Monday, November 23, 2020
Monday, November 16, 2020
The trouble is that they do not want to go as far as questioning biological psychiatry per se. That's what's really needed to make progress. Biomedical psychiatry holds out the attractions of a predictive and systematic way of understanding and treating mental health problems. No wonder people hope it may be true and psychiatrists act as though we have got there, or at least are not far away from it.
But as the article says we're being misled. It’s not only the message that is wrong but also the expectation about what can be achieved. Do we really think we can solve the problem of consciousness (see previous post), or more generally how life originates from inanimate matter? As Kant said, this is an insight which is denied to us (see another previous post).
But that doesn't mean that psychiatry is defunct. It should never have had such fanciful notions. Nonetheless people still need understanding and treatment for their mental health problems.
Saturday, November 14, 2020
More seriously, Stahl explains that he had to take Psychiatra-Gain to deal with the boredom he was feeling in working with patients (see another video). This created his Alice in Wonderland worldview (see video). It leads to trying out lots of medications on patients in a fun way (see video), although the original psychotropics are still the best (see another video). Thank goodness someone at least is taking psychiatry seriously.
Thursday, November 12, 2020
More generally psychiatry's tendency to reduce people to objects means that its practices are too restrictive and not therapeutic enough. This tendency has increased over recent years with the overemphasis on risk. Community care has become as bureaucratic at times as the worst institutional practices of the asylum.
My hope is that the government will produce a green paper to discuss these issues more widely, but I suspect it will go straight to a White paper because of the independent review led by Simon Wessely. There needs to be renewed debate about these issues, as it has been paused by the coronavirus pandemic. My personal hobby horse has been that detained people should have a right to a second opinion of their choice. Both detention and treatment decisions should be adjudicated by a single judge in the Mental Health Tribunal (doing away with the need for medical and lay members). Second Opinion Approved Doctors (SOADs) will also no longer be needed and anyway have tended to become a 'rubber-stamping 'exercise. The Mental Health Act arm of the Care Quality Commission needs to be given the specific responsibility of preserving the dignity and respect of detained patients. Its role in maintaining basic human rights needs to be reinforced.
(With thanks to a tweet from @Heather28258253)
Sunday, November 08, 2020
As Chapman says, “Cooper overreached [himself]”. This is, I think, a rather generous assessment of what happened to Cooper’s anti-psychiatry, which as RD Laing said became rather embarrassing. Chapman also notes that Adrian Laing, the son of RD Laing, in his biography of his father says there was only ever one anti-psychiatrist. That was David Cooper. Those that still use the term ‘anti-psychiatry’ generally don’t mean Cooper when they use the term. Instead they are usually trying to denigrate criticisms of psychiatry (see eg. previous post).
It’s also rather outrageous to include classic works like Erving Goffman’s Asylums and Michel Foucault’s History of Madness within a denigratory use of the work ‘anti-psychiatry’ (see another previous post) As I’ve said before, I think people should stop using the term. It was a historical phase that psychiatry went through, which actually was not as negative as is commonly made out. Psychiatry needs to learn to take on board criticisms of its tendencies to reductionism and positivism.