Troubled Persons Industries: The Expansion of Psychiatric Categories beyond Psychiatry

Foreword
References
Contents
Notes on Contributors
1 Introduction: Are We All Mad Here? The Normalization of “Trouble” in Everyday Life
	De-contextualization of Social Problems
	Re-contextualization: New Perspectives on Psychiatric Labeling
	Public and Social Institutions as Troubled Persons Industries
	This Volume
	References
2 Psychiatrisation of School Children: Secondary School Teachers’ Beliefs and Practices on Mental Health and Illness
	Introduction
	The Research
	Findings
		Changes in Belief
			Increasing Awareness and Normalisation
			An Umbrella Term
			Emerging Awareness of Definitional Issues
		Changes in Practice
			Pre-emptive Measures: Identification, Education, and Awareness Schemes
			Growth in Pastoral Team and Management
			Expertise, Training, and Professionals
			Experts from Where? Barriers of Funding and Resources
	The Psychiatrisation of School Children
	Conclusion
	References
3 Governing Emotions in School
	Introduction
	‘Troubled’ Young People and ‘Troubling’ Emotions
	Troubling ‘Mental Health’
	Ways of ‘Seeing’ Emotion
		The Anatomy of Emotions
	Constructing ‘Troubled’ Young People
	Solutions to ‘Troubled’ Young People
	Schooling Emotions
	Schooling ‘Troubled’ Young People
	Shaping Counselling Policies And Practices In Education
		Counsellors as Experts
		Counsellors as Authorities of Knowledge
		Counsellors as referrers of ‘mental health’
		Counselling as a Technology of Discipline
	Conclusion
	References
4 The ADHD Industry: The Psychiatrisation of the School System in Its Labour Market Context
	Introduction
	The Battle of Truth over ADHD
	Extremities of Power and the Knowledge-Work of ADHD
	Deploying Critical Theory Through Ethnographic Methods
	Mapping Our Analytical Journey
	Deindustrialisation, Disadvantage and the Apparatus of Education
	Social Exclusion and Special Education Needs
	Creating the Space for Psychiatry: Mainstreaming ‘Complex Needs’
	The Everyday Practice of Inclusion: Division, Psychiatrisation and Normalisation
	Conclusion
	References
5 Confronting Neoliberalism’s Campus Culture and the Era of “Poor Me”
	Introduction
	The Spectacle of Neoliberalism’s Market Driven University
	Privatising the Public
	Rob from the Poor to Give to the Rich
	Managerial Control of Expertise
	Liquid Dreams and Uncertain Futures
	False Advertising and Dissatisfied Customers
	Irate Customers at Neoliberal U’s Customer Service Desk
	Irate Customers and the Victim is Right Movement
	Concluding Thoughts
	References
6 Psychiatric Expansion and the Rise of Workplace Mental Health Initiatives
	Introduction
	The Happy Worker
	The Disengaged Worker
	The Unhappy Worker
	Conclusion
	References
7 Orthorexia Nervosa: The Medicalization of Extreme Healthy Eating Practices
	Introduction
		The Medicalization of Eating
		Perspectives on Dysfunctional Eating
			Orthorexia Nervosa—A New Eating Disorder?
			Methods
		Interview Process
		Data Analysis
	Results
		Cohort A: Extreme Healthy Eaters
		Cohort B: Posters
		Cohort C: Professionals
	Discussion
		The Consequences of Labeling
		Study Strengths and Limitations
	References
8 The Psychiatric Surveillance of Pregnancy and Early Parenting
	Connections Between Perinatal Psychiatric Surveillance and Psy-Institutions
	Gendered Medicalisation and Psychiatric Expansion
	Perinatal Mental Health Screening Practices
	Perinatal Depression and Mothering Myths
	Psychological or Socio-Political Vulnerability?
	‘Treatments’ for Perinatal Depression
	The New Terrain of Male PND
	Concluding Reflections
	References
9 Unpacking the Labelling Process: Framing Responsibility in Sex Addiction
	Unpacking the Labelling Process: Framing Responsibility in Sex Addiction
	Theoretical Background
	Methodology
	A Situated Data Sample
	What’s in a Label? On the Micro-Politics of Sex Addiction
	Negotiating the Labelling Process: The Therapists’ View
		Bearing Witness
		Unpacking
		Meaning-Making
	Experiencing the Label: The Sex Addict’s View
		Identification
		Disclosure
	Framing Responsibility
	A Continuum-Model of Responsibility
		Between Causality and Responsibility
		Powerless but Responsible: The Addiction Contradiction
		The Social Location of Responsibility
	Conclusion
	References
10 Carceral Psychiatry
	Introduction
	A Methodological Note
	‘Prison Psychiatry’
		Irreconcilability, Acculturation and Harmful Effects
		Contemporary Psychiatric Discourse on ‘prison Psychiatry’
	Prisoners’ Encounters with Carceral Psychiatry
		Iatrogenic Effects
		Acculturated Mistrust
		Labels of Control
		Psychopharmacological Technologies of Control
	Discussion
	References
11 Cannabis Use and Mental Health: Paradoxes of Medicalization
	Stigma in a Realm of Scientific Uncertainty
	Cannabis Use as Pathology
	Cannabis Use and Schizophrenia
		Self-treating Schizophrenia with Cannabis
	Cannabis Out of Context: DSM Use Disorders
		Problems Assessing CUD in Medicinal Cannabis Users
	CUD Treatment and Social Control
	Resolving the Paradoxes
	References
12 Mental Health Categories and the Construction of Cultural Identities in the United States and New Zealand
	Introduction
	Background Considerations
	The Personality Disorders in American Psychiatry
	The History of Cultural Values Encoded in Psychiatric Categories
	Two Examples
	Toward New Zealand
	The New Zealand Study
	Maori Cultural Images of Troubled Persons
	Pakeha Cultural Images
	Conclusion
	References
13 Conclusion
	Troubled Persons and the Theaters of Clarity and Fluidity
	Expansion
	Life-World Expansion
	A Critical Sociology of Success and a Sociology Critical of Success
	The Descriptive-Nosological Pivot
	Descriptive Expansion?
	Fluidity and Fixity
	Fluidity in a Theater of Fixity
	Intersubjective Fluidity: A Pragmatist Approach
	References
Index