I respectfully disagree; I believe that psychiatry gains its cultural acceptance through its false claim of medical science legitimacy- of being “disguised by the trappings of medicine.” Challenging its pseudoscience seems critical for exposing its medical disguise and its police function.
I believe that you are a rare exception if you ended up in “civil commitment” without expressing “distress in response to adversity.”
Well said.
I agree; they are denying our humanity by “relegating personal histories to ‘triggers’ of an underlying genetic time bomb.”
I respectfully disagree; our community considers science to be our best way of understanding ourselves and our environment. Consistently, psychiatry dominates the “mental health” care industry based on its false claim of being a biological science. Hence, I appreciate Joseph’s challenges to their pseudo genetics- to their garbage “science.”
Well said Rachel 777. It seems therapeutic to understand that depression is a natural reaction to depressing experiences so that depressing experiences can be addressed and countered. Consistently, if depression is understood as the natural reaction to depressing experiences, assistance would take the form of empathy and support rather than drugs and coercion.
Real biology explains depression as the natural expression of depressing experiences; psychiatry increases prognosis pessimism by pathologizing natural emotional suffering.
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Well said.
In 1984, the Thought Police force Happy Pills on everyone; in 2019, the Thought Police only force Happy Pills on people when they act unhappy. Beware.
Steve McCrea is a smart fellow; you could learn a great deal by clicking on his name and reviewing some of his previous comments to other blogs. Steve said that there is no organic criteria for any DSM diagnoses and you disagreed with a link to the National Institute of Health that provides no organic criteria for any DSM diagnoses. The DSM criteria that you referenced are all descriptions of behavior patterns; there are no biological criteria for any DSM diagnoses.
Your satire is funny because it is articulate and painfully true. However, I thought that I understood the blog completely until Slayer questioned how the blog specified “biological” psychiatry; thereafter, I was confused about the distinction. As an accredited medical science (albeit an illegitimate medical science), all psychiatry is “biological” psychiatry. However, most people who use the term intend to make some distinction from “mainstream” psychiatry; what was your intent?
Well said.
I was supporting this comment “thread” that I understood to address how our culture uses fear to pit people against each other – uses fear to “divide and conquer.” I did not understand this thread to challenge my contention that psychiatry pathologizes natural emotions and behaviors, and that this serves as a political tool to delegitimize criticism of social and economic injustice.
Whitaker and Kindredspirit, Right On!
Right on!
Thank you for the community service of speaking the truth about your life. Psychiatry is “trauma denial” in support of existing social structures; it falsely advocates that distressful experiences are an anomaly in an otherwise friendly environment. Psychiatry is trauma denial when advocating that people should “recover” from traumatic experiences without justice and often without cessation of the traumatic experiences. Psychiatry shames the victims of trauma by advocating Pollyanna and a fairy tale world of fairness and goodness; the truth about distressful human experience is antipsychiatry.
Your comment is confusing: my comment supports the main theme of the blog that criticizes blaming the “mentally ill” for mass shootings instead of blaming a societal failure. Criticizing a culture does not address the behavior of an individual within a culture. I believe that our epidemic of mass shootings is caused by an increasingly hateful and violent culture- a societal failure that includes sedating natural emotions and non-conforming behaviors with neurotoxins.
Thank you for this articulate and timely blog. It is unfortunate that the obvious truth is currently so difficult for so many people to see: “This blaming ultimately prevents us from acknowledging the obvious truth: the regular presence of mass murders in our society needs to be seen as a societal failure.”
Well said: “Of course all psychiatric terminology is hate speech.”
Thank you for your community service in articulately advocating against how standard “mental health” care harms society by pathologizing suicide.
Since psychiatry pathologizes suicide consistent with other natural behaviors that it pathologizes, I am confused about why psychiatry does not include suicide ideation as another mythical DSM diagnosis.
Best wishes, Steve
Right on!
I am troubled by psychiatry harming the community with the myth of “mental illness”- by pathologizing natural emotional suffering and natural, non-conforming behaviors. I am also trouble by the term “neurodiversity” when it advocates that “mental illness” is a passageway to special spiritual enlightenment; this puts a positive spin on a harmful myth. I support “neurodiversity” in some contexts but not as a new myth that supports a few people while obscuring the source of a calamity for a multitude of others.
Thank you for your response; I believe that I am using the term “neurodiverse” in a different context than others. I now understand you and others to use the term “neurodiverse” in a social context about what is “normal” brain functioning (wherein “normal” is understood as common or average). In contrast, I was focusing on a medical context about what is “natural” brain functioning. I agree that there is no “normal” brain functioning but believe that there is “natural” and “unnatural” brain functioning- natural and pathological functioning. I thought that advocates of “neurodiversity” were trying to put a positive spin on “mental disorders” that pathologize natural behaviors through the myth of “mental illness.” It now seems like the term is gaining a wider usage.
Perhaps victims of psychiatry may rally around the concept of “cognitive liberty”; as you say, time will tell. Most people exclude cognition considered “diseased” when considering “cognitive liberty”; my problem with advocating “cognitive liberty” is that it side-steps addressing the Disease Model that is causing the harm.
I believe that I misunderstood your previous comment; do you mind me asking about whether you believe that the terms “mad” and “neurodiversity” are without connotations of pathology?
Advocating cognitive liberty may be more inclusive of all critics of psychiatry but it does not address my fundamental criticism of psychiatry. Thus I support cognitive liberty but cannot rally behind it to challenge the harm caused by the myth of “mental illness”; it is too intellectually abstract to promote political action. I cannot imagine Jews rallying behind cognitive liberty with reformists to challenge the Holocaust or Abolitionists rallying behind cognitive liberty with reformists to challenge slavery. Isn’t advocating cognitive liberty for those suffering from coerced drugging or imprisonment based on a myth insulting to those without physical liberty?
I consider “neurodiverse” to be similar to “mad”; both terms put a positive spin on a harmful myth that pathologizes natural emotional suffering and other natural “problems in living.” I do not criticize oppressed people for naturally seeking a more positive self-image but doesn’t advocating a positive spin on an oppression detract from a political challenge?
Thank you for all of your community service in challenging psychiatry.
However, I am concerned that your posted advocacy of “cognitive liberty” discounts the context of psychiatry functioning as a medical science. The community supports human rights violations (and violations of “cognitive liberty”) as unfortunate parts of “medical treatment” for those with “cognitive impairments” that interfere with “sound” judgment. The community generally considers psychiatry to be an altruistic enterprise (albeit with problems).
In contrast, I consider psychiatry to be an illegitimate medical science advocating that natural emotional suffering and other natural problems in living are instead unnatural- medical problems. Psychiatry denies our humanity by advocating the myth of “mental illness”- that emotional suffering is unnatural regardless of cruel and unjust life circumstances. I consider the foundation of all of psychiatry’s harm to be the Myth advocating Pollyanna and a fairy tale world of goodness and fairness (in support of existing social structures). Doesn’t a reformist perspective of psychiatry imply that it has a legitimate goal that deserves reforming rather than being an illegitimate medical science pathologizing social welfare problems?
Thank you for this post; I am also uncomfortable with the term “neurodiverse” for all of the reasons that you articulately state.
I agree that it seems critically important to have at least one person in your life who can affirm your personal value, but it also seems important to have some additional luck in navigating through life after such horrific childhood experiences.
Interesting point about free will; psychiatry is illogical, socially-constructed science that shifts positions about free will. Psychiatry implies that behavior it deems prosocial is a function of free will and behavior it deems antisocial is a function of genetics (unless the “antisocial” behavior is deemed criminal wherein it is again a function of free will).
Thank you for your community service in addressing harmful pseudoscience.
When a scientific inquiry is described as “political”, most people think of a disagreement between two different perspectives of an issue, but this is not the case with twin studies. The politics of twin studies is the worst in science because it is one-sided. The politics of twin studies is a “confirmation bias” that is so strong that almost anything passes for scientific support (as you well document in your books on behavioral genetics).
I appreciate Robert Whitaker responding to comments.
My preceding comment about MIA not rejecting the “fundamental legitimacy” of psychiatry references psychiatry’s legitimacy as a medical science. My opinion is based on MIA’s mission statement that seeks the goal of “remaking psychiatry.” Seeking to “remake psychiatry” implies that psychiatry’s goals warrant pursuing- that “mental disorders” are medical problems and the legitimate purview of medical science.
Thank you, Dr. Caplan; this excellent post is a valuable community service. I also want to thank Robert Whitaker for his support in its publication as well as his extremely valuable community service.
However, I believe that Dr. Caplan misunderstands MIA and its policies. Whitaker’s comments in this article and the MIA mission statement are extremely critical of psychiatry but do not describe psychiatry and its DSM as lacking fundamental legitimacy. Consistently, Whitaker is quoted as saying that MIA uses common diagnostic terms without intending to support their validity; he does not say that diagnostic terms completely lack validity. The myth of “mental illness” is a classical paradigm with deep roots; we should expect quotation marks around “psychiatric disorders” in the introduction to the MIA mission statement before expecting quotations in their blog postings.
Psychiatry is “trauma denial”; “trauma informed care” is dishonest. A trauma is a distressful experience of a distressful environment; in contrast, psychiatry implies that a trauma is a distressful experience of an otherwise friendly, supportive environment. Psychiatry denies trauma from bullying, discrimination, poverty and sexual assault by advocating that victims “recover” from their legitimate fears while their environments remain dangerous and hostile. Psychiatry similarly denies trauma from child abuse and the sorrow of war by advocating that victims “recover” from their distressful experiences while the community ostensibly ignores its reality.
Your comments are staggeringly articulate!
Psychiatry believes that they are “working with a body” that is not affected by personal experience. Psychiatry denies our humanity when it relegates lived experience to “triggers of an underlying genetic time bomb.”
Psychiatry is a secondary police force that manages “non-productive, non-conforming and disruptive behaviors” with little legal restraint; it is unusual to obtain legal redress from the abuses of psychiatry. The World Health Organization supports psychiatry by defining “mental health” as a function of productivity- emotional well-being from productivity. The predominance of survivors of psychiatry were seen as “ne’er do wells” in order to qualify for psychiatric abuse.
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Yeah_I_Survived, Szasz’s libertarianism has never been a problem for me; it seems like a natural reaction to his experiences of oppression and authoritarianism. Szasz understood the term “therapeutic state” to describe a secondary police force to manage dissent of authoritarianism; he was addressing social control rather than social welfare. The term “therapeutic state” is now more often used to describe a government that believes in social welfare; this is not how Szasz used the term.
Thank you for allowing me to comment. I believe that you and the book about Szasz misunderstand his greatness and legacy: he is the first to articulate that “mental illness” is a “myth.” The authors deny Szasz’s true legacy by denying that this is a medical issue of catastrophic proportion. Psychiatry has power as science- a medical science; Dr. James Knoll ignores this fact when he claims that psychiatry is “a hybrid profession of clinical science and humanities.” Consistently, Dr. Haldipur does Szasz a disservice when he states that “Szasz’s own writings are best read as philosophy rather than as psychiatry.” This misunderstanding of Szasz’s legacy permits the author to review a book from one of the greatest medical doctors in history as if it was a purview of the humanities. Szasz was the first articulate medical doctor to describe psychiatry as addressing a myth; this challenge to psychiatry’s legitimacy as a medical science will be his legacy!
This is really an excellent comment for two reasons: it articulately addresses Psychiatry’s advocacy of Pollyanna and how the community re-abuses those who have experienced childhood trauma. Psychiatry advocates Pollyanna in a fairy tale world of goodness. Psychiatry falsely implies that Adverse Childhood Experiences are an anomaly in a world of fairness and altruism wherein cruelty and social and economic injustice are successfully redressed through established social structures. Psychiatry denies the reality of trauma; it is an experience of a distressful environment rather than a distressful experience in an otherwise friendly environment. Also, I read an article at this website that described how adults who were “diagnosed” with Adverse Childhood Experiences were considered risky candidates for adoption; the cruelty and injustice are staggering.
Thank you for your painful community service. The thought of attaching electricity machines to children’s foreheads to address emotional suffering or other natural “problem with living” while disrupting needed sleep makes me cry too.
Anatomy of an Epidemic documents the epidemic of “mental illness” associated with an explosion of psychiatric drug prescriptions but does not focus on childhood statistics. The epidemic of autism for younger children and ADHD for older children is a greater epidemic than the epidemic for the general public. This is an iatrogenic public health crisis of historic proportions that lacks a historical perspective; anyone who grew up in the fifties can inform the community that childhood “mental illness” is a substantially modern invention.
Thank you for years of community service in challenging the harm of psychiatry.
Psychiatry has power in the community because it purports to be scientific; in contrast, the “mind-body problem” is a philosophical problem. This blog is an interesting philosophical commentary on human nature but our community considers science to be our best way to understand ourselves and our environment. The power of psychiatry to harm the community with the myth of “mental illness” rests substantially on a community belief that psychiatry is a legitimate biological (medical) science. Unfortunately, as a medical doctor discussing the “mind-body problem”, you create the implication that psychiatry has some legitimacy as a biological science.
“Life events have been relegated to the role of triggers of an underlying genetic time bomb.” I consider this an impactful quote and would like to quote the phrase. Read stated that “I stole that phrase. I have to give credit where credit’s due. That came from the chair of the American Psychiatric Association that year – Steven Sharfstein – who was a very brave psychiatrist and wrote a piece in Psychiatry News.” However, Sharfstein has only one article in Psychiatry News and it does not include the quote.
I believe that there is some truth in your anecdotal evidence but do not understand how the rate of autism has increased disproportionate to the rate and dosage of vaccinations. Trauma causes “problems with living” and a shot of toxins can be traumatic; therefore, I believe that doses of MMR should be reduced with more frequent injections. Thank you for your community service in supporting suffering parents.
Approaching a 100-fold increase in the rate of “Autism Spectrum Disorder” is a staggering epidemic of diagnoses! We have a substantial increase in childhood “problems with living’ but I do not believe that the problems are caused by screen time (or vaccines). I contend that the increase is substantially due to the increase in pediatric intervention in childhood since 1980, the shift in psychiatry to increased medicalization of all “problems with living”, and the substantial increase in childhood stress. Psychiatry and “childhood development” specialists are harming our children; no one can learn anything with someone watching over their shoulder, second-guessing every move!
I oppose the myth of “mental illness” as well as coerced “treatments” and do not believe that coerced treatments can be prevented without challenging the myth. Psychiatry advocates that natural emotional suffering (and other natural “problems with living”) is a medical problem that causes a loss of normal brain function wherein a moral society should intervene to assist. False medical legitimacy promotes the myth of “mental illness” that promotes the standard coercive “treatments” of psychiatry. Get rid of the medical science legitimacy of psychiatry and I have no problem with it operating as a philosophy or theology.
I_e_cox,
I believe that we will need a Truth and Reconciliation commission to figure how to go forward after Psychiatry has been delegitimized as a medical science.
I definitely believe that our society should provide social services to those who suffer emotionally or struggle with other natural problems with living.
In this Comments section of this blog on this website, this post seems like a troll.
Psychiatry pathologizes natural emotional suffering (and other natural problems with living); it advocates a Pollyanna World. Pathologizing sadness with the myth of “mental illness” is a crime against humanity; it causes increased emotional suffering (and other natural “problems with living”). Understanding psychiatry as a tool that delegitimizes natural emotional suffering in support of cultural practices is critical for challenging this harmful narrative.
Your comment makes sense; I cannot imagine slaves discussing reparations before they were freed.
Psychiatry pathologizes emotional suffering and other natural “problems with living”; this is a harmful, false narrative that causes more “problems with living” than could possibly be remedied by any “mental health” technology.
I agree; expecting an “alternative” to psychiatry implies that there is a valuable service provided.
Sam and Rachel, my apologies; I state that “The myth of ‘mental illness’ serves the function of social control for a secular world consistent with ‘demonic possession’ for a theological world.” Thereafter, I erroneously (and misleadingly) substituted “exorcism” for “demonic possession”; exorcism is a “cure” for “demonic possession” similar to burning possessed people.
Our community believes in the myth of “mental illness” that advocates a Pollyanna World. Our culture believes that emotional suffering is unnatural regardless of cruel and unjust life experiences- regardless of predominately distressful life circumstances. The myth of a Pollyanna World must be exposed.
The myth of “mental illness” serves the function of social control for a secular world consistent with “demonic possession” for a theological world. Exorcism is difficult to understand as a means of social control for someone who believes in the myth of “demonic possession.” Exorcism is BOTH a “false” theological belief intended to “help people” AND a tool of social control. Consistently, psychiatry is both a false medical science intended to help people and a tool of social control. The myth of a Pollyanna World must be challenged.
I disagree with this post of mine. I defined psychiatry in a way that is both (A) and (B) and thereafter described these two definitions as “perceptions.”
Perhaps my problem comes with the term “assigned” in definition (B) above. I believe that psychiatry is “assigned” to help people but “serves” a controlling and repressive function like exorcism for “demonic possession.” We live in a community that predominately believes in the myth of “mental illness.”
“A key issue to be sorted out is exactly what IS psychiatry? Is it A) A rogue or “failed” branch of medicine meant to help people or B) A parallel police force assigned to control and repress people?” These are two different questions that are confusing because they are posed as one question; the first addresses psychiatry and the second addresses perceptions of psychiatry.
Psychiatry is an illegitimate medical science that pathologizes painful emotional suffering and other natural “problems with living” with the myth of “mental illness”; this serves community leaders as a tool of social control. Most people believe that psychiatry is meant to help people until it is understood as a harmful, false myth. Even when people understand the myth, it is so ingrained that people often have difficulty considering it as having the purpose of delegitimizing suffering for social control.
“Would the anti-psychiatry folks like those who are severely out of it (“mentally ill”) wandering around homeless muttering to themselves?” Psychiatry pathologizes emotional suffering and other natural “problems with living”; it worsens natural problems with living by defining them as diseases. Challenging this erroneous narrative will reduce community problems with living and promote assistance to the most needy in the community.
What a touching tribute; we should all celebrate such community service!
“Failure to replicate” is an often repeated phrase in psychiatry research; perhaps they should reconsider the hypothesis.
Psychiatry is a strong nocebo.
I did not intend to make light of psychiatric abuses prior to 1980.
I do not believe that my comments were an “official narrative” but do agree that pathologizing emotional suffering (and other natural “problems with living”) is a tool of social control (and repression), and should be described within this context.
Thank you for your community service in challenging the harm of psychiatry. I agree that “the huge expansion of the mental health enterprise began in 1980, with the APA adopting its disease model, and that is the enterprise that swept Laura into its midst.” However, I disagree with connotations related to psychiatry’s “medical model” as if its previous model was not a “medical model.”
Prior to 1980, psychiatry advocated a “medical model” based on Freudian theory. Psychiatry is considered a medical profession; their previous model was therefore also a “medical model” albeit less expansive. Psychiatry’s current “medical model” was a response to criticism of its theoretical foundation on Freudian theory. The Freudian model was problematic for psychiatry because it was an indefensible narrative (ids, egos and superegos); it also described the vast majority of “mental disorders” (“neuroses”) as non-medical problems. Psychiatry was rightly criticized for an indefensible narrative and over-reach. Psychiatry was in trouble in 1980; it could stick with Freudian theory and loose domain over “neuroses”, or dump Freud and claim that all “neuroses” were thereafter medical problems (under their purview).
With the DSM-III, psychiatry abandoned an underlying (Freudian) theory and reasserted itself as a medical profession with its “medical model” as if the abandoned “Freudian model” was not a “medical model.” It is true that after 1980, psychiatry and Big Pharma cast a much wider net that is causing catastrophic harm but psychiatry’s model has always been medical; its survival depends upon it. All medical sciences consider themselves to be biological sciences; only “biological psychiatry” uses redundancy to promote legitimacy. Consistently, all medical sciences consider their models to be “medical models”; only psychiatry uses redundancy to promote legitimacy.
This is well written and deserved to be published.
I agree that “if people are being given drugs for fraudulent and deceptive purposes, THAT should be the issue.”
Good point; psychiatry is a powerful nocebo!
“People are living up or down to expectations.” The power of placebos and nocebos is vastly underrated.
Well said.
The legitimacy of psychiatric coercion is based on the legitimacy of psychiatry as a medical science addressing “broken brains” that cause personal and public harm. Based on the prevailing psychiatric narrative, psychiatric coercion is humane treatment since individuals have lost their ability to make sound judgments about their own behavior. The harm of psychiatric coercion will continue as long as psychiatry is an accredited medical science; only through delegitimizing psychiatry will its coercion become obvious human rights violations.
In reference to “abolishing” psychiatry, I want to delegitimize psychiatry as a medical science. Psychiatry advocates a harmful philosophy of “mind”; it should not be considered a medical, biological science since it does not address the physical world. I have no problem with psychiatry continuing as a philosophy or religion; I have a problem with psychiatry passing as a medical (biological) science.
It seems that initial targets of abolitionists should include the definition of “antipsychiatry” that instead defines “critical psychiatry”; Wikipedia for instance hardly mentions abolition in its definition. It seems difficult to “grow” a “movement” to abolish psychiatry as long as “antipsychiatry” does not mention abolition.
Right on!
Thank you for this post and allowing comments; you make some good points but miss others. I believe that you misunderstand the problems caused by pathologizing natural emotional suffering. Most of your patients (and the community) believe that anxiety and depression are caused by a mythical “mental illness”; affirmation from a diagnosis is therefore often empowering. People have faith in medical treatments including medicines; a diagnosis is a cause for celebration when patients believe that it is the first step in identifying and resolving the cause of anxiety and depression. This is problematic because anxiety is caused by distressful experiences and depression is caused by depressing experiences rather than medical problems.
Please allow me to join the chorus of those praising this article as a valuable community service; “the message” is important and you are an articulate spokesperson.
My criticism of psychiatry focuses on medical schools who legitimize its harmful “medical model” narrative as medical science; a (harmful) philosophy of “mind” is not a biological, medical science. The “medical model” is actually the “disease model” since it has no medical legitimacy.
Pathologizing natural emotional suffering is a crime against humanity!
I do not understand how “the influence our bacterial makeup (microbiome) has on our thoughts, feelings and behaviors” implies that “the brain is not the sole (or perhaps even the primary) ‘home’ of cognition and affect.” Brain “health” (from nutrition, bacteria balance, rest, etc.) affects thoughts and behaviors.
I disagree with the underlying premise that supports this study; it is a generally accepted foundation for much of Behavioral Neuroscience but should not qualify as real science. Studying animal behavior to glean an understanding of human behavior and human genetic influences is based on two generations of abstractions. First scientists must decide how to model human behavior to study it; modeling human behavior is a difficult abstraction since scientists do not understand human behavior. Thereafter, behavioral scientists often attempt to apply the modeled human behavior to an animal population for research; this is so fraught with wild assumptions that the description of “wild abstraction” is an extreme understatement. Studying human psychology and genetic influences from an animal population is two levels of abstraction from directly studying human psychology and genetic influences; it should not qualify as real science.
Well said.
“Biological” psychiatry replaced Freudian psychiatry but has now become synonymous with “psychiatry that pushes drugs hard” vs. “psychiatry that pushes drugs with more finesse.” As along as psychiatry is an accredited medical (biological) science, “biological psychiatry” is redundant and all psychiatry is biological psychiatry- a “medical science” that pathologizes natural behaviors.
Well said, Kindredspirit, and great followup Steve.
Yes; I am opposed to psychiatry. Its existence as a medical science promotes the myth of “mental illness” that pathologizes natural emotional suffering or other natural problems with living.”
Right on.
Consistent with Steve’s comment below, drug abuse from neuroleptics causes “majorly depressing experiences”- majorly depressing iatrogenic harm.
I agree and appreciate the clarification.
“Alarmingly, between 2005 and 2017, the occurrence of a major depressive episode in the last year leapt 52% among adolescents, and 63% among young adults.” This epidemic of “mental illness” represents either an alarming increase in depressing experiences among our adolescents and young adults or an alarming public health crisis. We must immediately consider whether an enemy has released some kind of mysterious pathogen targeting our youth or whether their “major depression” is caused by their “majorly depressing experiences.”
The researchers are unable to replicate any support for genetic causation of depression consistent with their inability to replicate any genetic causation for any “mental illness”; the inability to replicate is the story here. Jay Joseph has written books and blogs on this subject; genetic research is bad science based on failure to do “double-bind studies” and control for the confirmation bias (besides failure to replicate). Depressive experiences cause depression; unfortunately, researchers cannot quantify this hypothesis nor falsify it.
Sounds great… and I’ll definitely check out your Reign of Error; sounds like you’ve been a heavy hitter for decades.
Best wishes, Steve
I am sorry that I was slow to realize that you responded here to my letter.
I believe that your blog post is exceptionally articulate and that you speak professionally on your YouTube productions; I want to encourage you further. I believe that there is a problem with publishing on YouTube; once a video is published, there is no opportunity to further edit it. I would like to suggest considering a video streaming website like Vimeo where you can publish, edit and republish for increased impact. You have excellent presentation skills; my criticism of psychiatry (https://vimeo.com/185916512) has improved substantially with editing but would nevertheless be much improved if I possessed your on-camera talent.
I look forward to your MIA interview and hope to discuss psychiatry with you further.
Best wishes, Steve
I agree that capitalism causes “problems with living” but you are implying that it is the only cause (and that only people in capitalist countries have “problems with living”).
What is wrong with Szasz’ term “problems with living” and “people experiencing ‘problems with living’?”
I contend that psychiatry pathologizes expressions of natural emotional suffering. The World Health Organization supports psychiatry by defining “mental health” as “emotional well-being” and thereby implying that natural emotional suffering is pathological. I like the term “problems with living” because it is broad enough to go beyond emotional suffering to include other natural problems with living that the DSM pathologizes as unnatural.
I mostly agree with you and admire your approach; it seems valuable for replicating. I believe that all emotional suffering is natural based on personal experience. I specify emotional suffering from “cruel and unjust life circumstances” as a means to challenge psychiatry’s advocacy that emotional suffering is unnatural regardless of life circumstances.
However, you seem to support my point about distressful life circumstances with this concluding remark: “Sometimes, we do it to ourelves, with our own critical and self-judgmental voices, which would be what we carry inside of us due to early trauma.” It seems like a distressful, “unjust life circumstance” to carry critical self-judgement due to early trauma.
Steve just said: “the problem with ‘mental health’ is that it implies that people who are suffering are somehow ‘ill'”; I agree totally. “Mental health” implicitly legitimizes “mental illness” and “mental illness” pathologizes natural emotional suffering (emotional pain) from distressful personal experience- from cruel and unjust life circumstances.
Steve also said that “mental health” “means not being upset in any way with the status quo.” I agree assuming that “the status quo” references the cruel and unjust life circumstances that cause natural emotional suffering.
Steve also said: “controlling language is part of controlling the narrative”; I totally agree. I have experienced extreme emotional suffering from cruel and unjust life circumstances that naturally promoted behaviors that the DSM describes as “bipolar disorder.” My emotional pain caused me to react in ways that others might consider “irrational” but this is unfair focus since expressions of physical pain are generally irrational and not judged as pathological. People experiencing physical torture see visions and hear voices but are not judged as “mentally ill.” Personally, I relate to having been an “emotional sufferer”; I consider terms like “crazy” or “nuts” or “bonkers” to falsely imply that my thinking or behavior was less than natural.
Thank you for this article; it is a community service. I contend that neuroleptics have a sedative affect that naturally causes a loss of brain volume (nervous tissue volume) through atrophy. Neuroleptics have a sedative effect that reduces nervous tissue usage; reduced nervous tissue usage causes atrophy consistent with how reduced usage causes atrophy of all other body tissues. Increased brain activity from cessation of neuroleptics will increase nervous tissue volume (brain volume) consistent with rebuilding muscle tissue when a cast is removed. It is illogical for scientists to attribute loss of brain volume to a mythical disease when it is readily understandable through basic physiology theory.
Steve, well said.
Psychiatry kills more with its nocebo effect than with its drugs.
Psychiatry is a nocebo by advocating the myth of “mental illness”; a nocebo promotes negative health outcomes through negative thinking (consistent with how a placebo promotes positive health outcomes through positive thinking). Testing for “problems with living” that are intended to predict “psychosis” (increased “problems with living” pathologized by psychiatry) creates a “self-fulfilling prophecy” that harms health- real (physical) health.
This is an excellent article; thank you Bruce. I would like to add that psychiatrists are often more authoritarian than other “doctors” because they do not know what they are doing, have little success in their “practice”, and resent their patients for not affirming their medical school “expertise.” This is also the reason psychiatrists have a higher rate of suicide than other “medical” professions.
I respectfully disagree; I believe that psychiatry gains its cultural acceptance through its false claim of medical science legitimacy- of being “disguised by the trappings of medicine.” Challenging its pseudoscience seems critical for exposing its medical disguise and its police function.
I believe that you are a rare exception if you ended up in “civil commitment” without expressing “distress in response to adversity.”
Well said.
I agree; they are denying our humanity by “relegating personal histories to ‘triggers’ of an underlying genetic time bomb.”
I respectfully disagree; our community considers science to be our best way of understanding ourselves and our environment. Consistently, psychiatry dominates the “mental health” care industry based on its false claim of being a biological science. Hence, I appreciate Joseph’s challenges to their pseudo genetics- to their garbage “science.”
Well said Rachel 777. It seems therapeutic to understand that depression is a natural reaction to depressing experiences so that depressing experiences can be addressed and countered. Consistently, if depression is understood as the natural reaction to depressing experiences, assistance would take the form of empathy and support rather than drugs and coercion.
Real biology explains depression as the natural expression of depressing experiences; psychiatry increases prognosis pessimism by pathologizing natural emotional suffering.
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Well said.
In 1984, the Thought Police force Happy Pills on everyone; in 2019, the Thought Police only force Happy Pills on people when they act unhappy. Beware.
Steve McCrea is a smart fellow; you could learn a great deal by clicking on his name and reviewing some of his previous comments to other blogs. Steve said that there is no organic criteria for any DSM diagnoses and you disagreed with a link to the National Institute of Health that provides no organic criteria for any DSM diagnoses. The DSM criteria that you referenced are all descriptions of behavior patterns; there are no biological criteria for any DSM diagnoses.
Your satire is funny because it is articulate and painfully true. However, I thought that I understood the blog completely until Slayer questioned how the blog specified “biological” psychiatry; thereafter, I was confused about the distinction. As an accredited medical science (albeit an illegitimate medical science), all psychiatry is “biological” psychiatry. However, most people who use the term intend to make some distinction from “mainstream” psychiatry; what was your intent?
Well said.
I was supporting this comment “thread” that I understood to address how our culture uses fear to pit people against each other – uses fear to “divide and conquer.” I did not understand this thread to challenge my contention that psychiatry pathologizes natural emotions and behaviors, and that this serves as a political tool to delegitimize criticism of social and economic injustice.
Whitaker and Kindredspirit, Right On!
Right on!
Thank you for the community service of speaking the truth about your life. Psychiatry is “trauma denial” in support of existing social structures; it falsely advocates that distressful experiences are an anomaly in an otherwise friendly environment. Psychiatry is trauma denial when advocating that people should “recover” from traumatic experiences without justice and often without cessation of the traumatic experiences. Psychiatry shames the victims of trauma by advocating Pollyanna and a fairy tale world of fairness and goodness; the truth about distressful human experience is antipsychiatry.
Your comment is confusing: my comment supports the main theme of the blog that criticizes blaming the “mentally ill” for mass shootings instead of blaming a societal failure. Criticizing a culture does not address the behavior of an individual within a culture. I believe that our epidemic of mass shootings is caused by an increasingly hateful and violent culture- a societal failure that includes sedating natural emotions and non-conforming behaviors with neurotoxins.
Thank you for this articulate and timely blog. It is unfortunate that the obvious truth is currently so difficult for so many people to see: “This blaming ultimately prevents us from acknowledging the obvious truth: the regular presence of mass murders in our society needs to be seen as a societal failure.”
Well said: “Of course all psychiatric terminology is hate speech.”
Thank you for your community service in articulately advocating against how standard “mental health” care harms society by pathologizing suicide.
Since psychiatry pathologizes suicide consistent with other natural behaviors that it pathologizes, I am confused about why psychiatry does not include suicide ideation as another mythical DSM diagnosis.
Best wishes, Steve
Right on!
I am troubled by psychiatry harming the community with the myth of “mental illness”- by pathologizing natural emotional suffering and natural, non-conforming behaviors. I am also trouble by the term “neurodiversity” when it advocates that “mental illness” is a passageway to special spiritual enlightenment; this puts a positive spin on a harmful myth. I support “neurodiversity” in some contexts but not as a new myth that supports a few people while obscuring the source of a calamity for a multitude of others.
Thank you for your response; I believe that I am using the term “neurodiverse” in a different context than others. I now understand you and others to use the term “neurodiverse” in a social context about what is “normal” brain functioning (wherein “normal” is understood as common or average). In contrast, I was focusing on a medical context about what is “natural” brain functioning. I agree that there is no “normal” brain functioning but believe that there is “natural” and “unnatural” brain functioning- natural and pathological functioning. I thought that advocates of “neurodiversity” were trying to put a positive spin on “mental disorders” that pathologize natural behaviors through the myth of “mental illness.” It now seems like the term is gaining a wider usage.
Perhaps victims of psychiatry may rally around the concept of “cognitive liberty”; as you say, time will tell. Most people exclude cognition considered “diseased” when considering “cognitive liberty”; my problem with advocating “cognitive liberty” is that it side-steps addressing the Disease Model that is causing the harm.
I believe that I misunderstood your previous comment; do you mind me asking about whether you believe that the terms “mad” and “neurodiversity” are without connotations of pathology?
Advocating cognitive liberty may be more inclusive of all critics of psychiatry but it does not address my fundamental criticism of psychiatry. Thus I support cognitive liberty but cannot rally behind it to challenge the harm caused by the myth of “mental illness”; it is too intellectually abstract to promote political action. I cannot imagine Jews rallying behind cognitive liberty with reformists to challenge the Holocaust or Abolitionists rallying behind cognitive liberty with reformists to challenge slavery. Isn’t advocating cognitive liberty for those suffering from coerced drugging or imprisonment based on a myth insulting to those without physical liberty?
I consider “neurodiverse” to be similar to “mad”; both terms put a positive spin on a harmful myth that pathologizes natural emotional suffering and other natural “problems in living.” I do not criticize oppressed people for naturally seeking a more positive self-image but doesn’t advocating a positive spin on an oppression detract from a political challenge?
Thank you for all of your community service in challenging psychiatry.
However, I am concerned that your posted advocacy of “cognitive liberty” discounts the context of psychiatry functioning as a medical science. The community supports human rights violations (and violations of “cognitive liberty”) as unfortunate parts of “medical treatment” for those with “cognitive impairments” that interfere with “sound” judgment. The community generally considers psychiatry to be an altruistic enterprise (albeit with problems).
In contrast, I consider psychiatry to be an illegitimate medical science advocating that natural emotional suffering and other natural problems in living are instead unnatural- medical problems. Psychiatry denies our humanity by advocating the myth of “mental illness”- that emotional suffering is unnatural regardless of cruel and unjust life circumstances. I consider the foundation of all of psychiatry’s harm to be the Myth advocating Pollyanna and a fairy tale world of goodness and fairness (in support of existing social structures). Doesn’t a reformist perspective of psychiatry imply that it has a legitimate goal that deserves reforming rather than being an illegitimate medical science pathologizing social welfare problems?
Thank you for this post; I am also uncomfortable with the term “neurodiverse” for all of the reasons that you articulately state.
I agree that it seems critically important to have at least one person in your life who can affirm your personal value, but it also seems important to have some additional luck in navigating through life after such horrific childhood experiences.
Interesting point about free will; psychiatry is illogical, socially-constructed science that shifts positions about free will. Psychiatry implies that behavior it deems prosocial is a function of free will and behavior it deems antisocial is a function of genetics (unless the “antisocial” behavior is deemed criminal wherein it is again a function of free will).
Thank you for your community service in addressing harmful pseudoscience.
When a scientific inquiry is described as “political”, most people think of a disagreement between two different perspectives of an issue, but this is not the case with twin studies. The politics of twin studies is the worst in science because it is one-sided. The politics of twin studies is a “confirmation bias” that is so strong that almost anything passes for scientific support (as you well document in your books on behavioral genetics).
I appreciate Robert Whitaker responding to comments.
My preceding comment about MIA not rejecting the “fundamental legitimacy” of psychiatry references psychiatry’s legitimacy as a medical science. My opinion is based on MIA’s mission statement that seeks the goal of “remaking psychiatry.” Seeking to “remake psychiatry” implies that psychiatry’s goals warrant pursuing- that “mental disorders” are medical problems and the legitimate purview of medical science.
Thank you, Dr. Caplan; this excellent post is a valuable community service. I also want to thank Robert Whitaker for his support in its publication as well as his extremely valuable community service.
However, I believe that Dr. Caplan misunderstands MIA and its policies. Whitaker’s comments in this article and the MIA mission statement are extremely critical of psychiatry but do not describe psychiatry and its DSM as lacking fundamental legitimacy. Consistently, Whitaker is quoted as saying that MIA uses common diagnostic terms without intending to support their validity; he does not say that diagnostic terms completely lack validity. The myth of “mental illness” is a classical paradigm with deep roots; we should expect quotation marks around “psychiatric disorders” in the introduction to the MIA mission statement before expecting quotations in their blog postings.
Psychiatry is “trauma denial”; “trauma informed care” is dishonest. A trauma is a distressful experience of a distressful environment; in contrast, psychiatry implies that a trauma is a distressful experience of an otherwise friendly, supportive environment. Psychiatry denies trauma from bullying, discrimination, poverty and sexual assault by advocating that victims “recover” from their legitimate fears while their environments remain dangerous and hostile. Psychiatry similarly denies trauma from child abuse and the sorrow of war by advocating that victims “recover” from their distressful experiences while the community ostensibly ignores its reality.
Your comments are staggeringly articulate!
Psychiatry believes that they are “working with a body” that is not affected by personal experience. Psychiatry denies our humanity when it relegates lived experience to “triggers of an underlying genetic time bomb.”
Psychiatry is a secondary police force that manages “non-productive, non-conforming and disruptive behaviors” with little legal restraint; it is unusual to obtain legal redress from the abuses of psychiatry. The World Health Organization supports psychiatry by defining “mental health” as a function of productivity- emotional well-being from productivity. The predominance of survivors of psychiatry were seen as “ne’er do wells” in order to qualify for psychiatric abuse.
Removed for moderation.
Removed for moderation.
Yeah_I_Survived, Szasz’s libertarianism has never been a problem for me; it seems like a natural reaction to his experiences of oppression and authoritarianism. Szasz understood the term “therapeutic state” to describe a secondary police force to manage dissent of authoritarianism; he was addressing social control rather than social welfare. The term “therapeutic state” is now more often used to describe a government that believes in social welfare; this is not how Szasz used the term.
Thank you for allowing me to comment. I believe that you and the book about Szasz misunderstand his greatness and legacy: he is the first to articulate that “mental illness” is a “myth.” The authors deny Szasz’s true legacy by denying that this is a medical issue of catastrophic proportion. Psychiatry has power as science- a medical science; Dr. James Knoll ignores this fact when he claims that psychiatry is “a hybrid profession of clinical science and humanities.” Consistently, Dr. Haldipur does Szasz a disservice when he states that “Szasz’s own writings are best read as philosophy rather than as psychiatry.” This misunderstanding of Szasz’s legacy permits the author to review a book from one of the greatest medical doctors in history as if it was a purview of the humanities. Szasz was the first articulate medical doctor to describe psychiatry as addressing a myth; this challenge to psychiatry’s legitimacy as a medical science will be his legacy!
This is really an excellent comment for two reasons: it articulately addresses Psychiatry’s advocacy of Pollyanna and how the community re-abuses those who have experienced childhood trauma. Psychiatry advocates Pollyanna in a fairy tale world of goodness. Psychiatry falsely implies that Adverse Childhood Experiences are an anomaly in a world of fairness and altruism wherein cruelty and social and economic injustice are successfully redressed through established social structures. Psychiatry denies the reality of trauma; it is an experience of a distressful environment rather than a distressful experience in an otherwise friendly environment. Also, I read an article at this website that described how adults who were “diagnosed” with Adverse Childhood Experiences were considered risky candidates for adoption; the cruelty and injustice are staggering.
Thank you for your painful community service. The thought of attaching electricity machines to children’s foreheads to address emotional suffering or other natural “problem with living” while disrupting needed sleep makes me cry too.
Anatomy of an Epidemic documents the epidemic of “mental illness” associated with an explosion of psychiatric drug prescriptions but does not focus on childhood statistics. The epidemic of autism for younger children and ADHD for older children is a greater epidemic than the epidemic for the general public. This is an iatrogenic public health crisis of historic proportions that lacks a historical perspective; anyone who grew up in the fifties can inform the community that childhood “mental illness” is a substantially modern invention.
Thank you for years of community service in challenging the harm of psychiatry.
Psychiatry has power in the community because it purports to be scientific; in contrast, the “mind-body problem” is a philosophical problem. This blog is an interesting philosophical commentary on human nature but our community considers science to be our best way to understand ourselves and our environment. The power of psychiatry to harm the community with the myth of “mental illness” rests substantially on a community belief that psychiatry is a legitimate biological (medical) science. Unfortunately, as a medical doctor discussing the “mind-body problem”, you create the implication that psychiatry has some legitimacy as a biological science.
“Life events have been relegated to the role of triggers of an underlying genetic time bomb.” I consider this an impactful quote and would like to quote the phrase. Read stated that “I stole that phrase. I have to give credit where credit’s due. That came from the chair of the American Psychiatric Association that year – Steven Sharfstein – who was a very brave psychiatrist and wrote a piece in Psychiatry News.” However, Sharfstein has only one article in Psychiatry News and it does not include the quote.
I believe that there is some truth in your anecdotal evidence but do not understand how the rate of autism has increased disproportionate to the rate and dosage of vaccinations. Trauma causes “problems with living” and a shot of toxins can be traumatic; therefore, I believe that doses of MMR should be reduced with more frequent injections. Thank you for your community service in supporting suffering parents.
Approaching a 100-fold increase in the rate of “Autism Spectrum Disorder” is a staggering epidemic of diagnoses! We have a substantial increase in childhood “problems with living’ but I do not believe that the problems are caused by screen time (or vaccines). I contend that the increase is substantially due to the increase in pediatric intervention in childhood since 1980, the shift in psychiatry to increased medicalization of all “problems with living”, and the substantial increase in childhood stress. Psychiatry and “childhood development” specialists are harming our children; no one can learn anything with someone watching over their shoulder, second-guessing every move!
I oppose the myth of “mental illness” as well as coerced “treatments” and do not believe that coerced treatments can be prevented without challenging the myth. Psychiatry advocates that natural emotional suffering (and other natural “problems with living”) is a medical problem that causes a loss of normal brain function wherein a moral society should intervene to assist. False medical legitimacy promotes the myth of “mental illness” that promotes the standard coercive “treatments” of psychiatry. Get rid of the medical science legitimacy of psychiatry and I have no problem with it operating as a philosophy or theology.
I_e_cox,
I believe that we will need a Truth and Reconciliation commission to figure how to go forward after Psychiatry has been delegitimized as a medical science.
I definitely believe that our society should provide social services to those who suffer emotionally or struggle with other natural problems with living.
In this Comments section of this blog on this website, this post seems like a troll.
Psychiatry pathologizes natural emotional suffering (and other natural problems with living); it advocates a Pollyanna World. Pathologizing sadness with the myth of “mental illness” is a crime against humanity; it causes increased emotional suffering (and other natural “problems with living”). Understanding psychiatry as a tool that delegitimizes natural emotional suffering in support of cultural practices is critical for challenging this harmful narrative.
Your comment makes sense; I cannot imagine slaves discussing reparations before they were freed.
Psychiatry pathologizes emotional suffering and other natural “problems with living”; this is a harmful, false narrative that causes more “problems with living” than could possibly be remedied by any “mental health” technology.
I agree; expecting an “alternative” to psychiatry implies that there is a valuable service provided.
Sam and Rachel, my apologies; I state that “The myth of ‘mental illness’ serves the function of social control for a secular world consistent with ‘demonic possession’ for a theological world.” Thereafter, I erroneously (and misleadingly) substituted “exorcism” for “demonic possession”; exorcism is a “cure” for “demonic possession” similar to burning possessed people.
Our community believes in the myth of “mental illness” that advocates a Pollyanna World. Our culture believes that emotional suffering is unnatural regardless of cruel and unjust life experiences- regardless of predominately distressful life circumstances. The myth of a Pollyanna World must be exposed.
The myth of “mental illness” serves the function of social control for a secular world consistent with “demonic possession” for a theological world. Exorcism is difficult to understand as a means of social control for someone who believes in the myth of “demonic possession.” Exorcism is BOTH a “false” theological belief intended to “help people” AND a tool of social control. Consistently, psychiatry is both a false medical science intended to help people and a tool of social control. The myth of a Pollyanna World must be challenged.
I disagree with this post of mine. I defined psychiatry in a way that is both (A) and (B) and thereafter described these two definitions as “perceptions.”
Perhaps my problem comes with the term “assigned” in definition (B) above. I believe that psychiatry is “assigned” to help people but “serves” a controlling and repressive function like exorcism for “demonic possession.” We live in a community that predominately believes in the myth of “mental illness.”
“A key issue to be sorted out is exactly what IS psychiatry? Is it A) A rogue or “failed” branch of medicine meant to help people or B) A parallel police force assigned to control and repress people?” These are two different questions that are confusing because they are posed as one question; the first addresses psychiatry and the second addresses perceptions of psychiatry.
Psychiatry is an illegitimate medical science that pathologizes painful emotional suffering and other natural “problems with living” with the myth of “mental illness”; this serves community leaders as a tool of social control. Most people believe that psychiatry is meant to help people until it is understood as a harmful, false myth. Even when people understand the myth, it is so ingrained that people often have difficulty considering it as having the purpose of delegitimizing suffering for social control.
“Would the anti-psychiatry folks like those who are severely out of it (“mentally ill”) wandering around homeless muttering to themselves?” Psychiatry pathologizes emotional suffering and other natural “problems with living”; it worsens natural problems with living by defining them as diseases. Challenging this erroneous narrative will reduce community problems with living and promote assistance to the most needy in the community.
What a touching tribute; we should all celebrate such community service!
“Failure to replicate” is an often repeated phrase in psychiatry research; perhaps they should reconsider the hypothesis.
Psychiatry is a strong nocebo.
I did not intend to make light of psychiatric abuses prior to 1980.
I do not believe that my comments were an “official narrative” but do agree that pathologizing emotional suffering (and other natural “problems with living”) is a tool of social control (and repression), and should be described within this context.
Thank you for your community service in challenging the harm of psychiatry. I agree that “the huge expansion of the mental health enterprise began in 1980, with the APA adopting its disease model, and that is the enterprise that swept Laura into its midst.” However, I disagree with connotations related to psychiatry’s “medical model” as if its previous model was not a “medical model.”
Prior to 1980, psychiatry advocated a “medical model” based on Freudian theory. Psychiatry is considered a medical profession; their previous model was therefore also a “medical model” albeit less expansive. Psychiatry’s current “medical model” was a response to criticism of its theoretical foundation on Freudian theory. The Freudian model was problematic for psychiatry because it was an indefensible narrative (ids, egos and superegos); it also described the vast majority of “mental disorders” (“neuroses”) as non-medical problems. Psychiatry was rightly criticized for an indefensible narrative and over-reach. Psychiatry was in trouble in 1980; it could stick with Freudian theory and loose domain over “neuroses”, or dump Freud and claim that all “neuroses” were thereafter medical problems (under their purview).
With the DSM-III, psychiatry abandoned an underlying (Freudian) theory and reasserted itself as a medical profession with its “medical model” as if the abandoned “Freudian model” was not a “medical model.” It is true that after 1980, psychiatry and Big Pharma cast a much wider net that is causing catastrophic harm but psychiatry’s model has always been medical; its survival depends upon it. All medical sciences consider themselves to be biological sciences; only “biological psychiatry” uses redundancy to promote legitimacy. Consistently, all medical sciences consider their models to be “medical models”; only psychiatry uses redundancy to promote legitimacy.
This is well written and deserved to be published.
I agree that “if people are being given drugs for fraudulent and deceptive purposes, THAT should be the issue.”
Good point; psychiatry is a powerful nocebo!
“People are living up or down to expectations.” The power of placebos and nocebos is vastly underrated.
Well said.
The legitimacy of psychiatric coercion is based on the legitimacy of psychiatry as a medical science addressing “broken brains” that cause personal and public harm. Based on the prevailing psychiatric narrative, psychiatric coercion is humane treatment since individuals have lost their ability to make sound judgments about their own behavior. The harm of psychiatric coercion will continue as long as psychiatry is an accredited medical science; only through delegitimizing psychiatry will its coercion become obvious human rights violations.
In reference to “abolishing” psychiatry, I want to delegitimize psychiatry as a medical science. Psychiatry advocates a harmful philosophy of “mind”; it should not be considered a medical, biological science since it does not address the physical world. I have no problem with psychiatry continuing as a philosophy or religion; I have a problem with psychiatry passing as a medical (biological) science.
It seems that initial targets of abolitionists should include the definition of “antipsychiatry” that instead defines “critical psychiatry”; Wikipedia for instance hardly mentions abolition in its definition. It seems difficult to “grow” a “movement” to abolish psychiatry as long as “antipsychiatry” does not mention abolition.
Right on!
Thank you for this post and allowing comments; you make some good points but miss others. I believe that you misunderstand the problems caused by pathologizing natural emotional suffering. Most of your patients (and the community) believe that anxiety and depression are caused by a mythical “mental illness”; affirmation from a diagnosis is therefore often empowering. People have faith in medical treatments including medicines; a diagnosis is a cause for celebration when patients believe that it is the first step in identifying and resolving the cause of anxiety and depression. This is problematic because anxiety is caused by distressful experiences and depression is caused by depressing experiences rather than medical problems.
Please allow me to join the chorus of those praising this article as a valuable community service; “the message” is important and you are an articulate spokesperson.
My criticism of psychiatry focuses on medical schools who legitimize its harmful “medical model” narrative as medical science; a (harmful) philosophy of “mind” is not a biological, medical science. The “medical model” is actually the “disease model” since it has no medical legitimacy.
Pathologizing natural emotional suffering is a crime against humanity!
I do not understand how “the influence our bacterial makeup (microbiome) has on our thoughts, feelings and behaviors” implies that “the brain is not the sole (or perhaps even the primary) ‘home’ of cognition and affect.” Brain “health” (from nutrition, bacteria balance, rest, etc.) affects thoughts and behaviors.
I disagree with the underlying premise that supports this study; it is a generally accepted foundation for much of Behavioral Neuroscience but should not qualify as real science. Studying animal behavior to glean an understanding of human behavior and human genetic influences is based on two generations of abstractions. First scientists must decide how to model human behavior to study it; modeling human behavior is a difficult abstraction since scientists do not understand human behavior. Thereafter, behavioral scientists often attempt to apply the modeled human behavior to an animal population for research; this is so fraught with wild assumptions that the description of “wild abstraction” is an extreme understatement. Studying human psychology and genetic influences from an animal population is two levels of abstraction from directly studying human psychology and genetic influences; it should not qualify as real science.
Well said.
“Biological” psychiatry replaced Freudian psychiatry but has now become synonymous with “psychiatry that pushes drugs hard” vs. “psychiatry that pushes drugs with more finesse.” As along as psychiatry is an accredited medical (biological) science, “biological psychiatry” is redundant and all psychiatry is biological psychiatry- a “medical science” that pathologizes natural behaviors.
Well said, Kindredspirit, and great followup Steve.
Yes; I am opposed to psychiatry. Its existence as a medical science promotes the myth of “mental illness” that pathologizes natural emotional suffering or other natural problems with living.”
Right on.
Consistent with Steve’s comment below, drug abuse from neuroleptics causes “majorly depressing experiences”- majorly depressing iatrogenic harm.
I agree and appreciate the clarification.
“Alarmingly, between 2005 and 2017, the occurrence of a major depressive episode in the last year leapt 52% among adolescents, and 63% among young adults.” This epidemic of “mental illness” represents either an alarming increase in depressing experiences among our adolescents and young adults or an alarming public health crisis. We must immediately consider whether an enemy has released some kind of mysterious pathogen targeting our youth or whether their “major depression” is caused by their “majorly depressing experiences.”
The researchers are unable to replicate any support for genetic causation of depression consistent with their inability to replicate any genetic causation for any “mental illness”; the inability to replicate is the story here. Jay Joseph has written books and blogs on this subject; genetic research is bad science based on failure to do “double-bind studies” and control for the confirmation bias (besides failure to replicate). Depressive experiences cause depression; unfortunately, researchers cannot quantify this hypothesis nor falsify it.
Sounds great… and I’ll definitely check out your Reign of Error; sounds like you’ve been a heavy hitter for decades.
Best wishes, Steve
I am sorry that I was slow to realize that you responded here to my letter.
I believe that your blog post is exceptionally articulate and that you speak professionally on your YouTube productions; I want to encourage you further. I believe that there is a problem with publishing on YouTube; once a video is published, there is no opportunity to further edit it. I would like to suggest considering a video streaming website like Vimeo where you can publish, edit and republish for increased impact. You have excellent presentation skills; my criticism of psychiatry (https://vimeo.com/185916512) has improved substantially with editing but would nevertheless be much improved if I possessed your on-camera talent.
I look forward to your MIA interview and hope to discuss psychiatry with you further.
Best wishes, Steve
I agree that capitalism causes “problems with living” but you are implying that it is the only cause (and that only people in capitalist countries have “problems with living”).
What is wrong with Szasz’ term “problems with living” and “people experiencing ‘problems with living’?”
I contend that psychiatry pathologizes expressions of natural emotional suffering. The World Health Organization supports psychiatry by defining “mental health” as “emotional well-being” and thereby implying that natural emotional suffering is pathological. I like the term “problems with living” because it is broad enough to go beyond emotional suffering to include other natural problems with living that the DSM pathologizes as unnatural.
I mostly agree with you and admire your approach; it seems valuable for replicating. I believe that all emotional suffering is natural based on personal experience. I specify emotional suffering from “cruel and unjust life circumstances” as a means to challenge psychiatry’s advocacy that emotional suffering is unnatural regardless of life circumstances.
However, you seem to support my point about distressful life circumstances with this concluding remark: “Sometimes, we do it to ourelves, with our own critical and self-judgmental voices, which would be what we carry inside of us due to early trauma.” It seems like a distressful, “unjust life circumstance” to carry critical self-judgement due to early trauma.
Steve just said: “the problem with ‘mental health’ is that it implies that people who are suffering are somehow ‘ill'”; I agree totally. “Mental health” implicitly legitimizes “mental illness” and “mental illness” pathologizes natural emotional suffering (emotional pain) from distressful personal experience- from cruel and unjust life circumstances.
Steve also said that “mental health” “means not being upset in any way with the status quo.” I agree assuming that “the status quo” references the cruel and unjust life circumstances that cause natural emotional suffering.
Steve also said: “controlling language is part of controlling the narrative”; I totally agree. I have experienced extreme emotional suffering from cruel and unjust life circumstances that naturally promoted behaviors that the DSM describes as “bipolar disorder.” My emotional pain caused me to react in ways that others might consider “irrational” but this is unfair focus since expressions of physical pain are generally irrational and not judged as pathological. People experiencing physical torture see visions and hear voices but are not judged as “mentally ill.” Personally, I relate to having been an “emotional sufferer”; I consider terms like “crazy” or “nuts” or “bonkers” to falsely imply that my thinking or behavior was less than natural.
Thank you for this article; it is a community service. I contend that neuroleptics have a sedative affect that naturally causes a loss of brain volume (nervous tissue volume) through atrophy. Neuroleptics have a sedative effect that reduces nervous tissue usage; reduced nervous tissue usage causes atrophy consistent with how reduced usage causes atrophy of all other body tissues. Increased brain activity from cessation of neuroleptics will increase nervous tissue volume (brain volume) consistent with rebuilding muscle tissue when a cast is removed. It is illogical for scientists to attribute loss of brain volume to a mythical disease when it is readily understandable through basic physiology theory.
Steve, well said.
Psychiatry kills more with its nocebo effect than with its drugs.
Psychiatry is a nocebo by advocating the myth of “mental illness”; a nocebo promotes negative health outcomes through negative thinking (consistent with how a placebo promotes positive health outcomes through positive thinking). Testing for “problems with living” that are intended to predict “psychosis” (increased “problems with living” pathologized by psychiatry) creates a “self-fulfilling prophecy” that harms health- real (physical) health.
This is an excellent article; thank you Bruce. I would like to add that psychiatrists are often more authoritarian than other “doctors” because they do not know what they are doing, have little success in their “practice”, and resent their patients for not affirming their medical school “expertise.” This is also the reason psychiatrists have a higher rate of suicide than other “medical” professions.