I read this stuff. I’m a nurse working in critical care, and also someone who has chosen to interact with psychiatrists as a patient for many years. I think its good you highlight the tricky nature of raising this issue. Clearly psychiatry is in need of a major re-think/re-structuring. Then again, the world in general is in need of a major re-think/re-structure. That is to say, the issues in psychiatry are part and parcel of larger fundamental problems we face in terms of the privatization of healthcare, the capitalist global economy, etc. If we are able to take an even broader historical perspective, it becomes clear that we are in this mess not simply because of bad actors such as Kupfer, etc., but for particular conceptions of the mind, body and self that originated hundreds of years ago. Without a recognition of the specific ideas that have helped lead us to this mess, we have no hope of ever finding true freedom for ourselves, or our patients. Thank you for raising the issue of how to address these issues beyond the dualistic paradigm that is so troublesome to break out of.