I think this is a really tragic summary of the world of psychiatry, especially in the US. Of course Bob Whitaker covered a great deal of this ground in Mad in America and subsequent books and articles. It would have been good if Scull had at least referenced that. I wish he had spoken to 2 other things–the rise of the peer movement and the role of alcohol and drugs in the criminal justice system. I’ve recently come across an excellent analysis that shows about 80% of those who end up in jails and prisons with mental health problems also have alcohol and drug problems. We can’t fully resolve this dilemma if we ignore that factor of substance abuse and addiction.