Tag: medical model
Wherever you find mental health services to have expanded, you find a parallel increase in the numbers who have been classed as disabled due to a mental health disorder.
To those who say that major scientific/medical advances since 1975 have made going to a biological psychiatrist a rational choice, I say: What advances? 45 years have passed: Is any psychiatric “diagnosis” now verified by lab test, x-ray, or physical exam finding?
In Pūras' new UN report, his use of biomedical language seems at odds with his message to move beyond the medicalization of distress.
It is encouraging to hear leading scientists such as Plomin acknowledge that psychiatric diagnoses are fundamentally arbitrary and that the idea of a “cure” does not make sense with regards to psychological issues.
Psychoeducation that explains depression in biological terms increases prognostic pessimism, perceived stability of depression, and openness to psychiatric medication.
Interviews with psychosocially oriented psychologists demonstrate their experiences of discomfort with the hegemony of the medical model in their place of work and the conflicts that arise when they attempt to provide alternatives.
Already-existing ICD codes provide a diagnostic alternative to biomedical models of health by contextualizing suffering within psychosocial conditions, yet these codes are underutilized.
A review of mental health anti-stigma campaigns finds psychosocial models are effective in reducing stigma, while biogenetic models often worsen attitudes.
"Factors such as genetics, environment, and experiences all have an influence on a person's likelihood of exhibiting signs of mental illness, but the study,...
...but how realistic is it to expect that the biological skew of Western psychiatry can be sustainably changed one small step at a time?
The assertion that the so-called antidepressants are being over-prescribed implies that there is a correct and appropriate level of prescribing and that depression is a chronic illness (just like diabetes). It has been an integral part of psychiatry's message that although depression might have been triggered by an external event, it is essentially an illness residing within the person's neurochemistry. The issue is not whether people should or shouldn't take pills. The issue is psychiatry pushing these dangerous serotonin-disruptive chemicals on people, under the pretense that they have an illness.
Professionals are paid to share their wisdom with those who are, typically, less informed. But, when dealing with mental health professionals in the psychiatric arena, it is wise to retain a degree of skepticism about the words spoken by the doctors and nurses commissioned to help reduce human misery and suffering.
Psychiatry would long since have gone the way of phrenology and mesmerism but for the financial support it receives from the pharmaceutical industry. But the truth has a way of trickling out. Here are five recent stories that buck the psychiatry-friendly stance that has characterized the mainstream media for at least the past 50 years.
It’s time to change how we think about and relate to people whose makeup is or appears to be different from the norm. Currently, the dominant way in research, practice and the general public is to think of what’s different—let’s say a biological or neurological difference—as the source of disability and difficulty, and to relate to and treat (in various ways) that biological or neurological difference. But there’s another way to go, and more and more researchers and practitioners are taking it.
How are we going to get anywhere at all if people believe that speaking to alternatives just means occasionally putting something out there that isn’t about psychiatric drugs? Assuming that the Mental Health Channel folks genuinely believe they’re offering a product that’s ‘well-rounded,’ how do we even get to a point where they understand why it’s not, and can make a well-reasoned decision about where to go from there? Yes, it’s about the drugs. But, in some ways, no, it’s not at all about them. It’s about the damage we do by convincing people that there’s no other choice than to take the drugs because of a ‘chemical imbalance’ or ‘chronic brain disease’ that, just like cancer, will only get worse if it goes untreated. It's about the inescapable nature of the boxes people put us in (even some of those boxes not filled up with pills).
In a guest blog for the Scientific American, Peter Kinderman takes on the “harmful myth” that our more distressing emotions can best be understood as symptoms of physical illnesses. “Our present approach to helping vulnerable people in acute emotional distress is severely hampered by old-fashioned, inhumane and fundamentally unscientific ideas about the nature and origins of mental health problems.”
A New York Times Op-Ed by Cornell psychiatry professor George Makari connects the surprise over the results of the widely-covered RAISE study to American psychiatry’s shift toward pharmacology and the oversimplification of disorders as brain diseases.
Researchers recently completed a first of its kind, large-scale international survey of attitudes about mental health and they were surprised by the results. According to their analysis published in this month’s issue of the Journal of Affective Disorders, people in developed countries, like the United States, are more likely to assume that ‘mental illnesses’ are similar to physical illnesses and biological or genetic in origin, but they are also much less likely to think that individuals can overcome these challenges and recover
Professor Wendy Rogers believes that overdiagnosis itself is an epidemic and that the roots of the problem lie in an insufficient naturalistic disease-theory. Overdiagnosis, she adds, “can be harmful for the patient and also cause waste of a lot of resources.”
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