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Anti-psychiatry is a term used to refer to a configuration of groups and theoretical constructs that emerged in the 1960s hostile to most of the fundamental assumptions and practices of psychiatry. Its igniting influences were Michel Foucault, R. D. Laing, Thomas Szasz and, in Italy, Franco Basaglia. The term was first used by the psychiatrist David Cooper in 1967.[1] Some now prefer the term critical psychiatry to avoid connotations that may appear oppositional merely, though the two concepts are distinct.

Two central contentions of the anti-psychiatry movement are that:

  1. The specific definitions of, or criteria for, hundreds of current psychiatric diagnoses or disorders are vague and arbitrary, leaving too much room for opinions and interpretations to meet basic scientific standards.[2]
  2. Prevailing psychiatric treatments are ultimately far more damaging than helpful to patients.[3]
Targeted by the anti-psychiatry movement: the straitjacket, here viewed from the rear, with added restraints

Other key criticisms of mainstream psychiatry include:

  1. Inappropriate and overuse of medical concepts and tools to understand the mind and society, including the miscategorization of normal reactions to extreme situations as psychiatric disorders;
  2. Scientifically and/or clinically ill-founded system of categorical diagnoses (e.g., Diagnostic and Statistical Manual of Mental Disorders or DSM), which stigmatizes patients;
  3. Inappropriate (i.e. unvalidated) exclusion of other approaches to mental distress/disorder;
  4. Unexamined abuse or misuse of power over patients who are too often treated against their will;
  5. Relation of power between patients and psychiatrists, as well as the institutional environment, is too often experienced by patients as demeaning and controlling;
  6. Compromise to medical and ethical integrity because of financial and professional links with pharmaceutical companies and insurance companies in countries where these companies are a force.

Some mental health professionals and academics profess anti-psychiatry views,[4] as do a number of former and current users of psychiatric services.[5] Some critics focus their attention on what is known as biological psychiatry.[6][7][8] Proponents of some allegedly anti-psychiatric views seek to distance themselves from the term, both for its pejorative associations, and because they regard their theories and methods as evidence-based but not yet accepted by the mainstream psychiatric community.[9]

Contents

History of anti-psychiatry

Johann Christian Reil, the German physician and anatomist who coined the term psychiatry in 1808

The word psychiatry was invented by Johann Christian Reil in 1808.[10][11][12][13] What much later became known as the anti-psychiatry movement had its origin in concern over alleged misuse of psychiatric procedures for purposes of social control. Daniel Defoe, best known as the author of Robinson Crusoe, reported as far back as the eighteenth century that some husbands were using madhouses to incarcerate their disobedient — though sane — wives.[14][15]

Psychiatry became more professionally established in the nineteenth century. As more invasive forms of treatment evolved, so too did opposition to the profession. Some disputes concerned custodial rights over those seen as mad, particularly if unfortunate enough to end up in one of the multiplying lunatic asylums.[16]

In the 1800s the American physician Samuel A. Cartwright had stumbled upon drapetomania, the explanation for why slaves would on occasion display an alarming tendency to run away from their masters. A further disorder afflicting slaves and, by extension, their owners was dysaethesia aethiopica, a disease "affecting both mind and body." This explained the apparent lack of a proper work ethic among slaves. Found exclusively among blacks, dysaethesia aethiopica — "called by overseers 'rascality'" — was characterized by partial insensitivity of the skin and "so great a hebetude of the intellectual faculties, as to be like a person half asleep."[17]

Built in 1784, Vienna's Narrenturm, German for lunatics' tower, was probably the world's first building specifically designed as a "madhouse"

In the latter part of the nineteenth century Emil Kraepelin became an eminent deviser of novel categories of mental illness, which duly entered psychiatric usage despite their origin in extrapolation from observed behavior, rather than in clinical pathology or etiology in any strict sense.[18] The Soviet state in the twentieth century devised suitable psychiatric diagnoses for any who opposed its will with sufficiently persistent vigor but who, whether by dint of ingenuity or mere social eminence, proved difficult to criminalize. They were duly hospitalized instead.

In the 1920s extreme hostility to psychiatrists and psychiatry was expressed by the French playwright and theatre director Antonin Artaud, in particular, in his book on van Gogh. To Artaud, who was himself to spend a fair amount of time in a straitjacket, imagination was reality. Much influenced by the Dada and surrealist enthusiams of the day, he considered dreams, thoughts and delusions no less real than the "outside" world. To Artaud, reality appeared little more than a convenient consensus, the same kind of consensus an audience accepts when they enter a theatre and, for a time, are happy to pretend what they're seeing is real.

Such convictions and repeated bouts of what appeared to non-surrealists as mental illness caused Artaud to be subjected to practical experience of medical innovation.

In the 1930s several controversial medical practices were introduced, including inducing seizures (by electroshock, insulin or other drugs) or cutting parts of the brain apart (leucotomy or lobotomy).[3] Both came into widespread use by psychiatry, but there were grave concerns and much opposition on grounds of morality, harmful effects, or misuse. In the 1950s new psychiatric drugs, notably the antipsychotic chlorpromazine, were designed in laboratories and slowly came into preferred use.

Although often accepted as an advance in some ways, there was some opposition, partly due to serious adverse effects such as tardive dyskinesia.[3] Patients often opposed psychiatry and refused or stopped taking the drugs when not subject to psychiatric control.[3] There was also increasing opposition to the large-scale use of psychiatric hospitals and institutions, and attempts were made to base services in the community.

Coming to the fore in the 1960s, anti-psychiatry [a term first used by David Cooper in his Psychiatry and Anti-Psychiatry (1967) and who never made clear whether anti-psychiatry was a genuine alternative to psychiatry or whether traditional psychiatry was indeed "anti-psychiatric," in the sense that, as practiced, it was anti-soul healing (to use the etymologic meaning of the word)] defined a movement that vocally challenged the fundamental claims and practices of mainstream psychiatry.

Both Cooper and his better-known colleague R. D. Laing were much influenced by Madness and Civilization by the French philosopher and social theorist Michel Foucault, first published in 1961. The English edition was an abridged version of Folie et déraison: Histoire de la folie à l'âge classique. (A full translation titled The History of Madness has since been published by Routledge[19]) The work examines ideas, practices, institutions, art and literature relating to madness in Western history.[20]

Foucault begins his history in the Middle Ages, noting the social and physical exclusion of lepers.[20] He argues that with the gradual disappearance of leprosy, madness came to occupy this excluded position. The ship of fools in the 15th century is a literary version of one such exclusionary practice, namely that of sending mad people away in ships. In 17th century Europe, in a movement that Foucault famously describes as the Great Confinement, "unreasonable" members of the population were locked away and institutionalised.[21] In the eighteenth century, madness came to be seen as the reverse of Reason, and, finally, in the nineteenth century as mental illness.

Foucault also argues that madness was silenced by Reason, losing its power to signify the limits of social order and to point to the truth. He examines the rise of scientific and "humanitarian" treatments of the insane, notably at the hands of Philippe Pinel and Samuel Tuke. He claims that these new treatments were in fact no less controlling than previous method. Pinel's treatment of the mad amounted to an extended aversion therapy, including such treatments as freezing showers and use of a straitjacket. In Foucault's view, this treatment amounted to repeated brutality until the pattern of judgment and punishment was internalized by the patient.

R. D. Laing, perusing in 1983 The Ashley Book of Knots in a humorous allusion to his own work, Knots (1970), on the complexities of human relationships

Laing, Cooper, Theodore Lidz, Silvano Arieti and others went on to argue that schizophrenia could be understood as an injury to the inner self inflicted by psychologically invasive "schizophrenogenic" parents, or as a healthy attempt to cope with a sick society. Psychiatrist Thomas Szasz argues that "mental illness" is an inherently incoherent combination of a medical and a psychological concept, but popular because it legitimizes the use of psychiatric force to control and limit deviance from societal norms.

Adherents of this view referred to "the myth of mental illness" after Szasz's controversial book of that name. (Even though the movement originally described as anti-psychiatry became associated with the general counter-culture movement of the 1960s, Szasz, Lidz and Arieti never became involved in that movement.) Michel Foucault, Erving Goffman, Deleuze and Guatarri, and others criticized the power and role of psychiatry in society, including the use of "total institutions," "labeling" and stigmatizing.[22]

Foucault argued that the concepts of sanity and insanity were social constructs that did not reflect quantifiable patterns of human behavior, and that, rather, were indicative only of the power of the "sane" over the "insane". The novel One Flew Over the Cuckoo's Nest became a bestseller, resonating with public concern about involuntary medication, lobotomy and electroshock procedures used to control patients.

In addition, Holocaust documenters argued that the medicalization of social problems and systematic euthanasia of people in German mental institutions in the 1930s provided the institutional, procedural, and doctrinal origins of the mass murder of the 1940s.[23][24] The Nuremberg Trials convicted a number of psychiatrists who held key positions in Nazi regimes.

Observation of the abuses of psychiatry in the Soviet Union in the so-called Psikhushka hospitals also led to questioning the validity of the practice of psychiatry in the West.[25] In particular, the diagnosis of many political dissidents with schizophrenia led some to question the general diagnosis and punitive usage of the label schizophrenia. This raised questions as to whether the schizophrenia label and resulting involuntary psychiatric treatment could not have been similarly used in the West to subdue rebellious young people during family conflicts.[26]

New professional approaches were developed as an alternative or reformist complement to psychiatry. The Radical Therapist, a journal begun in 1971 in North Dakota by Michael Glenn, David Bryan, Linda Bryan, Michael Galan and Sara Glenn, challenged the psychotherapy establishment in a number of ways, raising the slogan "Therapy means change, not adjustment." It contained articles that challenged the professional mediator approach, advocating instead revolutionary politics and authentic community making. Social work, humanistic or existentialist therapies, family therapy, counseling and self-help and clinical psychology developed and sometimes opposed psychiatry.

Psychoanalysis was increasingly criticized as unscientific or harmful.[27] Contrary to the popular view, critics and biographers of Freud, such as Alice Miller, Jeffrey Masson and Louis Breger, argued that Freud did not grasp the nature of psychological trauma. Non-medical collaborative services were developed, for example therapeutic communities or Soteria houses.

The anti-psychiatry movement was also being driven by individuals with adverse experiences of psychiatric services. This included those who had been harmed by psychiatry or who felt that they could have been helped more by other approaches, including those compulsorily (including via physical force) admitted to psychiatric institutions and subjected to compulsory medication or procedures. During the 1970s, the anti-psychiatry movement was involved in promoting restraint from many practices seen as psychiatric abuses.[citation needed]

The gay rights movement challenged the classification of homosexuality as a mental illness and, in a climate of controversy and activism, in 1974 the American Psychiatric Association membership (following a unanimous vote by the trustees in 1973) voted by a small majority (58%) to remove it as an illness category from the DSM, replacing it with a category of "sexual orientation disturbance" and then "ego-dystonic homosexuality," which was deleted in 1987, although "gender identity disorder" and a wide variety of "paraphilias" remain. Increased legal and professional protections, and merging with human rights and disability rights movements, added to anti-psychiatry theory and action.

Anti-psychiatry came to challenge a "biomedical" focus of psychiatry (defined to mean genetics, neurochemicals and pharmaceutic drugs). There was also opposition to the increasing links between psychiatry and pharmaceutical companies, which were becoming more powerful and were increasingly claimed to have excessive, unjustified and underhand influence on psychiatric research and practice. There was also opposition to the codification of, and alleged misuse of, psychiatric diagnoses into manuals, in particular the American Psychiatric Association, which publishes the Diagnostic and Statistical Manual of Mental Disorders.

Anti-psychiatry increasingly challenged alleged psychiatric pessimism and institutionalized alienation regarding those categorized as mentally ill. An emerging Consumer/Survivor Movement often argues for full recovery, empowerment, self-management and even full liberation. Schemes were developed to challenge stigma and discrimination, often based on a social model of disability; to assist or encourage people with mental health issues to engage more fully in work and society (for example through social firms), and to involve service users in the delivery and evaluation of mental health services. However, those actively and openly challenging the fundamental ethics and efficacy of mainstream psychiatric practice remained marginalized within psychiatry, and to a lesser extent within the wider mental health community.

Challenges and alternatives to psychiatric practice

Civilization as a cause of distress

In the mid 19th century, George Miller Beard attributed "neurasthenia" to the stresses of modern life. R. D. Laing emphasized family nexus as a mechanism whereby individuals become victimized by those around them.[28] [29]

In recent years, David Smail, a psychotherapist considered part of the anti-psychiatry movement, has written extensively of the "embodied nature" of the individual in society, and the unwillingness of even therapists to acknowledge the obvious part played by power and interest in modern Western society. He argues that feelings and emotions are not, as is commonly supposed, features of the individual, but rather responses of the individual to his situation in society. Even psychotherapy, he suggests, can only change feelings inasmuch as it helps a person to change the "proximal" and "distal" influences on his life, which range from family and friends, to politics and work.[30]

Normality and illness judgments

A madness of civilisation: the American psychiatrist Samuel A. Cartwright identified what he called drapetomania, an ailment that caused slaves to be possessed by a desire for freedom and want to escape

Critics of psychiatry generally do not dispute the notion that some people have emotional or psychological problems, or that some psychotherapies work for a given problem. They do usually disagree with psychiatry on the source of these problems; and on what the proper management options are.

One remarkable example of psychiatric diagnosis being used to reinforce cultural bias and oppress dissidence is the diagnosis of drapetomania. In the USA prior to the American Civil War psychiatrists such as Samuel A. Cartwright diagnosed some slaves with drapetomania, a mental illness in which the slave possessed an irrational desire for freedom and a tendency to try to escape.[31] By classifying such a dissident mental trait as abnormal and a disease, psychiatry promoted cultural bias about normality, abnormality, health, and unhealth. This example indicates the probability for not only cultural bias but also confirmation bias and bias blind spot in psychiatric diagnosis and psychiatric beliefs.

In addition, many feel that they are being pathologized for simply being different. Some people diagnosed with Asperger syndrome or autism hold this position, particularly those involved in the autism rights movement or the autistic pride movement. While many parents of children diagnosed autistic support the efforts of autistic activists, there are some who say they value the uniqueness of their children and do not desire a "cure" for their autism. The autistic community has coined a number of terms that would appear to form the basis for a new branch of identity politics; terms such as "neurodiversity" and "neurotypical".[32] However, an antipsychiatric viewpoint is not found in nearly all of those advocating acceptance for autists or other "outsiders".

It has been argued by philosophers like Foucault that characterizations of "mental illness" are indeterminate and reflect the hierarchical structures of the societies from which they emerge rather than any precisely-defined qualities that distinguish a "healthy" mind from a "sick" one. Furthermore, if a tendency toward self-harm is taken as an elementary symptom of mental illness, then humans, as a species, are arguably insane in that they have tended throughout recorded history to destroy their own environments, to make war with one another, etc.[33]

Psychiatric labeling

There are recognized problems regarding the diagnostic reliability and validity of mainstream psychiatric diagnoses, both in ideal and controlled circumstances[34] and even more so in routine clinical practice (McGorry et al.. 1995).[35] Criteria in the principal diagnostic manuals, the DSM and ICD, are inconsistent.[36] Some psychiatrists who criticize their own profession say that comorbidity, when an individual meets criteria for two or more disorders, is the rule rather than the exception. There is much overlap and vaguely-defined or changeable boundaries between what psychiatrists claim are distinct illness states.[37]. There are also problems with using standard diagnostic criteria in different countries, cultures, genders or ethnic groups. Critics often allege that Westernized, white, male-dominated psychiatric practices and diagnoses disadvantage and misunderstand those from other groups. For example, several studies have shown that African Americans are more often diagnosed with schizophrenia than Caucasians,[38] and women more than men. Some within the anti-psychiatry movement are critical of the use of diagnosis as it conforms with the biomedical model.

Psychiatry and the pharmaceutical industry

Stern concerns about how disease is managed in large populations for financial purposes alone appear constantly in the literature critical of the medical profession and the industry.[39]

Psychiatric research has demonstrated varying degrees of efficacy for improving or managing a number of mental health disorders through either medications, psychotherapy, or a combination of the two. Typical psychiatric medications include stimulants, antidepressants, hypnotic minor tranquilizers and neuroleptics (antipsychotics).

On the other hand, organizations such as MindFreedom International and World Network of Users and Survivors of Psychiatry maintain that psychiatrists exaggerate the evidence of medication and minimize the evidence of adverse drug reaction. They and other activists also complain that individuals are not given sufficient balanced information or truly informed consent, that current psychiatric medications do not appear to be specific to particular disorders in the way mainstream psychiatry asserts;[40] and psychiatric drugs not only don't correct measurable chemical imbalances in the brain, but also induce undesirable side effects. For example, though children on Ritalin and other psycho-stimulants become more obedient to parents and teachers,[41] critics have noted that they can also develop abnormal movements such as tics, spasms and other involuntary movements[42] This has not been shown to be directly related to the therapeutic use of stimulants, but to neuroleptics.[43][44] The diagnosis of Attention Deficit Hyperactivity Disorder on the basis of inattention to compulsory schooling also raises critics' concerns regarding the use of psychoactive drugs as a means of unjust social control of children.[41]

The influence of pharmaceutical companies is another major issue for the antipsychiatry movement. The pharmaceutical industry is the most profitable[citation needed] and one of the most powerful industries in existence, and as many critics from within and outside of psychiatry have argued, there are many financial and professional links between psychiatry, regulators, and pharmaceutical companies. Drug companies routinely fund much of the research conducted by psychiatrists, advertise medication in psychiatric journals and conferences, fund psychiatric and healthcare organizations and health promotion campaigns, and send representatives to lobby general physicians and politicians. Peter Breggin, Sharkey, and other investigators of the psycho-pharmaceutical industry maintain that many psychiatrists are members, shareholders or special advisors to pharmaceutical or associated regulatory organizations.[citation needed]

There is evidence that research findings and the prescribing of drugs are influenced as a result. A United Kingdom cross-party parliamentary inquiry into the influence of the pharmaceutical industry in 2005 concludes: "The influence of the pharmaceutical industry is such that it dominates clinical practice"[45] and that there are serious regulatory failings resulting in "the unsafe use of drugs; and the increasing medicalization of society".[45] The campaign organization No Free Lunch details the prevalent acceptance by medical professionals of free gifts from pharmaceutical companies and the effect on psychiatric practice.[46] The ghostwriting of articles by pharmaceutical company officials, which are then presented by esteemed psychiatrists, has also been highlighted.[47] Systematic reviews have found that trials of psychiatric drugs that are conducted with pharmaceutical funding are several times more likely to report positive findings than studies without such funding.[48]

The number of psychiatric drug prescriptions have been increasing at an extremely high rate since the 1950s and show no sign of abating.[3] In the United States antidepressants and tranquilizers are now the top selling class of prescription drugs, and neuroleptics and other psychiatric drugs also rank near the top, all with expanding sales.[48] As a solution of this alleged conflict of interests, critics propose legislation to separate the pharmaceutical industry from the psychiatric profession.

Electroconvulsive therapy

Psychiatrists may advocate psychiatric drugs, psychotherapy or more controversial interventions such as electroshock or psychosurgery to treat mental illness. Electroconvulsive therapy (ECT) is administered worldwide typically for severe mental disorders. Across the globe it has been estimated that approximately 1 million patients receive ECT per year.[49] Exact numbers of how many persons per year have ECT in the United States are unknown due to the variability of settings and treatment. Researchers' estimates generally range from 100,000 to 200,000 persons per year.[50]

Some persons receiving ECT die during the procedure (ECT is performed under a general anaesthetic, which always carries a risk). Leonard Roy Frank cites approximately 400 deaths mentioned in psychiatric journals. [51]

Psychiatry critics particularly hold this procedure in low repute. Dr. John Breeding, a controversial social critic of psychiatric practices who is closely allied with the Church of Scientology through its Citizens Commission for Human Rights, claims that "Electroshock always causes brain damage".[52][53] On the other hand, a 2003 systematic review concluded that, despite these risks, ECT "is an effective short-term treatment for depression".[54] It is used most often in situations of life-threatening, e.g. suicidal, depression.

Psychiatry and the law

While the insanity defense is the subject of controversy as a viable excuse for wrong-doing, Szasz and other critics contend that being committed in a psychiatric hospital can be worse than criminal imprisonment, since it involves the risk of compulsory medication with neuroleptics or the use of electroshock treatment.[55][56] Moreover, while a criminal imprisonment has a predetermined time of end that could be anticipated, patients are typically committed to psychiatric hospitals for indefinite durations.[57]

Involuntary hospitalization

Critics see involuntary committal's use of legally-sanctioned force as counter to one of the pillars of open or free societies: John Stuart Mill's principles. Mill argues that society should never use coercion to subdue an individual as long as he or she does not harm others. In contrast to the Hollywood portrait of schizophrenics, mentally ill people are essentially no more prone to violence than sane individuals.[58][59] The growing practice, in the United Kingdom and elsewhere, of care in the community was instituted partly in response to such concerns. Alternatives to involuntary hospitalization include the development of non-medical crisis care in the community.

In the case of people suffering from severe psychotic crises, the American Soteria project used to provide, critics of psychiatry contend, a more humane and compassionate alternative to coercive psychiatry. The Soteria houses closed in 1983 in the United States due to lack of financial support. However, Soteria-like houses are presently flourishing in Europe, especially in Sweden and other North European countries.[60]

The "Therapeutic State"

The "Therapeutic State" is a phrase coined by American psychiatrist Thomas Szasz in 1963.

The collaboration between government and psychiatry results in what Szasz calls the "therapeutic state," a system in which disapproved thoughts, emotions, and actions are repressed ("cured") through pseudomedical interventions.[61]

Civil libertarians warn that the marriage of the State with psychiatry could have catastrophic consequences for civilization.[62] In the same vein as the separation of church and state, Szasz believes that a solid wall must exist between psychiatry and the State.[63]

Psychiatry as a pseudo-science

Many of the above issues lead to the claim that psychiatry is a pseudo-science[64]. According to some philosophers of science (especially Karl Popper), for a theory to qualify as hard science it needs to exhibit the following characteristics:

  • parsimony, as straightforward as the phenomena to be explained allow (see Occam's Razor);
  • empirically testable and falsifiable (see Falsifiability);
  • changeable, i.e. if necessary, changes may be made to the theory as new data are discovered;
  • progressive, encompasses previous successful descriptions and explains and adds more;
  • provisional, i.e. tentative; the theory does not attempt to assert that it is a final description or explanation.

Psychiatrist Colin A. Ross and Alvin Pam maintain that biopsychiatry does not qualify as a science on many counts.[65] John Modrow believes that most biological hypotheses in psychiatry are untestable and unfalsifiable.[66]

Scientology

Scientology has also challenged psychiatric theory or practice. L. Ron Hubbard, the founder of Scientology, became increasingly at odds with psychiatry and in 1969 cofounded the Citizens Commission on Human Rights (CCHR), with Thomas Szasz. CCHR was formed as an advocacy group focused on what it calls psychiatry's "human rights crimes". In the keynote address at the 25th anniversary of CCHR, Szasz stated: "We should all honor CCHR because it is really the organization that for the first time in human history has organized a politically, socially, internationally significant voice to combat psychiatry. This has never been done in human history before." Although Szasz appears in some CCHR's keynote addresses, he has never been a Scientologist, instead self-identifying as a secular humanist.[67]

However, the delineation between the viewpoints of the critics associated with Scientology, and those within anti-psychiatry is not absolute, especially with regards to mental illness, psychiatry, and psychiatric drugs. For example, the CCHR hosts content about these subjects by noted anti-psychiatry critics like Szasz, Gary Null and Fred Baughman.[68]

Despite sharing notable antipsychiatrists' views on some issues, Scientology doctrine differs in some respects. Scientology has promoted psychiatry-related conspiracy theories, including that psychiatry was responsible for World War I,[69] the rise of Hitler and Stalin,[70] the decline in education standards in the United States,[71] the wars in Bosnia and Kosovo,[72] the September 11 attacks.[73][74] Secular critics of psychiatry do not share these positions.

Scientology doctrine, further, holds that psychiatrists caused the decline in this universe billions of years ago,[75] while Scientologists are committed to never taking psychiatric drugs and reject psychology outright.[76]

The socio-political roots of the movements also differ. Classic anti-psychiatrists such as David Cooper and Ronald Laing had ties with the political left of the 1960s; Szasz, with the civil libertarians of the right.

Criticisms

Anti psychiatry has been critized for ignoring recent medical advances (Roth & Kroll) [77] The movement has been described as having "already been consigned to the history of psychiatry". [78]

See also

Further reading

  • Laing, R.D., The Divided Self, Penguin Books, 1976, ISBN 978-0140207347
  • Laing, R.D., The Politics of Experience, Pantheon, 1983, ISBN 978-0394714752
  • Szasz, Thomas, The Manufacture of Madness: A Comparative Study of the Inquisition and the Mental Health Movement, Syracuse University Press, 1997, ISBN 978-0815604617

Notes

  1. ^ David Cooper, Psychiatry and Anti-Psychiatry, Paladin, London, 1967
  2. ^ Mind games: are we obsessed with therapy?, authored by CSICOPer Robert Baker (Prometheus Books, 1996) contains a chapter critical of the DSM-IV diagnoses.
  3. ^ a b c d e Whitaker, Robert (2004). Mad in America: Bad Science, Bad Medicine, and the Enduring Mistreatment of the Mentally Ill. Basic Books. ISBN 0-7382-0799-3. 
  4. ^ ICSPP page
  5. ^ See MindFreedom International and the Northampton-based Freedom Center.
  6. ^ Pam, Alvin (1995). "Biological psychiatry: science or pseudoscience?" in Colin Ross and Alvin Pam Pseudoscience in Biological Psychiatry: Blaming the Body, NY: Wiley & Sons, pp. 7–84. 
  7. ^ Valenstein, Elliot (1998). Blaming the Brain: The Truth about Drugs and Mental Health. The Free Press. 
  8. ^ Joseph, Jay (2003). The Gene Illusion: Genetic Research in Psychiatry and Psychology Under the Microscope. New York, NY: Algora. ISBN 0-87586-344-2. http://www.algora.com/2004/Gene%20Illusion.htm. 
  9. ^ What was anti-psychiatry? from UEA Critical Psychiatry website
  10. ^ British Journal of Psychiatry, Psychiatry’s 200th birthday
  11. ^ Draft article for Dictionary of Eighteenth Century German Philosophers
  12. ^ Seminal contributions of Johann Christian Reil
  13. ^ Marneros, Andreas (2005): Das Wort Psychiatrie wurde in Halle geboren. ISBN 3-7945-2413-6
  14. ^ Daniel Defoe, quoted in Thomas Szasz: Schizophrenia: the sacred symbol of psychiatry (NY: Syracuse Univ. Press). Defoe's text was titled Demand for public control of madhouses.
  15. ^ Szasz, Thomas (2002). Esquizofrenia. Mexico: Fontamara/Coyoacán. pp. 133. 
  16. ^ Kleinman, Arthur (1988). Rethinking Psychiatry: From Cultural Category to Personal Experience. Collier Macmillan. ISBN 0029174422. 
  17. ^ Cartwright, Samuel A. (1851). "Report on the Diseases and Peculiarities of the Negro Race". DeBow's Review XI. http://www.pbs.org/wgbh/aia/part4/4h3106t.html. Retrieved 2007-10-04. 
  18. ^ Question of the Month — Jim Crow Museum at Ferris State University
  19. ^ Foucault, M., Khalfa, J., & Murphy, J. (2006). The History of Madness. New York: Routledge.
  20. ^ a b Torrey, E. (2001). The Invisible Plague. New Brunswick: Rutgers University Press. pp. 303. ISBN 0813530032. 
  21. ^ Still, Arthur (1992). Rewriting the History of Madness. New York: Routledge. pp. 119. ISBN 0415066549. 
  22. ^ Does psychiatry stigmatize?
  23. ^ Lapon, Lenny (1986). Mass Murderers in White Coats : Psychiatric Genocide in Nazi Germany and the United States. Springfield, MA: Psychiatric Genocide Research Institute. ISBN 0961496193. 
  24. ^ The Psychiatric Holocaust — excerpts
  25. ^ AAAS - AAAS News Release
  26. ^ Why Outpatient Commitment Laws Change (Almost) Nothing
  27. ^ Adolf Grünbaum's The Foundations of Psychoanalysis: A Philosophical Critique. Berkeley (University of California Press, 1984); Validation in the Clinical Theory of Psychoanalysis: A Study in the Philosophy of Psychoanalysis. (International Universities Press, 1993).
  28. ^ Laing, R.D. (1960) The Divided Self: An Existential Study in Sanity and Madness, Penguin Books.
  29. ^ Laing, R.D. and Esterson, A. (1964) Sanity, Madness and the Family, London: Penguin
  30. ^ Smail, David John (2005). Power Interest and Psychology. Ross-on-Wye, UK: PCCS Books. ISBN 1898059713. 
  31. ^ Sharkey, Joe (1994). Bedlam: greed, profiteering and fraud in a mental system gone crazy. NY: St. Martin’s Press. pp. 182. 
  32. ^ Harmon, Amy (May 9, 2004). "Neurodiversity Forever; The Disability Movement Turns to Brains". The New York Times. http://query.nytimes.com/gst/fullpage.html?sec=health&res=9C07E0D9143CF93AA35756C0A9629C8B63. 
  33. ^ Foucault, Michel (1988). Madness and Civilization: a History of Insanity in the Age of Reason. New York: Vintage Books. 
  34. ^ Williams plus megha patel, yeah she helped, J..B.; et al (1992). "The structured clinical interview for DSM-III-R (SCID) II: Multi-site test-retest reliability". Archives of General Psychiatry 49: 630–36. 
  35. ^ PD McGorry; C Mihalopoulos, L Henry, J Dakis, HJ Jackson, M Flaum, S Harrigan, D McKenzie, J Kulkarni and R Karoly (1995). "Spurious precision: procedural validity of diagnostic assessment in psychotic disorders". Am J Psychiatry 1995; 152:220-223. American Psychiatric Association. http://ajp.psychiatryonline.org/cgi/content/abstract/152/2/220. Retrieved 2006-07-02. 
  36. ^ van Os, J.; et al (1999). "A comparison of the utility of dimensional and categorical representations of psychosis". Psychological Medicine 29 (3): 595–606. 
  37. ^ The Ross Institute - Trauma
  38. ^ The influence of racial factors on psychiatric diagnosis
  39. ^ Moynihan, Ray and Alan Cassels (2006). Selling Sickness: How the World's Biggest Pharmaceutical Companies are Turning Us All Into Patients, Nation Books. 
  40. ^ Rethinking Models of Psychotropic Drug Action
  41. ^ a b Breggin, Peter (2000). Reclaiming Your Children: A healing Plan for a Nation in Crisis. Perseus Publishing. 
  42. ^ Psychostimulants in the treatment of children diagnosed with ADHD: Risks and mechanism of action Peter R. Breggin
  43. ^ New York Times article
  44. ^ USA Today article
  45. ^ a b House of Commons Health Committee: The Influence of the Pharmaceutical Industry (Fourth Report of Session 2002-2005)
  46. ^ No Free Lunch
  47. ^ Revealed: how drug firms 'hoodwink' medical journals | Society | The Observer
  48. ^ a b National Institute for Health Care Management Foundation
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External links

Information

Articles

  • Oikos.org — The Dark Side of Psychiatry
  • PLoS Medicine — Why Most Published Research Findings Are False, by John P. A. Ioannidis. Vol. 2, No. 8, DOI:10.1371/journal.pmed.0020124.Last accessed 16 June 2006
  • PLoS Medicine — Medical Journals Are an Extension of the Marketing Arm of Pharmaceutical Companies, by Richard Smith, Vol.2, No.5, e138 DOI:10.1371/journal.pmed.0020138. Last accessed 16 June 2006
  • British Medical Journal — Commercial influence and the content of medical journals, by Joel Lexchin, associate professor, Donald W Light, professor, BMJ 2006;332:1444–1447 (17 June),doi:10.1136/bmj.332.7555.1444; Last accessed 16 June 2006
  • PLoS Medicine — The Latest Mania: Selling Bipolar Disorder, by David Healy, Vol.3, No.4, DOI: 10.1371/journal.pmed.0030185; Last accessed 16 June 2006

Organizations critical of psychiatry


Quotes

Up to date as of January 14, 2010

From Wikiquote

Quotes regarding Anti-psychiatry

Sourced

  • Death’s annihilation is no longer anything because it was already everything, because life itself was only futility, vain words, a squabble of cap and bells. The head that will become a skull is already empty. Madness is the déja-vu of death.
  • But when the madman laughs, he already laughs with the laugh of death; the lunatic, anticipating the macabre, has disarmed it.
  • The elements are now reversed. It is no longer the end of time and of the world which will show retrospectively that men were mad not to have been prepared for them; it is the tide of madness, its secret invasion, that shows that the world is near its final catastrophe; it is man’s insanity that invokes and makes necessary the world’s end.
  • At the opposite pole to this nature of shadows, madness fascinates because it is knowledge. It is knowledge, first, because all these absurd figures are in reality elements of a difficult, hermetic, esoteric learning.
  • If folly leads each man into a blindness where he is lost, the madman, on the contrary, reminds each man of his truth; in a comedy where each man deceives the other and dupes himself, the madman is comedy to the second degree: the deception of deception; he utters, in his simpleton's language which makes no show of reason, the words of reason that release, in the comic, the comedy: he speaks love to lovers, the truth of life to the young, the middling reality of things to the proud, to the insolent, and the liars.
  • This knowledge, so inaccessible, so formidable, the Fool, in his innocent idiocy, already possesses. While the man of reason and wisdom perceives only fragmentary and all the more unnerving images of it, the Fool bears it intact as an unbroken sphere: that crystal ball which for all others is empty is in his eyes filled with the density of an invisible knowledge.
  • Thus the image is burdened with supplementary meanings, and forced to express them. And dreams, madness, the unreasonable can also slip into this excess of meaning.
  • Up to the second half of the fifteenth century, or even a little beyond, the theme of death reigns alone. The end of man, the end of time bear the face of pestilence and war. What overhangs human existence is this conclusion and this order from which nothing escapes. The presence that threatens even within this world is a fleshless one. Then in the last years of the century this enormous uneasiness turns on itself; the mockery of madness replaces death and its solemnity. From the discovery of that necwhich inevitably reduces man to nothing, we have shifted to the scornful contemplation of that nothing which is existence itself.

Unsourced

  • I'd rather be alone with a schizophrenic than a psychiatrist.
    • Carol Batton
  • In the serene world of mental illness, modern man no longer communicates with the madman: on one hand, the man of reason delegates the physician to madness, thereby authorizing a relation only through the abstract universality of disease; on the other, the man of madness communicates with society only by the intermediary of an equally abstract reason which is order, physical and moral constraint, the anonymous pressure of the group, the requirements of conformity. As for a common language, there is no such thing; or rather, there is no such thing any longer.
  • Labeling a child as mentally ill is stigmatization, not diagnosis. Giving a child a psychiatric drug is poisoning, not treatment.
  • The only difference between the Sane and the Insane, is IN and yet within this world, the Sane have the power to have the Insane locked up.

Simple English

There are a number of social and political movements that question certain practices of psychiatry. One movement originated during the French Revolution of 1789 and was influenced by romantic ideals. Another movement started in Germany around 1900. The third big movement was stated in the United States and Europe in the 1960s. This movement questioned the classification of Schizophrenia as a mental illness, to be treated by psychiatry and also wanted to highlight certain problems of psychiatric wards.

One of the people who influenced the 1960s movement a great deal was Michel Foucault. His book "Folie et déraison: Histoire de la folie à l'âge classique" (Madness and Insanity: History of Madness in the Classical Age) is about the question at what point madness starts.


South African psychiatrist David Cooper was the first to use the word “anti-psychiatry”. He first used it in 1967.[1]

Notes

  1. David Cooper, Psychiatry and Anti-Psychiatry, Paladin, London, 1967.

See also








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