A modern psychiatry

my comment on Mind Hacks blog:
“On reading the opening paragraphs of the Aeon piece the role of psychiatrist in the US seems far different from psychiatrists I’ve had personally or known through being a carer in Scotland. I don’t remember much if any analysing, rather it was more about labelling/diagnosing and prescribing/drugging.

I agree that psychiatrists apply a diagnosis so as to treat a patient, rather than to label and stigmatise, however the fact remains that psychiatric labels remain in medical notes whether accurate or not, especially if a person has experienced a psychosis or altered mind state. This is the bogey man and requires identification, making it very difficult to escape from.

The mention of schizophrenia “divergent from normality” sums up the major problem with psychiatry, its power to name, shame and blame. Whether they intend to do so or not, the fact remains that people get the label and it can result in lifelong compulsory treatment, being subject to domination. Unfortunately in the UK we can’t “shop around” for another psychiatrist unless we are well off and have private healthcare.”

Mind Hacks

CC Licensed image by Flickr user Lis Ferler. Click for source. If you want to know how your average reasonable mainstream medical psychiatrist thinks about mental illness, Aeon magazine has a good piece that captures where many are coming from.

Now before you (yes you) Dr average reasonable mainstream medical psychiatrist, says that you don’t agree with all of it, I’m not suggesting it’s a manifesto, but it does cover a great deal of the mainstream.

We could argue a few points over some of the empirical claims, but it’s a surprisingly good snapshot in the round.

Probably the most important thing it underlines is that most psychiatrists are less obsessed with diagnosis than people who are are obsessed about the fact that psychiatrists make diagnoses.

Most psychiatrists typically don’t think that ‘every diagnosis is a disease’ and recognise the fuzziness of the boundaries – as indeed, do most medical professionals.

The article also highlights the fact that the medicalisation of…

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