Abstract
The concept of a mental illness career is used to describe the social patterning of the onset and course of mental illness. Rather than positing a single career path that is traversed by all persons thought to have mental illness, several distinct career paths are distinguished. Most careers begin with a vague sense that something is wrong, but this is not always the case. For some, this nebulous state proceeds to a key juncture, illness onset—the identification of the problem as a mental illness—which may lead to treatment and the adoption of the identity of patient, but often does not. Treatment may result in remission and recovery, but relapse may presage a chronic or recurrent course. Many people who are symptomatic, however, do not identify their problem as mental illness, nor do they seek or receive treatment for it; their symptoms may abate over time, or they may develop a chronic or recurrent undiagnosed disorder. Thus, there is no single mental health career, but rather multiple ways of enacting the social role of a person with mental illness.
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Aneshensel, C.S. (2013). Mental Illness as a Career: Sociological Perspectives. 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_29
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