Associated with Downward Occupation Drift ..
The high prevalence rates among high-caste Indians, higher class Japanese, and well-educated Taiwanese cannot be the result of social drift. Caste is immutable, and mentally impaired people will not drift up the class scale or into higher education. The high rates could be due to a tendency of psychiatrists to overdiagnose schizophrenia selectively in higher class/caste patients early in the process of industrialization, but there are no prior reasons to suppose this to be true. As in the case of the rising and falling incidence of schizophrenia, possible biological mediating factors include differences in nutritional, obstetric, infectious, and immunological factors related to affluence.
the social drift hypothesis, ..
'Drift from most responsible job' was associated with marital status - not married drifted more than married and were unemployed (χ2=0.005). Compared to HOH's occupation drift was associated with gender, males declined more than females (χ222).
In Israel, investigators contrasted true prevalence rates of schizophreniaamong ethnically advantaged and ethnically disadvantaged Israel-born Jews,controlling for SES. They showed that social selection was more importantthan social causation to explain the inverse relationship between SES andschizophrenia. Indeed, the rates were higher among the ethnically advantagedin each SES group ().
the social selection-drift hypothesis for serious mental illness
The present study supported the social drift phenomenon in terms of occupation as reported in literature. Approximately 34% of the participants drifted to lower occupations, and an additional 20% could never find employment. This is much higher than the general unemployment rate in India (7.8%- CIA fact sheet, 2006) and testifies to the relatively high disability due to the disorder. The participants who were not employed before onset of illness were unlikely to get jobs later. In addition, 88% of patients drifted to lower occupation than their HOH's occupation. The rate of unemployment in schizophrenia in this sample seems lower than that reported in other countries. Many were employed in government jobs which are protected by law. The tolerance for lower occupational performance is possibly higher since there are no social security benefits in India. Hence patients may be retained in the system even if their productivity is low. They may be given less stressful and less responsible jobs.
Since the social causation hypothesis is more ..
Saraceno () argued that, in parallelto the classical biopsychosocial etiological hypothesis, an identical paradigmfor mental health intervention is needed. He wrote: "The social dimensionof mental illness should be an intrinsic component of intervention and notjust a concession in etiological modeling". Even if the social selection hypothesisis found to have dominant weight in the origin of schizophrenia, social factorssuch as those that have been implicated by supporters of the social causationhypothesis need to be addressed, if the downward path is to be blocked oreven reversed, e.g., by guided education or retraining () and by the establishment of suitable work environments,such as the cooperatives implemented in Argentina, Brazil or Italy (e.g., ).
of schizophrenia), the downward drift hypothesis …
Recent developments in obstetric and neonatal care may account for the putative decrease in the incidence of schizophrenia. The postwar decline in early perinatal mortality rates in England and Wales was paralleled by the subsequent fall, 20 years later, in the first-admission rates for schizophrenia in the 1960s and 1970s (Gupta and Murray 1991). The differential impact of these advances on various socioeconomic groups may explain why the apparent decrease in schizophrenia has been greatest in the more prosperous regions of the United Kingdom (Gupta and Murray 1991), and why the districts that show no decrease in schizophrenia have large immigrant populations with high rates of poverty (Eagles 1991a).