Development's 'downside': social and psychological pathology in countries undergoing social change.

Emphasis on the decline in mortality related to infectious disease, the improvement in child survival and the extension in longevity creates an optimistic view of the effects on health of social change. In contrast, attention to behavioural and social problems apparently stemming from current global social transformations leads to a more negative assessment. Specific historical processes shape local worlds of experience so as to yield complex patterns of social change with multiple outcomes. Study should be directed at the specific mediating social and moral processes that yield negative mental-health outcomes in order to develop international mental-health policy to guide prevention, and to control the dangerously destructive effects of specific social transformations, planned as well as unplanned.