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Based on two decades of research in Brazil and the UK, this book explores the ways in which intersections of gender, race and class affect the positioning of the subject as 'Other' in discourses of health, and how the positioning of the subject as 'Other' has implications for health research and mental health practice.Drawing on feminist, post-colonial and decolonial studies, psychoanalysis and discourse analysis, Mental Health and Otherness examines the experiences of immigrants, drug users and transsexual people in health and mental health settings, and the ways in which stereotypical understandings can affect the subject.This book is a study of the discursive construction of ideas about health and mental health in the West and the awareness of processes of othering in clinical practice. It will appeal to scholars in psychology, sociology and cultural studies with an interest in mental health, health care and intersectionality.
Ilana Mountian is a Senior Lecturer in Psychology at the University of the West of England. Member of the School of Psychoanalysis of the Forum of the Lacanian Field and the Discourse Unit. Author of Cultural Ecstasies: Drugs, Gender and the Social Imaginary (Routledge, 2013).
Introduction: on othering processesPart 1: From theory: laying foundations1. Framing the Other1.1. (Re)producing the Other 1.2. Fetishised relations1.3. Celebrating difference: on otherness and sameness1.4. Working with intersections1.5. Encountering the Other 2. Mental health classifications and othering processes: on addiction, depression and sexual disorders2.1. Women and mental health: on depression and hysteria2.2. Immigration, race and mental health: diagnosis and prescription2.3. Transsexuality and homosexuality: the body and diagnosis 2.4. The production of drug addiction and minoritised groups Part 2: To practice: researching mental health 3. Immigration, gender and mental health in England and Brazil3.1. Immigration processes and mental health in the UK3.2. Asylum seekers' and refugees' access to health services and mental health issues3.3. Immigration and health services in Brazil: gender, race and mental health3.4. Reflections on the Encounter: Decolonising Mental Health 4. Mental health and sexuality: reflections on older travestis and transwomen in Brazil4.1. Contextualising Travestis and Trans People in Brazil 4.2. Travestis, transgender, transsexual women and ageing4.3. Revisiting history: military Dictatorship, AIDS and immigration 5. Discourses on drug addiction and gender5.1. Social imaginary of the drug addict5.2. Social imaginary of women and drugs in Brazil5.3. Drug policy, gender, sexuality and race Conclusions: decolonising mental healthAppendix 1: main research projects citedAppendix 2: list of community organisations assisting the research health experiences of access to health