Do clinicians and clinical researchers do enough to foster social inclusion?
Holttum, S. 2015. Do clinicians and clinical researchers do enough to foster social inclusion? Mental Health and Social Inclusion. 19 (1), pp. 5-11. https://doi.org/10.1108/MHSI-11-2014-0039
– The purpose of this paper is to raise questions about the social issues involved in mental and physical health. It highlights how, even where social issues are evident, clinicians and clinical researchers often focus mainly on individual people and what has gone wrong with them. This has the effect of making it less likely that social exclusion and adversity will be taken into account or that clinicians will help to change these.
– Three journal papers are summarised. The first one reports an attempt to test whether depression is a result of people feeling defeated and trapped. The second paper reports the results of analysing medical writing about domestic abuse. The third paper discusses the need for trainee clinicians to be made more aware of social conditions that affect people's lives.
– It does appear that people who feel defeated and trapped are more likely to become depressed. However, the life circumstances that lead to feeling trapped need more attention. Medical writing about domestic abuse may need to incorporate the broader context so that it is not just seen as a “women's problem”. It may be worth training clinicians about social conditions and how they might help to change them.
– These papers highlight important links between social exclusion and mental and physical health. There is a key role for clinicians and clinical researchers to be more part of the solution where they sometimes unwittingly help maintain the problems.
|Keywords||Depression; domestic abuse; cultural competency; training|
|Journal||Mental Health and Social Inclusion|
|Journal citation||19 (1), pp. 5-11|
|Digital Object Identifier (DOI)||https://doi.org/10.1108/MHSI-11-2014-0039|
|Publication process dates|
|Deposited||14 Jan 2016|
|Accepted||14 Dec 2014|
|Accepted author manuscript|
Gilbert, P and Allan, S (1998), “The role of defeat and entrapment (arrested flight) in depression: an exploration of an evolutionary view,” Psychological Medicine, Vol. 28, Iss. 3, pp. 585-598.
Griffiths, AW, Wood, AM, Maltby, J, Taylor, PJ, and Tai, S (2014), “The prospective role of defeat and entrapment in depression and anxiety: A 12-month longitudinal study”, Psychiatry Research, Vol. 216, pp. 52-59. Doi:10.1016/j.psychres.2014.01.037
Kramer, A, Lorenzon, D, and Mueller, G (2004), “Prevalence of intimate partner violence and health implications for women using emergency departments and primary care clinics,” Women’s Health Issues, Vol. 14, Iss. 1, pp. 19-29.
Metzl, JM and Hansen, H (2014), “Structural competency: Theorizing a new medical engagement with stigma and inequality”, Social Science and Medicine, Vol. 103, pp. 126-133, doi:10.1016/j.socscimed.2013.06.032
Sloman, L (2008), “A new comprehensive evolutionary model of depression and anxiety”, Journal of Affective Disorders, Vol. 106, pp. 219-228, doi:10.1016/j.jad.2007.07.008
Sweet, PL (2014), “‘Every bone in my body:’ Domestic violence and the diagnostic body”, Social Science and Medicine, Vol. 122, pp. 44-52, doi:10.016/j.socscimed.2014.10.014
Walker, L (1979), The battered woman, New York, Harper and Row
Walker, LE (2009), Battered woman syndrome (3rd ed), New York, Springer
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