Explore the vast range of titles available.

In the aftermath of a civil war, former enemies are left living side by side-and often the enemy is a son-in-law, a godfather, an old schoolmate, or the community that lies just across the valley. Though the internal conflict in Peru at the end of the twentieth century was incited and organized by insurgent Senderistas, the violence and destruction were carried out not only by Peruvian armed forces but also by civilians. In the wake of war, any given Peruvian community may consist of ex-Senderistas, current sympathizers, widows, orphans, army veterans-a volatile social landscape. These survivors, though fully aware of the potential danger posed by their neighbors, must nonetheless endeavor to live and labor alongside their intimate enemies. Drawing on years of research with communities in the highlands of Ayacucho, Kimberly Theidon explores how Peruvians are rebuilding both individual lives and collective existence following twenty years of armed conflict.Intimate Enemiesrecounts the stories and dialogues of Peruvian peasants and Theidon's own experiences to encompass the broad and varied range of conciliatory practices: customary law before and after the war, the practice ofarrepentimiento(publicly confessing one's actions and requesting pardon from one's peers), a differentiation between forgiveness and reconciliation, and the importance of storytelling to make sense of the past and recreate moral order. The micropolitics of reconciliation in these communities present an example of postwar coexistence that deeply complicates the way we understand transitional justice, moral sensibilities, and social life in the aftermath of war. Any effort to understand postconflict reconstruction must be attuned to devastation as well as to human tenacity for life.

\"Break on Through examines the mental health profession, activism, and the American mind in the 1970s. In exploring 'radicalism' and 'anti-psychiatry', Lucas Richert helps the reader understand changes in the Diagnostic and Statistical Manual of Mental Disorders and struggles within the American Psychiatric Association but he also sheds new light on emergent mental health therapies (transactional analysis, Primal Therapy), Scientology, and the rise of parapsychology. Disputes in the field of psychiatry over homosexuality, drug use, or replicable drug trials, were but one element of wider political, economic, and cultural change. The politics of the era mattered particularly, as did the cultural trends, individual patients, and economic developments. The book offers a fresh view of the difficult struggles within psychiatry in the turbulent 1960-1970s. While there is a great deal of research on the coercive and overreaching power of the psychiatry profession and the medico-corporate establishment, on specific classes of psychiatric drugs, and the debates between bio-medically oriented psychiatrists and psychoanalysts, there is limited work about radical unrest within psychiatry. More broadly, by locating radical psychiatrists in the spectrum of health movements, Break on Through adds to our understanding of American health activism. Using a wide-ranging set of archival sources and a clear style, Break on Through draws on intersecting stories in psychiatry, policy, and drug development and regulation, to offer recommendations for the future. In the face of rising diagnoses for depression and ADHD, the need for common measures and standardized approaches in mental health, and major developments in drug regulation, the book's historical perspectives could not be timelier\"-- Provided by publisher.

Background In Sweden, adolescents (10-19-year-olds) increasingly face problems related to their mental health and well-being, driving the rise in rates of mental ill-health (e.g., anxiety, depression, suicidal ideation and self-harm), and care-seeking for psychiatric conditions. Although awareness about adolescent mental health and well-being (AMH) has grown in recent years, this has not translated into effective financing and youth-centered collective action to change the trajectory. This study investigates the barriers to financing and action for AMH in Sweden, drawing lessons for global learning. Methods This study triangulates data from interviews, focus group discussions (FGDs), consultation and document review. The interviews and the consultation included stakeholders who have experience with and knowledge of AMH, e.g., government, civil society and funders. The FGDs included youth representatives who are mental health advocates, some with lived experience of mental ill-health. We collected the qualitative data between February 2022 and October 2023, analyzing the data using a political science framework and thematic analysis. Results The themes that this study identifies highlight the barriers to effective financing and youth-centered collective action: (1) the limited data and evidence related to AMH; (2) the divergent definitions of and ways of framing AMH; (3) the growing but fragmented AMH stakeholder landscape; and (4) the weak multidisciplinary and multisector collaboration for AMH. Conclusions Transformational change is needed to improve AMH outcomes through effective financing across sectors in support of youth-centred collective action. Identified barriers may be overcome by: researchers focusing on advancing data and evidence, especially on what works in AMH prevention and promotion; stakeholders, especially advocates of AMH, deliberating and agreeing on a broadened definition and framing of AMH, led by youth and using a positive narrative; decision-makers, funders and researchers strengthening leadership, accountability and adolescent engagement for AMH, and enhancing multidisciplinary and multisector collaboration for AMH, backed up by well-coordinated, youth-centered health and social services, learning from good practices within and outside of Sweden.

This book explores the moral lives of mental health clinicians serving the most marginalized individuals in the US healthcare system. Drawing on years of fieldwork in a community psychiatry outreach team, Brodwin traces the ethical dilemmas and everyday struggles of front line providers. On the street, in staff room debates, or in private confessions, these psychiatrists and social workers confront ongoing challenges to their self-image as competent and compassionate advocates. At times they openly question the coercion and forced-dependency built into the current system of care. At other times they justify their use of extreme power in the face of loud opposition from clients. This in-depth study exposes the fault lines in today's community psychiatry. It shows how people working deep inside the system struggle to maintain their ideals and manage a chronic sense of futility. Their commentaries about the obligatory and the forbidden also suggest ways to bridge formal bioethics and the realities of mental health practice. The experiences of these clinicians pose a single overarching question: how should we bear responsibility for the most vulnerable among us?

Background Deep-rooted racial residential segregation and housing discrimination have given rise to housing disparities among low-income Black young adults in the US. Most studies have focused on single dimensions of housing instability, and thus provide a partial view of how Black young adults experience multiple, and perhaps overlapping, experiences of housing instability including homelessness, frequent moves, unaffordability, or evictions. We aimed to illuminate the multiple forms of housing instability that Black young adults contend with and examine relationships between housing instability and mental health outcomes. Methods Using baseline data from the Black Economic Equity Movement (BEEM) guaranteed income trial with 300 urban low-income Black young adults (aged 18–24), we conducted a three-stage latent class analysis using nine housing instability indicators. We identified distinct patterns by using fit indices and theory to determine the optimal number of latent classes. We then used multinomial logistic regression to identify subpopulations disproportionately represented within unstable housing patterns. Finally, we estimated associations between housing experience patterns and mental health outcomes: depression, anxiety, and hope. Results We found high prevalence of housing instability with 27.3% of participants reporting experiences of homelessness in the prior year and 39.0% of participants reporting multiple measures of housing instability. We found the 4-class solution to be the best fitting model for the data based on fit indices and theory. Latent classes were characterized as four housing experience patterns: 1) more stably housed, 2) unaffordable and overcrowded housing, 3) mainly unhoused, and 4) multiple dimensions of housing instability. Those experiencing unaffordable and overcrowded housing and being mainly unhoused were more than four times as likely to have symptoms of depression (Unaffordable: aOR = 4.57, 95% CI: 1.64, 12.72; Unhoused: aOR = 4.67, 95% CI:1.18, 18.48) and more than twice as likely to report anxiety (Unaffordable: aOR = 2.28, 95% CI: 1.03, 5.04; Unhoused: aOR = 3.36, 95% CI: 1.12, 10.05) compared to the more stably housed pattern. We found that hope scores were similarly high across patterns. Conclusions High prevalence of housing instability and mental health challenges among low-income Black young adults demands tailored interventions to reduce instability, given widening racial disparities and implications for future well-being into adulthood.

Background Migrant and refugee populations are disproportionately affected by the housing crises reportedly impacting high-income countries around the globe. However, the health implications of housing inequalities within these communities and contexts remain relatively understudied. This review aimed to synthesise the evidence on housing and health inequalities prevalent among migrant and refugee populations in high-income countries, and to identify the pathways linking housing inequalities and health outcomes. Methods This systematic review employed the Joanna Briggs Institute (JBI) methodology for mixed-methods systematic reviews using a convergent integrated approach to synthesis and integration. Electronic database searches were conducted using Medline (OVID), Web of Science (ISI), Embase (OVID), PsycInfo (OVID), Scopus, and CINAHL (EBSCO), supplemented by grey literature searches on Google Scholar, MedNar, and WHOLIS. Eligible studies included quantitative, qualitative, and mixed methods designs focused on understanding how housing inequalities are associated with physical and mental health outcomes. Results A total of 65 studies published between 1995 and 2024 were included in this review, comprising 38 quantitative and 27 qualitative studies. Substandard housing conditions, such as overcrowding and poor ventilation, were consistently associated with adverse physical and mental health outcomes, including respiratory illnesses and experiences of anxiety and depression. The type of housing tenure also impacted both physical and mental health, specifically living in inadequate rental housing as opposed to self-owned homes, was linked with poorer physical health and increased risk of mental health issues. Similarly, housing insecurity stemming from unstable housing situations and insecure tenancy, as well as neighbourhood conditions such as safety concerns and living in deprived neighbourhoods, led to the exacerbation of both physical and mental health issues. Furthermore, housing affordability challenges and decreased housing satisfaction were linked with poor mental health outcomes such as experiences of depression and psychological distress. Conclusions This review highlights the critical role of housing as a social determinant of health and wellbeing for migrant and refugee populations in high-income countries, along with highlighting the potential pathways through which housing inequalities impact physical and mental health outcomes. Ensuring access to adequate, affordable, and secure housing, while also improving neighbourhood conditions, is essential for improving the health and wellbeing of migrant and refugee populations.

Background On their way to host countries, refugees are often exposed to severe adversity, including cumulative experiences of fraud, extortion, robbery, detention, and shipwrecks, as well as prolonged, life-threatening small boat crossings. However, little research has examined the long-term impact of such peri-migration stressors on subsequent stress and mental health after arrival. This study explored how cumulative exposure to potentially traumatic events (PTEs) and small boat crossings before arrival affected psychological distress in Middle Eastern refugees, considering the mediating role of post-migration stress in the years following resettlement in Germany. Methods Longitudinal data from the IAB-BAMF-SOEP Survey of Refugees collected at three survey waves (2016, 2018, and 2020; N  = 541, M age = 38.77, 14% female) were analyzed using a causal mediation approach with linear mixed models. Self-reports of cumulative exposure to PTEs and small boat crossings in the Mediterranean indicated peri-migration stressors, while perceived discrimination and migration-related worries reflected post-migration stress. Psychological distress was assessed using a general health questionnaire. Results PTEs were significantly associated with higher migration-related worries (β = 0.10, p  < .001). Migration-related worries significantly mediated the association between PTEs and psychological distress (ACME = 0.02, 95% CI [0.01, 0.04], p  < .001; ADE = 0.07, 95% CI [0.03, 0.11], p  < .001). In contrast, perceived discrimination did not mediate this link. However, small boat crossings were significantly associated with higher perceived discrimination (β = 0.11, p  < .001), which in turn mediated their association with psychological distress (ACME = 0.05, 95% CI [0.02, 0.08], p  < .001), while the direct effect was non-significant. These indirect effects intensified over time. Conclusions Peri-migration stressors may contribute to long-term mental health issues in refugees via their post-migration stress experiences. However, these mediation pathways may differ, underscoring the need for nuance and further investigation. Addressing both early traumatic experiences and post-migration adversities, such as discrimination and migration-related worries, is crucial to mitigating refugees’ long-term psychological distress. These findings highlight the importance of early prevention and intervention efforts that address post-migration stress as a key factor in reducing the long-term mental health burden among refugees.