I started a thread here, so some of you can continue to bitch a moan under a proper subject. I say "bitch and moan" because apparently a couple of you perceive to act like you know more about the realm of mental health, and considering that I've spent almost ten years of my academic life in its study not to mention this is what my current profession entails. — Anaxagoras
If you review this thread, please consider the possibility that you are cherry picking (selection bias) engagement with only the most extreme anti-psychiatry position, which I am not even sure are as extreme as you think.
As a "mental health professional" your usage of the words "bitch and moan" to minimize your opposition is incredibly typical of people in positions of authority who have no real argument justifying that authority.
Your responses are on par for abrasiveness and some areas I would say exceed, for instance in the category of deflection, your opponents in this debate. In the vernacular, I would say you have been "triggered", far more than your counter-parties that openly admit to a history of mental illness whereas you claim to be, of one degree or another, an authority on mental illness.
You also seem to have problems perceiving the reality here. No one has claimed to "know more about the realm of mental health, and considering that I've spent almost ten years of my academic life in its study not to mention this is what my current profession entails".
Your interlocutors have pointed out philosophical problems in the construction of what "mental health" is, that it is as much a social construction as a scientific construction. The component that is a socio-political construction cannot by definition be professionalized, and naming experts of the socio-political component of mental health is for the purpose of imposing order ... an order that can be challenged on political grounds.
Now, I will admit there is also a scientific component to mental health and that the various mental health professions do help people in this category.
However, the socio-political component is incredibly dangerous to society, and not simply people misdiagnosed or "had bad service" that one can claim are bad apples the profession is always working to remove.
Leo has provided a really good thought experiment that puts this issue in to perspective ... that you dismissed off hand in a thread entitled "Psychiatry’s Incurable Hubris".
If you were a psychiatrist trained in a system where you are taught that concentration camps are normal, and that mentally healthy people are well-adapted to concentration camps, if your career and social status depended on you accepting that concentration camps are normal, would you look at the concentration camp itself as an external factor that could contribute to a person's dysfunction, or would you see the concentration camp as an essential part of reality that the person ought to adapt to? Would you then look for other causes behind the person's dysfunction, such as hypothesized brain defects, and then attempt to treat them by making the person ingest some drugs? If these drugs made the person's behavior appear less dysfunctional in the concentration camp, would you then consider these drugs to be an effective medication to treat the mentally ill? — leo
Your reply was:
You're using a play on words and hypotheticals here because this would be utterly ridiculous. If you expect a serious answer can you use a less ridiculous hypothetical example? — Anaxagoras
Leo's example is not a play on words, I don't see where you get that from. It's also not a hypothetical. The concentration camps actually happened, psychiatrists managed inmates with chemicals to increase compliance, and psychologists and psychiatrists made and applied criteria of what mental illnesses are "undesirable" and weakening German society.
The German psychiatrists and psychologists had all sorts of "science based" theories on why some people needed to be put in concentration camps, developed the criteria for putting people in camps and, once in camps, criteria for distinguishing "good laborers" from the bad. They also experimented on and found chemicals to help people adapt to the conditions in the camp without challenging authority as much.
Now, a lot of this is just bad science (some science specific to Naziism and some more or less global beliefs of the discipline at the time) and if you claim "well, we've learned since then", I'll accept that answer on the science component of mental health (in this debate).
However, part of this practice stemmed from the values of Nazi society and was an entirely logical follow through of those values. "Getting rid of undesirables" is a logically consistent value system and many societies have shared this value, and "deficiencies in mental health" is a logical category of "undesirable". In this case, psychiatrists are charged with identifying, trying to "fix" and if that fails labeling "for extermination" mentally ill people. (They also had theories for why entire ethnicities were mentally ill and performed experiments to see if anything could be done to fix these people and concluded that no; however, to simplify the discussion I want to focus on the Germans identified as mentally ill).
So considering this actually happened and as a university student of the subject for 10 years you are certainly aware, claiming it is a "hypothetical" is deflection at best and disingenuous at worst.
Now, the practice of psychiatry in the West today is not as extreme as in Nazism, but there are parallels.
The danger today (in the West) is not exterminating people, but a displacement of ethical and political dialogue, society must engage in to resolve new political challenges, to psychiatric expertise. For instance, in the past if working conditions became intolerable, the reaction to these conditions was political action; this is how 40 hour work week, for instance, came into being. Today, there is another option available: working conditions are fine, it's individual people who have problems that are "maladapted". So, if the truth is that working conditions are not fine, then the situation is a direct analogue of the concentration camp example: society as a whole is the (granted not as bad) concentration camp and psychiatrists direct their efforts to the people who find conditions intolerable and improve their adaptability; and this can be tracked by science (even if we disregard self-reporting of moods, we can track "people getting back to work" and other objective behavioral metrics; and conclude that psychiatry is "helping people and society").
However, the justification of mental health interventions rests on the justification of the government policies, both in the specific systems that deploy mental health but also in the general good governing sense. If government is oppressive, then the natural reaction is to be angry, anxious, depressed about it (if you are in an oppressed class, of course) and it is these feelings that motivate political change. To lower these feelings with chemicals is to participate not in the assistance of the individual, but in the sedation of society as a whole for adaptation to further oppression.
An extreme example today is the Chinese "re-education camps" of Muslims. Professionally trained to a western standard, psychiatrists and psychologists help build the systems to identify who needs "re-education" and how to "re-educate" them to be adapted to Chinese state management of their land, economy and culture.
Yet the mental health profession in the West has nothing to say about this, and any professional from China involved in the above system could easily move to the West, have degrees recognized and complete any remaining licensing condition, and practice professionally in the West. If they were an effective technician at enforcing state policies in China, there is no reason to question their effectiveness would change in the West. There has been little to no discussion (by the mental health professional community in the West) about the abuse of the science of mind to enforce compliance of an entire culture using large integrated AI systems, re-education camps, manipulating children to give information on their parents, and every other method available, all informed by the behavioral sciences. For instance, there has been no attempt to identify and blacklist participants in this oppressive system.
It's not as extreme in the West, but is there really no analogous issues? And as Leo points out, would you be able to know just in virtue of having a psychiatrist degree?
In the West, psychiatrists and psychologist are an integral part of the enforcement of compliance in school, the work force, public spaces, prisons and the home.
Take school for example. Western schools are to a significant, but a lesser degree than China, also filled with propaganda. Lot's of things in textbooks are verifiably false, misleading or simply absent (for propaganda purposes and not simply time constraint purposes). On top of this, teachers can be prejudiced themselves. If a student evaluates the direction of society as "bad" and so makes the logical conclusion of needing to resist conditioning and "wakeup" his or her peers, what will be the result? An arms-wide welcoming of a critical thinker out to improve society, and a sit down with the student body to put on trial alleged state propaganda? ... Or, will that student be labeled a trouble maker and enter various pipelines to be "fixed", and after the failure of a few disciplinary measures, will find themselves quickly diagnosed with a mental health issue.
Now, if the reality is there is not state propaganda in curriculum, no teacher prejudices in this student's case, and the general direction of society is morally justified, then indeed the student is living either "outside reality" or then the agitation, anxiety and disruptive behavior is due to brain chemical and wiring and the rational of "resisting conditioning" is simply a childish excuse to retroactively justify inappropriate behavior due to an unfortunate underlying physiological and mental condition the student does not have the skills to identify. If chemicals fix the emotions and disruption, it can be considered a win.
However, if the evaluation of the student is correct, then the resistance is justified and diagnosis of a the reasonable response of the student becomes not medicine but an organ of state oppression, to fix the problem at the behavioral level: whether it means sedating political actions or as a form of mental harm to increase the cost of resistance beyond what the student is willing to accept, both mechanisms will have the desired behavioural outcome and contribute to the statistics showing the treatment is effective.
Likewise, if legal working conditions are simply not acceptable, a psychiatrist employed by a company or even sought out by the worker to increase productivity by suppressing natural mental reactions to intolerable living and working conditions, is again a tool of state oppression. If working conditions are fine, then it's just helping the outliers have a normal and productive life. Again, a big difference as to the nature of what's happening.
If a justice and prison system is maintaining oppressive and racist policies and the conditions in prison are inhumane and closer to a concentration camp of forced labour than to anything resembling justice and rehabilitation, then it is justified to resist such conditions. Again, any mental health intervention to enforce compliance of prisoners with prison conditions is a tool of state oppression. If the justice system is great, rehabilitation as effective as it can be, then helping prisoners with mental health issues is part of a good rehabilitation system. Again, big difference.
Now, in all these cases, genuine mental health problems will be mixed in with reasonable methods to resist oppression, so the practitioners will always have clear cases of a mental problem to point at and say: look, no one can deny this persons hallucinating or can't function at a basic level. But this is a red herring used to justify and enable state oppression as whole, which is far more dangerous and damaging to society as a whole than fixing the genuinely mentally ill along with the politically disruptive.
Now, to be clear, this is not a personal attack on you. I don't know what system you are in, and, even in a bad system, being aware of these issues, an individual psychiatrist could try to do more help than harm by allying with the oppressed and either minimizing harm or helping them to "get through the cracks" and advance their cause without being caught by the mental health machine.
However, based on your responses you seem to believe there is no issue, that psychiatry deals with "reality" and never dabbles in enforcing compliance of government policies.
To be doubly clear, I am not asking for a justification of your system visavis the above issues, but response on the principles level. Are the Chinese mental health professional that are helping to track and predict using integrated surveillance and AI systems to minimize disruptive Muslim behaviour doing good work (are they potential terrorists with the mental culturally wide health conditions the Chinese government claims, or legitimate political actors seeking self-determination, as most other nations did at some point)? If they aren't doing good work, are they bad behavioral scientists, or just bad people? If they are bad people, would behavioral science tell them this, if, so, what papers and studies? If there's nothing in behavioral science that would point to an ethical problem, are they not then good behavioral scientist but simply with ethical and political beliefs you disagree with? Likewise, are the examples of the student, worker and prisoner simply impossible? If they are possible would you argue that psychiatrists are trained to identify and "leave alone" legitimate political grievances in the situations I described, in, for instance, the US?
To preempt one potential response, I am aware that these issues have been written about and some professionals maybe aware of them; however, my rebuttal would be only a just society trains to understand and employs people who apply such considerations: an oppressive state will train for and select for effectiveness in achieving the policies.