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By correlating extensive economic and institutional data from New York State for the period from 1841 to 1967, Harvey Brenner concludes that instabilities in the national economy are the single most important source of fluctuations in mental-hospital admissions or admission rates. This relation is shown to have been relatively stable from pre-Civil War times to the present, and has not been visibly affected either by changes in psychiatric theory and practice of by any other major social change occurring in society as a whole during that time span. Copyright © Libri GmbH. All rights reserved.

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• Foreword(p. vii)
• 1 The Problem and Its Setting(p. 1)
• Economic Change, Social Mobility, and Individual Role Performance(p. 4)
• Economic Changes and Mental Illness(p. 7)
• 2 Methodological Issues and Strategies(p. 12)
• Studies of the Effect of Recession on Mental-Hospital Admissions(p. 13)
• Statistical and Graphic Analyses(p. 26)
• 3 Mental Illness and the Economy(p. 32)
• Strength of the Relation in the 20th Century(p. 32)
• Economic Change and Mental Hospitalization in the 19th Century(p. 35)
• The Post-1960 Period(p. 36)
• Economic Changes and Hospitalization for Specific Mental Disorders(p. 37)
• 4 Long-Term Trends and the Basic Relation, 1850-1967(p. 47)
• The 19th Century(p. 47)
• Long-Term Changes in the Relation Between Economic Fluctuations and Mental-Hospital Admissions, 1915-1967(p. 57)
• 5 Stability of the Basic Relation(p. 74)
• The Relative Importance of Economic Change in Mental Hospitalization(p. 77)
• The Relative Importance of Large and Small Economic Changes to Mental Hospitalization(p. 82)
• Replication of the Procedure Among Different Total Populations(p. 84)
• Additional Tests of Stability(p. 97)
• Summary(p. 108)
• 6 Impact of Economic Change on Mental-Hospital Admissions(p. 110)
• Age(p. 112)
• Marital Status(p. 118)
• Ethnic Background(p. 120)
• Economic Status(p. 123)
• Level of Educational Attainment(p. 126)
• 7 Social Stress and the Extent of Economic Loss(p. 130)
• The Extent of Economic Loss: A Primary Predictive Model(p. 130)
• The Economic-Loss Model and Sensitivity of Mental Hospitalization to Economic Change(p. 135)
• Ethnic Background and the Response to Economic Stress(p. 143)
• 8 Economic Change and Role Performance(p. 157)
• The Life Cycle and Economic Stress(p. 157)
• Economic Stress Among Persons Perceived and Treated as Mentally Ill(p. 167)
• Sex Differentials in Sensitivity to the Downturn(p. 170)
• Sensitivity to the Downturn by Marital Status(p. 172)
• Summary(p. 174)
• 9 Interpretations of the General Relation(p. 175)
• Direction of the Relation(p. 175)
• The Question of Spuriousness(p. 178)
• Financial Considerations(p. 180)
• Intolerance of the Mentally Ill(p. 182)
• Sequence of Causation(p. 199)
• The Impact of Changes in Employment Levels(p. 201)
• 10 Economic Change and the Structure of Psychiatric Care(p. 204)
• Hospital Capacity and the Impact of Economic Change(p. 204)
• The Impact of Economic Change on Patient Care(p. 213)
• The Impact of Economic Change on Discharges(p. 214)
• The Relation of Discharge to Family Economic Status(p. 221)
• Implications of Economic Change for Institutions that Deal with Deviance(p. 223)
• 11 Conclusions and Implications(p. 226)
• Social and Personality Disorganization During Economic Change(p. 226)
• Implications of the Empirical Relation(p. 231)
• Recent Discovery of the Major Relation(p. 243)
• Appendix I. Number of years during which specified levels of correlation occur between admissions to New York civil state hospitals and the index of employment, New York State 1914-1960, by specific lags(p. 250)
• Appendix II. Multiple inverse correlations between admissions to New York civil state hospitals and the index of employment, New York State 1914-1960, including possible relations from minus 1 to plus 3 years of lead or lag(p. 258)
• Notes(p. 261)
• Index(p. 283)