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By Anne Rogers, David Pilgrim

A former BMA clinical publication of the yr award winner, this booklet presents a sociological research of significant components of psychological future health and illness.

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This e-book presents a sociological research of significant components of psychological wellbeing and fitness and illness. Read more...

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Example text

Family-specific attachment styles are part of parenting experienced in early childhood, which can act as a source of resilience or vulnerability in the face of adversity, and which can affect educational achievement and emerging self-confidence. Longitudinal research has suggested that the presence of secure and absence of an anxious or avoidant (trying not to get attached) attachment style acts as a form of protection (resilience), and enables middleaged men to overcome the disadvantage of a lower level of educational attainment and career progression.

Indeed, socio-economic conditions may be a better predictor of recovery than access to treatment; even optimal treatment (Ciompi 1984; Warner 1985; 2003). Also, the point about esteem or relative self-worth has been confirmed in studies looking at quality of life in different classes. While people in all classes have negative experiences, the proportion of these to positive experiences decreases with increasing class position. For instance, Phillips (1968) found no class differences in the reporting of negative experiences.

A class gradient is evident in mental health status across the bulk of the diagnostic groups but it is not a neat inverse relationship. For example, affective disorders are diagnosed fairly evenly in all social classes, whereas a very strong correlation exists between low social class and the diagnosis of schizophrenia. Faris and Dunham (1939) studied the intake of patients to hospital from different parts of Chicago. They found higher rates of diagnosed schizophrenia, alcoholism and organic psychosis in those groups from poor areas.

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