We live in an era in which medicalization—the process of conceptualizing and treating a wide range of human experiences as medical problems in need of medical treatment—of mental health troubles has been settled for several decades. Yet little is known about how this biomedical framework affects practitioners’ experiences. Using interviews with forty-three practitioners in the New York City area, this book offers insight into how the medical model maintains its dominant role in mental health treatment. Smith explores how practitioners grapple with available treatment models, and make sense of a field that has shifted rapidly in just a few decades. This is a book about practitioners working in a medicalized field; for some practitioners this is a straightforward and relatively tension-free existence while for others, who believe in and practice in-depth talk therapy, the biomedical perspective is much more challenging and causes personal and professional strains.
 

Oaxaca is known for many things--its indigenous groups, archaeological sites, crafts, and textiles--but not for mental health care. When one talks with Oaxacans about mental health, most say it's a taboo topic and that people there think you "have to be crazy to go to a psychologist." Yet throughout Oaxaca are signs advertising the services of psicólogos; there are prominent conferences of mental health professionals; and self-help groups like Neurotics Anonymous thrive, where participants rise to say, "Hola, mi nombre es Raquel, y soy neurótica."

How does one explain the recent growth of Euroamerican-style therapies in the region? Author Whitney L. Duncan analyzes this phenomenon of "psy-globalization" and develops a rich ethnography of its effects on Oaxacans' understandings of themselves and their emotions, ultimately showing how globalizing forms of care are transformative for and transformed by the local context. She also delves into the mental health impacts of migration from Mexico to the United States, both for migrants who return and for the family members they leave behind.

This book is a recipient of the Norman L. and Roselea J. Goldberg Prize from Vanderbilt University Press for the best book in the area of medicine.