Social Perspectives in Mental Health: Beyond the Medical Model

Faculty Adda Team

Introduction

Mental health is often viewed through a biomedical lens, focusing on individual pathology. However, social perspectives reveal how broader societal forces—like poverty, discrimination, and power imbalances—shape mental well-being. 

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This blog examines:

  • Key sociological theories (Durkheim, Marx, labeling theory).

  • The limitations of the medical model and rise of social approaches.

  • Strategies for inclusive, empowering mental health care.

By understanding these perspectives, we can advocate for equitable, community-based solutions that address root causes of distress.


The Limits of the Biomedical Model

The dominant medical model reduces mental health to biological factors, often overlooking social context. Critiques include:

  • Overmedicalization: Reliance on drugs over psychosocial support.

  • Power Imbalances: Psychiatrists dominate care, marginalizing social workers.

  • Stigma: Labels like "mentally ill" perpetuate exclusion.

"Social workers feel overwhelmed by medical practitioners who claim more expertise on mental health." — Desai (2003)

Alternative Approach: Community-based models prioritize social determinants, such as housing, employment, and cultural identity.

🔹 Social Work Material – Essential guides and tools for practitioners.
🔹 Social Casework – Learn client-centered intervention techniques.
🔹 Social Group Work – Strategies for effective group facilitation.
🔹 Community Organization – Methods for empowering communities.


Sociological Theories on Mental Health

1. Durkheim’s Anomie Theory

  • Suicide Types: Egoistic (low social integration), altruistic (excessive integration), anomic (lack of regulation), fatalistic (excessive regulation).

  • Example: Farmer suicides in India link to economic stress and social isolation.

2. Marx’s Conflict Theory

  • Class Struggle: Mental illness is higher among oppressed groups (e.g., low-income individuals, women).

  • Gender Disparities: Women face more mental health issues due to power imbalances in households.

3. Labeling Theory (Scheff & Szasz)

  • Deviance as Social Construct: Behaviors like "hearing voices" are pathologized due to societal norms.

  • Consequence: Labels (e.g., "schizophrenic") worsen stigma and self-identity.


The Social Model of Disability

This framework shifts focus from individual impairment to societal barriers:

  • Problem: Discrimination, not disability, limits opportunities.

  • Solution: Advocate for accessible environments and inclusive policies.

"Disabled people face barriers due to stigma, not their conditions." — Oliver (1996)

Parallel in Mental Health:

  • Hearing Voices Network reclaims identities from medical labels.

  • Empowerment: Prioritize personal narratives over diagnoses.


Key Principles for Social Work Practice

  1. Embrace Diversity: Address intersections of gender, class, and culture.

  2. Reject "Us vs. Them": Mental distress exists on a continuum of human experience.

  3. Holistic Approach: Integrate biological, psychological, and social factors.

  4. Emancipatory Practice: Combat oppression through advocacy and empowerment.

  5. Anti-Stigma Efforts: Challenge discriminatory attitudes in policies and communities.


Vulnerable Groups Needing Attention

GroupMental Health Risks
Urban poorHomelessness, unemployment
Domestic violence survivorsPTSD, depression
LGBTQ+ communitiesMinority stress, discrimination
Displaced populationsTrauma, loss of community ties

Case Study: Women in slums face "double marginalization"—gender bias + poverty.


Conclusion

Mental health is deeply intertwined with social justice. By adopting social perspectives, we can:

  • Reduce stigma and inequality.

  • Promote community-based care.

  • Advocate for policy changes addressing root causes.

Call to Action: Share your thoughts below or explore our resources on holistic mental health approaches!


FAQ Section

Q: How does labeling theory apply to mental health?
A: It shows how diagnoses like "schizophrenia" can reinforce stigma and limit self-identity.

Q: What’s wrong with the biomedical model?
A: It ignores social determinants (e.g., poverty, trauma) and over-relies on medication.

Q: How can social workers help?
A: By advocating for systemic change and person-centered care.

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