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The survival of psychiatric diagnosis

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  • Pilgrim, David

Abstract

Past and current debates about applying medical diagnoses to psychological difference in society are examined. Beginning with a brief historical overview from antiquity to 'anti-psychiatry' and a summary of recent debates, the article then offers two case studies of common diagnoses ('depression' and 'schizophrenia'). The main challenge for social science is no longer about what is wrong with psychiatric diagnosis (that is now well rehearsed) but how to account for how and why it has survived. In answering this question about survival, inter-disciplinary work could attend to the pre-empirical positions of mental health researchers; the ways in which mental disorders are similar and different to physical disorders; and the interest work of different social groups defending or attacking psychiatric diagnoses in varying contexts.

Suggested Citation

  • Pilgrim, David, 2007. "The survival of psychiatric diagnosis," Social Science & Medicine, Elsevier, vol. 65(3), pages 536-547, August.
    • Handle: RePEc:eee:socmed:v:65:y:2007:i:3:p:536-547
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    References listed on IDEAS

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    1. McPherson, Susan & Armstrong, David, 2006. "Social determinants of diagnostic labels in depression," Social Science & Medicine, Elsevier, vol. 62(1), pages 50-58, January.
    2. Moncrieff, Joanna & Crawford, M. J., 2001. "British psychiatry in the 20th century -- observations from a psychiatric journal," Social Science & Medicine, Elsevier, vol. 53(3), pages 349-356, August.
    3. Pilgrim, David & Rogers, Anne E., 2005. "Psychiatrists as social engineers: A study of an anti-stigma campaign," Social Science & Medicine, Elsevier, vol. 61(12), pages 2546-2556, December.
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    Cited by:

    1. Lynch, Johanna M. & Askew, Deborah A. & Mitchell, Geoffrey K. & Hegarty, Kelsey L., 2012. "Beyond symptoms: Defining primary care mental health clinical assessment priorities, content and process," Social Science & Medicine, Elsevier, vol. 74(2), pages 143-149.
    2. Hannigan, Ben, 2013. "Connections and consequences in complex systems: Insights from a case study of the emergence and local impact of crisis resolution and home treatment services," Social Science & Medicine, Elsevier, vol. 93(C), pages 212-219.
    3. Butler, Clare, 2019. "Working the 'wise’ in speech and language therapy: Evidence-based practice, biopolitics and ‘pastoral labour’," Social Science & Medicine, Elsevier, vol. 230(C), pages 1-8.
    4. Ridge, Damien & Kokanovic, Renata & Broom, Alex & Kirkpatrick, Susan & Anderson, Claire & Tanner, Claire, 2015. "“My dirty little habit”: Patient constructions of antidepressant use and the ‘crisis’ of legitimacy," Social Science & Medicine, Elsevier, vol. 146(C), pages 53-61.
    5. Feng, Qing Yi & Griffiths, Frances & Parsons, Nick & Gunn, Jane, 2013. "An exploratory statistical approach to depression pattern identification," Physica A: Statistical Mechanics and its Applications, Elsevier, vol. 392(4), pages 889-901.

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