Health Care-Mental Health

How mindfulness privatised a social problem

<embed>https://www.newstatesman.com/politics/health/2019/07/how-mindfulness-privatised-social-problem</embed> New Statesman 7/17/2019

The connection between stress and economics is well documented. In their 2009 book The Spirit Level, Kate Pickett and Richard Wilkinson identified a strong correlation between inequality and poor reported mental health. In a report published last month, Dr Dainius Puras, the UN’s special rapporteur on health, stated that confronting inequality would be a more effective prophylactic for poor mental health than excessive therapy or medication.

Yet governments often opt for treatments that focus on the individual rather than social maladies. “Most don’t want to be thinking about how their policies might be contributing to problems in the first place,” says David Harper, a clinical psychologist at the University of East London. In the UK, the National Institute for Health and Care Excellence (NICE) recommends cognitive behavioural therapy (CBT), a treatment that focuses on raising awareness of negative emotions and developing coping strategies.

A preoccupation with the symptoms of mental illness, rather than their social causes,  is because there’s no “big drug lobby behind prevention”, Harper says. Treatments such as CBT have proved a cost-effective cattle prod for herding the mentally ill off welfare benefits. As chancellor, George Osborne introduced the therapy for 40,000 recipients of Jobseeker’s Allowance as part of a back-to-work agenda.