Abstract
We need radically to change how we think about mental health and psychological well-being. The idea that our more distressing emotions are nothing more than the symptoms of physical disease, which can then be treated like any other medical pathology, is pervasive and seductive. But it is also profoundly flawed, scientifically incorrect, unhelpful and, ultimately, inhumane. To find a solution to the very real problems facing our mental health services – and, of course, the people who use them – we must move away from the ‘disease model’, which assumes that emotional distress is merely a symptom of biological illness, and instead embrace a psychological and social approach to mental health and well-being. We should stop thinking about ‘abnormality’, ‘disorder’ and ‘illness’ and instead offer humane and effective responses to what are understandable and normal psychological reactions. We should therefore replace ‘diagnoses’ with straightforward descriptions of our problems, radically reduce use of medication and use it pragmatically rather than presenting it as a ‘cure’. Instead, we need to understand how each one of us has learned to make sense of the world and tailor help to our unique and complex needs. We need to offer care rather than coercion; to fight for social justice, equity and fundamental human rights; and to establish the social prerequisites for genuine mental health and well-being. This would frame mental health – our psychological well-being – as a social and psychological, not medical, phenomenon. And this is a macropsychological perspective; it would also place our psychological well-being, rightly, in the context of politics, social justice, equity and human rights.
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References
Allsopp, K., & Kinderman, P. (2017). A proposal to introduce formal recording of psychosocial adversities associated with mental health using ICD-10 codes. The Lancet Psychiatry, 4(9), 664–665.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). Arlington: American Psychiatric Publications.
Barr, B., Taylor-Robinson, D., Scott-Samuel, A., McKee, M., & Stuckler, D. (2012). Suicides associated with the 2008-10 economic recession in England: Time trend analysis. British Medical Journal, 345, e5142.
BBC News. (2018, February 01). Tasers used 58 times in mental health settings. Retrieved June 7, 2019, from https://www.bbc.co.uk/news/uk-42820284
Boseley, S. (2018, November 22). Mental illness costs UK £94bn a year, OECD report says. Retrieved June 7, 2019, from https://www.theguardian.com/society/2018/nov/22/mental-illness-costs-uk-94bn-a-year-oecd-report-says-employment-economy-productivity
Cooke, A. (Ed.). (2014). Understanding ‘psychosis’ and ‘schizophrenia’: Why people sometimes hear voices, believe things that others find strange, or appear out of touch with reality, and what can help. A report by the British Psychological Society Division of Clinical Psychology. Leicester: British Psychological. Available from www.understandingpsychosis.net
Greenwood, G. (2017, November 16). Mental health trusts restrain patients ‘every 10 minutes’. Retrieved June 7, 2019, from https://www.bbc.co.uk/news/uk-england-41914555
Henriques, G. (2017, May 23). Twenty billion fails to “move the needle” on mental illness. Retrieved June 7, 2019, from https://www.psychologytoday.com/gb/blog/theory-knowledge/201705/twenty-billion-fails-move-the-needle-mental-illness
Hickey, P. (2015, December 08). Allen Frances still trying to excuse psychiatry’s (and his own) role in the ADHD ‘epidemic’. Retrieved June 7, 2019, from http://behaviorismandmentalhealth.com/2015/12/08/allen-frances-still-trying-to-excuse-psychiatrys-and-his-own-role-in-the-adhd-epidemic/
Johnstone, L., & Dallos, R. (2013). Formulation in psychology and psychotherapy: Making sense of people’s problems. London: Routledge.
Kinderman, P. (2014). A prescription for psychiatry: Why we need a whole new approach to mental health and wellbeing. London: Springer.
Kinderman, P., & Allsopp, K. (2018). Non-diagnostic recording of mental health difficulties in ICD-11. The Lancet Psychiatry, 5(12), 966.
Knight, M., Bunch, K., Tuffnell, D., Jayakody, H., Shakespeare, J., Kotnis, R., et al. (Eds.) on behalf of MBRRACE-UK. (2018). Saving lives, improving mothers’ care – Lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2014–16. Oxford: National Perinatal Epidemiology Unit, University of Oxford.
Larkings, J. S., & Brown, P. M. (2018). Do biogenetic causal beliefs reduce mental illness stigma in people with mental illness and in mental health professionals? A systematic review. International Journal of Mental Health Nursing, 27(3), 928–941.
Lebowitz, M. S., & Appelbaum, P. S. (2019). Biomedical explanations of psychopathology and their implications for attitudes and beliefs about mental disorders. Annual Review of Clinical Psychology, 15, 555–577.
Longdon, E., & Read, J. (2017). People with problems, not patients with Illnesses’: Using psychosocial frameworks to reduce the stigma of psychosis. The Israel Journal of Psychiatry and Related Sciences, 54(1), 24–28.
MacLachlan, M. (2014). Macropsychology, policy and Global Health. American Psychologist, 69, 851–863.
MacLachlan, M., McVeigh, J., Huss, T., & Mannan, H. (2019). Macropsychology: Challenging and changing social structures and systems. In D. Hoggets & K. O’Doherty (Eds.), Handbook of applied social psychology (pp. 116–182). London: Sage.
Pūras, D. (2017). Report of the special rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health. UN General Assembly. http://ap.ohchr.org/documents/dpage_e.aspx?si=A/HRC/35/21
Rosenhan, D. L. (1973). On being sane in insane places. Science, 179(4070), 250–258. PMID 4683124.
Saha, S., Chant, D., & McGrath, J. (2007). A systematic review of mortality in schizophrenia: Is the differential mortality gap worsening over time? Archives of General Psychiatry, 64(10), 1123–1131.
Schizophrenia Commission. (2012). Schizophrenia: The abandoned illness. London: Schizophrenia Commission.
UK Office for National Statistics. (2018). Suicides in the UK: 2017 registrations. Newport, South Wales: Office for National Statistics. Retrieved from https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/suicidesintheunitedkingdom/2017registrations
Wilkinson, R. G., & Pickett, K. (2009). The spirit level: Why more equal societies almost always do better. London: Allen Lane.
World Health Organization (WHO). (2015). WHO quality rights: Act, unite and empower for mental health. Geneva: Department of Mental Health and Substance Abuse, World Health Organization. Retrieved from https://www.who.int/mental_health/policy/quality_rights/QRs_flyer_eng_2015.pdf
World Health Organization (WHO). (2018). Suicide. Geneva: WHO. Retrieved from https://www.who.int/news-room/fact-sheets/detail/suicide
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Kinderman, P. (2021). From Chemical Imbalance to Power Imbalance: A Macropsychology Perspective on Mental Health. In: MacLachlan, M., McVeigh, J. (eds) Macropsychology. Springer, Cham. https://doi.org/10.1007/978-3-030-50176-1_2
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