Критика ситуации в психиатрии

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The total failure of modern psychiatry

Sunday, June 27, 2010 by: David Gutierrez, staff writer

(NaturalNews) Modern psychiatry went wrong when it embraced the idea that the mind should be treated with drugs, says Edward Shorter of the University of Toronto, writing in the Wall Street Journal.

"Shorter studies the history of psychiatry and medicine... Modern U.S. psychiatry has adopted a philosophy that psychological diseases arise from chemical imbalances and therefore have a very specific cluster of symptoms, he says, in spite of evidence that the difference between many so-called disorders is minimal or nonexistent. These "disorders" are then treated with expensive drugs that are no more effective than a placebo (здесь и далее курсив мой).

"Psychiatry seems to have lost its way in a forest of poorly verified diagnoses and ineffectual medications," he writes.

Shorter calls for U.S. psychiatry to abandon its emphasis on "psychopathology" and instead adopt the European approach, which focuses on the symptoms and needs of people as individuals. Yet the draft of the latest edition of psychiatric diagnostic "Bible," the Diagnostic and Statistical Manual of Mental Disorders (DSM), shows that U.S. psychiatry has no intention of changing course.

"With DSM-V, American psychiatry is headed in exactly the opposite direction: defining ever-widening circles of the population as mentally ill with vague and undifferentiated diagnoses and treating them with powerful drugs," Shorter writes".
Статья о том же, приведённая в связи с названием.

Saturday, February 27, 2010 As of 12:00 AM online.wsj.com

Why Psychiatry Needs Therapy
A manual's draft reflects how diagnoses have grown foggier, drugs more ineffective


"To flip through the latest draft of the American Psychiatric Association's Diagnostic and Statistical Manual, in the works for seven years now, is to see the discipline's floundering writ large. Psychiatry seems to have lost its way in a forest of poorly verified diagnoses and ineffectual medications. Patients who seek psychiatric help today for mood disorders stand a good chance of being diagnosed with a disease that doesn't exist and treated with a medication little more effective than a placebo.

Psychopharmacology, or the treatment of the mind and brain with drugs, has come to dominate the field. The positive side is that many illnesses respond readily to medication. The negative side is that the pharmaceutical industry seeks the largest possible market for a given drug, and advertises huge diseases, such as major depression and schizophrenia, the scientific status of which makes insiders uneasy".

Edward Shorter is professor of the history of medicine and psychiatry in the Faculty of Medicine of the University of Toronto. His latest book, written with Max Fink, "Endocrine Psychiatry: Solving the Riddle of Melancholia," is forthcoming from Oxford University Press.

Ещё одна статья.

June 13, 2013 DOI: 10.1176/appi.pn.2013.6b9 psychnews.psychiatryonline.org

New Evidence Said to Challenge Psychiatry’s Basic Paradigms
Aaron Levin

Цитата: "Now is the time to rethink the basic ideas shaping psychiatric practice and return to an emphasis on nontechnical concepts, says an eminent psychiatrist from Ireland.

Psychiatry is at a crossroads, according to Patrick Bracken, M.D., Ph.D., clinical director of the West Cork Mental Health Service in Ireland, at APA’s annual meeting in San Francisco in May".

"Accumulating evidence challenges the current paradigm underlying psychiatric thinking and practice,” said Bracken. The problem lies deeper than just "too many drugs.”

"Psychiatry faced three great quests over the last 30 years—the quest for valid classification systems, the quest for biological and psychological causal pathways in mental illness, and the quest for technological treatments used independently of context—and all are falling apart in front of our eyes,” he maintained".