{PDF} Doctoring the Mind: Why Psychiatric Treatments Fail Ebook

DOCTORING THE MIND: WHY PSYCHIATRIC TREATMENTS FAIL PDF, EPUB, EBOOK

Starting with surprising evidence from the World Health Organisation that suggests people recover better from mental illness in a developing country than in the first world, Mind Medicine on Trial asks the question- how good are our mental health services, really? In this taut and finely argued book, Richard Bentall picks apart the science that underlies much current psychiatric practice across the US and UK. Challenging everything from the trials by which drugs are approved to the veracity of studies conducted that support drug treatment, and drawing on research he himself has conducted over the course of twenty years, Doctoring the Mind is surprising and humane, bringing the experience of both patients and mental health professionals into focus. Arguing passionately for a future of mental health treatment that focuses as much on the patients as individuals as on the brain itself, this is a book set to redefine our understanding of the treatment of madness in the twenty-first century. Account Options Anmelden. Meine Mediathek Hilfe Erweiterte Buchsuche. E-Book anzeigen. Richard P. Check all that apply - Please note that only the first page is available if you have not selected a reading option after clicking "Read Article". Include any more information that will help us locate the issue and fix it faster for you. The author dissects what he considers to be myths about mental illness. Enjoy affordable access to over 18 million articles from more than 15, peer-reviewed journals. Get unlimited, online access to over 18 million full-text articles from more than 15, scientific journals. See the journals in your area. Save searches from Google Scholar, PubMed. You can share this free article with as many people as you like with the url below! We hope you enjoy this feature! Continue with Facebook. Sign up with Google. Bookmark this article. You can see your Bookmarks on your DeepDyve Library. Sign Up Log In. Copy and paste the desired citation format or use the link below to download a file formatted for EndNote. All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser. Open Advanced Search. DeepDyve requires Javascript to function. Please enable Javascript on your browser to continue. Doctoring the mind: why psychiatric treatments Fail Doctoring the mind: why psychiatric treatments Fail Smith, Mike; The author dissects what he considers to be myths about mental illness. Doctoring the mind: why psychiatric treatments Fail Smith, Mike. Download PDF. Share Full Text for Free beta. Web of Science. Let us know here. System error. Please try again! How was the reading experience on this article? The text was blurry Page doesn't load Other:. Details Include any more information that will help us locate the issue and fix it faster for you. Doctoring the Mind: Why psychiatric treatments fail – A New Vision for Mental Health

Published on. Flowing text. Best for. Web, Tablet, Phone, eReader. Content protection. Flag as inappropriate. It syncs automatically with your account and allows you to read online or offline wherever you are. Hij stelt dat antipsychotica een effect kunnen hebben in de acute fase van de aandoening, maar dat er veel minder bewijs is voor het gunstige effect van een onderhoudsbehandeling. Hij houdt een pleidooi voor cognitieve gedragstherapie en bespreekt onder andere zijn eigen onderzoek hierin. Bentall illustreert zijn betoog met aangrijpende gevalsbeschrijvingen. Het is echter geen handleiding voor de behandeling van psychotische stoornissen, maar een theoretisch betoog. De auteur stelt dat men meer nadruk moet leggen op het verklaren en behandelen van symptomen en niet op ziektebeelden, maar hij bespreekt niet hoe een verdere onderverdeling van symptomen mogelijk nog betere verklaringen kan geven. Bentall does this well: it is, for example, hard to disagree with his conclusion, having surveyed the plentiful evidence that exists, that "most psychiatric diagnoses are about as scientifically meaningful as star signs". He has a deft touch when it comes to summarising, succinctly and accessibly, some of the more complicated technicalities of genetic research, brain biochemistry and statistical analysis the book is aimed at the "intelligent lay reader" as much as at the interested professional. Most psychiatric treatments, historically often unconscionable, are these days usually, of course, in the form of drug treatments either not effective at all or not nearly as effective as is often supposed; too often they may be harmful. The theories of brain functioning on which they rest are tenuous at best. As Bentall notes in his historical overview, all these points have been and are being made often and powerfully by others. Indeed, in the s it looked as though "the medical model", as we talked of it then, might not survive. But survive it did - if anything, more robustly than before. A good part of the reason for this, as he explains, is due to the enormously powerful interests of the drug companies, whose influence on research into the effectiveness of treatment has been, and is still, at least as great as their influence on medical practitioners themselves. Again, this point has also been made penetratingly and sometimes courageously by others. Perhaps the least convincing, or at any rate least effective, part of the book is where Bentall attempts to slide into the place he hopes might be vacated by psychiatry an understanding of mental illness, and an approach to treatment, based on the therapeutic procedures of clinical psychology. Here, however, his erstwhile "scientific" critical standards seem seriously to slip. Whereas, after fairly minute examination, research involving drug trials is found to be wanting, "the quality of psychotherapy trials has often been very good Science, as Bentall knows full well, does not answer questions definitively nor make discoveries beyond dispute. Beyond anti-psychiatry? The politics of mental illness - Left Flank

In this taut and finely argued book, Richard Bentall picks apart the science that underlies much current psychiatric practice across the US and UK. Challenging everything from the trials by which drugs are approved to the veracity of studies conducted that support drug treatment, and drawing on research he himself has conducted over the course of twenty years, Doctoring the Mind is surprising and humane, bringing the experience of both patients and mental health professionals into focus. Arguing passionately for a future of mental health treatment that focuses as much on the patients as individuals as on the brain itself, this is a book set to redefine our understanding of the treatment of madness in the twenty-first century. Account Options Anmelden. Meine Mediathek Hilfe Erweiterte Buchsuche. These companies spend much more on advertising than on developing drugs. There are heavy-duty backers to the idea that mental illness is a medical condition that needs to be treated using drugs — follow the cash. This book, referenced to within an inch of its life, points out that on virtually every level the assumptions psychiatry makes about mental illness are both wrong and increase the suffering of those unfortunate enough to be treated according to this paradigm. This is a fascinating, important and infuriating book. View all 12 comments. I'll preface this by saying that I really appreciate the fact the author had the honesty of admitting the presence of personal bias in favour of clinical psychology. It really helped me to moderate my annoyance at some parts of this book. Thank you. I'll also add that I'm writing this as a person who has suffered from chronic depression since the age of twelve, and been treated in a non anglo-saxon EU country. As such, my experience of psychiatry has not been absolutely dominated by Big Pharma I'll preface this by saying that I really appreciate the fact the author had the honesty of admitting the presence of personal bias in favour of clinical psychology. As such, my experience of psychiatry has not been absolutely dominated by Big Pharma thank goodness. I've been researching psychiatry, anti- psychiatry, and looking to critical psychiatry for a while now and thus took to reading this book with a pinch of salt at the ready. I was ready to dump it before even starting it when I saw a review mentioning it as a great asset to the anti-psychiatry movement. I really have no patience for it. A lot of it is made up of fanatics who cry "pseudo-science" at psychiatry when they themselves know little about the nuances of scientific research, or the complexity of it when it adresses the amazing organ that is the brain. A lot of them are also mental illness denialists who have no more compassion for sufferers than the pharmadocs they despise so much. But I decided to give the book a try anyway. Now that I've finished, I'm pretty confident that the author is not, in fact, really anti-psychiatry. Although this was absolutely not apparent at first or even at middle. I'll come back to that. I'll start with what I enjoyed about the book: 1 The historical information was very interesting good History is always fun , and though I knew a bit of it already, I enjoyed learning new things. Although I don't see how these psychological mechanisms exclude the role of intrinsic biology for some people! Ironically though, that last point is problematic for two reasons: a I know for a fact that this method is already being put into practice, and has been for some time. Since I encountered it both when I was in hospital at age 12, and when I went back last year I'm now As far as I know, the multidisciplinary approach is the only one to be found in my city, even my country. So clearly, on an international level in developed countries , we're dealing with a straw man here. If he were talking exclusively about the US, or even Britain though even according to him it's not as bad , then yes, I would concur. Although not entirely either since I've read several accounts of good care in the USA as well. On the other hand, I will certainly agree that the influence of Big Pharma is ever growing, again especially in the States, it's HQ. But even throughout, the author's contradictory feelings and conclusions were really grating at times. Which brings me to what I didn't like about this book: 1 The author's inconsistency. It's as if he couldn't really make up his mind about his feelings and conclusions regarding psychiatry. Honestly, if I hadn't finished the book, I would've come away with the conclusion that he was the definitely part of what I call the "Church of Psychotherapy" branch of the anti-psychiatry movement. But the book's last chapter was really quite beautifully nuanced, so I've decided he's more in the critical psychiatry camp though in a more clearly biased way than I am myself. The author does a pretty decent job of critiquing the role of medication in the treatment of mental illness, but clearly didn't go in as deep with psychotherapy not as many notes and references, for one. This is probably the result of his personal bias. And while he gets more nuanced towards the end of his book, most of his remarks regarding meds vs. Either "medication is a spectacular failure unworthy of further research" which I find disturbingly unscientific to say , or "psychotherapy undoubtedly demonstrates very high amounts of success". Which is all the more confusing when he admits, on the very same page, that conducting objective research on it's efficacy is even more difficult than it is for psychopharmacology. In fact, I find it funny that, despite looking at the same data, the author and I came to different conclusions as to their meaning for patient care. I also found some of his interpretations to be based on faulty premises, chiefly that the mind and brain are separate, and that just because something can be influenced, even "caused" by our environment and life circumstances, it means it's all about nurture and not about nature i. Again, he seemed to agree with me on this one towards the end of the book, so maybe this is all a question of either poor writing, or poor editing. Genetic predispositions for mental illness and many others, I might add don't automatically lead to actual mental illness. In fact, epigenetics, an even more interesting field of study to me, would agree that genes clearly have a complex relationship with our environment and life circumstances. There is no mutual exclusion here. The same goes with brain structure and even brain chemistry, to a certain extent, although I don't subscribe to the chemical imbalance theory either, it's too simple , which can and is affected by our life experiences. Ever heard of neuro-plasticity? Is it so unreasonable to think that trauma, or repeated negative experiences, can shape neural pathways and biochemical mechanisms in such a way as to make it increasingly difficult to get out of toxic, depressed, anxious, even psychotic, thought patterns and processes? Which is also why I'm convinced CBT alone will not work with severe long-term mental illness, certainly not if it lasts a mere 6 months. Is it so unreasonable to think that some people have genes that, if activated by certain life events, will make the development of mental illness more likely or more severe? Otherwise, you would see the same reactions or lack thereof in people who've had bad experiences! And you wouldn't find family trees with a ridiculous amount of actual mental illness either. Not once. I'm not saying they don't exist, but clearly that statement doesn't represent a universally agreed upon consensus. The first example that comes to mind is the field of oncology. In fact, cancer research still has a long way to go! Imagine then, what this means for the branches of medicine psychiatry and neurology, which should perhaps fuse in some cases that study the most complex organ we have! Of course we're not there yet! We need more research, not less! To say that, just because we haven't found enough convincing evidence for the biological underpinnings a better word than "causes" of mental illness, we should abandon all research is downright shameful coming from the mouth of a scientific researcher! If science should only to be conducted when there is an assurance of finding an immediate application, then theoretical physics departments, for example, should all be shut down. I mean, really? That we need decent human relationships with our doctors and therapist is pretty self-evident. Bedside manners are fundamental, compassion should be a requirement. But it only goes so far. It's not a panacea. Moreover, it will always be fake, to a degree. Because money is involved. It might be a very cynical way of seeing it, but I think it's realistic. Money doesn't prevent someone from caring or being kind, of course. But it puts up a barrier that needs to be recognised. A shrink is basically a friendship prostitute note, I have nothing against prostitution. If you're lucky, they'll have actual therapeutical tools, backed by at least some theory and evidence, that can help. Although you might as well buy a CBT workbook and do it yourself. But this is why I disagree with the Dodo conjecture. To think otherwise is ridiculous. If it's that simple, why can people with relatively good life circumstances still suffer from mental illness? Conversely, why aren't sufferers automatically cured as soon as their life circumstances improve? This didn't bother me too much to be honest. I get it: I hate the DSM too. But I don't think attempts at classification are entirely misguided again, there have been issues with this in other branches of medicine. The real problem with the DSM is that it is used as a bible, not as a set of guidelines, and that it's been heavily corrupted by Big Pharma. And yes, discrete categories can be problematic, although if the author dislikes them so much, why does he insist on separating symptoms and quality of life as if they had nothing to do with each other? Like I said, I liked his concluding chapter. In this book, Richard Bentall attempts to mount a major new attack from a relatively fresh quarter: that of more or less orthodox academic clinical psychology. One reason he too, I fear, will be beaten back, is that he has no really new weapons in his armoury, and some of the more unfamiliar ones that he attempts to deploy are less than devastating. The bulk of the book is taken up with pulling together the arguments and evidence that undermine psychiatry's principal claim that mental disorder is necessarily a medical concern requiring medical procedures of diagnosis and treatment. Bentall does this well: it is, for example, hard to disagree with his conclusion, having surveyed the plentiful evidence that exists, that "most psychiatric diagnoses are about as scientifically meaningful as star signs". He has a deft touch when it comes to summarising, succinctly and accessibly, some of the more complicated technicalities of genetic research, brain biochemistry and statistical analysis the book is aimed at the "intelligent lay reader" as much as at the interested professional. Most psychiatric treatments, historically often unconscionable, are these days usually, of course, in the form of drug treatments either not effective at all or not nearly as effective as is often supposed; too often they may be harmful. The theories of brain functioning on which they rest are tenuous at best. As Bentall notes in his historical overview, all these points have been and are being made often and powerfully by others. Indeed, in the s it looked as though "the medical model", as we talked of it then, might not survive. But survive it did - if anything, more robustly than before. A good part of the reason for this, as he explains, is due to the enormously powerful interests of the drug companies, whose influence on research into the effectiveness of treatment has been, and is still, at least as great as their influence on medical practitioners themselves. Again, this point has also been made penetratingly and sometimes courageously by others. Perhaps the least convincing, or at any rate least effective, part of the book is where Bentall attempts to slide into the place he hopes might be vacated by psychiatry an understanding of mental illness, and an approach to treatment, based on the therapeutic procedures of clinical psychology.

Doctoring the Mind: Why Psychiatric Treatments Fail | Times Higher Education (THE)

Comments Share your thoughts and debate the big issues. Already registered? Log in. Cancel Delete comment. Cancel Flag comment. Independent Premium comments 0 Independent Premium comments Open comments 0 open comments. Join the discussion. Join the discussion Create a commenting name to join the debate Submit. Reply Delete 0 0. Cancel Post. Forgotten your password? Want an ad-free experience? Subscribe to Independent Premium. Beyond that, he is unable to advocate any particular talk therapy, since evidence reveals that there isn't a lot of difference among any of them. At bottom, we are left with the efficacy of the "healing relationship" between therapist and patient - and the goal of a psychotherapy unified in the future. Over all, Paris is very good at punching holes in the scientific pretensions of contemporary biomedical psychiatry. But he doesn't always hold his own belief in talk therapy up to similar doubt - and for good reason. Despite his devastating criticisms, Paris is certainly not out to devastate psychiatry. He is careful to reject the "broadside attacks on the DSM " and characterizes some criticism of psychiatry's influence as "paranoid. Yet on the basis of his own work, I am more convinced than ever that broadside attacks deserve a hearing. Moreover, I'm doubtful that an evidence-based talk therapy reduced to the bare bones of empathic relationships is much for psychiatry to celebrate. Not when so many others have taken over the practice of talk therapy. And not when the greatest promise for psychotherapy lies, as with drug research, in a distant and perhaps idealized future. As for the present, if it is true that "anyone can come up with a list of criteria written in ' DSM -ese' that will be no better and no worse than the ones we have been living with since ," then perhaps we are no worse off with clinical psychologists, fringe therapists or even philosophers doling out prescriptions for the mind. I wonder how slippery Paris intends this slope to be. Paris speaks knowingly about the "system" in psychiatry, which is laudable. He could, however, say more about the discourse of power in psychiatry. In this respect, power is not just "the influence of psychiatry on society. Real doctors - the kind who prefer white coats to sports coats. Paris's diagnosis is nonetheless pitch-perfect: identity crisis. Like the illnesses psychiatry diagnoses, the profession is subject to its own discourse. British professor of clinical psychology Richard Bentall is just as blunt in Doctoring the Mind , a comprehensive and eye-opening book. Bentall couldn't be any clearer: He writes on the side of the angels, which is to say on the side of a "rational anti-psychiatry. But he also digs deep into the discourse of power in psychiatry. For Bentall, the triumphalist interpretation of biomedical psychiatry's ascendancy is a con job, driven in part by the "ruthless manipulation" of truth by Big Pharma. Bentall gives a history lesson, in which he wags a finger at historians such as Edward Shorter, and provides a list of problems in psychiatry. For example, he exposes researchers for having engaged in "statistical tricks" that inflate positive results; drug trials rendered "almost worthless" by poor follow-up; kickbacks from pharmaceutical companies that compromise research results and clinical practice; antidepressants such as Prozac hardly more effective than placebos; other drugs prescribed willy-nilly on a "suck-it-and-see-it basis"; and promising clinical trials that have in many cases never been replicated. As for diagnostic categories in psychiatry, Bentall finds them as arbitrary and "scientifically meaningful as star signs. So much for a science undone by "powerful financial and political forces. Bentall declares contemporary psychiatry a "spectacular failure. Against the "paternalist-medical" model of treatment that deals in coercion, intimidation and threats, Bentall advocates an "autonomy-promoting" complaints-and- recovery-oriented approach. This means attending to life histories, even in cases of psychosis, and assigning far greater etiological significance to the environment than is common today. Actually, Bentall's thesis is so old that it's new again: "Distress in human beings is usually caused by unsatisfactory relationships with other human beings. Not incidentally, Bentall's book perfectly reflects his approach, utilizing affecting and sometimes funny stories from his own life as a teacher, researcher and therapist. Share Full Text for Free beta. Web of Science. Let us know here. System error. Please try again! How was the reading experience on this article? The text was blurry Page doesn't load Other:. Details Include any more information that will help us locate the issue and fix it faster for you. 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