Wiley and Sons, 1958.CrossRefGoogle Scholar
  9. 9.
    Dohrenwend, B. P.: Sociocultural and social-psychological factors in the genesis of mental disorders, J. Health and Human Behav., 16:365–392, 1975.CrossRefGoogle Scholar
  10. 10.
    Dunham, H. W.: Society, culture, and mental disorder, Arch. Gen. Psychiatry, 33:147–156, 1976.PubMedCrossRefGoogle Scholar
  11. 11.
    Goldhamer, H., and Marshall, A. W.: Psychosis and Civilization. Two Studies in the Frequency of Mental Disease. Glencoe, Ill.: Free Press, 1953.Google Scholar
  12. 12.
    Dunham, H. W., and Medow, H.: Trends in mental diseases in the United States 1910-1950. In: Dunham, H. W.: Sociological Theory and Mental Disorder. Detroit: Wayne State Univ. Press, 1959, pp. 95–114.Google Scholar
  13. 13.
    Mayer-Kimling, E., Ranier, J. D., and Kallmann, F. J.: Current reproductive trends in schizophrenia. In: Hock, P. H., and Zubin, J. (Eds.): Psychopathology in Schizophrenia. New York: Grune & Stratton, 1966.Google Scholar
  14. 14.
    Dohrenwend, B. P., see Ref. No. 9, p. 368.Google Scholar
  15. 15.
    Essen-Möller, E.: Individual traits and morbidity in a Swedish rural population, Acta Psychiat. et Neurol. Scand. Suppl. WO. Copenhagen: Ejnar Munksgaard, 1956.Google Scholar
  16. 16.
    Hagnell, O.: A Prospective Study of the Incidence of Mental Disorder. Lund, Sweden: Scandinavian Univ. Books, 1966.Google Scholar
  17. 17.
    The Courier-Journal and Times (Louisville, Ky.), Aug. 1, 1976, p. A4.Google Scholar
  18. 18.
    Leighton, A. H., see Ref. No. 1, p. 21.Google Scholar
  19. 19.
    Burrows, G. M.: An Inquiry into Certain Errors Relative to Insanity; and their Consequences: Physical, Moral, and Civil. London: Thomas and George Underwood, 1820, p. 64.Google Scholar
  20. 20.
    Brenner, M. H.: Mental Illness and the Economy. Cambridge, Mass.: Harvard University Press, 1973, p. 8.Google Scholar
  21. 21.
    Brenner, M. H.: Mental Illness and the Economy. Cambridge, Mass.: Harvard University Press, 1973, p. 36.Google Scholar
  22. 22.
    Kohn, M. L.: The interaction of social class and other findings in the etiology of schizophrenia, Am. J. Psychiatry, 133:171–180, 1976.Google Scholar
  23. 23.
    Hagnell, see Ref. No. 16, pp. 114, 120.Google Scholar
  24. 24.
    Zilboorg, G., and Henry, G. W.: A History of Medical Psychology. New York: Norton, 1941, p. 382.Google Scholar
  25. 25.
    Freud, S.: Turnings in the ways of psycho-analytic therapy, In: Collected Papers, Vol. 2. (Trans, by Joan Riviere). New York: Basic Books, 1959, pp. 401–402.Google Scholar
  26. 26.
    Rainer, J. D.: Genetics and personality, In: Freedman, A. M., Kaplan, H. I., and Sadock, B. J. (Eds.): Comprehensive Textbook of Psychiatry—II (2d ed.). Vol. I. Baltimore: Williams and Wilkins, 1975, p. 98.Google Scholar
  27. 27.
    Wilson, R. N.: See Ref. No. 1, p. 7.Google Scholar

Copyright information

© Plenum Publishing Corporation 1978

Authors and Affiliations

  • John J. Schwab
    • 1
  • Mary E. Schwab
    • 2
  1. 1.University of LouisvilleLouisvilleUSA
  2. 2.Massachusetts Mental Health CenterBostonUSA

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