This paper reviews studies on mental health in anglophone human geography and examines the background and focus of those studies.
With changes in the standards of psychiatric care, researchers on anglophone human geography became interested in problems related to mental health in the 1970s. After World War II, large-scale institutional care, once the mainstream of psychiatric care, was replaced with community care in Western countries, referred to as “deinstitutionalization.” Early studies investigated issues concerning deinstitutionalization in urban spaces in the UK and North America in the context of residential neighborhoods and public facility location theory. Restructuring of the welfare state was also an important perspective from which to examine regional differences in the progress of deinstitutionalization.
The next stage of research criticized the studies that were conducted until the end of the 1980s, which were argued to have overemphasized the social and spatial exclusion of people with mental health problems. Based on that awareness, the focus of research shifted toward issues of institutions. Accordingly, the history of asylums and the “lived geographies” of people with mental health problems in current community care were clarified. Studies on lived geographies have been particularly interested in identity. The findings of such studies demonstrated the difficulties that people with mental health problems had, despite changes in the ideal method of care and support practices.
Lived geographies have been clarified mainly through analyzing narratives of people with mental health problems to enable a detailed understanding of their experiences. That approach developed into an interest in the emotional aspects of the daily experiences of people with mental health problems around the year 2000. The concept of the therapeutic landscape has also been an important approach to understanding their feelings connected to places. These approaches sought to rethink dualisms such as reason/emotion and mind/body and demonstrated alternative perspectives to elucidate aspects that could not have been grasped through existing expressions like “disorder” and “disability.” These perspectives stimulated awareness of the subtle differences among people with mental health problems.
Recently, geographers who have investigated mental health have become interested in constructive research themes. Furthermore, interdisciplinary perspectives have strengthened, blurring the distinction between human geography and related fields concerning mental health. Simultaneously, the awareness of multiple differences such as gender and ethnicity has increased, and approaches to the intersection between these differences and mental health have developed.
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