5.4.3

Social Constructionist Approach

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Social Constructionist Approaches to Mental Illness

Broadly, social constructionist approaches to mental health view mental illness as a social, rather than biological, construction.

Social approach

Social approach

  • Mental illness varies between cultures and is dependent on cultural interpretations of symptoms.
  • In addition, many theorists (e.g. Szasz, Foucault) insist that mental illness is a form of social control.
Arguments for the social approach

Arguments for the social approach

  • Diagnoses of mental illness aren’t made on the basis of scientific methods but are simply a label applied to others who fail to behave in a ‘normal’ socially accepted manner.
  • Diagnoses vary over time, for example, homosexuality was once seen as a mental illness that could be cured.
Cultural support

Cultural support

  • Diagnoses vary between societies, for example, some cultures view hearing voices as an acceptable behaviour, while some suggest that Western ideas of mental illness label normal human behaviour (e.g. sadness) as a abnormal.
Political contention

Political contention

  • Psychiatric disorders are a political tool to help control those who deviate from socially acceptable modes of behaviour; those who act differently are see as being afflicted by some malady.

The Unreliability of Diagnoses

Broadly, social constructionist approaches to mental health view mental illness as a social, rather than biological, construction.

The myth of mental illness

The myth of mental illness

  • Thomas Szasz argues that mental illness is a label applied by powerful or influential people to control those seen as socially disruptive or who challenge the dominant ideology.
  • What we define as madness or mental illness cannot be cured because the problem is not within the individual but in the attitudes of other people.
  • Mental illness does not, therefore, exist.
Experiment

Experiment

  • David Rosenhan conducted an experiment in the 1970’s to investigate how well health professional could diagnose mental illness.
  • He arranged for healthy volunteers (including himself) to visit different psychiatric hospitals in the United States and lie to staff about hearing voices.
Findings

Findings

  • All were diagnosed with schizophrenia and admitted to hospital where they spent between 7 and 52 days.
Experiment 2

Experiment 2

  • When the hospitals discovered that they had been tricked, they challenged Rosenhan to repeat the experiment and assured him that they would identify all of his ‘pseudo-patients’.
Findings 2

Findings 2

  • When the hospitals declared that they had found forty-one fake patients, Rosenhan admitted that he hadn’t actually sent any.

Criticism of Social Constructionist Approaches

Broadly, social constructionist approaches to mental health view mental illness as a social, rather than biological, construction. This view is not free from criticism.

Representation

Representation

  • Studies such as Rosenhan’s were conducted on a small scale and are unlikely to be representative.
Real experience

Real experience

  • The view that mental illness doesn’t exist ignores that how it affects many people, causing them and those around them a great deal of distress.
Material factors

Material factors

  • It ignores material factors that affect people’s mental health, such as poverty, ethnicity and gender.
Jump to other topics
1

Theory & Methods

1.1

Sociological Theories

1.1.1Marxism1.1.2Feminism1.1.3Social Action Theories
1.2

Sociological Methods

1.2.1Types of Data1.2.2Positivism & Interpretivism1.2.3Research Design1.2.4Research Considerations1.2.5Values in Research1.2.6Modernity & Post-Modernity1.2.7Sociology as a Science1.2.8Sociology & Social Policy1.2.9End of Topic Test - Sociology Methods & Theories
1.3

Sources of Data

1.3.1Introduction1.3.2Experiments1.3.3Surveys1.3.4Longitudinal Studies1.3.5Questionnaires1.3.6Types of Questionnaires1.3.7Interviews1.3.8Observation1.3.9Case Studies1.3.10Documents1.3.11Official Statistics1.3.12End of Topic Test - Sources of Data
2

Education with Methods in Context

2.1

Role & Function of the Education System

2.1.1Introduction2.1.2Functionalist Theories2.1.3Marxist & Feminist Theories2.1.4The New Right
2.2

Educational Achievement

2.2.1Social Class: Internal Factors2.2.2Social Class: External Factors2.2.3Social Class: Attitudes to Education2.2.4Social Class: Difference in Achievement2.2.5Gender2.2.6Ethnicity
2.3

Relationships & Processes Within Schools

2.3.1Processes2.3.2Labelling2.3.3Categorisations2.3.4Student Experience2.3.5End of Topic Test -Education with Methods
2.4

Educational Policies

2.4.1Equality2.4.2Privatisation2.4.3Marketisation2.4.4Government Policies by Party2.4.5Globalisation2.4.6End of Topic Test- Educational Policies2.4.7Practice Exam Question - Social Policies
3

Option 1: Culture & Identity

3.1

Conceptions of Culture

3.1.1Culture3.1.2Mass Culture3.1.3Popular Culture3.1.4Global Culture3.1.5End of Topic Test - Culture and Identity
3.2

Identity & Socialisation

3.2.1Identities3.2.2Socialisation3.2.3Secondary Socialisation3.2.4Theories of Socialisation3.2.5End of Topic Test - Identity3.2.6Practice Exam Question - Socialisation & Equality
3.3

Social Identity

3.3.1Social Class3.3.2Upper & Middle Class3.3.3Working & Underclass3.3.4Social Class Evaluation3.3.5Gender3.3.6Changing Gender Identities3.3.7Ethnicity3.3.8Age3.3.9Disability3.3.10Nationality3.3.11End of Topic Test - Social Identity
3.4

Production, Consumption & Globalisation

3.4.1Production & Consumption3.4.2Globalisation3.4.3Evaluation3.4.4End of Topic Test - Production
4

Option 1: Families & Households

4.1

Families & Households

4.1.1Definitions4.1.2Functionalist & New Right Perspectives4.1.3Marxist & Feminist Perspectives4.1.4Postmodernist Perspective4.1.5End of Topic Test - Families & Households4.1.6Practice Exam Question - Function of Family
4.2

Changing Patterns

4.2.1Marriage4.2.2Divorce4.2.3LAT Relationships4.2.4Child-Bearing4.2.5Lone Parenthood4.2.6Diversity4.2.7The Sociology of Personal Life4.2.8Government Policies Post-WW24.2.9End of Topic Test - Changing Patterns
4.3

The Symmetrical Family

4.3.1The Symmetrical Family4.3.2Evaluation
4.4

Children & Childhood

4.4.1Childhood4.4.2Childhood in the UK4.4.3Childhood as a Social Construct4.4.4The Disappearance of Childhood4.4.5Child Abuse4.4.6Domestic Violence4.4.7End of Topic Test - Family & Childhood
4.5

Demographic Trends UK

4.5.1Introduction4.5.2Birth Rates4.5.3Death Rates4.5.4The Ageing Population4.5.5Studies on the Ageing Population4.5.6Migration4.5.7Globalisation4.5.8End of Topic Test - Demographics UK
5

Option 1: Health

5.1

Social Constructions

5.1.1The Body5.1.2Health, Illness & Disease5.1.3Disability5.1.4Models of Health & Illness5.1.5End of Topic Test - Social Constructions
5.2

Social Distribution of Healthcare

5.2.1Social Class5.2.2Gender5.2.3Ethnicity5.2.4Regional
5.3

Provision & Access to Healthcare

5.3.1The NHS5.3.2Inequalities in Provision5.3.3Sociological Explanations5.3.4Inequalities in Access5.3.5Inequalities in Access 25.3.6End of Topic Test - Distribution Health
5.4

Mental Health

5.4.1The Biomedical Approach5.4.2Social Patterns5.4.3Social Constructionist Approach
5.5

The Globalised Health Industry

5.5.1The Functionalist Approach5.5.2The Postmodernist Approach5.5.3The Globalised Health Industry5.5.4End of Topic Test - Mental Health & Globalisation
6

Option 1: Work, Poverty & Welfare

6.1

Poverty & Wealth

6.1.1Types of Poverty6.1.2Types of Poverty 26.1.3Distribution of Wealth UK6.1.4Sociological Theories6.1.5Sociological Theories 26.1.6Distribution of Poverty UK6.1.7End of Topic Test - Poverty & Wealth
6.2

Welfare

6.2.1The Welfare State6.2.2Theoretical Approaches to Welfare
6.3

Labour Process

6.3.1Nature of Work6.3.2Technology & Control6.3.3Work & Life6.3.4The Effects of Globalisation6.3.5Globalisation & Worklessness6.3.6End of Topic Test - Welfare & Labour
7

Option 2: Beliefs in Society

7.1

Ideology, Science & Religion

7.1.1Types of Religion7.1.2Ideology & Belief Systems7.1.3Social Stability & Religion7.1.4Social Change & Religion7.1.5End of Topic Test - Ideology, Science & Religion
7.2

Religious Movements

7.2.1Religious Organisations7.2.2New Religious Movements7.2.3New Age Movements7.2.4Practice Exam Question - Growth of NRMs
7.3

Society & Religion

7.3.1Social Groups & Religion7.3.2Gender & Religion7.3.3End of Topic Test- Religious Movements & Society
7.4

Contemporary Religion

7.4.1Secularisation UK7.4.2Against Secularisation7.4.3Secularisation US7.4.4Fundamentalism7.4.5Economic Development & Religion7.4.6End of Topic - Contemporary Religion
8

Option 2: Global Development

8.1

Development, Underdevelopment & Global Inequality

8.1.1Development8.1.2Underdevelopment & Global Inequality
8.2

Globalisation & Global Organisations

8.2.1Globalisation8.2.2Transnational Corporations & International Agency8.2.3Non-Governmental Organisations (NGOs)
8.3

Aid, Trade, Industrialisation, Urbanisation

8.3.1Development: Aid & Trade8.3.2Development: Industrialisation & Urbanisation8.3.3Development: Environment & War
9

Option 2: The Media

9.1

Contemporary Media

9.1.1New Media9.1.2Control of the Media9.1.3Sociological Approaches: New Media9.1.4Globalisation9.1.5News Selection9.1.6Moral Panics9.1.7End of Topic Test - Contemporary Media
9.2

Media Representations

9.2.1Age9.2.2Social Class & Ethnicity9.2.3Gender9.2.4Sexuality & Disability9.2.5Practice Exam Questions - Presentation of Women
9.3

Audiences

9.3.1Media Theories9.3.2Media Theories 29.3.3Media Representations & Audiences
10

Crime & Deviance

10.1

Crime & Society

10.1.1Functionalism10.1.2Subcultural Theory10.1.3Marxism10.1.4Realism10.1.5Other Approaches10.1.6End of Topic Test - Crime & Society10.1.7Practice Exam Questions - Social Construction
10.2

Social Distribution of Crime

10.2.1Ethnicity10.2.2Gender10.2.3Globalisation & Crime10.2.4Media & Crime10.2.5Types of Crimes10.2.6End of Topic Test - Social Distribution of Crime
10.3

Prevention & Punishment

10.3.1Surveillance10.3.2Prevention10.3.3Punishment10.3.4Victimology10.3.5End of Topic Test - Prevention & Punishment

Practice questions on Social Constructionist Approach

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  1. 1
    Which of the following is NOT a social constructionist theorist?Multiple choice
  2. 2
    Who conducted an experiment in the 1970’s to investigate how well health professional could diagnose mental illness?Multiple choice
  3. 3
    __Rosenhan's__ Investigation into Diagnosis of Mental IllnessPut in order
  4. 4
    Rosenhan's investigation of the diagnosis of mental illness:Fill in the list
  5. 5
    Rosenhan's second investigation of the diagnosis of mental illness:True / false
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Social Patterns

The Functionalist Approach