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1 Critical Psychiatry

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3 Critical Psychiatry The Limits of Madness Edited by D. B. Double

4 * Selection, editorial matter and chapters 1, 2, 10 and 12 D. B. Double 2006 All other chapters their authors 2006 Softcover reprint of the hardcover 1st edition All rights reserved. No reproduction, copy or transmission of this publication may be made without written permission. No paragraph of this publication may be reproduced, copied or transmitted save with written permission or in accordance with the provisions of the Copyright, Designs and Patents Act 1988, or under the terms of any licence permitting limited copying issued by the Copyright licensing Agency, 90 Tottenham Court Road, london W1T 4lP. Any person who does any unauthorised act in relation to this publication may be liable to criminal prosecution and civil claims for damages. The authors have asserted their rights to be identified as the authors of this work in accordance with the Copyright, Designs and Patents Act First published 2006 by PALGRAVE MACMILLAN Houndmills, Basingstoke, Hampshire RG21 6XS and 175 Fifth Avenue, New York, N.Y Companies and representatives throughout the world PALGRAVE MACMILLAN is the global academic imprint of the Palgrave Macmillan division of St. Martin's Press, llc and of Palgrave Macmillan ltd. Macmillan is a registered trademark in the United States, United Kingdom and other countries. Palgrave is a registered trademark in the European Union and other countries. ISBN DOI / ISBN (ebook) This book is printed on paper suitable for recycling and made from fully managed and sustained forest sources. A catalogue record for this book is available from the British library. library of Congress Cataloging-in-Publication Data Critical psychiatry: the limits of madness I edited by D. B. Double. p.cm. Includes bibliographical references and index. 1. Psychiatry-Philosophy. 2. Mental health policy. 3. Crisis intervention (Mental health services) 4. Psychiatry-Social aspects. I. Double, D.B., RC437.5.C dc

5 Man is most often led from the free use of reason to madness by overstepping the limits of his good qualities and of his generous and magnanimous inclinations. Phillippe Pinel, 'Memoir on madness', 11 December, 1794 Truth has its limits, absurdity has none. Ernst von Feuchtersleben, The principles of medical psychology, 1845

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7 Contents List of Tables and Figures Notes on Contributors ix xi Introduction 1 Critical Psychiatry: Challenging the Biomedical Dominance ofpsychiatry D.B. Double 3 Part I: Anti-psychiatry and Critical Psychiatry in Retrospect 2 Historical Perspectives on Anti-psychiatry D.B. Double 3 From Anti-psychiatry to Critical Psychiatry John M Heaton 4 Transcultural Mental Health Care: The Challenge to Positivist Psychiatry David lngleby Part ll: The Prospect of Critical Psychiatry 5 The Limits of Biomedical Models of Distress Lucy Johnstone 6 Understanding Psychiatry's Resistance to Change 99 Terry Lynch 7 The Politics of Psychiatric Drug Treatment 115 Joanna Moncrie.IJ 8 British Mental Health Social Work and the Psychosocial 133 Approach in Context Shulamit Ramon 81 vii

8 viii Contents 9 Democracy, Citizenship and the Radical Possibilities of Postpsychiatry Pat Bracken & Philip Thomas 10 The Biopsychological Approach in Psychiatry: The Meyerian Legacy D.B. Double 11 Critical Child Psychiatry Sami Timimi Conclusion 12 Critical Psychiatry and Conflict: Renewing Mental Health Practice D.B. Double References Index

9 List of Tables Table 7.1 Results of the Finnish Minimal Use Study 131 List of Figures Figure 2.1 Subdivisions of Anti-psychiatry 31 Figure 9.1 The Emergence of Psychiatry from the Age of Reason 152 Figure 10.1 Meyer's Understanding of Science 175 ix

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11 Notes on Contributors Pat Bracken is clinical director of the West Cork Mental Health Services, Ireland. He is co-editor of Rethinking the trauma of war (London: Free Association, 1998), author of Trauma: Culture, meaning and philosophy (London: Whurr Publishers, 2002) and co-author of Postpsychiatry: Mental health in a postmodern world (Oxford: OUP, 2005). D.B. Double is consultant psychiatrist and honorary senior lecturer, Norfolk and Waveney Mental Health Partnership NHS Trust and University of East Anglia. He is website editor of the Critical Psychiatry Network ( John M. Heaton is a psychotherapist and one-time colleague of RD. Laing. He is the author of Wittgenstein and psychoanalysis (Duxford: Icon Books, 2000) David lngleby is professor of intercultural psychology, Utrecht University, the Netherlands. He is the editor of Critical psychiatry: The politics of mental health (Harmondsworth: Penguin, 1981) and Forced migration and mental health: Rethinking the care of refugees and displaced persons (Springer-Verlag, 2004). Lucy Johnstone is clinical lecturer on the doctoral programme in clinical psychology at the University of the West of England. She is the author of Users and abusers of psychiatry: A critical look at traditional psychiatric practice (2nd edition) (London: Routledge, 2000). Terry Lynch is a medical practitioner and psychotherapist in Limerick and author of Beyond Prozac: Healing mental suffering without drugs (Ross-on-Wye: PCCS Books, 2004). Joanna Moncrieff is senior lecturer in social and community psychiatry, University College London, Department of Psychiatry & Behavioural Sciences. Shulamit Ramon is professor of interprofessional health and social studies, Anglia Polytechnic University, UK. Her most recent edited books are Users researching health and social care: An empowering agenda. xi

12 xii Notes on Contributors (Birmingham: Venture Press, 2003) and Mental health at the crossroads. The promise of the psychosocial approach (Aldershot: Ashgate, 2005). Philip Thomas is senior research fellow at the Centre for Citizenship & Community Mental Health, University of Bradford. He is author of The dialectics of schizophrenia (London: Free Association, 1997) and coauthor of Voices of reason, voices of insanity: Studies of verbal hallucinations (London: Brunner-Routledge, 2000) and Postpsychiatry: Mental health in a postmodern world (Oxford: OUP, 2005). Sami Timimi is consultant child and adolescent psychiatrist, Lincolnshire Partnership NHS Trust. He is the author of Pathological child psychiatry and the medicalization of childhood (Hove: Brunner-Routledge, 2002) and Naughty boys: Anti-social behaviour, ADHD and the role of culture (Basingstoke: Palgrave Macmillan, 2005).

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