Psychiatry is arguably the least science-based of the medical specialties. Because of that, it comes in for a lot of criticism. Much of the criticism is justified, but some critics make the mistake of dismissing even the possibility that psychiatry could be scientific. They throw the baby out with the bathwater. I agree that psychiatry has a lot of very dirty bathwater, but there is also a very healthy baby in there that should be kept, cherished, nourished, and helped to grow – scientifically.
Common criticisms in the media
- We are over-medicating our children, producing a generation of drugged zombies.
- We are using medication indiscriminately for people who don’t fit the diagnosis (i.e. antidepressants for people who only have normal mood fluctuations and life problems).
- Antidepressants lead to violence and suicide.
- Psychotropic medications all have terrible side effects.
- Antidepressants are no better than placebo.
- Psychotherapies are no better than talking to a friend.
- Electroconvulsive therapy (ECT) is a barbaric, damaging assault with no redeeming value.
- And we all remember how Tom Cruise attacked Brooke Shields on the issue of postpartum depression.
Thomas Szasz: Mental illness is a myth
Thomas Szasz goes even further: he rejects the whole concept of mental illness and considers it a plot to interfere with people’s human rights. He says:
- Psychiatric diagnoses are not valid because they are based on symptoms rather than on objective tests. (Steve Novella has pointed out that there are other well-established diagnoses like migraine that cannot be verified by any objective tests.)
- Mental illness is a myth: unusual behavior does not constitute a disease.
- Psychiatric diagnoses are an arbitrary construct of society to facilitate control of individuals whose behavior does not conform.
- Involuntary commitment is never justified even for the protection of the patient: patients always have the right to refuse treatment even if that means they will die. (more…)