Cover image for Mental illness and the economy
Mental illness and the economy
Brenner, M. Harvey (Meyer Harvey), 1939-
Publication Information:
Cambridge, Mass. : Harvard University Press, 1973.
Physical Description:
xxiv, 287 pages : illustrations ; 24 cm
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RC455 .B73 Adult Non-Fiction Central Closed Stacks

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By correlating extensive economic and institutional data from New York State for the period from 1841 to 1967, Harvey Brenner concludes that instabilities in the national economy are the single most important source of fluctuations in mental-hospital admissions or admission rates. This relation is shown to have been relatively stable from pre-Civil War times to the present, and has not been visibly affected either by changes in psychiatric theory and practice of by any other major social change occurring in society as a whole during that time span. Copyright © Libri GmbH. All rights reserved.

Table of Contents

August B. Hollingshead
Forewordp. vii
1 The Problem and Its Settingp. 1
Economic Change, Social Mobility, and Individual Role Performancep. 4
Economic Changes and Mental Illnessp. 7
2 Methodological Issues and Strategiesp. 12
Studies of the Effect of Recession on Mental-Hospital Admissionsp. 13
Statistical and Graphic Analysesp. 26
3 Mental Illness and the Economyp. 32
Strength of the Relation in the 20th Centuryp. 32
Economic Change and Mental Hospitalization in the 19th Centuryp. 35
The Post-1960 Periodp. 36
Economic Changes and Hospitalization for Specific Mental Disordersp. 37
4 Long-Term Trends and the Basic Relation, 1850-1967p. 47
The 19th Centuryp. 47
Long-Term Changes in the Relation Between Economic Fluctuations and Mental-Hospital Admissions, 1915-1967p. 57
5 Stability of the Basic Relationp. 74
The Relative Importance of Economic Change in Mental Hospitalizationp. 77
The Relative Importance of Large and Small Economic Changes to Mental Hospitalizationp. 82
Replication of the Procedure Among Different Total Populationsp. 84
Additional Tests of Stabilityp. 97
Summaryp. 108
6 Impact of Economic Change on Mental-Hospital Admissionsp. 110
Agep. 112
Marital Statusp. 118
Ethnic Backgroundp. 120
Economic Statusp. 123
Level of Educational Attainmentp. 126
7 Social Stress and the Extent of Economic Lossp. 130
The Extent of Economic Loss: A Primary Predictive Modelp. 130
The Economic-Loss Model and Sensitivity of Mental Hospitalization to Economic Changep. 135
Ethnic Background and the Response to Economic Stressp. 143
8 Economic Change and Role Performancep. 157
The Life Cycle and Economic Stressp. 157
Economic Stress Among Persons Perceived and Treated as Mentally Illp. 167
Sex Differentials in Sensitivity to the Downturnp. 170
Sensitivity to the Downturn by Marital Statusp. 172
Summaryp. 174
9 Interpretations of the General Relationp. 175
Direction of the Relationp. 175
The Question of Spuriousnessp. 178
Financial Considerationsp. 180
Intolerance of the Mentally Illp. 182
Sequence of Causationp. 199
The Impact of Changes in Employment Levelsp. 201
10 Economic Change and the Structure of Psychiatric Carep. 204
Hospital Capacity and the Impact of Economic Changep. 204
The Impact of Economic Change on Patient Carep. 213
The Impact of Economic Change on Dischargesp. 214
The Relation of Discharge to Family Economic Statusp. 221
Implications of Economic Change for Institutions that Deal with Deviancep. 223
11 Conclusions and Implicationsp. 226
Social and Personality Disorganization During Economic Changep. 226
Implications of the Empirical Relationp. 231
Recent Discovery of the Major Relationp. 243
Appendix I. Number of years during which specified levels of correlation occur between admissions to New York civil state hospitals and the index of employment, New York State 1914-1960, by specific lagsp. 250
Appendix II. Multiple inverse correlations between admissions to New York civil state hospitals and the index of employment, New York State 1914-1960, including possible relations from minus 1 to plus 3 years of lead or lagp. 258
Notesp. 261
Indexp. 283