Almost a Revolution

Almost a Revolution : Mental Health Law and the Limits of Change

3.33 (3 ratings by Goodreads)
By (author) 

Free delivery worldwide

Available. Dispatched from the UK in 4 business days
When will my order arrive?

Description

The major mental health reforms of the last generation in the U.S.A. have given rise to much discussion and often heated debate; but have they actually produced any real changes? This book is the first overview of this controversial subject - and the author's appraisal of the consequences of these reforms is surprising. Changes which were originally aimed at making it more difficult to hospitalize and treat people with mental illness, and easier to punish them, have actually resulted in far less change than was predicted or intended. This stimulating book argues that, when the law contradicted commonsense ideas of how to deal with the mentally ill, it was bent or ignored, whether by judges, medical professionals, or family members.show more

Product details

  • Hardback | 244 pages
  • 166.9 x 231.9 x 28.2mm | 716.68g
  • Oxford University Press Inc
  • New York, United States
  • English
  • New.
  • 0195068807
  • 9780195068801

About Paul S. Appelbaum

Paul S. Appelbaum, M.D., is Arnold Frank Zeleznik Distinguished Professor and Chair of the Department of Psychiatry, and Director of the Law and Psychiatry Program at the University of Massachusetts Medical Center. He has served as chair of the American Psychiatric Association's Council on Psychiatry and Law and Commission on Judicial Action, and is a member of the John D. and Catherine T. MacArthur Foundation's Research Network on Mental Health and the Law. In 1990, Dr. Appelbaum received the Isaac Ray Award of the American Psychiatric Association for "outstanding contributions to forensic psychiatry and the psychiatric aspects of jurisprudence."show more

Back cover copy

Doubts about the reality of mental illness and the benefits of psychiatric treatment helped foment a revolution in the law's attitude toward mental disorders over the last 25 years. Legal reformers pushed for laws to make it more difficult to hospitalize and treat people with mental illness, and easier to punish them when they committed criminal acts. Advocates of reform promised vast changes in how our society deals with the mentally ill; opponents warily predicted chaos and mass suffering. Now, with the tide of reform ebbing, Paul Appelbaum examines what these changes have wrought. The message emerging from his careful review is a surprising one: less has changed than almost anyone predicted. When the law gets in the way of commonsense beliefs about the need to treat serious mental illness, it is often put aside. Judges, lawyers, mental health professionals, family members, and the general public collaborate in fashioning an extra-legal process to accomplish what they think is fair for persons with mental illness. Appelbaum demonstrates this thesis in analyses of four of the most important reforms in mental health law over the past two decades: involuntary hospitalization, liability of professionals for violent acts committed by their patients, the right to refuse treatment, and the insanity defense. This timely and important work will inform and enlighten the debate about mental health law and its implications and consequences. The book will be essential for psychiatrists and other mental health professionals, lawyers, and all those concerned with our policies toward people with mental illness.show more

Review quote

References are detailed and up-to-date, and the author's conclusions are important for professional mental health caregivers, judges, and attorneys practicing in this arena. * Joyce K. Laben, Vanderbilt University, Readings: A Journal of Reviews and Commentary in Mental Health, June 1995 * This is an excellent book * Landy F. Sparr, JAMA, Vol 273, No. 12, 1995 *show more

Rating details

3 ratings
3.33 out of 5 stars
5 33% (1)
4 0% (0)
3 33% (1)
2 33% (1)
1 0% (0)
Book ratings by Goodreads
Goodreads is the world's largest site for readers with over 50 million reviews. We're featuring millions of their reader ratings on our book pages to help you find your new favourite book. Close X