Thoroughly enjoy your writing as always, Phil — for me it’s often like some sort of intellectual-satirical-political dark comedy! 🙂 And can anyone please tell me how Pies has managed to miss the fact that, still today, he’s one of a very tiny percentage of psychiatrists who actively and publicly renounce the biochemical imbalance theory??!! On the particular issue being raised in these comments right here, though, I want to say, perhaps some confusion/disagreement is arising for good reason. Because, I think it’s important to note, mainstream medicine is actually becoming increasingly like bad psychiatry and not vice versa. Witness the themes of the “Selling Sickness” conferences etc, where profound questions are raised about “the cholesterol hypothesis” and statin drugs, and about over-screening, over-diagnosing, and over-treating of nebulously defined “hypertension” and “gastrointestinal disorders” etc etc. And these are some of the most common diagnoses and top-selling drugs today. So I think it’s becoming increasingly unclear in our culture what “real” medicine actually is or involves, and more and more difficult to use the idea as a self-evident counterpoint to the excesses of psychiatry.