The History of Mental Health Services in Modern England: Practitioner Memories and the Direction of Future Research

Medical History
John TurnerMathew Thomson

Abstract

Writing the recent history of mental health services requires a conscious departure from the historiographical tropes of the nineteenth and twentieth centuries which have emphasised the experience of those identified (and legally defined) as lunatics and the social, cultural, political, medical and institutional context of their treatment. A historical narrative structured around rights (to health and liberty) is now complicated by the rise of new organising categories such as 'costs', 'risks', 'needs' and 'values'. This paper, drawing on insights from a series of witness seminars attended by historians, clinicians and policymakers, proposes a programme of research to place modern mental health services in England and Wales in a richer historical context. Historians should recognise the fragmentation of the concepts of mental illness and mental health need, acknowledge the relationship between critiques of psychiatry and developments in other intellectual spheres, place the experience of the service user in the context of wider socio-economic and political change, understand the impacts of the social perception of 'risk' and of moral panic on mental health policy, relate the politics of mental health policy and resources to the...Continue Reading

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Citations

Dec 28, 2018·BJPsych Bulletin·Claire Hilton
Sep 3, 2017·The British Journal of Psychiatry : the Journal of Mental Science·Najma SiddiqiJohanna Taylor
Oct 4, 2017·Journal of Health Politics, Policy and Law·Martin Gorsky, Gareth Millward

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