Medicalization is the process by which human conditions and problems come to be defined and treated as medical conditions, and thus become the subject of medical study, diagnosis, prevention, or treatment. Medicalization can be driven by new evidence or hypotheses about conditions; by changing social attitudes or economic considerations; or by the development of new medications or treatments.
Joanna Moncrieff is a British psychiatrist and academic. She is Professor of Critical and Social Psychiatry at University College London and a leading figure in the Critical Psychiatry Network. She is a prominent critic of the modern 'psychopharmacological' model of mental disorder and drug treatment, and the role of the pharmaceutical industry. She has written papers, books and blogs on the use and over-use of drug treatment for mental health problems, the mechanism of action of psychiatric drugs, their subjective and psychoactive effects, the history of drug treatment, and the evidence for its benefits and harms. She also writes on the history and politics of psychiatry more generally. Her best known books are The Myth of the Chemical Cure and The Bitterest Pills.
The outcomes paradox is the observation that patients with schizophrenia in developing countries benefit much more from therapy than those in developed countries. This is surprising because the reverse holds for most diseases: "the richer and more developed the country, the better the patient outcome." The outcomes paradox came to light in the 1960s due to cross-cultural studies conducted by the World Health Organization on the outcome of severe mental disorders like schizophrenia. This paradox has become an axiom in international psychiatry since.
The medical–industrial complex (MIC) refers to a network of interactions between pharmaceutical corporations, health care personnel, and medical conglomerates to supply health care-related products and services for a profit. The term is derived from the idea of the military–industrial complex.
Psychiatry is, and has historically been, viewed as controversial by those under its care, as well as sociologists and psychiatrists themselves. There are a variety of reasons cited for this controversy, including the subjectivity of diagnosis, the use of diagnosis and treatment for social and political control including detaining citizens and treating them without consent, the side effects of treatments such as electroconvulsive therapy, antipsychotics and historical procedures like the lobotomy and other forms of psychosurgery or insulin shock therapy, and the history of racism within the profession in the United States.
Structural competency is a term used in American health professional education to describe the ability of health care providers and trainees to appreciate how symptoms, clinical problems, diseases and attitudes toward patients, populations and health systems are influenced by 'upstream' social determinants of health.
Arline Geronimus wrote about the weathering hypothesis the early 1990s to account for health disparities of newborn babies and birth mothers due to decades and generations of racism and social, economic, and political oppression. It is well documented that people of color and other marginalized communities have worse health outcomes than white people. This is due to multiple stressors including prejudice, social alienation, institutional bias, political oppression, economic exclusion, and racial discrimination. The weathering hypothesis proposes that the cumulative burden of these stressors as individuals age is "weathering", and the increased weathering experienced by minority groups compared to others can account for differences in health outcomes. In recent years, social scientists investigated the biological plausibility of the weathering hypothesis in studies evaluating the physiological effects of social, environmental and political stressors among marginalized communities. The weathering hypothesis is more widely accepted as a framework for explaining health disparities on the basis of differential exposure to racially based stressors. Researchers have also identified patterns connecting weathering to biological phenomena associated with stress and aging, such as allostatic load, epigenetics, telomere shortening, and accelerated brain aging.
Dawnette Ethilda Edge is a British medical researcher who is a Professor of Mental Health and Inclusivity at the University of Manchester. Her research investigates racial inequalities in mental health, including the origins of the overdiagnosis of schizophrenia in British African-Caribbean people.
Glenda Marlene MacQueen was a Canadian medical researcher and medical college professor and administrator. She was vice-dean of the Cumming School of Medicine at the University of Calgary from 2012 to 2019.
White Americans, as the largest racial group in the United States, have historically had better health outcomes than oppressed racial groups in America. However, in recent years, the scholarly discourse has switched from recognition of the immense positive health outcomes of white Americans towards understanding the growing persistence of negative outcomes unique to this racial group. Scholars have discussed the effects of racial prejudice and its negative effect on health outcomes to not only those being oppressed but also those being given privileges. In addition to the effects of living in a racialized society, white Americans have the highest rate of suicide and lifetime psychiatric disorders of any other ethnicity or racial category. In conjunction with these psychiatric issues, the population presents higher rates of alcohol usage alongside lower levels of psychological flourishing. Given this information, the health status of white Americans has gained increasing importance due to the differences in health outcomes between white Americans and white people from other parts of the world.
Kirsten McCaffery is a British-Australian public health researcher who is Principal Research Fellow and Director of Research at the Sydney School of Public Health. Her research considers the psychosocial aspects of over diagnosis in healthcare. She was elected Fellow of the Australian Academy of Health and Medical Sciences in 2020.
Ana Abraído-Lanza is an American behavioral psychologist who is a professor at the New York University. Her research considers the cultural and structural factors that impact mental and physical health amongst Latino communities. She serves as Vice Dean of the School of Public Health.
Patricia Kingori is a British Kenyan sociologist who is a professor at the University of Oxford. Her research considers the experiences of frontline health workers around the world. She is particularly interested in misinformation and pseudoscience. In 2015, Kingori was included on the Powerlist.
The social determinants of mental health (SDOMH) are societal problems that disrupt mental health, increase risk of mental illness among certain groups, and worsen outcomes for individuals with mental illnesses. Much like the social determinants of health (SDOH), SDOMH include the non-medical factors that play a role in the likelihood and severity of health outcomes, such as income levels, education attainment, access to housing, and social inclusion. Disparities in mental health outcomes are a result of a multitude of factors and social determinants, including fixed characteristics on an individual level – such as age, gender, race/ethnicity, and sexual orientation – and environmental factors that stem from social and economic inequalities – such as inadequate access to proper food, housing, and transportation, and exposure to pollution.
Michelle van Ryn is an American health researcher who is the Grace Phelps Distinguished Professor at the Oregon Health & Science University. Her research considers the social determinants of health and equity in healthcare. She demonstrated that physicians' perceptions of patients was impacted by their socio-demographic status. She is the founder of Diversity Sciences, a consultancy company who provide evidence-based training for organizations looking to eliminate bias.
Cathy Lynn Zimmerman is a social scientist and professor at the London School of Hygiene and Tropical Medicine (LSHTM). She founded the LSHTM Gender Violence & Health Centre. Her research investigates migration, violence and health.
Michaela Jane Benzeval CBE is a British sociologist, Professor and Director of Understanding Society at the University of Essex. She was appointed a Commander of the British Empire in the 2024 New Year Honours.
Noreen Goldman is an American social scientist who is the Hughes-Rogers Professor of Demography and Public Affairs at Princeton University. She studies social and economic factors and how they impact adult health. She was elected a Member of the National Academy of Sciences in 2024.
Lynn Carol McBain is a Canadian–New Zealand academic and specialised general practitioner, and is a full professor at the University of Otago, specialising in research on medical education, and primary health services. She is a Distinguished Fellow of the Royal New Zealand College of General Practitioners.
Heather Anne Came-Friar is a New Zealand activist, academic and anti-racism scholar, and is an adjunct professor at Victoria University of Wellington, and an anti-racism consultant. In 2023 Came-Friar was appointed a Member of the New Zealand Order of Merit for services to Māori, education and health.
