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In the first half of the nineteenth century, America’s breathtaking economic and territorial expansion furnished the context for a Second Great Awakening, Romanticism, and electoral politicking. These accelerated the ascent of individualism and encouraged self-refashioning to pursue new ambitions. Individuals’ choices inspired stories that reveal how the evolving myth of self-made success both symbolized and widened the nation’s social and cultural chasms. High-profile self-fashionings of the period included Eliza Jumel’s rags-to-riches, Henry Clay’s feigned humble origins, and reformer Dorothea Dix’s discarding of traditional roles. Leading preachers, including Charles Grandison Finney, inspired thousands to take on individual spiritual choices and worldly service, while Romanticists beckoned men to accept heroic self-agency as their duty. Chief among the latter, Ralph Waldo Emerson insisted that American men exert their "self-reliance." Amid all this churning, antebellum storytellers shifted use of the phrase “self-made” from a rhetorical tool for moral judgments to one for increasingly secular accolades, preparing the way for a gradual turn to financial measures of success.
This chapter traces the origin and background of modern global mental health and sketches its domain. A primary objective of global health and mental health is the eradication of disparities in terms of access to care, quality of life, and well-being worldwide. Dorothea Dix and Clifford Beers contributed immensely to global mental health and had experiences of mental illness, making their contribution more instructive. Currently, membership in the World Federation for Mental Health (WFMH) is open to individuals, users and survivors, and mental health and disability societies. The World Health Organization (WHO) played a vital role in several aspects of mental health worldwide. The future of global health and mental health is likely to be influenced by a variety of driving factors. One of these is activism. The concerns of global mental health focus on the most needy communities, in the low- and middle-income countries, but the vision is worldwide.
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