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Revisiting the Virtuous City: Learning from the Past to Improve Modern Urban Mental Health

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Mental Health and Illness in the City

Abstract

This chapter looks at the evidence on current urban mental health in the context of rapid global change, both environmentally and socially. We summarize relevant epidemiological evidence on urban mental health, looking particularly at studies from Asia, Latin America, and Africa. We then look at two complementary major philosophical ideas from urban thinkers of the past – the Ideal or Utopian City and the Garden City, and discuss how these ideas are relevant for the urban mental health in the twenty-first century. We conclude with the importance of incorporating all human wisdom from the past millennia to deal with the future challenge of creating mentally healthy and sustainable cities.

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References

  • Abe Y, Fujise N, Fukunaga R, Nakagawa Y, Ikeda M (2012) Comparisons of the prevalence of and risk factors for elderly depression between urban and rural populations in Japan. Int Psychogeriatr 24(8):1235–1241. doi:10.1017/S1041610212000099

    Article  CAS  PubMed  Google Scholar 

  • Akhouchekian A (2009) From philosophic utopia to developmental utopia. Paper presented at the The first conference on Islamic Utopia, Isfahan

    Google Scholar 

  • Amoran O, Lawoyin T, Lasebikan V (2007) Prevalence of depression among adults in Oyo state, Nigeria: a comparative study of rural and urban communities. Aust J Rural Health 15(3):211–215. doi:10.1111/j.1440-1584.2006.00794.x

    Article  PubMed  Google Scholar 

  • Arjmandi M, Tahir M, Shabankareh H, Shabani MM, Mazaheri F (2011) Psychological and spiritual effects of light and color from Iranian traditional houses on dwellers. J Soc Sci Humanit 6(2):288–301

    Google Scholar 

  • Barber N (2011) Depression stalks the city – why is urban life so depressing? Psychology Today. https://www.psychologytoday.com/blog/the-human-beast/201109/depression-stalks-the-cities

  • Battuta I, Lee S (2013) The travels of Ibn Battuta: in the near east, Asia and Africa, 1325–1354. Dover Publications, Mineola

    Google Scholar 

  • Breslau J, Marshall GN, Pincus HA, Brown RA (2014) Are mental disorders more common in urban than rural areas of the United States? J Psychiatr Res 56:50–55. doi:10.1016/j.jpsychires.2014.05.004

    Article  PubMed  Google Scholar 

  • Coleman N (ed) (2005) Utopias and architecture. Routledge, New York

    Google Scholar 

  • Cortina MA, Sodha A, Fazel M, Ramchandani PG (2012) Prevalence of child mental health problems in sub-Saharan Africa: a systematic review. Arch Pediatr Adolesc Med 166(3):276–281. doi:10.1001/archpediatrics.2011.592

    Article  PubMed  Google Scholar 

  • Decker MR, Peitzmeier S, Olumide A, Acharya R, Ojengbede O, Covarrubias L, Gao E, Cheng Y, Delany-Moretlwe S, Brahmbhatt H (2014) Prevalence and health impact of intimate partner violence and non-partner sexual violence among female adolescents aged 15–19 years in vulnerable urban environments: a multi-country study. J Adolesc Health 55(6 Suppl):S58–S67. doi:10.1016/j.jadohealth.2014.08.022

    Article  PubMed  Google Scholar 

  • Diez Roux AV, Green Franklin T, Alazraqui M, Spinelli H (2007) Intraurban variations in adult mortality in a large Latin American city. J Urban Health 84(3):319–333. doi:10.1007/s11524-007-9159-5

    Article  PubMed  PubMed Central  Google Scholar 

  • Dinizulu SM, Grant KE, McIntosh JM (2014) The influence of nondisclosure on the mental health of urban African-American adolescents exposed to community violence. J Prev Interv Community 42(3):208–220. doi:10.1080/10852352.2014.916583

    Article  PubMed  Google Scholar 

  • Echeverria SE, Luan Kang A, Isasi CR, Johnson-Dias J, Pacquiao D (2014) A community survey on neighborhood violence, park use, and physical activity among urban youth. J Phys Act Health 11(1):186–194. doi:10.1123/jpah.2012-0023

    Article  PubMed  Google Scholar 

  • Fourier C (1902) Doctrina social, el Falansterio. E. Rodríguez Serra, Madrid

    Google Scholar 

  • Fryers T, Melzer D, Jenkins R (2003) Social inequalities and the common mental disorders: a systematic review of the evidence. Soc Psychiatry Psychiatr Epidemiol 38(5):229–237. doi:10.1007/s00127-003-0627-2

    Article  PubMed  Google Scholar 

  • Havenaar JM, Geerlings MI, Vivian L, Collinson M, Robertson B (2008) Common mental health problems in historically disadvantaged urban and rural communities in South Africa: prevalence and risk factors. Soc Psychiatry Psychiatr Epidemiol 43(3):209–215. doi:10.1007/s00127-007-0294-9

    Article  PubMed  Google Scholar 

  • Hesketh T, Ding QJ (2005) Anxiety and depression in adolescents in urban and rural China. Psychol Rep 96(2):435–444. doi:10.2466/pr0.96.2.435-444

    Article  PubMed  Google Scholar 

  • Howard E (1965) Garden cities of to-morrow. MIT Press, Massachusetts

    Google Scholar 

  • Kadra G, Dean K, Hotopf M, Hatch SL (2014) Investigating exposure to violence and mental health in a diverse urban community sample: data from the South East London Community Health (SELCoH) survey. PLoS One 9(4):e93660. doi:10.1371/journal.pone.0093660

    Article  PubMed  PubMed Central  Google Scholar 

  • Kim JM, Stewart R, Shin IS, Yoon JS, Lee HY (2004) Lifetime urban/rural residence, social support and late-life depression in Korea. Int J Geriatr Psychiatry 19(9):843–851

    Article  PubMed  Google Scholar 

  • Kliewer W, Lepore SJ (2015) Exposure to violence, social cognitive processing, and sleep problems in urban adolescents. J Youth Adolesc 44(2):507–517. doi:10.1007/s10964-014-0184-x

    Article  PubMed  Google Scholar 

  • Lang S (1972) Sforzinda, Filarete and Filelfo. J Warburg Courtauld Inst 35:391–397. doi:10.2307/750940

    Article  Google Scholar 

  • Law CK, Snider AM, De Leo D (2014) The influence of deprivation on suicide mortality in urban and rural Queensland: an ecological analysis. Soc Psychiatry Psychiatr Epidemiol 49(12):1919–1928. doi:10.1007/s00127-014-0905-1

    Article  PubMed  Google Scholar 

  • Lea J, Courtney J (1985) Cities in conflict: studies in the planning and management of Asian cities. World Bank, Washington. http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/1999/11/10/000178830_98101911003171/Rendered/PDF/multi_page.pdf

    Google Scholar 

  • Leach N (ed) (1997) Rethinking architecture: a reader in cultural theory, 1st edn. Routledge, London

    Google Scholar 

  • McMichael A (2005) Global environmental changes, climate change and human health. In: Lee K, Collin J (eds) Global change and health. Understanding public health, 1st edn. Open University Press, Maidenhead

    Google Scholar 

  • Middleton N, Gunnell D, Frankel S, Whitley E, Dorling D (2003) Urban-rural differences in suicide trends in young adults: England and Wales, 1981–1998. Soc Sci Med 57(7):1183–1194

    Article  PubMed  Google Scholar 

  • Mojs E, Warchol-Biedermann K, Glowacka MD, Strzelecki W, Ziemska B, Marcinkowski JT (2012) Are students prone to depression and suicidal thoughts? Assessment of the risk of depression in university students from rural and urban areas. Ann Agric Environ Med 19(4):770–774

    PubMed  Google Scholar 

  • Nepomuceno BB, Cardoso AA, Ximenes VM, Barros JP, Leite JF (2016) Mental health, well-being, and poverty: a study in urban and rural communities in northeastern Brazil. J Prev Interv Community 44(1):63–75. doi:10.1080/10852352.2016.1102590

    Article  PubMed  Google Scholar 

  • North CS, Pfefferbaum B (2013) Mental health response to community disasters: a systematic review. JAMA 310(5):507–518. doi:10.1001/jama.2013.107799

    Article  CAS  PubMed  Google Scholar 

  • Parker G, Lie D, Siskind DJ, Martin-Khan M, Raphael B, Crompton D, Kisely S (2016) Mental health implications for older adults after natural disasters – a systematic review and meta-analysis. Int Psychogeriatr 28(1):11–20. doi:10.1017/S1041610215001210

    Article  PubMed  Google Scholar 

  • Paykel E, Abbott R, Jenkins R, Brugha T, Meltzer H (2003) Urban-rural mental health differences in Great Britain: findings from the National Morbidity Survey. Int Rev Psychiatry 15(1–2):97–107. doi:10.1080/0954026021000046001

    Article  CAS  PubMed  Google Scholar 

  • Peen J, Schoevers RA, Beekman AT, Dekker J (2010) The current status of urban-rural differences in psychiatric disorders. Acta Psychiatr Scand 121(2):84–93. doi:10.1111/j.1600-0447.2009.01438.x

    Article  CAS  PubMed  Google Scholar 

  • Razvodovsky Y, Stickley A (2009) Suicide in urban and rural regions of Belarus, 1990–2005. Public Health 123(1):27–31. doi:10.1016/j.puhe.2008.10.003

    Article  CAS  PubMed  Google Scholar 

  • Reeves WC, Lin JM, Nater UM (2013) Mental illness in metropolitan, urban and rural Georgia populations. BMC Public Health 13:414. doi:10.1186/1471-2458-13-414

    Article  PubMed  PubMed Central  Google Scholar 

  • Richter D, Berger K, Reker T (2008) Are mental disorders on the increase? A systematic review. Psychiatr Prax 35(7):321–330. doi:10.1055/s-2008-1067570

    Article  PubMed  Google Scholar 

  • Rostami R, Lamit H, Khoshnava S, Rostami R, Rosley M (2015) Sustainable cities and the contribution of historical urban green spaces: a case study of historical Persian gardens. Sustainability 7(10):13290

    Article  Google Scholar 

  • Sengupta P, Benjamin AI (2015) Prevalence of depression and associated risk factors among the elderly in urban and rural field practice areas of a tertiary care institution in Ludhiana. Indian J Public Health 59(1):3–8. doi:10.4103/0019-557X.152845

    Article  PubMed  Google Scholar 

  • Siskind DJ, Sawyer E, Lee I, Lie DC, Martin-Khan M, Farrington J, Crompton D, Kisely S (2016) The mental health of older persons after human-induced disasters: a systematic review and meta-analysis of epidemiological data. Am J Geriatr Psychiatry 24(5):379–388. doi:10.1016/j.jagp.2015.12.010

    Article  PubMed  Google Scholar 

  • Steiert R (2002) The ideal city: utopias and projects: a historical sketch. Soz Wiss Inf 3(1):38–47

    PubMed  Google Scholar 

  • Stephens C (2012) Urban inequities; urban rights: a conceptual analysis and review of impacts on children, and policies to address them. J Urban Health 89(3):464–485. doi:10.1007/s11524-011-9655-5

    Article  PubMed  PubMed Central  Google Scholar 

  • Stephens C, Satterthwaite D (2008) Urban health in developing countries. In: Heggenhougen K, Quah S (eds) International encyclopaedia of public health, vol 1. Elsevier, Oxford, pp 452–463

    Chapter  Google Scholar 

  • Tanabayeva A, Massalimova A, Mukhatova O, Alikbayeva M, Alikbayeva Z (2015) Al-Farabi’s humanistic principles and “virtuous city”. Eur Proc Soc Behav Sci. doi:http://dx.doi.org/10.15405/epsbs.2015.01.14. http://www.futureacademy.org.uk/files/menu_items/other/12j.pdf

  • Toronto Public Health (2015) Green city: why nature matters to health – an evidence review. Toronto Public Health, Toronto

    Google Scholar 

  • UN Habitat (2010) State of the world’s cities 2010/2011: bridging the urban divide. Earthscan, London. http://www.unhabitat.org/pmss/listItemDetails.aspx?publicationID=2917

    Google Scholar 

  • UNEP (2012) One planet, how many people? A review of Earth’s carrying capacity. A discussion paper for the year of Rio+20 (2012), UNEP, Nairobi. Accessed 12 Nov 2013

    Google Scholar 

  • United Nations DoEaSA, Population Division (2014) World urbanization prospects: the 2014 revision, highlights (ST/ESA/SER.A/352)

    Google Scholar 

  • Walker ER, McGee RE, Druss BG (2015) Mortality in mental disorders and global disease burden implications: a systematic review and meta-analysis. JAMA Psychiat 72(4):334–341. doi:10.1001/jamapsychiatry.2014.2502

    Article  Google Scholar 

  • Wallis L (2015) Rural youths commit suicide almost twice as often as urban counterparts. Am J Nurs 115(6):15. doi:10.1097/01.NAJ.0000466301.39777.65

    Article  Google Scholar 

  • World Health Organization (2014a) Mental health atlas 2014. http://www.who.int/mental_health/evidence/atlas/mental_health_atlas_2014/en/. Accessed 12 May 2016

  • World Health Organization (2014b) Preventing suicide: a global imperative. http://apps.who.int/iris/bitstream/10665/131056/1/9789241564779_eng.pdf?ua=1. Accessed 12 May 2016

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Stephens, C., Carrizo, A.G., Ostadtaghizaddeh, A. (2016). Revisiting the Virtuous City: Learning from the Past to Improve Modern Urban Mental Health. In: Okkels, N., Kristiansen, C., Munk-Jorgensen, P. (eds) Mental Health and Illness in the City. Mental Health and Illness Worldwide. Springer, Singapore. https://doi.org/10.1007/978-981-10-0752-1_14-1

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  • DOI: https://doi.org/10.1007/978-981-10-0752-1_14-1

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