the illusions of psychiatry …

July 21, 2011

in Bioethics,Hospice & Palliative Medicine,KU Med School

Marcia Angell summarizes the ‘medicalization’ of psychiatry and its support by the pharmaceutical industry. There are many lessons here for palliative care as both a discipline and in its practice.

“In short, a powerful quartet of voices came together during the 1980’s eager to inform the public that mental disorders were brain diseases. Pharmaceutical companies provided the financial muscle. The APA and psychiatrists at top medical schools conferred intellectual legitimacy upon the enterprise. The NIMH [National Institute of Mental Health] put the government’s stamp of approval on the story. NAMI provided a moral authority.”

“At the very least, we need to stop thinking of psychoactive drugs as the best, and often the only, treatment for mental illness or emotional distress. Both psychotherapy and exercise have been shown to be as effective as drugs for depression, and their effects are longer-lasting, but unfortunately, there is no industry to push these alternatives and Americans have come to believe that pills must be more potent.”

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