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A series of editorials in this Journal have argued that psychiatry is in the midst of a crisis. The various solutions proposed would all involve a strengthening of psychiatry's identity as essentially ‘applied neuroscience’. Although not discounting the importance of the brain sciences and psychopharmacology, we argue that psychiatry needs to move beyond the dominance of the current, technological paradigm. This would be more in keeping with the evidence about how positive outcomes are achieved and could also serve to foster more meaningful collaboration with the growing service user movement.

This book is primarily concerned with the application of psychoanalytic ideas to work in the public sector. It largely deals with the type of supervision work with individuals, teams, and institutions that will often be in demand and useful in the public sector.

This collection of papers from psychoanalysts across Europe is intended to highlight the similarites and differences between approaches to working with children and adolescents. Part of the EFPP Monograph Series.

This book provides an account of the chequered course of international psychoanalysis over the last 100 years, with a lucid critical treatment of the major theoretical developments, illustrated by clinical examples drawn from the author's own vast experience.

This research utilizes a historical case study to examine the relationship between large urban institutions, such as universities, and systems of racial injustice. The study traces the way that Fordham University in the Bronx, NY interacted with the system of redlining in the 1970s and 1980s. It explores the ways the university was affected by redlining, arguing that it was primarily insulated from the negative effects of financial disinvestment in the borough. In response to the reality of redlining in its community, Fordham responded in both positive and negative ways. It supported community well-being by supporting community organizations working for change, encouraging economic and housing developments, and lending its institutional credibility to neighborhood projects, among other, smaller initiatives. It responded negatively to redlining by educating fewer Bronx residents, tightening security measures on campus, institutionally supporting the perpetrators of redlining, and neglecting available avenues of support. Despite these harmful actions, Fordham was evaluated as an overall positive force in the community. Where it acted in the interests of the neighborhood, other urban universities, especially other Jesuit universities, can derive lessons for their own town-gown relationships from its example.

This book is primarily concerned with the application of psychoanalytic ideas to work in the public sector. It largely deals with the type of supervision work with individuals, teams, and institutions that will often be in demand and useful in the public sector.

There is now an abundance of evidence, including a comprehensive review published last year in this journal, 4 that biomedical framing of mental illness tends to increase personal and social stigma and public desire for distance. [...]if diagnosis is understood in the broader sense of a thoroughgoing, descriptive and summative attempt at understanding a patient’s struggles, respectful of personal meaning and unblinded to issues of power and social context (the latter often being harder to change than biology, in which it may then of course be reflected 7 ), then we too might endorse Craddock and Mynors-Wallis’s position. In particular, as we have argued elsewhere, 3 in attending to issues of power, meaning, social context and the therapeutic alliance, alongside but not reduced to biology, we have much to offer the rest of medicine, which is also beginning to grapple with related issues. 9,10 1 Summerfield D. The invention of post-traumatic stress disorder and the social usefulness of a psychiatric category.

Bill Fulford has argued convincingly that the widely held view that bodily illness is ‘relatively transparent in meaning’ and less ‘value-laden’ than mental illness does not stand up to scrutiny. 1 For him, it is simply that the values inherent in our concepts of bodily disorder are just not as obvious as those involved in our discourse of mental illness. When the presenting problem is pain from an arthritic joint or from a myocardial infarction, there is usually agreement between the doctor, the patient and the carer about what the priorities are and what would count as recovery. In the world of mental health, disagreements about values, priorities and frameworks have always been part of day-to-day work and thus value judgements more obvious.