PsychZorro
@PsychZorro
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Joined August 2016
Seems very reasonable when you think about it, but I wonder what that could look like in the real world, where treatment has to be standardized, rationed (no 25-year treatment for sure) and adapted to models of health care constrained by all sorts of external factors.
Alexander Luria, el padre de la neuropsicología, escribió acerca de su anhelo de desarrollar una “ciencia romántica”: un conjunto de trabajos narrativos con valor y rigor científico, en los cuales el sujeto de estudio no quedara reducido a un número o a una caricatura; el trabajo
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Critics of psychopharmacology call for an acknowledgement of lived experience, but they systematically forget to listen to the lived experience of people who improves with medication 🤔
@exitsenses Just got on an SSRI recently after a decade of hesitation to do so. Complete changed my life. Glad you're doing better, sister.
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Imagine the nerve of presenting this basic fact of life as hubris on the part of psychiatrists. It is an exercise in ideological rhetoric that can only be taken seriously in an antipsychiatry echo-chamber.
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People can have a pathologically impaired grasp on reality. All adults know it/have had experience of it. Probably Justin knows it too, but it is more convenient for him to ignore it, and so he does.
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Bottom line: define terms, match engagement to aims, and keep the focus on the needs that we see in our daily work. Critique is legitimate and useful to improve and move forward. Abolition of psychiatry is not the same project.
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For abolitionist claims that misinform or harm, do not platform performative debates. Offer brief corrections with sources or ignore. Attention is a resource.
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I think it makes sense to engage reformers. Argue with data, mechanisms, and outcomes. Where claims are wrong, show the evidence and fix the process.
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I find the term antipsychiatry helpful: It helps set expectations for how to engage
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Antipsychiatry reject psychiatry in principle. Often via blanket claims against diagnosis, meds, and any form of compulsory care. Different aims require different responses.
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Reformers include clinicians, patients, and carers with skin in the game. They push for nuanced understanding, better evidence, transparency, consent, and services.
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I see two broad camps in critique: 1) reformers who want to improve care; 2) abolitionists (antipsychiatry) who aim to delegitimize psychiatry as a medical enterprise.
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Interesting write-up by Awais as usual. I have a few thoughts.
Why Has Critical Psychiatry Run Out of Steam? What has critical psychiatry become when its gestures of suspicion are indistinguishable from the paranoid accusations of medicine’s most fraudulent enemies? https://t.co/uFiVYwdbG9
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Recognizing, addressing, and preventing psychotropic withdrawal is a matter of competent psychiatric practice, and we should not cede this issue to extremists, crackpots, and contrarians who are more interested in ideological warfare and polarization than relief of suffering.
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New figures for core training posts in psychiatry May 2025.
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This!
This is how we got the mess that are modern clinical notes. Someone who wasn’t practicing medicine said that a full ROS and a full physical exam are what make for good patient care. So they tie documentation of those to reimbursement. This completely ignores the reality on
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"Big pharma is interested in treatments, not cures, and definitely not prevention." Big pharma makes vaccines, which are the most effective preventatives ever invented for numerous diseases.
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Point taken, John: there should be a lot more!
95% of US psychiatrists don’t use ECT. Most of the public think it stopped years ago. ECT usage down 90% since 1980s. You, George, are in ‘the very small group of people’ who still think electrifying human brains & inducing convulsions is a good idea. @PsychRecovery @MITUKteam
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@mgoldingmd @markhoro The point of medicine, the practice of medicine, is to save lives, treat diseases, alleviate pain of whatever type, mental and physical, and in general to make the patient feel better. Everything is done in the interest of the patient and the patient’s well-being. If withdrawal
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Conclusion: you hate psychiatry, but it doesn't have anything to do with what you write, and you are either ignorant or in bad faith.
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Does psychiatry forget that your means of livelihood affect your mental health? No, it doesn't. https://t.co/llVwa095Ur
jamanetwork.com
This cohort study examines whether household socioeconomic status is associated with mental health outcomes among youths during the COVID-19 pandemic.
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