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Can Psychiatry Heal Itself? (review of "Mind Fixers")

#1
C C Offline
https://blogs.scientificamerican.com/cro...al-itself/

EXCERPT (John Horgan): . . . I recently reviewed Medical Nihilism, in which philosopher Jacob Stegenga mounts a scathing critique of medicine, arguing that many common treatments don’t work very well, if at all. In this post, I look at Mind Fixers: Psychiatry’s Troubled Search for the Biology of Mental Illness by historian Anne Harrington, which corroborates and complements Medical Nihilism. "Mind-Fixers" is more measured than most critiques of psychiatry. Harrington seems almost pained to deliver bad news, making her indictment all the more damning.

Upbeat accounts of modern psychiatry, like A History of Psychiatry by Edward Shorter, present it as a story of good science triumphing over bad. Biological theories of and treatments for the brain, notably drugs like Thorazine, lithium, Valium and Prozac, displaced Freudian psychobabble and transformed psychiatry into a truly scientific discipline.

This story is false, Harrington asserts. She writes: “Today one is hard-pressed to find anyone knowledgeable who believes that the so-called biological revolution of the 1980s made good on most or even any of its therapeutic and scientific promises.” Bio-psychiatry “overreached, overpromised, overdiagnosed, overmedicated and compromised its principles.”

"Mind Fixers" starts in the 19th century, when the insane were housed in asylums...

[...] Harrington’s book chronicles the largely futile efforts of scientists to find such causes and cures...

[...] The media hailed these alleged advances, exaggerating benefits and downplaying risks...

[...] The eugenics movement, which assumed mental illness is hereditary, sought to eradicate it by preventing the mentally “unfit” from reproducing...

[...] The practical and ethical flaws of these biological methods allowed psychological approaches to mental illness to flourish...

[...] Harrington is hard on the Freudians, accusing them of arrogance, dogmatism and cruelty, especially toward women...

[...] But modern bio-psychiatrists are Harrington’s main target. ..

[...] Psychiatry’s biological “revolution,” which Harrington calls a “False Dawn,” now appears to have been motivated as much by greed as compassion...

[...] Psychiatrists did their job well. Sales of medications for mental illness increased by a factor of six between 1987 and 2001...

[...] Some of the bleakest assessments of bio-psychiatry come from insiders, including two former directors of the National Institute of Mental Health, the world’s largest funder of mental-health research...

[...] Harrington concludes her book with a call to action. She says psychiatry’s current “crisis” is also an opportunity for reform, and she urges the profession to take various steps to break out of its “stalemate”... (MORE - details)

RELATED (scivillage): Why the constant trashing of antidepressants is absurd
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#2
Syne Offline
There is no reform possible in a profession that votes on diagnostic criteria (DSM) instead of discovering/verifying it through actual science.
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