And on January 13th, 2021 Dr Pies realised how utterly paternalistic and discriminatory he sounded the year before and backtracks on his assertion that “patients are not infallible recorders of what their doctors tell them” and just think we are being told these things. Now we get “Just as patients may sometimes misperceive or misunderstand a point or statement made by the psychiatrist, so, too, psychiatrists may err in what they recall or in what they write in their notes.” https://www.psychiatrictimes.com/view/what-we-tell-patients-about-depression-what-they-say-they-have-been-told He still manages to escape properly acknowledging that “patients” may say they have been given this message by their psychiatrists because they actually have been. The closest we get is a kind of ‘not all psychiatrists’ cry that reminds me of the ‘not all men’ line I get thrown in the way of an attempt to talk about rape culture. He says only the bad psychiatrists do this, only a few bad eggs, turn your attention elsewhere etc. Nor does he account for the many ways this message gets conveyed indirectly, through the choice to focus on medications as ‘treatments’, and the way they always mention the possibility of chemicals first in their list of potential causal factors and relegate the psychosocial dimensions that carry the most evidence to similar status. Most info resources they dish out will mention the brain chemicals too, and as they gave the info it will be assumed they agree with the info. There are many professionals who will share this message with service users, not just psychiatrists alone, it is a team effort, but given it is allll through their textbooks and journals it is clear they are sharing it round and soaking it up all the time. Dr Pies gives a good example and he doesn’t appear to be able to tell he is doing it: “My point in the interview was that any valid claim or report regarding what patients have been told about so-called “chemical imbalances” must take into account not only the patient’s recollection, but also: what psychiatrists themselves recall saying; what they intended to convey; and in what context the term chemical imbalance was used. For example, did the psychiatrist say something like, “Your illness is definitely caused by a chemical imbalance”? Or was it more like, “We don’t know the precise causes of depression, but chemical changes in the brain may play some role, along with psychological, social, and environmental factors”? There is nothing fundamentally wrong or misleading, of course, with the second type of explanation.” I disagree Dr Pies. Also what a bloody cop out to be giving someone you have assessed a generic explanation for their troubles such as this instead of an individual formulation based on the actual person before them or better yet, co-constructing a shared formulation together. I am not sure what he hopes to achieve by pretending this doesn’t happen and that he has never taken part. I do like that he seems to be trying to make his profession clean up its act and get out of the grip of big pharma marketing. There is no need for him to redact his history or deny reality to do that. Seems that the other psychiatrists listen to him though, maybe they have a shared distaste for uncomfortable facts.