ABSTRACT

This book is the first ethnography of the little-known world of clozapine clinics in Australia and the United Kingdom. Anthropologist Julia Brown engages with the narratives of people living in extreme health circumstances to challenge some of the assumptions made about clozapine treatment and to explore what it means to be diagnosed with ‘treatment-resistant schizophrenia.’

Clozapine is a gold standard but controversial treatment for psychosis that requires lifelong monitoring to reduce fatality caused by clozapine side effects. Focusing on the social world of the clozapine clinic and based on the author’s own extensive research, this book explores what it means to live with the interpersonal challenges of psychosis and trauma, the risks of multi-morbidity, and how clozapine clients can experience meaningful control over their health. Brown uses her findings to point to the practical clinical implications of clozapine clients being given more recognition and accountability, and to explore how health agency relates to moral agency.

The Clozapine Clinic particularly highlights the importance of investing in continuity of healthcare and is an essential read for caregivers who work with sufferers of psychosis as well as academics and policymakers focused on mental health.

chapter |28 pages

Introduction

A social and biological axis

part I|27 pages

Health agency

chapter 1|2 pages

A universal experience?

chapter |2 pages

Part I Conclusion

part II|28 pages

Blood work

chapter 3|3 pages

Clinical circuitries

chapter 4|2 pages

Anxiety reconstituted

chapter 5|3 pages

Flexible care

chapter 6|2 pages

“The brain can't live alone”

chapter 7|3 pages

Coagulation and flow

chapter 8|5 pages

Social contact at a negotiable distance

chapter 9|2 pages

Moral agency

chapter |2 pages

Part II Conclusion

part III|57 pages

Embracing uncertainty

chapter 10|7 pages

A therapeutic dose

chapter 11|9 pages

Mind-body-other

chapter 12|9 pages

Complementary consumptions

chapter 14|8 pages

Health system failures

“More could be done”

chapter 15|10 pages

“Everyone's different”

chapter |2 pages

Part III Conclusion

part IV|56 pages

Finding rhythm, freeing oneself

chapter 16|5 pages

Clozapine frames

chapter 18|9 pages

Wanting more

Security, order, and ‘the knock-on effect’

chapter 19|6 pages

Pursuing mindfulness

chapter |3 pages

Part IV Conclusion

chapter |11 pages

Conclusive reflections