제1부 정신장애와 사회적 실천의 역사제1장 정신보건의 역사와 체계 ····························································· 12제1절 정신장애에 관한 사회적 실천의 역사를 보는 관점 ················· 12제2절 정신장애와 사회적 실천 ···························································· 14제3절 미국의 정신보건운동사 ······························································ 20제4절 정신장애인 당사자운동 ······························································ 29제2장 우리나라 정신장애에 관한 사회적 실천의 역사 ··················· 34제1절 서론 ····························································································· 34제2절 정신장애인 시설수용 변천의 역사적 맥락 ································ 37제3절 정신장애인 시설수용의 변천과정 ·············································· 41제4절 정신보건법 제정 이후 한국사회에서의 장기수용 구조의 형성 ·· 52제5절 결론 ····························································································· 56제3장 우리나라 정신건강복지체계의 문제점과 개선방향 ················ 58제1절 서론 ····························································································· 58제2절 정신보건법의 변천과정 ······························································ 59제3절 정신건강복지체계의 현황 ··························································· 65제4절 정신건강복지체계의 구조적 문제 ·············································· 75제5절 정신건강복지체계의 개선방향 ···················································· 78제6절 결론 ····························································································· 87제2부 정신장애의 이해제4장 정신장애의 이해 ·········································································· 90제1절 도입 ····························································································· 90제2절 심리학적 관점들 ········································································· 94제3절 사회학적 접근 및 체계론적 관점 ············································ 110제4절 생물학적 관점 ··········································································· 112제5절 결론: 정신장애 이해를 위한 통합적 접근 ······························ 114제5장 진단분류체계 ·············································································· 116제1절 도입 ··························································································· 116제2절 신경발달장애(Neurodevelopmental Disorders) ················ 120제3절 조현병 스펙트럼 장애(Schizophrenia spectrumand other psychotic disroders) ········································ 126제4절 정동장애-양극성장애(Bipolar Disorders)와우울장애(Depressive Disorders) ········································· 129제5절 불안장애(Anxiety Disorders) ··············································· 132제6절 강박 및 관련 장애(Obsessive-compulsive andrelated disorders) ································································· 137제7절 외상 및 스트레스 관련 장애(Trauma-and Stressor-Related Disorders) ······················ 139제8절 물질 관련 및 중독장애(Substance-related and addictive disorders) ················· 145제9절 신경인지장애(Neurocognitive Disorders: NCD) ··············· 146제10절 결론 ························································································· 150제6장 신체?심리?사회적 사정 ···························································· 151제1절 도입: 개입과정상 사정의 위상 ················································ 151제2절 사정(Assessment)이란? ·························································· 152제3절 사정 시 고려해야 할 관점들 ··················································· 156제4절 정신장애의 특성 및 다차원 사정 ············································ 162제5절 다차원 사정법에 의한 사정의 예 ············································ 172제6절 결론 ························································································· 174제3부 정신의학패러다임의 특징과 한계제7장 정신의학적 접근의 특징과 한계 ············································· 178제1절 정신의학적 접근의 철학적 기초 ·············································· 178제2절 정신의학적 접근 ······································································· 180제3절 정신약물의 효능과 한계 ·························································· 182제4절 매드스터디와 반정신의학 ························································· 184제8장 정신장애에 관한 회복패러다임 ·············································· 199제1절 정신건강복지영역에서 회복(Recovery)개념의 등장배경 ······· 199제2절 지역사회지원(Community Support)과 회복 ······················· 201제3절 장애를 보는 다양한 관점과 정신장애의 본질 ························ 203제4절 회복의 개념 및 원리와 회복정책 ············································ 204제5절 회복정책의 사례 ······································································· 208제6절 당사자관점의 회복과 회복프로그램 ········································ 210제7절 당사자관점의 회복과 정체성의 문제 ······································· 21제9장 정신재활 ······················································································ 219제1절 회복과 정신재활 ······································································· 219제2절 정신재활패러다임의 형성 ························································· 220제3절 정신재활의 기본원리 ································································ 227제4절 정신재활과 치료의 비교 ·························································· 230제5절 정신재활패러다임의 정책적 적용 ············································ 232제6절 맺는말 ····················································································· 238제10장 사회기술훈련 ············································································· 239제1절 사회기술과 사회기술훈련의 개념 ············································ 239제2절 사회기술훈련의 이론적 배경 ··················································· 241제3절 사회기술훈련의 방법 ································································ 242제4절 사회기술의 평가 ······································································· 245제5절 사회기술훈련의 모형 ································································ 247제6절 사회기술훈련의 실제 ································································ 252제4부 정신장애인의 인권문제제11장 정신장애와 인권 ······································································· 262제1절 인권의 개념 ·············································································· 262제2절 정신장애인 인권의 내용 ·························································· 264제3절 정신장애인 인권의 쟁점 ·························································· 269제4절 권익옹호와 의사결정지원 ························································· 279제5절 정신장애인 권익옹호제도 ························································· 283제6절 정신장애인 권익옹호의 과제 ··················································· 287제12장 정신장애와 위기지원 ······························································· 289제1절 정신건강? 위기(Mental Health Crisis) ································· 289제2절 위기 지원 ·················································································· 296제3절 외국의 위기지원체계 ································································ 304제5부 대안정신보건프로그램의 모색제13장 서구의 대안정신보건프로그램 ················································ 312제1절 대안정신보건프로그램의? 필요성 ·············································· 312제2절 오픈다이얼로그 ········································································· 319제3절 소테리아 하우스 ······································································· 326제4절 대안프로그램의 의의 ································································ 335제14장 일본의 대안정신보건프로그램: 베델의 집과 당사자연구 · 344제1절 서론 ··························································································· 344제2절 당사자연구의 기원 ··································································· 345제3절 당사자연구의 철학과 방법 ······················································· 353제4절 Mad Studies와 베델의 집 당사자연구의 의의 ····················· 367제5절 맺는 말 ····················································································· 372제15장 커뮤니티케어와 정신장애인 ··················································· 374제1절 커뮤니티케어 도입배경과 정신장애인 ····································· 374제2절 커뮤니티케어에 관한 이론적 검토 ·········································· 377제4절 정신장애인 커뮤니티케어 선도사업 ········································ 384제5절 정신장애인 커뮤니티케어의 발전을 위한 과제 ······················ 394참고문헌 ··································································································· 398찾아보기 ··································································································· 412