Neoliberalism and Mental Health: A Critical Theoretical Analysis

Authors

Keywords:

social suffering, structural inequality, pharmaceutical industry, biomedicalization, mental health, Neoliberalism

Abstract

This paper explores the impact of neoliberalism, as both an economic model and a style of socio-political governance, on mental health. It focuses on how neoliberalism, rooted in the culture of individualization, the dominance of market logic, and mechanisms of diminishing state responsibility, shapes the conditions under which mental health is experienced and addressed. The social reality constructed by neoliberal regimes both challenges mental well-being and limits access to related services. It commodifies mental health care by reshaping therapeutic and diagnostic practices to align with market demands and by developing treatment pathways that are increasingly oriented toward pharmaceutical industries. The study draws on the work of critical theorists—most notably Mark Fisher and Nikolas Rose—and compiles research and data that demonstrate the direct connection between neoliberal policies and the individualization, biomedicalization, and depoliticization of mental health. Particular attention is given to the introduction of neoliberal logic into post-socialist contexts, which exacerbates suffering rooted in structural inequality. The paper concludes that under contemporary capitalism, mental health must be understood not merely through individual or clinical frameworks but within broader social and political contexts. Its improvement requires systemic changes that move beyond individual approaches and acknowledge the structural sources of psychological distress.

References

Becker, J.C., Hartwich, L., Haslam, S.A. (2021). Neoliberalism Can Reduce Well-Being by Promoting a Sense of Social Disconnection, Competition, and Loneliness. British Journal of Social Psychology 60 (3): 947–965.

Bourne, J. (2011). From Bad Character to BPD: The Medicalization of ‘Personality Disorder’.” In De-medicalizing Misery: Psychiatry, Psychology and the Human Condition, edited by Mark Rapley, Joanna Moncrieff, and Jacqui Dillon, 66–85. London: Palgrave Macmillan.

Case, A., Deaton, A. (2020). Deaths of Despair and the Future of Capitalism. Princeton, NJ: Princeton University Press.

Esposito, L., Perez, F.M. (2014). Neoliberalism and the Commodification of Mental Health. Humanity & Society 38 (4): 414–442.

Fisher, M. (2009). Capitalist Realism: Is There No Alternative? Winchester, UK: Zero Books.

Gershon, I. (2011). Neoliberal Agency. Current Anthropology 52 (4): 537–555.

Kirsch, I. (2009). Antidepressants and the Placebo Response. Epidemiology and Psychiatric Sciences 18 (4): 318–322.

Martin, E. (2000). Mind–Body Problems. American Ethnologist 27 (3): 569–590.

Moncrieff, J. (2006). Psychiatric Drug Promotion and the Politics of Neoliberalism. The British Journal of Psychiatry 188 (4): 301–302.

Parsons, A.E. (2018). From Asylum to Prison: Deinstitutionalization and the Rise of Mass Incarceration in America. New York: Routledge.

Raikhel, E., Dörte B. (2016). Postsocialism, the Psy-ences and Mental Health. Transcultural Psychiatry 53 (2): 151–175.

Raven, M., Parry. P. (2012). Psychotropic Marketing Practices and Problems: Implications for DSM-5. The Journal of Nervous and Mental Disease 200 (6): 512–516.

Rose, N. (1989). Governing the Soul: The Shaping of the Private Self. London: Routledge.

Szulęcka, B. (2024). The ‘Diagnostic Gap’ and ‘Economic Burden’ of Depression: Global Mental Health in Neoliberal Poland (2010s–2020s). Social Science & Medicine 344: 116649.

Thomas, C. (2013). “Some Perspectives on Improving Access to Psychological Therapies (IAPT).” Counselling Directory 17.

Williams, S.J., Gabe, J., Davis, P. (2011). The Sociology of Pharmaceuticals: Progress and Prospects. Sociology of Health & Illness 33 (5): 719–733.

Published

2025-07-19

How to Cite

Aroshvili, A. (2025). Neoliberalism and Mental Health: A Critical Theoretical Analysis. Health Policy, Economics and Sociology, 9(2). Retrieved from https://heconomic.cu.edu.ge/index.php/healthecosoc/article/view/9234

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.