As student nurses we were told that it was essential for mental health nurses to have an understanding of sociology but, beyond that, no mention was ever made of the subject. This new book, one of a Sociology and nursing practice series, may finally give the discipline the prominence it deserves among nurses, as well as helping us to understand and explore the social processes which support and limit individual opportunities (including our own). In these days of an allegedly classless Britain we cannot afford to ignore questions of class and inequality.
The book explores why it should be that poorer people continue to have poorer health and higher mortality than those in the higher social classes. The book is at its most interesting when it turns the sociological spotlight on nursing itself. Paul Godin's brilliant chapter, Class inequalities in mental health nursing gives a potted history of mental health care. The development of mental health nursing has its own history, distinct from that of nursing in general and important lessons can be learnt from the convergences and divergences in our histories.
Why does nursing allow the denigration of caring and practical skills and the denigration of high academic achievement? Miers suggests it could be that anti-intellectualism has kept the majority of nurses (predominantly women) in lower status positions and that men's success in gaining nursing management roles may be because men did not adopt (nursing's) prevailing anti-intellectualism.
Politicians tell us the old labels are no longer relevant. We're all middle class now (except, of course, those who have joined the growing underclass). Class consciousness may have become unfashionable but I am grateful for this book, which refreshed my perspective on class and inequality, and which should prompt us to pay more than mere lip service to sociological insights in nursing.