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Biological psychiatry and the invention of the asylum in modern America organic theories and somatic treatments: A history and case study.

机译:生物精神病学和现代美国庇护所的发明有机理论和躯体治疗:历史和案例研究。

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摘要

The history of modern biological psychiatry is inextricably entwined with the history of the mental asylum. This study evaluated the theories and practices of modern biological psychiatry and the asylum in the United States.;The study is divided into 4 sections. First, presentation of the author's own case study of being labeled schizophrenic, institutionalized, and receiving electroconvulsive shock treatments as a teenager. Second, a history of the asylum and biological psychiatry in modern America. This history emphasizes 20th-century developments: the advent of the shock therapies, lobotomies, and neuroleptic drugs; the discrepancies between claims made for various somatic treatments and actual efficacy studies; the finances and demographics of deinstitutionalization; the evolution and hegemony of the DSM. Third, the commentary section presents the medical model of mental illness as the originary tale---the premier regime of truth---driving the field, deconstruction of the major genetic psychiatry studies, a feminist critique of the unique relation women have to psychiatry in the West, and the sociological critique emphasizing cross-cultural studies and labeling theory. Fourth, the discussion section presents suggestions for improvements.;There were several major conclusions. First, in the United States where billions of dollars are spent on legions of practitioners by millions of clients, both prevalence and chronicity rates for "mental illness" have increased substantially. Secondly, in the West, prognoses for severe mental illness are much worse and chronicity is much higher than in developing countries. Thirdly, historically, the asylum population was disproportionately drawn from the ranks of the poor, the immigrant, female, elderly, and persons of color; hence, the dynamics of race, class, gender, and age are reflected in psychiatric evaluations. Finally, evidence used to support any organic theory of persons labeled mentally ill---including the biochemical imbalance theory---is inconclusive because: (a) the field of biological psychiatry is pervaded by hyperbole, false claims, and pseudoscience; (b) no genetic basis for "mental illness" has been demonstrated and genetic psychiatry research is riddled with methodological flaws and ideological bias; and (c) the influence of the pharmaceutical industry on the field of biological psychiatry is extensive.
机译:现代生物精神病学的历史与精神病院的历史密不可分。这项研究评估了美国现代生物精神病学和庇护的理论和实践。该研究分为四个部分。首先,介绍作者自己的案例研究:青少年时期被标记为精神分裂症,被制度化并接受电惊厥休克治疗。第二,现代美国庇护和生物精神病学的历史。这段历史着重于20世纪的发展:休克疗法,肺切除术和抗精神病药的问世;对各种躯体治疗的索赔与实际疗效研究之间的差异;非机构化的财务和人口统计; DSM的演变和霸权。第三,评论部分将精神疾病的医学模型描述为起源故事-首要的真理体系-驱动领域,对主要遗传精神病学研究的解构,对女性与精神病学独特关系的女权主义批评在西方,社会学评论则强调跨文化研究和标签理论。第四,讨论部分提出了改进建议。有几个主要结论。首先,在美国,数以百万计的客户花了数十亿美元购买从业人员,“精神疾病”的患病率和慢性病率都大大增加了。其次,在西方,严重精神疾病的预后要差得多,慢性病的发病率要比发展中国家高得多。第三,从历史上看,庇护人口不成比例地来自穷人,移民,女性,老年人和有色人种。因此,种族,阶级,性别和年龄的变化反映在精神病学评估中。最后,用于支持被标记为精神疾病的人的任何有机理论的证据-包括生化失衡理论-尚无定论,因为:(a)生物精神病学领域充斥着夸张,虚假主张和伪科学; (b)没有证明“精神疾病”的遗传基础,遗传精神病学研究充斥着方法论缺陷和意识形态偏见; (c)制药业对生物精神病学领域的影响是广泛的。

著录项

  • 作者

    Hodkin, Laurel Jennifer.;

  • 作者单位

    Saybrook Graduate School and Research Center.;

  • 授予单位 Saybrook Graduate School and Research Center.;
  • 学科 Psychology General.;Health Sciences Mental Health.;History of Science.;Psychology Psychobiology.
  • 学位 Ph.D.
  • 年度 1999
  • 页码 501 p.
  • 总页数 501
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 整形外科学(修复外科学);
  • 关键词

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