Abstract
Neoliberal ideology has infiltrated mental health practice and now guides the provision of mental health care. As a result, market values like individualism, self-reliance, and consumerism shape what is regarded as a rational, responsible, and “normal” mode of human agency. Mental health and illness are understood in relation to an ability to participate in society as a wage earner and consumer. We begin by discussing how the “disease model” of mental illness both reflects and advances a neoliberal agenda. We then examine how the logic of mental health practice, and its associated rhetoric of “responsibilization” and “resilience,” help to form a neoliberal mode of subjectivity. It does so by encouraging subjects to engage in self-regulation and self-governance, whereby they adjust their own affective framings so as to conform to social demands and shared expectations. This “medicalized,” over-individualized approach to mental health centrally involves commodification, mechanization, coercion, the incentivization of desire, and false consciousness. As a result, people are alienated from their true human needs and find it increasingly difficult to attain genuine mental health. Due to its destructive and deforming impact on patients and practitioners, and in view of the basic true human need for mental health, the social institution of mental health care qualifies as a fundamental example of collective sociopathy.
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Notes
- 1.
See also Slaby and Choudhury (2018).
References
Aubrecht, Katie. 2012. The new vocabulary of resilience and the governance of university life. Studies in Social Justice 6 (1): 67–83.
Ball, Matthew. 2010. Governing depression in law students and the shaping of legal personae. Proceedings of the TASA conference 2010: Social Causes, Private Lives: The American Sociological Association Annual Conference, 1–10.
Banner, Natalie. 2013. Mental disorders are not brain disorders. Journal of Evaluation in Clinical Practice 19: 509–513.
Brancazio, Nick. 2018. Gender and the senses of agency. Phenomenology and the Cognitive Sciences. https://doi.org/10.1007/s11097-018-9581-z.
Brijnath, Bianca, and Josfine Antoniades. 2016. “I’m running my depression”: Self-management of depression in neoliberal Australia. Social Science Medicine 152: 1–8.
Broome, Matthew, and Lisa Bortolotti. 2009. Mental illness as mental: In defense of psychological realism. Humana Mente 11: 25–44.
Brown, Brian, and Sally Baker. 2012. Responsible citizens: Individuals, health, and policy under neoliberalism. London: Anthem Press.
Costa, Lucy, et al. 2012. Recovering our stories: A small act of resistance. Studies in Social Justice 6 (1): 85–101.
Elkins, David. 2009. The medical model in psychotherapy: Its limitations and failures. Journal of Humanistic Psychology 49: 66–84.
Esposito, Luigi, and Fernando Perez. 2014. Neoliberalism and the commodification of mental health. Humanity and Society 38 (4): 414–422.
Foster, Roger. 2017. Social character: Erich Fromm and the ideological glue of neoliberalism. Critical Horizons 18 (1): 1–18.
Foucault, Michel. 1961. Madness and civilization: A history of insanity in the age of reason. Trans. R. Howard. London: Tavistock.
———. 1979. Discipline and punish: The birth of the prison. Trans. A. Sheridan. New York: Random House.
———. 1982. The subject and power. Critical Inquiry 8 (4): 777–795.
———. 1993. About the beginning of the hermeneutics of the self: Two lectures at Dartmouth. Political Theory 21 (2): 198–227.
Frankfurt, Harry G. 1988. The importance of what we care about: Philosophical essays. Cambridge University Press.
Fromm, Erich. 1955. The sane society. New York: Rinehart & Company.
———. 1962. Beyond the chains of illusion: my encounter with Marx and Freud. London: Continuum.
Graham, George. 2009. The disordered mind: An introduction to philosophy of mind and mental illness. New York: Routledge.
Hamann, Trent. 2009. Neoliberalism, governmentality, and ethics. Foucault Studies 6: 37–59.
Hanna, Robert. 2011. Minding the body. Philosophical Topics 39: 15–40.
Hanna, Robert, and Michelle Maiese. 2009. Embodied minds in action. Oxford: Oxford University Press.
Harlow, Elizabeth. 2003. New managerialism, social services departments, and social work practice today. Practice 15: 29–44.
Harlow, Elizabeth, Elizabeth Berg, Jim Barry, and John Chandler. 2013. Neoliberalism, managerialism, and the reconfiguring of social work in Sweden and the United Kingdom. Organization 20: 534–550.
Harper, David, and Ewen Speed. 2012. Uncovering recovery: The resistible rise of recovery and resilience. Studies in Social Justice 6 (1): 9–25.
Henderson, Julie. 2005. Neoliberalism, community care, and Australian mental health policy. Health Sociology Review 14 (3): 242–254.
Howell, Alison, and Jijian Voronka. 2012. Introduction: The politics of resilience and recovery in mental health care. Studies in Social Justice 6 (1): 1–7.
Kirmayer, Laurence, and Maxwell Ramstead. 2017. Embodiment and enactment in cultural psychiatry. In Embodiment, enaction, and culture: Investigating the constitution of a shared world, ed. C. Durt, T. Fuchs, and C. Tewes. Cambridge, MA: MIT Press.
Laing, Ronald D. 1960. The divided self. Harmondsworth: Penguin.
———. 1967. The politics of experience and the bird of paradise. Harmondsworth: Penguin.
Lakoff, George and Mark Johson. 1999. Philosophy in the flesh: The embodied mind and its challenge to western thought. New York: Basic Books.
Larner, Wendy. 2000. Neoliberalism: Policy, ideology, governmentality. Studies in Political Economy 63: 5–25.
Lemke, Thomas. 2001. The birth of bio-politics. Economy and Society 30 (2): 190–207.
Levine, Steven. 2012. Norms and habits: Brandom on the sociality of action. European Journal of Philosophy 23 (2): 248–272.
Matthews, Eric. 2007. Body-subjects and disordered minds. Oxford: Oxford University Press.
Moncrieff, Joanna. 2006. Psychiatric drug promotion and the politics of neoliberalism. British Journal of Psychiatry 188: 301–302.
———. 2008. Neoliberalism and biopsychiatry: A marriage of convenience. In Liberatory psychiatry: Philosophy, politics, and mental health, ed. C.I. Cohen and S. Timimi, 235–255. Cambridge: Cambridge University Press.
———. 2014. Ideas about mental health in a neoliberal world. Group Analysis 47 (4): 12–16.
Moynihan, Ray, Iona Heath, and David Henry. 2002. Selling sickness: The pharmaceutical industry and disease mongering. The BMJ 324: 886–891.
Mühlhoff, Rainer, and Jan Slaby. 2017. Immersion at work: Affect and power in post-Fordist work Cultures. In Affect in relation: Families, places, technologies, ed. B. Röttger-Rössler and J. Slaby, 1–21. New York: Routledge. https://www.academia.edu/32615026/Immersion_at_work_Affect_and_power_in_post-Fordist_work_cultures.
Patil, Tejas, and James Giordano. 2010. On the ontological assumptions of the medical model of psychiatry: Philosophical considerations and pragmatic tasks. Philosophy, Ethics, and Humanities in Medicine 5 (1): 3.
Ramon, Shulamit. 2008. Neoliberalism and its implications for mental health in the UK. International Journal of Law and Psychiatry 31: 116–125.
Rietveld, Erik, and Julian Kiverstein. 2014. A rich landscape of affordances. Ecological Psychology 26: 325–352.
Rizq, Rosemary. 2014. Perversion, neoliberalism, and therapy: The audit culture in mental health services. Psychoanalysis, Culture, and Society 19 (2): 209–218.
Rose, Nikolas. 1999. Powers of freedom: Reframing political thought. Cambridge: Cambridge University Press.
Rustin, Michael. 2014. Belonging to oneself alone: The spirit of neoliberalism. Psychoanalysis, Culture, and Society 19 (2): 145–160.
Scott, James C. 2012. Two cheers for anarchism. Princeton: Princeton University Press.
Slaby, Jan, and Suparna Choudhury. 2018. Proposal for a critical neuroscience. In The Palgrave handbook of biology and society, ed. M. Meloni et al., 341–370. London: Palgrave Macmillan. https://www.academia.edu/30498420/Proposal_for_a_Critical_Neuroscience_2018_version_.
Spolander, Gary, Lambert Engelbrecht, Linda Martin, Marianne Strydom, et al. 2014. The implications of neoliberalism for social work: Reflections from a six-country international research collaboration. International Social Work 57 (4): 301–312.
Szasz, Thomas. 1961. The myth of mental illness. American Psychologist 15: 113–118.
Teghtsoonian, Katherine. 2009. Depression and mental health in neoliberal times: A critical analysis of policy and discourse. Social Science Medicine 69 (1): 28–35.
Thomas, Philip, and Patrick Bracken. 2008. Power, freedom, and mental health: A post-psychiatry perspective. In Liberatory psychiatry: Philosophy, politics, and mental health, ed. C.I. Cohen and S. Timimi, 35–53. Cambridge: Cambridge University Press.
Timimi, Sami. 2008. Children’s mental health and the global market: An ecological analysis. In Liberatory psychiatry: Philosophy, politics, and mental health, ed. C.I. Cohen and S. Timimi, 163–182. Cambridge: Cambridge University Press.
U’Ren, Richard. 1992. Psychiatric diagnosis and the market. Perspectives in Biology and Medicine 35 (4): 612–616.
Warren, Simon. 2017. Struggling for visibility in higher education: Caught between neoliberalism ‘out there’ and ‘in here’—An autoethnographic account. Journal of Education Policy 32 (2): 127–140.
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Maiese, M., Hanna, R. (2019). Case-Study II: Mental Health Treatment in Neoliberal Nation-States. In: The Mind-Body Politic. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-19546-5_5
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