email page print pageAll Topic Reviews
Health Care in America The Happiness of Burnout"Guns Don't Kill People, People Kill People""How Come Boys Get to Keep Their Noses?"17 Lies That Are Holding You Back20 Jazz Funk Greats50 Popular Beliefs That People Think Are TrueA Brief History of the SmileA Child of One's OwnA Citizen Legislature/A People's ParliamentA Clinician's Guide to Legal Issues in PsychotherapyA Colorful History of Popular DelusionsA Cultural History of Modern Science in ChinaA Cursing Brain?A History of Intelligence and "Intellectual Disability"A History of MarriageA History of PsychiatryA Little F'd UpA Loving Approach to Dementia CareA Man's Guide to Healthy AgingA Mind ApartA Mind So RareA Natural History of RapeA Natural History of VisionA Red Heart of MemoriesA Short History of MedicineA Student's Guide to the History And Philosophy of Yoga A Tear is an Intellectual ThingA Therapist's Guide to Understanding Common Medical ProblemsA Universe of ConsciousnessA User's Guide to the BrainA World Full of GodsABC of Eating DisordersABCs to Positive LivingAbnormal Psychology in ContextAbout FaceAccessible Yoga for Every Body DVDActs of ConscienceAdoption Beyond BordersAdvances in Culture and PsychologyAfter HarmAfter the Ecstasy, the LaundryAfter the Globe, Before the WorldAgainst the MachineAging Our WayAging ThoughtfullyAIDS & People with Severe Mental IllnessAkhenatenAl-JununAlgernon, Charlie and IAll About LoveAllergy ReliefAlone TogetherAlpha GirlsAltered EgosAltered StatesAlways On CallAm I Making Myself Clear?Am I Okay?AM/PM YogaAmerica in the FortiesAmerican Science Fiction Film and TelevisionAmong the Great ApesAn American ObsessionAn American SicknessAn Anthropologist on MarsAn Illustrated Book of Bad ArgumentsAn Odd Kind of FameAnatomy of an EpidemicAncient Greek and Roman SlaveryAnger, Madness, and the DaimonicAnimal ArchitectsAnimal MadnessAnimal MindsAnimals in TranslationAnother CountryAntimatterAre the Rich Necessary? Updated and Expanded EditionArt and PoliticsArtemis FowlAs Nature Made HimAsylumAsylum on the HillAsylum to ActionAt Liberty to DieAtonement and ForgivenessAttention Deficit DisorderAttitudeAuthentic HappinessBe Very AfraidBeautiful MindsBeauty's NothingBeckett and AnimalsBecoming a DoctorBeing VirtualBelle and Sebastian's If You're Feeling SinisterBest of the Brain from Scientific AmericanBetrayal TraumaBetter Sex Through YogaBeyond AIBeyond GreekBeyond HealthBeyond ReasonBeyond ToleranceBibliotherapyBipolar DisorderBlack Man in a White CoatBlack MassBlind SpotsBlinkBlood and GutsBodies out of BoundsBody Piercing Saved My LifeBorn Standing UpBrain LongevityBrain-Based Teaching for All SubjectsBrainchildrenBrainwashingBread Upon the WatersBreaking Murphy's LawBreaking WomenBreathingBrian Eno's Another Green WorldBrief EncountersBritain on the CouchBrothelBuddhism and ScienceBuilding Healthy MindsBullspottingBullying PreventionBurn UnitBuzzC StreetCalling Our Spirits HomeCamp ZCampus Sexual AssaultCan't You Hear Them?Cancer on $5 a Day* *(chemo not included)Cato's TearsCaughtChained to the DeskChickenizing Farms and FoodChild Slaves in the Modern WorldChildren's Learning in a Digital WorldChina on the MindChoices and ConflictChoosing CivilityChronic Fatigue Syndrome (The Facts)Classical Pilates Technique DVDCleopatraClinical Psychopharmacology Made Ridiculously SimpleClosing the AsylumsCognition, Creativity, and BehaviorCognitive Neuroscience of EmotionCollege Inc.Coming of Age in AmericaComing of Age in Ancient GreeceConceptual BlockbustingConcrete ReveriesConducting Insanity EvaluationsConfronting Postmaternal ThinkingConnected, or What It Means to Live in the Network SocietyConsciousnessConsider the LobsterConsuming InnocenceContagiousControlConversations About Psychology and Sexual OrientationCool WomenCorpora in Language Acquisition ResearchCorrect EnglishCorrupted CultureCount Us InCovered in InkCreative AngerCreative Core AbsCreative ThinkeringCreative Writing In Health And Social CareCreatures of AccidentCrime and Punishment in AmericaCritical ConditionCritical Perspectives in Public HealthCritical Psychology: An IntroductionCross-Cultural Topics in PsychologyCrossingCrossing the Unknown SeaCruddyCultural Healing and Belief SystemsCulture and Subjective Well-BeingCustomers and Patrons of the Mad-TradeCyber BullyingCyber-Safe Kids, Cyber-Savvy TeensDance the Chakras Yoga WorkoutDancing After HoursDangerous EmotionsDarwin's Dangerous IdeaDarwin's LegacyDeaf Identities in the MakingDeath in the AirDebunked!DeceptionDecoding DarknessDeep GossipDefenders of the TruthDefining Moments in ScienceDefying DementiaDeinstitutionalization And People With Intellectual DisabilitiesDematerializingDementiaDementia Caregivers Share Their StoriesDemocracy StrugglesDemons of the Body and MindDemons of the Modern WorldDepression In Later LifeDirty DetailsDiscourse of Twitter and Social MediaDistractedDivine MadnessDMT and the Soul of ProphecyDo-It-Yourself Eye Movement Techniques for Emotional HealingDoes Science Need a Global Language?Doing GoodDon't Believe Everything You ThinkDon't Get Too ComfortableDr. Andrew Weil's Guide to Optimum HealthDr. Andrew Weil's Mindbody ToolkitDreaming and Other Involuntary MentationDSM-IV SourcebookDSM-IV-TR Case StudiesDuplicityDutiful DaughtersDying for TimeEarthly Bodies, Magical SelvesEastern Body, Western MindEating AnimalsEccentricsEcological MedicineEducating People to Be Emotionally IntelligentEinstein and OppenheimerElectroshockElliott Smith and the Big NothingEmergence and EmbodimentEmergencies in Mental Health PracticeEmotionEmotional Intelligence at WorkEmotions RevealedEncyclopedia of Asylum Therapeutics, 1750-1950sEntwined LivesErotic PassionsEssentials of Cas AssessmentEssentials of Wais-III AssessmentEthics for the New MillenniumEvamarie Pilipuf's Yoga Express DVDEvery Day Yoga for Every Body DVDEveryday GreensEveryday IrrationalityEveryday SimplicityEverything Is MiscellaneousEvolutionEvolution and Human BehaviorEvolution in MindEvolution's RainbowExploring the Edge Realms of ConsciousnessExuberanceEyes of SophiaFalling for ScienceFalse-Memory Creation in Children and AdultsFamilyFamily Desk Reference to Psychology Fashion and Its Social AgendasFashion, Desire And AnxietyFast, Fresh & GreenFat and FuriousFear and Other Uninvited GuestsFearless ConfessionsFeminist Philosophy And Science FictionFinal ExamFine LinesFixing My GazeFlesh of My FleshFlesh WoundsFlirting With DangerFlow and YinFlying ColorsFocusFood for Thought:Food, Medicine, and the Quest for Good HealthFool Me TwiceFreedom, Fame, Lying, and BetrayalFridaFrom Certainty to UncertaintyFrom Joy Division to New OrderFull Frontal Feminism: A Young Woman's Guide to Why Feminism MattersFull Steam Ahead!Galileo Goes to Jail and Other Myths about Science and ReligionGang of Four's EntertainmentGender and Its Effects on PsychopathologyGender and Mental HealthGeneration DigitalGenetics of Mental DisordersGeniusGenomeGetting a Good Night's SleepGetting Inside Your HeadGetting WastedGilded CityGirl in the CurlGirlfightingGirls Gone MildGirls on the VergeGod and the MultiverseGoing Into TownGood FortuneGood KarmaGood MedicineGood WorkGracefully InsaneGrassroots SpiritualityGreat Psychologists and Their TimeGulpHabeas CorpusHalf a Brain Is EnoughHandbook of AttachmentHappinessHappinessHappiness Is.Hate Crimes in CyberspaceHealingHealing SpacesHealth And the MediaHealth OnlineHearing the Person With DementiaHeavier than HeavenHello from Heaven!HelmholtzHelvetica: A documentary filmHemalayaa's Yoga for Young Bodies DVDHemingway's Second WarHerbs for the MindHere Is New YorkHeroes, Rogues, and LoversHeterophobiaHidden MindsHistory of ShitHistory of SuicideHoly Sh*tHoly WarHooked!Hot Body Cool Mind - Level 1Hot Body Cool Mind: Waking Energy Hot Chocolate for the Mystical LoverHot SpotsHotHouseHouse and PsychologyHow Children Learn the Meanings of WordsHow Doctors ThinkHow Emotions WorkHow Not to Get ShotHow Our Lives Become StoriesHow Proust Can Change Your LifeHow Science WorksHow to Build a Robot ArmyHow to Cook Everything VegetarianHow to Grow OldHow to Handle a Hard-To-Handle KidHow We AgeHow We Are Changed by WarHumankindHungerHysteria Complicated by EcstasyI Contain MultitudesI Know Who You Are and I Saw What You Did: Social Networks and the Death of PrivacyI of the VortexI Only Say This Because I Love YouI, Little AsylumIdiot AmericaIf Men Could TalkIgnoranceIllness and ImageImagining NumbersImprove Your Writing With NLPIn Bed with MadnessIn Defense of FoodIn Praise of ScienceIn Pursuit of HappinessIn Search of FatimaIn the Line of DutyIn the Shadows of the NetIn Therapy We TrustIndivisible by TwoInsight Yoga with Sarah PowersIntegrative MedicineIntensive CareInto the Gray ZoneIntroduction to Ashtanga Yoga DVDIntroduction to Qi YogaIntroduction to Yoga DVDInvented KnowledgeInvestigating Digital CrimeIrrationalityIs Shame Necessary?It's Up to YouJanis Saffell Beverly Hills YogaJudo with WordsKanye West's My Beautiful Dark Twisted FantasyKids OnlineKilling MonstersKinds of MindsKissing DoorknobsKnowing the Nature of FearKnowledge MonopoliesKundalini Yoga for Beginners & BeyondLandscapes in My MindLaw, Mind and BrainLearning About School ViolenceLearning, Teaching and Education Research in the 21st CenturyLessons Learned on My Way HomeLicentious GothamLies! Lies! Lies!Life CoachingLife MakeoversLimboListening in the Silence, Seeing in the DarkListening to PainListening to the WorldLittle PeopleLittle Red Riding Hood UncloakedLiving DeeplyLiving Well with Pain and IllnessLiving with ArthritisLiving with SchizophreniaLiving, Thinking, LookingLocking Up Our OwnLoneliness as a Way of LifeLong Shadow of Small GhostsLosing My MindLove and Sex with RobotsLove Your Body, Love Your LifeLove, Sex & TragedyLust in TranslationMad Mary LambMade in AmericaMadhur Jaffrey's World VegetarianMadnessMadness in CivilizationMaidentripMake It CountMake It Fast, Cook It SlowMaking Babies the Hard WayMaking Dying IllegalMaking SpaceMaking the Big LeapMaking Your Mind MatterMale Female EmailMalefemaleMan As The PrayerManaged Care ContractingMandated Reporting of Suspected Child AbuseManic Depression and CreativityManlinessManning UpMapping the MindMarriage ConfidentialMary Pope Osborne's Tales from the OdysseyMaster PassionsMasters of the MindMathematical DoodlingsMatters of SubstanceMean GenesMedia ArgumentationMedia in the Digital AgeMediating MadnessMedical AnthropologyMedicine and Health Care in Early ChristianityMedicine and Philosophy in Classical AntiquityMedieval Writings on Female SpiritualityMemoires 1995Memory, Brain, and BeliefMental Health and Social SpaceMental Health MattersMental Illness in Popular MediaMerchants of DoubtMild Cognitive Impairment and Early Alzheimer's DiseaseMiles to Go for FreedomMillennium GirlsMind in Everyday Life and Cognitive ScienceMind WarsMind, Matter and Quantum MechanicsMindstormsMisconceptionsMistakes Were Made (But Not by Me)Mollie Katzen's RecipesMom's OK, She Just ForgetsMonsters, Demons and PsychopathsMoody BitchesMoral PanicsMorals Not KnowledgeMore Than MedicineMortificationMothers Who Kill Their ChildrenMusicophiliaMy Bloody Valentine's LovelessMy Life Among the Serial KillersMy Misspent YouthMy Stroke of InsightNakedNaked CityNarratives in PsychiatryNations Have the Right to KillNatureNear Death ExperienceNeurons and NetworksNeuroscience in Science Fiction FilmsNever Out of SeasonNew Versions of VictimsNew YorkNew York September 11Not a Crime to Be PoorNot by DesignNot Your Mother's LifeNothing to HideNurembergNymphomaniaOath BetrayedObesityObjects of Our DesireObliquityOdd CouplesOf Spirits & MadnessOf Two MindsOld AgeOn BlindnessOn Fact and FraudOn the BrinkOn the Origin of StoriesOn TrailsOne Nation Under TherapyOpening to Love 365 Days a YearOptimizing Teaching and LearningOtherhoodOut of the DustOutliersOutsider ArtOver My HeadOxford Guide to the MindPainParanoia of Everyday LifeParents Do Make a DifferenceParty GirlPassingPassionate VegetarianPathways through PainPeople Like OurselvesPerceptual NeurosciencePersons and ThingsPestos, Tapenades, and SpreadsPhilosophy of MindPhotography and LiteraturePilates for MenPink ThinkPlanning for UncertaintyPoets on ProzacPostcards from the Brain MuseumPosthumanismPotatoes Not ProzacPower HerbsPower Yoga for HappinessPoxPractical ClassicsPractical Plans for Difficult Conversations in MedicinePracticing Feminist Ethics in PsychologyPrader-Willi SyndromePredictably IrrationalPretty in PunkPretty Is What ChangesPreventing Misbehavior in ChildrenPrime Ministers of CanadaPrint Literacy DevelopmentPrison MadnessPrivate Life in New Kingdom EgyptProblems in MindProtecting the GiftProust and the SquidPrudePsyche on the SkinPsychiatryPsychiatry in the New MilleniumPsychiatrylandPsychologyPsychology and the MediaPsychology for ScreenwritersPsychotherapy and ConfidentialityPublic Health LawPunishment in Popular CulturePure Yoga Pilates with Kerry BestwickQuantum ArchetypesQuantum LeapsR.I.P.Race in Contemporary MedicineRacial ParanoiaRaising a Self-StarterRaising AmericaReady for AnythingReady or NotReady or Not, Here Life ComesReal SexReckoning With HomelessnessReclaiming Our ChildrenReclaiming Soul in Health CareRed Lotus YogaReligion ExplainedRemaking a WorldRepublic.com 2.0Rethinking CommodificationRethinking Middle YearsReviving OpheliaReviving the LeftRewarding Specialties for Mental Health CliniciansRick SingsRights, Risk and Restraint-Free Care of Older PeopleSabbathSame DifferenceSamuel BeckettSatisfactionSavedScared SickScienceScience and NonbeliefScience in the MarketplaceScience TalkScience WarsScience, Consciousness and Ultimate RealitySecond OpinionsSeeds of HopeSelected Ambient Works Volume IISelf Hypnosis for Cosmic ConsciousnessSelf-Help NationSelf-Help, Inc.Selling the Fountain of YouthSells like Teen SpiritSerious ShoppingSeven Challenges To Change Your Life DVDSex, Mom, and GodSex, Time and PowerSexing the BodySexual Orientation and School PolicySexy FeminismShadow, Self, SpiritShop Class as SoulcraftShrink RapSick to Death and Not Going to Take It AnymoreSimulation and Its DiscontentsSinfully VeganSister CitizenSleeping With Extra-TerrestrialsSlut!Snake Oil ScienceSnoopSo Brilliantly CleverSocial RepresentationsSolar Flow Yoga DVDSold on LanguageSome Kind of GeniusSometimes Madness Is WisdomSorting Things OutSoul Made FleshSounds from the Bell JarSoupsSpace, Place and Mental HealthSpeaking Our MindsSpiritual CrisisSpontaneous HealingStates of MindStatus AnxietyStiffedStill HereStill LivesStrange BehaviorStrategies of Commitment and Other EssaysStrength, Grace, HealingStroke DiariesStumbling on HappinessSun SalutationsSuper Natural CookingSuperhumanSuperstitionSupersurvivorsSurgery JunkiesSwordfishtrombonesSylvia Plath ReadsTalk to HerTalking About RaceTalking Back to PsychiatryTalking Heads' Fear of MusicTalking ScienceTeach Yourself MeditationTeaching OnlineTeaching SexTech GenerationTeen LoveTeenageTextbook of Cultural PsychiatryThanks!The 101 Best Graphic NovelsThe Age of American UnreasonThe Alice Behind WonderlandThe American HotelThe American ParadoxThe American Psychiatric Publishing Textbook of Clinical PsychiatryThe Americanization of Social ScienceThe Anatomy of HopeThe Anatomy of MelancholyThe Angelica Home KitchenThe Antibiotic EraThe Ape and the Sushi MasterThe Architecture of MadnessThe Arctic IncidentThe Art of ChoosingThe Art of Exceptional LivingThe Audience EffectThe Bard on the BrainThe Barmaid's BrainThe Beginner's Guide to Healthy EatingThe Better to Eat You WithThe Biotech CenturyThe Birth of PleasureThe Birth of the PillThe Black DeathThe Blackwell Handbook of Organizational Learning and Knowledge ManagementThe Book of the PenisThe Brain That Changes ItselfThe Breathing FieldThe Bridge to HumanityThe Brooklyn Nobody KnowsThe Bully SocietyThe Cafe Brenda CookbookThe Call of the WeirdThe Cambridge Illustrated History of MedicineThe Case Against SugarThe Childless RevolutionThe Clitoral TruthThe Complete Guide to Herbal MedicinesThe Complete Vegetarian HandbookThe Consolations of PhilosophyThe Contemplative HeartThe Couch and the TreeThe Course of Gay and Lesbian LivesThe Creation of the Modern WorldThe Cult of PharmacologyThe Cultural Origins of Human CognitionThe Culture of FearThe Culture of PunishmentThe Da Vinci DogThe Dark Night of the SoulThe Deadly TruthThe Decency WarsThe Digital MindThe Disobedience Of The Daughter Of The SunThe Dynamic NeuronThe Easy Yoga WorkbookThe Emotional BrainThe Emotional Journey of the Alzheimer's FamilyThe Employee Assistance Treatment PlannerThe End of MaterialismThe End of WarThe English and their HistoryThe Enigma of HealthThe Era of ChoiceThe Eternity CubeThe EvangelicalsThe Event of LiteratureThe Evolving WorldThe f WordThe Fabulous ImaginationThe Faces of TerrorismThe Farm Colonies: Caring for New York City's Mentally Ill In Long Island's State HospitalsThe Fat Studies ReaderThe Fate of Early MemoriesThe Female ThingThe Final LeapThe Firmament of TimeThe Five Things We Cannot Change ...The ForgettingThe Game of TruthThe Get Healthy, Go Vegan CookbookThe Gift of FearThe Gold Leaf Lady and Other Parapsychological InvestigationsThe Good Enough ChildThe Great BetrayalThe Greatest Experiment Ever Performed on WomenThe Guide for White Women Who Teach Black BoysThe HandThe Handbook of Disability StudiesThe Happiness HypothesisThe Healing Remedies SourcebookThe Health Psychology HandbookThe Healthy KitchenThe Heart of YogaThe Hedgehog's DilemmaThe Hero's JourneyThe History of Rhetoric and the Rhetoric of HistoryThe History of White PeopleThe Homework MythThe Hungry SoulThe Identity CodeThe Immortalization Commission:The Importance of Being LazyThe Indian VegetarianThe Insider's Guide to Mental Health Resources OnlineThe Insider's Guide to Mental Health Resources OnlineThe Insider's Guide to Mental Health Resources OnlineThe Insider's Guide to Mental Health Resources OnlineThe Intelligibility of NatureThe Interdisciplinary Science of ConsumptionThe Intuitive WriterThe Invisible PlagueThe Irreducible Needs of ChildrenThe Irritable Male SyndromeThe Jewel Tree of TibetThe Joy of MeditatingThe Language ImperativeThe Language Of YogaThe Language PoliceThe Language WarsThe Last PhysicianThe Last Self-Help Book You'll Ever NeedThe Law Is a White DogThe Lie DetectorsThe Little Book of Healthy TeasThe Little Book of HeartbreakThe Little Soy BookThe Little Yoga BookThe Lives and Loves of Daisy and Violet HiltonThe Lives of AnimalsThe Lolita EffectThe Lonely PatientThe Loss of Self: A Family Resource for the Care of Alzheimer's Disease and Related DisordersThe Lucifer EffectThe Lucifer PrincipleThe Madness of Adam and EveThe Madwoman in the AtticThe Magic of RealityThe Making of Dr. PhilThe Manual of EpictetusThe Marketplace of IdeasThe Mature MindThe Measure of Our DaysThe Meat Lover's Meatless CookbookThe Medical AdvisorThe Medicalization of SocietyThe Metaphysical ClubThe Mind's PastThe Misunderstood GeneThe MIT Encyclopedia of the Cognitive SciencesThe Monster WithinThe Mood CureThe Moral Intelligence of ChildrenThe Mystery of Mary RogersThe Myth of Freedom and the Way of MeditationThe Nature FixThe New BrainThe New Cancer SurvivorsThe NineThe Nordic Theory of EverythingThe Norm ChroniclesThe Normal OneThe Obesity EpidemicThe Omnivorous MindThe Orchid ThiefThe Origin and Evolution of CulturesThe Origin of AnxietiesThe Oxford Book of Modern Science WritingThe Pain AntidoteThe Paradox of ChoiceThe Paradox of SleepThe Paranoia SwitchThe Passion PlanThe Pastoral Counseling Treatment PlannerThe PatchThe Patient as Agent of Health and Health CareThe PDR Family Guide to Natural Medicines & Healing TherapiesThe Physics of ConsciousnessThe PlaceboThe Placebo Effect and HealthThe Playful BrainThe Pocket Life CoachThe Portfolio and the DiagramThe Power of FocusThe Power of Full EngagementThe Praeger Handbook of Learning and the BrainThe Private Life of the BrainThe Professor and the MadmanThe Psychoanalytic MysticThe Psychology of Religion and CopingThe Psychology Of The InternetThe Psychotherapy Documentation PrimerThe Quantum UniverseThe Quarter-Acre FarmThe Race for ConsciousnessThe Real Rules for GirlsThe Red DevilThe Republican BrainThe Richer SexThe Rise and Fall of Classical GreeceThe Rise of Mental Health NursingThe Roman Search for WisdomThe Root of All EvilThe Routledge Companion to Landscape StudiesThe Same Stuff as StarsThe Savage CityThe Science of Good and EvilThe Science of Optimism and HopeThe Scientist In The CribThe Seat of the SoulThe Second SelfThe Secret History of DreamingThe Secret Lives of GirlsThe Secret World of Doing NothingThe Seven Sins of MemoryThe ShakeressThe ShallowsThe Social Psychology of StigmaThe Sociology of PhilosophiesThe Sociopath Next DoorThe Soul Knows No BarsThe Spa DeckThe Spiritual Anatomy of EmotionThe Split MindThe Star ThrowerThe Story Is TrueThe Storytelling AnimalThe Strange Case of Hellish NellThe Symmetry of GodThe Talking CureThe Thing You Think You Cannot DoThe Thorn NecklaceThe Three CulturesThe Three Failures of CreationismThe Toxic ConsumerThe Triumph of NarrativeThe True PathThe Truth About Chronic PainThe UndertakingThe Volitional BrainThe Wages of SinThe War Against BoysThe Way of StretchingThe Weblog HandbookThe Weight of the NationThe Why CaféThe Wild Ass’s SkinThe Will to Live and Other MysteriesThe Wisdom of FrugalityThe Wisdom of PsychopathsThe Wisdom of Your DreamsThe Words We Live ByThe World of CaffeineThe Worldwide Practice of TortureThe Worst-Case Scenario Survival HandbookThe Wow ClimaxTheaters of MadnessTheatre and AnimalsTheories of Scientific MethodTherapeutic LandscapesTheraScribe 4.0Think CatThink SmartThinking for a ChangeThinking With AnimalsThrough Deaf EyesToo Big to FailTooning InTop ChefTortured SubjectsTotal AstangaTotal PilatesTotally WiredTowards a Science of Consciousness IIITrain Your Brain to Get RichTransforming MadnessTraumatic PastsTreating People WellTreatment and Rehabilitation of Severe Mental IllnessTreatment Kind and FairTribal ScienceTrick or TreatmentTrusting DoctorsTry to RememberTutoring as a Successful BusinessTwelve Examples of IllusionTwinsUnder the Medical GazeUnderstanding and Treating Violent Psychiatric PatientsUnderstanding Child MolestersUnderstanding FitnessUnforgettableUnholy MadnessUnscientific AmericaUnspeakable Acts, Ordinary PeopleUnto OthersUp From DragonsUrban Tourism and Urban ChangeUseful BodiesValues in ConflictVarieties of Anomalous ExperienceVegan ExpressVegetarian Turkish CookingVertigo VisionsVictorian Popularizers of ScienceViniyoga Therapy for the Low Back, Sacrum and HipsViolence Against WomenVoices Of Alzheimer'sVoices of CaregivingVoices of MadnessVoluntary SimplicityWaking Up to What You DoWalkingWalking a Literary LabyrinthWall: A World DividedWarWays of KnowingWays of KnowingWe Shall Be No MoreWe Shall Not Be MovedWe've Got BlogWellbeingWhat Emotions Really AreWhat I Learned in Medical SchoolWhat in the World Are Your Kids Doing Online?What Makes Us Think?What Nietzsche Really SaidWhat Our Children Teach UsWhat Science Offers the HumanitiesWhat Video Games Have to Teach Us About Learning and LiteracyWhat's Holding You Back? What's So Wrong with Being Absolutely RightWhen a Family Member Has DementiaWhen Experiments TravelWhen Good Thinking Goes BadWhen History Is a NightmareWhen Johnny and Jane Come Marching HomeWhen Mothers KillWhen Sex Goes to SchoolWhen Someone You Know Is Living in a Dementia Care CommunityWhen Things Fall ApartWhere Biology Meets PsychologyWhere Good Ideas Come FromWhere is the Mango Princess?Wherever You Go, There You AreWhile They SleptWhispers from the EastWhite RageWho Rules in ScienceWhy Are We Attracted to Sad Music?Why Does E=mc2?Why Don't Students Like SchoolWhy God Won't Go AwayWhy Have Kids?Will They Ever Trust Us Again?WisdomWise Mind, Open MindWitch Beliefs and Witch Trials in the Middle AgesWitchcrazeWith Their EyesWithin ReasonWomanWomen and Mental IllnessWorking With Emotional IntelligenceWriting in FlowYogaYoga & Pilates Workouts for DummiesYoga Beauty BodyYoga for EveryoneYoga for People Who Can't Be Bothered to Do ItYoga for Regular GuysYoga for Regular Guys DVDYoga In BedYoga on DemandYoga SanctuaryYoga SculptYoga ShaktiYoga To Go's Yoga Quick Fixes DVDYogalosophyYou Are Not Your IllnessYou'd Be So Pretty If . . .Your Miracle BrainZen Encounters with LonelinessZen-Brain Reflections
In the post-institutional era of mental health care how are we to conceptualize "community care" and "the mental patient"? There are those who look back to the institutional era with a fond, usually rose-tinted, nostalgia; for others deinstitutionalization remains an ideal rather than a reality. The literature on psychiatry and mental illness shows increasing divergence. Even mainstream services have adopted "recovery" as a motif, there are new biological discourses, and for many people with mental illness, a forensic identity as either patient or criminal. The movement to community care has had limited success in dismantling the mental patient as different and other. Hester Parr's contribution to this issue uses the conceptual tools of geography to open up debate about the social space of the person with mental health problems, and in so doing to move beyond debate about "institutional spaces and enclosed medical identities" Mental Health and Social Space. Towards Inclusionary Geographies? re-examines the identity of people with mental illness, especially the transition "from inert non-citizen to valued and relational social agent."
Two theoretical chapters provide the background against which Parr reports empirical studies of mental health in various social spaces, with a final chapter looking forward to new ways of thinking and practice. The social spaces are widely divergent, ranging from rural villages of the Scottish Highlands to the Internet. Each offers opportunities and risks in the task of forging an identity as a person with mental illness. The concept of space is central to this book, beginning with the observation that the asylum enterprise can be understood as one of segregation, and the creation of spaces of exclusion. Debate over moral and medical models of the asylum ignores their common feature of spatial and conceptual differentiation. What Parr also points out is that many of the critical histories of psychiatry have also characterized the mental patient as passive, and have ignored the agency seen in small acts of resistance, exercised even by institutionalized asylum inmates. Interestingly, Erving Goffman is cited as one whose work recognizes the operation of agency, even within the "total institution." Parr quotes from Asylums:
The patient curling up at the window, looking outside through the bars, pressing the nose of his whole body against the outside, and in this way somewhat removing himself from the ward, and somewhat freeing himself from its territorial restriction.
The second chapter explores the development of community care in the UK, leading to a discussion of how "social inclusion" of people with mental illness might lead to identities beyond those derived from mental illness or use of mental health services. Parr makes much of the disproportionate expenditure on inpatient compared to community services, and especially compared to expenditure on the large majority of people with mental illness within primary care. While this economic analysis is interesting, it tells only a partial story, and begs the question of the extent to which the mental health sector should cater for the whole spectrum of people with mental illness. Given the tendency of the mental health sector to develop silos, it seems positive that the majority of people with mental illness receive care in the primary sector. In terms of the wider historical perspective, the global emergence of mental health as a major issue in primary care is something that requires close analysis, especially as this is a new claim for resources, which arguably should not be made on a mental health budget already struggling to meet demands for new services. Parr argues that "community" is largely a rhetorical device for mental health policy, with little direct evidence that reinvestment has been substantially diverted away from institutional psychiatric care, despite the "widespread emergence of community mental health teams." (p. 38-9). I found this statement problematic. It seems hard to argue that "community" is merely a rhetorical device if there has been a widespread emergence of community mental health teams. In terms of the data Parr presents, community services account for around 25% of the mental health budget, which seems somewhat more than "mere rhetoric".
The section in Chapter Two on inclusion provides an interesting analysis of rights and citizenship, pointing out the apparent contradiction between the assertion of universal rights and the creation of exceptions embodied in mental health legislation and its inherent power of spatial sanctions. The rights based approach to citizenship is contrasted with "relational citizenship" exemplified by some of the programs sponsored by the Scottish Executive. These include media advertising to render mental illness an understandable human experience, and the work of the Scottish Recovery Network in promoting non-linear recovery narratives. Relational, or social citizenship may be more accessible to people with mental illness and it is more amenable to individual agency than rights based citizenship that depends on an explicit legal framework.
Parr next examines rural communities. Often idealized as peaceful, close-knit, with solid traditional values, these are the communities that for almost a century hosted the rural asylums, islands of confinement within an otherwise open and supportive community. This is where Parr begins to show, through accounts of lived experience, how people with mental illness resist their prescribed identity and negotiate social space on their own terms. Parr is careful to stress that she is not simply recasting rural communities as exclusionary; nor is she romanticizing the lot of the mentally ill person in a rural community. Her task is to show that taken for granted notions about person and place are more complicated than it might appear, something that has implications for the "geographies of despair" often thought to characterize the urban environment. A case study set in the Highlands shows a tenuous balance between inclusion and exclusion, with the same behavior (e.g. a simple enquiry after one's health) being interpreted as either intrusive or supportive, perhaps even both. The reality of visibility in a small community makes public space problematic as it doesn't afford the anonymity of a larger center. A public snub can be very much more obvious. Similarly, while Parr rejects the idea of the Highlands as an exemplar of a naïve Gemeinschaft, there is a very real history, social code and culture that acts as a "two-edged sword": including out of an enduring sense of belonging, but having a flashpoint of exclusion, triggered by affront to community values. The complex and unstable social context of the Highlands challenges people with mental health problems to become resourceful agents in order to negotiate the sometimes contradictory rules. Strategies of concealment, avoidance, and reaching beyond the community show that the rural citizen with a mental health problem is no passive object of pity or derision.
Turning to the natural world, Parr begins the next chapter with a discussion of the idea of "nature" in Western thought, and especially in relation to madness. Foucalt used the expression "nature mediated by morality" to refer to the farm-like environment of the early asylums. This is a truly romantic notion, incorporating the values of manual labor, observation of the seasons, rejection of the "unnatural" man made environment. Parr describes it as having organic disciplinary power. Modern gardening as a mental health intervention also serves moral and therapeutic functions. Parr cites an example in which the transformation of waste land into a manicured garden acts as a visible demonstration of the civilizing effects of work and nature. This also serves an agenda of social inclusion through proximity and development of social relationships. An intriguing aspect of this chapter is the continuity of the 19th century notion of the restorative power of "nature".
As with nature, visual art has a long history in mental health care. Parr prefaces her chapter on artistic spaces with a review of art as either representational or therapeutic, in both cases contributing to an "art of the insane". This tradition continues in psychiatric publications. The American Journal of Psychiatry runs a regular "Images in Psychiatry" column. Schizophrenia Bulletin features artwork of people with mental illness, the appreciation of which must surely be limited by accessing journals online rather than in print. Parr is less concerned with expressive art than with art as a social practice, especially one with the potential to promote social inclusion. I was intrigued to learn that the Scottish Mental Health Act mandates the provision of social and cultural activities. Parr again draws on research, in this case to show a developing use of art as a valued non-clinical activity that promotes sociability and inclusion, contributing to the reformation of identities previously dominated by patienthood. As people participate in these modern art programs, the studio becomes a transitional space, providing the opportunity of movement towards insider status. The transitional nature of the studio is reflected in a tension within the art community about whether aspiring artists have earned insider status, or are patronized by them and according their art a special space at exhibitions. What is clear from Parr's account though, is that these "patient artists" exercise their own agency in negotiating their ambiguous status.
The Internet is the focus of the final empirical chapter. Parr firstly notes the claims for democratizing of information and access to relationships. Her focus is on the opportunity the Internet provides for the rescripting of identity in virtual space. The promise of the Internet, like that of nature and art, is tempered by its limitations. Nevertheless, Parr is able to argue that the Internet offers something new, and for some people with mental illness, a unique opportunity for inclusion. Parr gives examples of the sorts of disclosures made possible in anonymous forums, and of individuals' experiences of support and validation. The danger is that "forums can become risky spaces in which the integrity of the self may be challenged or even unravelled" (p. 148). There is also the issue that those with mental illness share with other Internet users, that of whether online experiences generalize to the "real world". For some, clearly, the Internet is a refuge and a haven. Parr concludes this section with measured optimism about the Internet as a social space: neither as safe nor as different as sometimes thought, it is one more opportunity for inclusion available to people with mental illness.
While the issues raised in this book are of enormous importance to the mental health sector, many will find Mental Health and Social Space rather forbidding in terms of its language and density of argument. The book is replete with the novel terms common to the social science literature: "disrupting monolithic imaginations", "disclosive affordances of these spaces of engagement", different possibilities are "excavated". It is also theoretically rather complex in places. However there is a certain amount of intellectual spade work which must be done if mental health is to be reconceptualized in the way Parr suggests. Mental Health and Social Space invites a re-evaluation of concepts of "the mental patient" and suggests that this re-evaluation is already taking place by those to whom it matters the most: people with mental illness. In this sense people with mental illness have included themselves in. Identity is never final, and so the rescripting that Parr describes is not towards a fixed new identity. That is very much the point of Mental Health and Social Space: defining, or declaring, who one is is never finished. The key this process, common across all four of Parr's research sites, is proximity, either proximity to difference as people with mental illness and other members of the community find themselves closer together, or proximity to others with mental illness.
As with other reconceptualizations of the mental patient, Parr acknowledges that the concept of citizenship is potentially fraught. Notions of "citizenship" and "self-governance" are open to neo-liberal capture that serve State interests in rationalizing resources and in regulating citizens. The same language can be employed in pursuit of very different ends. For example, Parr questions whether, given the "powerful social ascriptions that have constituted [the mentally ill] over time" (p. 41) employment is likely to lead to social inclusion. On the other hand, for those who find independent employment difficult to attain or maintain, a State exhortation into voluntary work might have the effect of devolving to people with mental illness, responsibility for their own social exclusion. In her conclusion Parr explores the inevitable tension between the program of the liberal State which supports the development of the autonomous, self-regulating "post-patient" citizen, and simultaneously seeks to devolve responsibility to that same citizen. There is also the issue of the material circumstances of people with mental illness. Opportunities for social inclusion are limited, or at least mediated, by income and material resources, and many people with mental illness, especially those with severe and enduring mental illness, have little of either.
Mental Health and Social Space is successful in challenging the "outsiderness" assumed to characterize people with mental illness. The case studies bring substantial evidence to bear on this question, and are supported by a theoretical framework that allows us to understand why we should recognize social citizenship as practiced by people with mental illness. Parr shows that the non-medical social spaces that allow social citizenship to develop are deeply connected to the historical imagination of the insane. Twenty-first century models of mental health still talk back to the asylum. But beneath the discourse of neglect and failure which characterizes much debate about community mental health there are stories of assertion of citizenship that go against the grain. This is nicely summed up at the end of the book in an anecdote from a researcher, ready to present her findings of neglect at a conference, only to find herself sitting next to another researcher with a very different story to tell. The title of this book ends in a question mark. The question is inherent in Parr's comment that the inclusionary geographies she describes are not a panacea, and their viability is not assured. Parr has made an important contribution to the redefining of "the mental patient", a crucial undertaking if social citizenship for people with mental illness is to become an enduring reality.
© 2008 Tony O'Brien
Tony O'Brien RN, MPhil, Senior Lecturer, Mental Health Nursing, University of Auckland, email@example.com