1st Edition
Living with Mental Illness in a Globalised World Combating Stigma and Barriers to Healthcare
Foreword by Femi Oyebode
Preface
Acknowledgments
Part One
Attitudes towards Mental Illness
Introduction
Chapter 1 The Socio-psychological Processes of Stigma
Chapter 2 Types of Mental Illness Stigma
Public Stigma
Self-stigma
Associative Stigma
Chapter 3 Stigma Predisposing Factors
Culture
Causal Explanations for Mental Illness
(Mis)conceptualisation and (Mis)representation of Mental Illness
Nature and Symptom Presentation of Illness
Diagnosis of Mental Illness and Psychiatric Hospitalisation
Chapter 4 Consequences of the Stigma of Mental Illness
Social Exclusion
Structural Discrimination
Increased Burden of Disease
Impedance of Help-seeking
Impedance of Treatment and Recovery
Chapter 5 Pervasiveness of Stigma
The Developing World
The Developed World
Demographic Correlates of Stigmatising Attitudes
Chapter 6 Improving Stigmatising Attitudes
Education
Contact
Advocacy
A Multi-dimensional Approach
Part Two
Barriers to Mental Healthcare
Introduction
Chapter 7 Help-seeking Determinants and Ideological Barriers
The Sociocultural Context
The Conceptualisation of Disease
Cultural (In)appropriateness of Care
Mental Health Literacy
Culture of Self-reliance
Stigma of Mental Illness
Chapter 8 Help-seeking Determinants and Instrumental Barriers
The Social Network
Experience of the Mental Health System
Inadequacy of Services
Case for Integrated Primary Care
Chapter 9 Ideological vs. Instrumental Barriers to Mental Healthcare
Barriers to Help-seeking: Socio-demographic Correlates
Part Three
Pathways to Mental Healthcare: Evolving an Effective Design
Introduction
Chapter 10 Pathways to Mental Healthcare
The Biomedical Model
The ‘Free Market’ Model
- Spiritual Pathway (Faith Healers)
- Traditional Pathway 1
- Traditional Pathway 2: The Social Network
Chapter 11 Patterns of Mental Healthcare Pathways in Sub-Saharan Africa
Chapter 12 Conclusion: Towards a Complementary Model of Mental Healthcare
References
Subject index
Biography
Ugo Ikwuka, PhD, lectures at the University of Wolverhampton, UK. He has published several works on causal attributions for mental illness, pathways to mental healthcare, and barriers to accessing mental healthcare.
"Ugo Ikwuka’s book is an extraordinary achievement. It forensically interrogates the field and it is the only book to my knowledge that systematically examines and records the manifold contributions to the burdens of living with mental disorder in a globalised world. It is sensitively written and with deep insight. I feel very privileged to be associated with it." —From the Foreword, Femi Oyebode MBBS, MD, PhD, FRCPsych, Hon FRCPsych, professor of Psychiatry, University of Birmingham; consultant psychiatrist, National Centre for Mental Health Birmingham; former chief examiner, Royal College of Psychiatrists
"This text provides an in-depth and broad-ranging analysis of the challenges facing mental health from a global perspective in the 21st Century, with a particular emphasis on low and middle-income countries. The consequences of global disparities in mental healthcare and mental health education have implications for global economic health and political stability too. This book offers a thoughtful and robust analysis of the priorities and solutions that should be considered if the world is to overcome mental healthcare inequalities." Dr Niall Galbraith, PhD, DHealthPsych CPsychol, AFBPsS, HCPC Registered Health Psychologist. Reader in Health Psychology, Department of Psychology, University of Wolverhampton, UK.
