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Survival and its discontents: the case of British Psychiatry

Pilgrim, David and Rogers, Anne (2009) Survival and its discontents: the case of British Psychiatry Sociology of Health and Illness, 31, (7), pp. 947-961. (doi:10.1111/j.1467-9566.2009.01166.x). (PMID:19392934).

Record type: Article


Sub-divisions of labour in health settings are common and medical dominance and encroachment from competitors are well known. This article considers this general picture but in specific relation to mental health work in Britain and its particular features of recent contestation. British psychiatric orthodoxy has faced challenges to its legitimacy for over a century. However, since the 1980s, in the wake of de-institutionalisation and a new shared service commitment to ‘recovery’, these challenges have taken new shape. They are explored by considering: the current ambit of mental health care; the sub-division of labour in specialist mental services; recent governmental expectations of the mental health workforce; and the contested legacy of theory and practice in mental health work. The conclusion is that the profession is not under immediate threat of collapse but that its fate may now rest on whether a biomedical or a biopsychosocial model of practice predominates in routine service delivery

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Published date: 2009
Organisations: Faculty of Health Sciences


Local EPrints ID: 343051
ISSN: 0141-9889
PURE UUID: 1caa43c8-a0ad-40d9-8d8d-f69cce6dfa2d

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Date deposited: 21 Sep 2012 13:26
Last modified: 18 Jul 2017 05:25

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Author: David Pilgrim
Author: Anne Rogers

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