Psychiatry and politics

One more reply to Will:

No need to apologize! As mentioned, I'm not an angel, me neither. And I've actually enjoyed this conversation too. I like conversations with people, who are open-minded. BTW, Gianna is right. There is a whole lot of judgement and anger, even hatred, out there. On both sides. I recently read a comment on a Norwegian blog, that stated that about 90 per cent of this world's population were traumatized, in one way or the other. It's certainly just an estimation, but in my opinion a very realistic one. Unfortunately. And if trauma isn't made conscious and worked out it gets acted out. Which means war. Like in the war against terrorism, the war against drugs, the war in Iraq,... you name it.

On juge un société à la manière dont elle traite ses fous. -Lucien Bonnafé

Of course it is society that makes psychiatry possible. And I want to emphasize, that I distinguish between the mental health system and psychiatry. It goes without saying: psychiatry was established in order to pathologize certain, unwanted behaviors and ideas, that couldn't be criminalized. Pathologizing behaviors and ideas means to declare them null and void. This quote from Jani's father's blog is one of the most obvious illustrations of what medically diagnozing behavior and ideas aims at: "With schizophrenics, you always have to try to rationalize with them. You have to try and point out where their thinking is irrational. It doesn’t work right then and there but the hope is that it will sink in over time and that Jani will learn to question her own thoughts." (my italics)

BTW, there lies an interesting contradiction in psychiatry's practice of pathologizing and declaring certain thoughts to be "irrational", while no one ever seems to doubt the report of "symptoms" by the identified "patient" to be other than rational.

Well, the thing is, that "psychosis", "schizophrenia", is a reaction to having one's thoughts and feelings declared null and void (because they're unwanted). I dare say, that every single individual who has experienced "psychosis" as a result of psychological trauma (and usually physical abuse involves psychological trauma as well) - in contrast to those, whose "psychotic" symptoms are a reaction to purely biological stressors, food allergies, adverse reactions to drugs, etc. - has had their own thoughts and feelings invalidated in one or the other way. To an extent, that eventually makes them doubt the value of their own, genuine thoughts and feelings themselves. And the moment one's true self starts to protest this invalidation, psychiatry steps in, and accomplishes what others weren't able to accomplish. Because they couldn't scientifically prove one's thoughts and feelings to be without value. Psychiatry can. Or, it claims to be able to. The invalidation of one's personality is scientifically, and thus, taken the status of science in our society into account, indisputably and irrevocably justified. That's why psychiatry has to be a (medical) science. Religion doesn't have that power anymore in our society today. Although it once had: what psychiatry is to our modern society, the Inquisition was to Pre-Enlightenment society. Notice that psychiatry emerges about at the same time as society enters the age of Enlightenment, and the Inquisition comes to an end.

When more and more people turned away from religion as the truth, and instead enthusiastically embraced science, the Inquisition was no longer an acceptable tool to control and oppress unwanted behavior and ideas. It needed to be replaced by a tool, that at least on the surface gave the impression of being scientific in order to be acceptable to an enlightened society.

Psychiatry is one of society's tools to enforce our culture's ideology on people. Probably the most effective one. Where educational institutions for example have great but nevertheless limited influence on individual perception, psychiatry's influence is virtually unlimited. Any kind of being in this world can be defined a mental illness (cf. homosexuality, or being a runaway slave), and while it wouldn't occur to anyone to remove real illnesses like the flu or cancer from the ICD, or to add any diagnoses that lack scientific proof of being an illness to it, psychiatric diagnoses are added to and removed from the DSM faster than you can say "DSM"... always perfectly in line with current cultural norms and values.

Now you'll maybe object, and say that people do suffer and need help. I agree. But the help people really need, is to have their suffering validated, not invalidated. To blame individual biology for suffering, that is caused by cultural norms and values, is to invalidate the suffering.

The vast majority of people I know, I myself included, know that they suffer and are in need of help. It isn't true that they lack insight by definition. The only idea they lack insight in regard to, is the idea that they would suffer from a brain disease and would need medical treatment. Non-psychiatric alternatives like Soteria don't need to force anybody, or lock as much as one single door. Because, in contrast to psychiatry, they validate people's suffering, so people stay voluntarily. Just as I didn't cancel, was late for, or missed out on one single therapy session. Because I felt that both my suffering and my being in general was validated. Not entirely - for example, I experienced being referred to as a "patient" as an invalidation - but enough to have me stay.

As for psychotherapy in general, and your experience in particular, that I've heard countless parallels to over time, it is dominated by psychiatry's (society's) ideology. That is, it doesn't validate the individual in crisis and his/her (human) experience. It pathologizes both. And once you and your (human) experience are declared pathological, it can't be you, but has to be the therapist, who knows all the answers. It doesn't work out for the individual in crisis, but it does for society. Society prefers to put up with a growing number of people on disability, people who aren't chronically ill, but chronically denied their true answers, their true selves, to being confronted with these true answers.

The human relationship industry

From an e-mail I recently wrote:

"I did some thinking about this issue in the wake of Gianna's post on it. It seems like just another "symptom" of our culture's sickness, its profoundly alienating dynamics, that we have to pay for supportive human relationships, that there is a whole industry, that is able to make a living on offering something, to which each and everybody should be granted free access. Wasn't it Freud, who came up with the demand for people to pay for that service, because it would force them to go and get themselves a job? First step towards "recovery". Ok, but then "recovery" means (re-)adjustment to the capitalist system... So, to a certain extent you might say, this makes therapy repeat the dysfunctional, alienating dynamics, that caused crisis: "It's not enough, that you are who you are. I only listen to you, if you pay me money for it." (...) It is as it is. Unfortunately, we need that industry. A lot of other things would have to change, before we could do without it. And I think, the really "good" ones inside that industry actually can contribute to bringing some change around through their work - that they need to get paid for in order to survive."

I don't think what really matters when it comes to helping people in crisis would be the ability to practice certain, during several years of academic education and clinical training acquired therapeutic techniques. I think what really matters is the ability to establish a genuine human relationship. - And indeed, I think that years of academic education and clinical training actually have the potential to destroy that ability in an individual. I'd even go as far as to say, they are designed to destroy that ability. - Can human relationships be genuine when they are offered as a paid-for service, as consumer goods? Isn't this, too, kind of a "toxic mimicry" of what would be natural?