Sure, we need psychiatry to evole, to have a revolution. The good people featured in this article identify valuable paths of inquiry to pursue. Meantime, we live in our real world where imperfections reigns supreme. Really few folks worked in psychiatry hospitals during the time before first generation anti-psychotics. Many patients were shackled in one way or another, Their living agony was apparent to most. Hardly anyone has worked with lobotomy patients. Insulin shock and iced baths, etc. Straight-jackets seemed the least of the evils. Thorazine was experienced to be a godsend by most everyone. Now, it was obvious patients were unnecessarily snowed or zonked. The “side-effects” (as Laing explained the “side effects” were main effects of the medicine that we deemed unwanted) were troublesome and longer term “side effects” even more so. Truthfully, there have been very few advances in psychopharmacology since first generation of antipsychotics, mood stabilizers, antidepressants, anxiolytics, etc. That said, psychotropics have helped a tremendous number of people. Extremism in any form is ultimately transgressive and self destructive. R.D. Laing was never “anti-medicine” and refused the anti-psychiatry label. When a patient requested medicine to manage terrible anxiety or insomnia or psychosis he wasn’t resistant to giving a prescription. He made clear he hoped a psychiatrist would offer him medication to quell extreme symptoms of this or that. His beef was that so much of what happens in psychiatry is involuntary and/or absent informed consent. Dr. Peter Breggin bragged that he’d never prescribed a single medicine in his psychiatric career. When asked how he would treat a patient who’d returned from combat suffering from symptoms consistent with PTSD he boasted he wouldn’t give them medicine even if they asked or begged. When pressed he said he’d refer the patient while suggesting this rarely happened. This frightens me every bit as much as a traditional psychiatrist mindlessly ordering medication. We are quite fortunate to live in a time where psychotropics are available. Armchair critics have opinions though none that strike note with me. Old-timers who worked in patient psychiatry pre 1960, family doctors and psychiatrists working in settings they understand to be less than ideal, patients and their families suffering with severe problems tend to be more measured in their take on psychiatry in 2017. Let’s not throw out the baby with the bathwater.