Севастьянов Максим Александрович : другие произведения.

Mental illness as a myth

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  Summary
  The principal arguments advanced in this book and their
  implications may be summarized as follows.
  1. Strictly speaking, disease or illness can affect only the
  body; hence, there can be no mental illness.
  2. "Mental illness" is a metaphor. Minds can be "sick" only
  in the sense that jokes are "sick" or economies are "sick."
  3. Psychiatric diagnoses are stigmatizing labels, phrased to
  resemble medical diagnoses and applied to persons whose
  behavior annoys or offends others.
  4. Those who suffer from and complain of their own behavior
  are usually classified as "neurotic"; those whose behavior
  makes others suffer, and about whom others complain, are
  usually classified as "psychotic."
  5. Mental illness is not something a person has, but is
  something he does or is.
  6. If there is no mental illness there can be no hospitalization,
  treatment, or cure for it. Of course, people may change
  their behavior or personality, with or without psychiatric
  intervention. Such intervention is nowadays called "treatment,"
  and the change, if it proceeds in a direction approved by
  society, "recovery" or "cure."
  7. The introduction of psychiatric considerations into the
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  Summary 268
  administration of the criminal law-for example, the insanity
  plea and verdict, diagnoses of mental incompetence to stand
  trial, and so forth-corrupt the law and victimize the subject
  on whose behalf they are ostensibly employed.
  8. Personal conduct is always rule-following, strategic, and
  meaningful. Patterns of interpersonal and social relations may
  be regarded and analyzed as if they were games, the behavior
  of the players being governed by explicit or tacit game rules.
  9. In most types of voluntary psychotherapy, the therapist
  tries to elucidate the inexplicit game rules by which the client
  conducts himself; and to help the client scrutinize the goals
  and values of the life games he plays.
  10. There is no medical, moral, or legal justification for
  involuntary psychiatric interventions. They are crimes against
  humanity.
  
  
  Thomas Szasz 'The Myth of Mental Illness'.
  
  
  
  
  Actually, I don't agree with the thesis #1 : 'disease' can affect the body only, therefore, there is no mental disease.
  
  
  
  Szasz is against 'psychosomatic medicine', he considers it 'false science',
  
  but I believe all diseases are psychosomatic, mind and body are very closely connected.
  
  Szasz is anti-religious, atheist, he doesn't believe there is such thing as
  'soul' or 'mind'. While this question is much more complicated than this.
  
  
  Disagreeing with him on his principal thesis, I nevertheless, strongly agree and feel
  
  about 'stigma', that psychiatric disgnosis is a stigma and a 'witch hunt'.
  
  About #7 I also don't agree with him. A person may very well be in a state when he cannot be called
  'in his sound judgement' and 'responsible'.
  
  
  #8 also don't agree. He assumes rationalistic theory of man's behaviour while this is not always is the case,
  in my opinion.
  
  
  #9 strongly agree not to keep up obscurantism, clariify hidden goals and motives, educate 'patient'.
  
  
  #10 strongly agree about involuntary treatment is a crime against humanity.
  
  
  Throughout the book, I also wasn't in agreement with all his points, but
  
  
  he said a lot of really important and interesting things.
  
  
  After all, 'mental disease' is a myth or no?
  
  I think it's a myth and not a myth at the same time.
  
  
  'The treatment' got very much mythologized in our society.
  
  
  But 'the mental illness' does exist, though not nearly so often
  than it's diagnosed.
  
  Is mental disease 'organic', can it be cured exclusively by drugs?
  
  I don't believe so.
  
  Inferring from the fact mental disease is much more prevalent in poor classes,
  
  
  it's cause not organic but social, stress and visissitudes of living.
  
  
  Psychotherapy is very important.
  
  
  Existing drugs can only lessen acute states of psychosis, in the long run they
  
  
  just make live of a patient 'flat', without emotions , without interest,
  
  not curing him.
  
  
  
  Existing psychiatric structures, stigma of the diagnosis, treatment in the wide sense of the 'patients' in the society
  
  
  contribute not to genuine treatment but to continuation of the 'disease' ad infinitum.
  
  
  One third of Americans are diagnosed with psychiatric diagnosis
   and this ludicrous number only grows.
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