Some people take mental disorders to be restrictive myths that do not exist at all

Some people believe psychiatry can find the true essence of mental disorders. Another perspective on psychiatry presents just the opposite view—the skeptical and solipsistic doubt that man can ever catch protean reality by the tail and know things as they truly are. They would argue that mental disorders are no more than arbitrary and sometimes noxious “myths” that unfairly restrict the freedom of choice of psychiatric patients. They worry about the slippery slope that eventually could be extended to other vulnerable groups. Indeed, there is reason for this concern—psychiatric diagnosis is now being abused for preventive detention of rapists in the United States and peasants complaining about corruption in China and previously was an excuse to hospitalize political dissidents in the Soviet Union.

It is of course imperative that we protect against the misuse of psychiatry in the service of legal or political masters—but this perspective far overstates it’s case. Mental disorders are not complete myths. Though not a discrete “disease entity” (like, say, a brain tumor or a stroke), schizophrenia, for example, produces profound and prolonged “dis-ease”—that is, distress and incapacity actually experienced by many. The patterns of its presentation are clearly recognizable, can be reliably diagnosed, have brain imaging correlates, predict course, and respond to specific treatments. It is the same for many other mental disorders. Schizophrenia is real enough and no psychiatric invention for those who suffer from it and for their loved ones.


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Type:🔴 Tags: Psychiatry / Philosophy / Epistemology Status:☀️