Hugh Middleton – författare

Toxic Interactions is a review of quantitative research revealing how urban living, trauma, ethnicity, stress and familial influence the risk of troubling psychotic experiences.Each of these is reviewed in search of their social implications, and a constructivist approach identifies their common threads. The contributions of newer psychotherapeutic approaches such as Open Dialogue and Recovery programmes are considered, and a consistent interpretation emerges; that is not the observable features of disturbed mental state that deserve key attention, but how these are generally understood by others, and in particular the 'client's' close associates.Toxic Interactions and the Social Geography of Psychosis will be welcomed by all who find conventional approaches to mental health difficulties unsatisfactory, whether that is as a practitioner frustrated by the counter-productive expectations of their institutional setting, an academic exploring different perspectives a 'service user' disappointed by not experiencing the care they feel is needed, or as third party perplexed by the contradictions of contemporary psychiatry.

Toxic Interactions is a review of quantitative research revealing how urban living, trauma, ethnicity, stress and familial influence the risk of troubling psychotic experiences.Each of these is reviewed in search of their social implications, and a constructivist approach identifies their common threads. The contributions of newer psychotherapeutic approaches such as Open Dialogue and Recovery programmes are considered, and a consistent interpretation emerges; that is not the observable features of disturbed mental state that deserve key attention, but how these are generally understood by others, and in particular the 'client's' close associates.Toxic Interactions and the Social Geography of Psychosis will be welcomed by all who find conventional approaches to mental health difficulties unsatisfactory, whether that is as a practitioner frustrated by the counter-productive expectations of their institutional setting, an academic exploring different perspectives a 'service user' disappointed by not experiencing the care they feel is needed, or as third party perplexed by the contradictions of contemporary psychiatry.

In Understanding Treatment Without Consent, key contributors examine the work of the UK Mental Health Act Commission (MHAC), which was established to ensure the care and rights of people subjected to the various sections of the 1983 Mental Health Act. Based on a research project funded by the Department of Health, the book also offers a broader exploration of mental health provision in both historical and contemporary contexts, discussing whether mental health reforms have learned the lessons of history. The book builds on earlier work on treatment without consent by providing a more policy-oriented account of mental health law and regulation in the context of health service modernization, discussing contemporary issues facing the MHAC and looking at its future role.

This book offers original knowledge, debate, and understanding from frontline fieldwork data and the relations between mental health difficulties, mental healthcare provision, and social theory. Dominant discourse of the last half century has followed a medical perspective.