old head, You say ‘alternative to starvation,’ yet tell that to the woman I know, a professional and human rights advocate, who cannot imagine her life without psychiatric drugs and doesn’t want to. She isn’t starving, by any stretch of the imagination. Nor are psych drugs all she does, she is aware of needing certain kinds of support in her daily life and she has someone to give it to her. On the other hand, I also know many people who are in an in-between place, who are looking for something, would welcome a drug if it actually got rid of the ways they feel terrible, hate the adverse effects, would welcome enthusiastically something better. Psychiatry hasn’t worked for them but nothing else has either, they are desperately unhappy and haven’t connected with anything that lets them live in peace. The way you describe psychiatry, I don’t think you are separating the coercive institutional and legal aspects from the paternalism (which can be equally present in therapy), and from any possible elements that give anybody something that they need. I entirely agree that abolition of psychiatry as a social control institution cannot be subject to development of alternatives. Abolition of legalized coercion is the first step, then there are other collateral ways that it operates as social control. That is what CRPD requires. And, in its current form psychiatry as a profession, as a social institution, cannot be separated from paternalism and legally-empowered coercion. Organized psychiatry does not want to liberate itself from its deified status and struggle as ordinary human beings, I suppose they aren’t sure they’d have anything to offer. This doesn’t seem to me any different the way it operates, than white supremacy and male supremacy; it takes a willingness to let go of hierarchy and not see it as part of one’s own identity, to find an identity that doesn’t depend on being above someone else. I think it can be done.