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4 - Conceptualising the social world

from Part I - Theoretical and conceptual foundations

Published online by Cambridge University Press:  07 December 2009

By
Dana March ,
Craig Morgan ,
Michaeline Bresnahan  and
Ezra Susser
Edited by
Craig Morgan ,
Kwame McKenzie  and
Paul Fearon
Dana March
Affiliation:
Department of Epidemiology Mailman School of Public Health, Columbia University, Presbyterian Hospital, 722 West 168th Street, New York, NY, USA
Craig Morgan
Affiliation:
Section of Social and Cultural Psychiatry Health Service and Population Research Department Box 33, Institute of Psychiatry De Crespigny Park, London, UK
Michaeline Bresnahan
Affiliation:
Department of Epidemiology Mailman, School of Public Health, Columbia University, Presbyterian Hospital, 722 West 168th Street, New York, NY, USA
Ezra Susser
Affiliation:
Department of Epidemiology Mailman School of Public Health, Columbia University, Presbyterian Hospital, 722 West 168th Street, New York, NY, USA
Craig Morgan
Affiliation:
Institute of Psychiatry, King's College London
Kwame McKenzie
Affiliation:
University College London
Paul Fearon
Affiliation:
Trinity College, Dublin
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Summary

Introduction

The social world has long been of interest to those concerned with the aetiology, course and outcome of psychosis. In the middle decades of the twentieth century, the relationship between aspects of the social world and the causes of psychosis was the subject of a number of influential studies (e.g., Faris and Dunham, 1939; Hare, 1956; Hollingshead and Redlich, 1958). It provided a rich subject for sociologists and others, as well as an important theme for psychiatric epidemiology. While the findings consistently indicated higher rates of serious mental illness in the most socially disadvantaged and marginalised groups, unresolved disputes about the causal direction of these associations contributed to a declining interest in the role of social factors in the aetiology of schizophrenia and other psychoses. Eclipsed for a period of time by other types of investigation – largely individually oriented and biological – the social world has appeared once again in our causal field. In recent years, a growing body of research has revived the notion that social factors play some role in the full sequence of causes of psychosis.

Conceptualising the social world, the subject of this chapter, is a critical first step in attempting to understand the aetiological role of social factors. The formulation of our research questions, interpretation of data and refinement of our hypotheses rely on our conception of the social world.

Keywords

atomistic fallacyecological fallacysocial organisationsocial processessocial world
Type
Chapter
Information
Society and Psychosis , pp. 41 - 57
Publisher: Cambridge University Press
Print publication year: 2008

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References

Boydell, J., Os, J., McKenzie, K.et al. (2001). Incidence of schizophrenia in ethnic minorities in London: ecological study into interactions with environment. British Medical Journal, 323 (7325), 1336–8.Google Scholar
Braveman, P., Cubbin, C., Egerter, S.et al. (2005). Socioeconomic status in health research: one size does not fit all. Journal of the American Medical Association, 294 (22), 2879–88.CrossRefGoogle Scholar
Byrne, M., Agerbo, E., Eaton, W.et al. (2004). Parental socio-economic status and risk of first admission with schizophrenia – a Danish national register based study. Social Psychiatry and Psychiatric Epidemiology, 39 (2), 87–96.Google Scholar
Cantor-Graae, E. and Selten, J. (2005). Schizophrenia and migration: meta-analysis and review. American Journal of Psychiatry, 162 (1), 12–24.Google Scholar
Smith, Davey G., Hart, C., Blane, D.et al. (1997). Lifetime socioeconomic position and mortality: prospective observational study. British Medical Journal, 314 (7080), 547.Google Scholar
Diez-Roux, A. (1998). Bringing context back into epidemiology: variables and fallacies in multilevel analyses. American Journal of Public Health, 88, 216–22.CrossRefGoogle Scholar
Dohrenwend, B., Levav, I., Shrout, P.et al. (1992). Socioeconomic status and psychiatric disorders: the causation-selection issue. Science, 255 (5047), 946–52.Google Scholar
Faris, R. and Dunham, H. (1939). Mental Disorders in Urban Areas. Chicago: The University of Chicago Press.
Fearon, P. and Morgan, C. (2006). Environmental factors in schizophrenia: the role of migrant studies. Schizophrenia Bulletin, 32 (3), 405–8.Google Scholar
Galobardes, B., Shaw, M., Lawlor, D.et al. (2006). Indicators of socioeconomic position (part 1). Journal of Epidemiology and Community Health, 60 (1), 7–12.CrossRefGoogle Scholar
Hare, E. (1956). Mental illness and social conditions in Bristol. Journal of Medical Science, 102, 349–57.Google Scholar
Hollingshead, A. and Redlich, F. (1958). Social Class and Mental Illness. New York: John Wiley and Sons.
Karlsen, S., Nazroo, J., McKenzie, K.et al. (2005). Racism, psychosis and common mental disorder among ethnic minority groups in England. Psychological Medicine, 35 (12), 1795–803.CrossRefGoogle Scholar
Kirkbride, J. B., Fearon, P., Morgan, C.et al. (2007). Neighbourhood variation in the incidence of psychotic mental disorders in Southeast London. Social Psychiatry and Psychiatric Epidemiology, 42 (6), 438–45.CrossRefGoogle Scholar
Kirkbride, J., Morgan, C., Fearon, P.et al. (in press). Neighbourhood-level effects on psychoses: towards a new psychiatric paradigm. Psychological Medicine.
Krabbendam, L. and Os, J. (2005). Schizophrenia and urbanicity: a major environmental influence – conditional on genetic risk. Schizophrenia Bulletin, 31 (4), 795–9.CrossRefGoogle Scholar
Link, B., Dohrenwend, B. and Skodol, A. (1986). Socio-economic status and schizophrenia: noisome occupational characteristics as a risk factor. American Sociological Review, 51 (2), 242–58.CrossRefGoogle Scholar
Lynch, J. and Kaplan, G. (2000). Socioeconomic position. In Social Epidemiology, ed. Berkman, L. and Kawachi, I.. New York: Oxford University Press, pp. 13–35.
March, D. and Susser, E. (2006). Invited commentary: taking the search for causes of schizophrenia to a different level. American Journal of Epidemiology, 163 (11), 979–81.Google Scholar
March, D. and Susser, E. (in press). Developing perspective: social context and developmental psychopathology. In Genetic and Environmental Influences on Developmental Psychopathology, ed. Hudziak, J.. Arlington, VA: APPI Press.
Marmot, M. and Wilkinson, R. (eds) (1999). Social Determinants of Health. Oxford: Oxford University Press.
Murphy, H. (1961). Social change and mental health. The Milbank Memorial Fund Quarterly, 39 (3), 385–445.CrossRefGoogle Scholar
Park, R., Burgess, E. and McKenzie, R. (1925). The City. Chicago: The University of Chicago Press.
Pedersen, C. and Mortensen, P. (2001). Evidence of a dose–response relationship between urbanicity during upbringing and schizophrenia risk. Archives of General Psychiatry, 58 (11), 1039–46.CrossRefGoogle Scholar
Pedersen, C. and Mortensen, P. (2006). Are the cause(s) responsible for urban–rural differences in schizophrenia risk rooted in families or individuals? American Journal of Epidemiology, 163 (11), 971–8.Google Scholar
Rabkin, J. (1979). Ethnic density and psychiatric hospitalization: hazards of minority status. American Journal of Psychiatry, 136 (12), 1562–6.Google Scholar
Reardon, S. and O'Sullivan, D. (2004). Measures of spatial segregation. Sociological Methods, 34, 1221–62.CrossRefGoogle Scholar
Reardon, S. F., Farrell, C. R., Matthews, S. et al. (2007). Race and Space in the 1990s: Changes in the Spatial Scale of Racial Residential Segregation, 1990–2000. Paper presented at the annual meeting of the Population Association of America, New York, NY, USA, March, 2007. Available at: www.pop.psu.edu/mss/pubs.htm.
Schwartz, S. and Diez-Roux, A. (2001). Commentary: causes of incidence and causes of cases – a Durkheimian perspective on Rose. International Journal of Epidemiology, 30 (3), 435–9.CrossRefGoogle Scholar
Susser, E., Schwartz, S., Morabia, A.et al. (2006). Psychiatric Epidemiology: Searching for the Causes of Mental Disorders. New York: Oxford University Press.
Susser, M. (1973). Causal Thinking in the Health Sciences. New York: Oxford University Press.
Takei, N., Lewis, G., Sham, P.et al. (1996). Age-period-cohort analysis of the incidence of schizophrenia in Scotland. Psychological Medicine, 26 (5), 963–73.CrossRefGoogle Scholar
Os, J., Driessen, G., Gunther, N.et al. (2000). Neighbourhood variation in incidence of schizophrenia. Evidence for person–environment interaction. British Journal of Psychiatry, 176, 243–8.CrossRefGoogle Scholar
Wicks, S., Hjern, A., Gunnell, D.et al. (2005). Social adversity in childhood and the risk of developing psychosis: a national cohort study. American Journal of Psychiatry, 162, 1652–7.Google Scholar

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  • Conceptualising the social world
    • By Dana March, Department of Epidemiology Mailman School of Public Health, Columbia University, Presbyterian Hospital, 722 West 168th Street, New York, NY, USA, Craig Morgan, Section of Social and Cultural Psychiatry Health Service and Population Research Department Box 33, Institute of Psychiatry De Crespigny Park, London, UK, Michaeline Bresnahan, Department of Epidemiology Mailman, School of Public Health, Columbia University, Presbyterian Hospital, 722 West 168th Street, New York, NY, USA, Ezra Susser, Department of Epidemiology Mailman School of Public Health, Columbia University, Presbyterian Hospital, 722 West 168th Street, New York, NY, USA
  • Edited by Craig Morgan, Kwame McKenzie, University College London, Paul Fearon
  • Book: Society and Psychosis
  • Online publication: 07 December 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544064.004
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  • Conceptualising the social world
    • By Dana March, Department of Epidemiology Mailman School of Public Health, Columbia University, Presbyterian Hospital, 722 West 168th Street, New York, NY, USA, Craig Morgan, Section of Social and Cultural Psychiatry Health Service and Population Research Department Box 33, Institute of Psychiatry De Crespigny Park, London, UK, Michaeline Bresnahan, Department of Epidemiology Mailman, School of Public Health, Columbia University, Presbyterian Hospital, 722 West 168th Street, New York, NY, USA, Ezra Susser, Department of Epidemiology Mailman School of Public Health, Columbia University, Presbyterian Hospital, 722 West 168th Street, New York, NY, USA
  • Edited by Craig Morgan, Kwame McKenzie, University College London, Paul Fearon
  • Book: Society and Psychosis
  • Online publication: 07 December 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544064.004
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Conceptualising the social world
    • By Dana March, Department of Epidemiology Mailman School of Public Health, Columbia University, Presbyterian Hospital, 722 West 168th Street, New York, NY, USA, Craig Morgan, Section of Social and Cultural Psychiatry Health Service and Population Research Department Box 33, Institute of Psychiatry De Crespigny Park, London, UK, Michaeline Bresnahan, Department of Epidemiology Mailman, School of Public Health, Columbia University, Presbyterian Hospital, 722 West 168th Street, New York, NY, USA, Ezra Susser, Department of Epidemiology Mailman School of Public Health, Columbia University, Presbyterian Hospital, 722 West 168th Street, New York, NY, USA
  • Edited by Craig Morgan, Kwame McKenzie, University College London, Paul Fearon
  • Book: Society and Psychosis
  • Online publication: 07 December 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544064.004
Available formats
×