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June 26, 2009

See a psychiatrist? Are you mad?

From The Guardian:

Bentall Richard Bentall, a clinical psychologist, is a controversial figure in the field of mental health. An example of the hostility that his conclusions provoke among those practising conventional (that is, drug-based) psychiatry is given in the preface to this book, which raises serious questions about the treatment of mental illness. Bentall describes an encounter with an amiable-seeming psychiatrist who responds to a talk he has given as follows: "Professor Bentall has told us he is a scientist. But he is not! Nothing that Professor Bentall has said - not one single word - is true."

The unlikelihood of a professor of psychology delivering, in the sober environment of an NHS conference, a talk in which every word is fictitious and every opinion fallacious gives a flavour of the threat that Bentall's theories pose. The response, as reported, sounds deranged and it is interesting to observe how debate among professionals over the causes of mental illness appears to induce its own version of madness, as if the topic itself were contagious. One sign of sanity, both in the individual and society, is the ability to deal with dissent.

In an earlier book, Madness Explained, Bentall was at pains to distinguish his approach from other anti-psychiatrists - for example, RD Laing, whose radical views were discredited because of his flamboyant lack of rigour and attendant inability to accept criticism. Bentall, as this book attests, is a different kettle of fish. With patient persistence and without recourse to rancorous diatribes, he has appraised the scientific evidence for the success of contemporary psychiatric treatments and come up with a dismal report. It is probably the very balance of his approach that drives his opponents crazy.

More here.

Posted by Azra Raza at 06:11 AM | Permalink

Comments

There are some problems with the characterization of diagnosis as presented in the article. I am not sure Bentall's actually description avoids them, but...

Medical diagnosis and the sub-discipline of psychiatry are very much conducted using the same loose process. The pristine, scientific, exact medical diagnosis is, for the most part, a rarity. Most medical diagnoses are merely the names given to a loose collection of "symptoms" and the decision to plump for one diagnosis over another will be influenced by the doctor's interpretation of the current medical scoreboard.

Posted by: icastico | Jun 26, 2009 9:56:48 AM

My impression of the whole field of psychiatry and psychology is that it is essentially a catolog of symptoms that are given fancy names. Given the complexity of the human mind, this may be the best they can do. The most interesting aspect of mental illness to me is the moral one. We all sympathize with someone who gets cancer, but many do not sympathize with the depressed or the addicted or the suicidal. Having a physical illness is much more acceptable. Didn't Swift write a story in which everyone showed great sympathy for someome who, for example, was a chronic gambler, but strongly condemned anyone who got physically ill?

Posted by: J. Hawkins | Jun 26, 2009 10:20:09 AM

Andrew Sullivan on Michael Jackson:

He was everything our culture worships; and yet he was obviously desperately unhappy, tortured, afraid and alone.

I grieve for him; but I also grieve for the culture that created and destroyed him. That culture is ours and it is a lethal and brutal one: with fame and celebrity as its core values, with money as its sole motive, it chewed this child up and spat him out.

I hope Andrew's not going all Qutb on us. Everyone take a serotonin reuptake inhibitor, which should anesthetize effects of cultural stuff that may be getting you down. For Chrissake, be scientific about it. Just tweak the brain chemicals, since yours may be out of whack, and you might even find yourself impervious to bad news from Gitmo and Bagram instead of feeling sad or outraged.

Please pardon my sarcasm and revulsion over current events.

Posted by: Louise Gordon | Jun 26, 2009 7:09:53 PM

In keeping with the psychiatric tradition of coercion as "treatment":


ThoughtReform


RobertJayLifton


Terabytes


PhysiciansForHumanRights

Posted by: Louise Gordon | Jun 27, 2009 2:53:52 PM


harpers

From Harper’s: L. J. Davis on the
Diagnostic and Statistical Manual of Mental Disorders, 4th Ed.

According to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (popularly known as the DSM-IV), human life is a form of mental illness....

Here, on a staggering scale, are gathered together all the known mental disturbances of humankind, the illnesses of mind and spirit that cry out for the therapeutic touch of–are you ready for this?–the very people who wrote the book.

Posted by: Louise Gordon | Jun 27, 2009 9:58:39 PM

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