Abstract
Different powerful groups within a society characterize social deviance in different ways, so the types of social deviance considered 'mental disorders' are a reflection of the relative influence of different institutions in the community at a particular point in time. In most Western countries the influence of the medical establishment and the high profile of psychiatry within medicine result in a strong tendency to medicalize many forms of social deviance, to label them as mental disorders, and to develop corresponding treatment facilities. However, based on my observations during a dozen years as a practising psychiatrist in China, the medical institutions there are relatively weak — medical care only accounts for 3.2 per cent of GNP — and psychiatry has a very low status within medicine. The influence of medical and psychiatric institutions on the understanding and management of socially deviant behaviours is correspondingly small and the range of available mental health services is quite limited.
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