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이 책은 정신건강복지체계를 정확히 이해하는 것을 목표로 한다. 그리고 불편한 현실의 인식을 토대로 정신장애인의 인권 및 복지문제를 정리하고 실천적 대안을 모색한다.

제1부 정신장애와 사회적 실천의 역사

제1장 정신보건의 역사와 체계 ····························································· 12
제1절 정신장애에 관한 사회적 실천의 역사를 보는 관점 ················· 12
제2절 정신장애와 사회적 실천 ···························································· 14
제3절 미국의 정신보건운동사 ······························································ 20
제4절 정신장애인 당사자운동 ······························································ 29
제2장 우리나라 정신장애에 관한 사회적 실천의 역사 ··················· 34
제1절 서론 ····························································································· 34
제2절 정신장애인 시설수용 변천의 역사적 맥락 ································ 37
제3절 정신장애인 시설수용의 변천과정 ·············································· 41
제4절 정신보건법 제정 이후 한국사회에서의 장기수용 구조의 형성 ·· 52
제5절 결론 ····························································································· 56
제3장 우리나라 정신건강복지체계의 문제점과 개선방향 ················ 58
제1절 서론 ····························································································· 58
제2절 정신보건법의 변천과정 ······························································ 59
제3절 정신건강복지체계의 현황 ··························································· 65
제4절 정신건강복지체계의 구조적 문제 ·············································· 75
제5절 정신건강복지체계의 개선방향 ···················································· 78
제6절 결론 ····························································································· 87

제2부 정신장애의 이해

제4장 정신장애의 이해 ·········································································· 90
제1절 도입 ····························································································· 90
제2절 심리학적 관점들 ········································································· 94
제3절 사회학적 접근 및 체계론적 관점 ············································ 110
제4절 생물학적 관점 ··········································································· 112
제5절 결론: 정신장애 이해를 위한 통합적 접근 ······························ 114
제5장 진단분류체계 ·············································································· 116
제1절 도입 ··························································································· 116
제2절 신경발달장애(Neurodevelopmental Disorders) ················ 120
제3절 조현병 스펙트럼 장애(Schizophrenia spectrum
and other psychotic disroders) ········································ 126
제4절 정동장애-양극성장애(Bipolar Disorders)와
우울장애(Depressive Disorders) ········································· 129
제5절 불안장애(Anxiety Disorders) ··············································· 132
제6절 강박 및 관련 장애(Obsessive-compulsive and
related disorders) ································································· 137
제7절 외상 및 스트레스 관련 장애
(Trauma-and Stressor-Related Disorders) ······················ 139
제8절 물질 관련 및 중독장애
(Substance-related and addictive disorders) ················· 145
제9절 신경인지장애(Neurocognitive Disorders: NCD) ··············· 146
제10절 결론 ························································································· 150
제6장 신체?심리?사회적 사정 ···························································· 151
제1절 도입: 개입과정상 사정의 위상 ················································ 151
제2절 사정(Assessment)이란? ·························································· 152
제3절 사정 시 고려해야 할 관점들 ··················································· 156
제4절 정신장애의 특성 및 다차원 사정 ············································ 162
제5절 다차원 사정법에 의한 사정의 예 ············································ 172
제6절 결론 ························································································· 174

제3부 정신의학패러다임의 특징과 한계

제7장 정신의학적 접근의 특징과 한계 ············································· 178
제1절 정신의학적 접근의 철학적 기초 ·············································· 178
제2절 정신의학적 접근 ······································································· 180
제3절 정신약물의 효능과 한계 ·························································· 182
제4절 매드스터디와 반정신의학 ························································· 184
제8장 정신장애에 관한 회복패러다임 ·············································· 199
제1절 정신건강복지영역에서 회복(Recovery)개념의 등장배경 ······· 199
제2절 지역사회지원(Community Support)과 회복 ······················· 201
제3절 장애를 보는 다양한 관점과 정신장애의 본질 ························ 203
제4절 회복의 개념 및 원리와 회복정책 ············································ 204
제5절 회복정책의 사례 ······································································· 208
제6절 당사자관점의 회복과 회복프로그램 ········································ 210
제7절 당사자관점의 회복과 정체성의 문제 ······································· 21
제9장 정신재활 ······················································································ 219
제1절 회복과 정신재활 ······································································· 219
제2절 정신재활패러다임의 형성 ························································· 220
제3절 정신재활의 기본원리 ································································ 227
제4절 정신재활과 치료의 비교 ·························································· 230
제5절 정신재활패러다임의 정책적 적용 ············································ 232
제6절 맺는말 ····················································································· 238
제10장 사회기술훈련 ············································································· 239
제1절 사회기술과 사회기술훈련의 개념 ············································ 239
제2절 사회기술훈련의 이론적 배경 ··················································· 241
제3절 사회기술훈련의 방법 ································································ 242
제4절 사회기술의 평가 ······································································· 245
제5절 사회기술훈련의 모형 ································································ 247
제6절 사회기술훈련의 실제 ································································ 252

제4부 정신장애인의 인권문제

제11장 정신장애와 인권 ······································································· 262
제1절 인권의 개념 ·············································································· 262
제2절 정신장애인 인권의 내용 ·························································· 264
제3절 정신장애인 인권의 쟁점 ·························································· 269
제4절 권익옹호와 의사결정지원 ························································· 279
제5절 정신장애인 권익옹호제도 ························································· 283
제6절 정신장애인 권익옹호의 과제 ··················································· 287
제12장 정신장애와 위기지원 ······························································· 289
제1절 정신건강? 위기(Mental Health Crisis) ································· 289
제2절 위기 지원 ·················································································· 296
제3절 외국의 위기지원체계 ································································ 304

제5부 대안정신보건프로그램의 모색

제13장 서구의 대안정신보건프로그램 ················································ 312
제1절 대안정신보건프로그램의? 필요성 ·············································· 312
제2절 오픈다이얼로그 ········································································· 319
제3절 소테리아 하우스 ······································································· 326
제4절 대안프로그램의 의의 ································································ 335
제14장 일본의 대안정신보건프로그램: 베델의 집과 당사자연구 · 344
제1절 서론 ··························································································· 344
제2절 당사자연구의 기원 ··································································· 345
제3절 당사자연구의 철학과 방법 ······················································· 353
제4절 Mad Studies와 베델의 집 당사자연구의 의의 ····················· 367
제5절 맺는 말 ····················································································· 372
제15장 커뮤니티케어와 정신장애인 ··················································· 374
제1절 커뮤니티케어 도입배경과 정신장애인 ····································· 374
제2절 커뮤니티케어에 관한 이론적 검토 ·········································· 377
제4절 정신장애인 커뮤니티케어 선도사업 ········································ 384
제5절 정신장애인 커뮤니티케어의 발전을 위한 과제 ······················ 394
참고문헌 ··································································································· 398
찾아보기 ··································································································· 412