Alternative perspective on psychiatry’s so-called mental disorders PHILIP HICKEY, PH.D.
I am a licensed psychologist, presently retired. I have worked in clinical and managerial positions in the mental health, corrections, and addictions fields in the United States and England. My wife and I have been married since 1970 and have four grown children.
The phrase “mental health” as used in the name of this website is simply a term of convenience. It specifically does not imply that the human problems embraced by this term are illnesses, or that their absence constitutes health. Indeed, the fundamental tenet of this site is that there are no mental illnesses, and that conceptualizing human problems in this way is spurious, destructive, disempowering, and stigmatizing.
The purpose of this website is to provide a forum where current practices and ideas in the mental health field can be critically examined and discussed. It is not possible in this kind of context to provide psychological help or advice to individuals who may read this site, and nothing written here should be construed in this manner. Readers seeking psychological help should consult a qualified practitioner in their own local area. They should explain their concerns to this person and develop a trusting working relationship. It is only in a one-to-one relationship of this kind that specific advice should be given or taken.
Christopher Lane has a post up on Psychology Today (May 14 2012) called: DSM-5 Is Diagnosed, With a Stinging Rebuke to the APA.
About a year ago, the APA announced the new “diagnoses” that they proposed to include in the upcoming DSM-5. This kind of expansion is nothing new. The APA has been engaged in the medicalization of every conceivable human problem for the past 50 or 60 years.
But on this occasion, some of their more creative and potentially damaging creations generated a good deal of fairly vocal opposition. The upshot of this is a decision by the APA to drop two of the more contentious “diagnoses:” - “attenuated psychosis syndrome” and “mixed anxiety and depression.”
...
Number of US Newborns with Drug Withdrawal Triples
Yahoo News recently ran an Associated Press article with the above heading. Here are some quotes:
Disturbing new research says the number of U.S. babies born with signs of opiate drug withdrawal has tripled in a decade because of a surge in pregnant women's use of legal and illegal narcotics, including Vicodin, OxyContin and heroin, researchers say.
The number of newborns with withdrawal symptoms increased from a little more than 1 per 1,000 babies sent home from the hospital in 2000 to more than 3 per 1,000 in 2009, the study found. More than 13,000 U.S. infants were affected in 2009, the researchers estimated.
...
Too Much Sex?
Christopher Lane recently published an interesting article on Psychology Today.
The article covers a number of topics, including the APA’s proposal to include “hypersexual disorder” in the upcoming DSM-5. The implications of this proposed “diagnosis” are that if you think about sex too much or engage in sexual activity too much, then you have a mental illness.
Back in the 60’s, when I was at college, I would frequently find myself chatting with a group of fellow students on a wide range of topics, including sex. Often someone would cite the old statistic that the average young adult male thinks about sex 171 times a day (or whatever), to which the chorus of replies was always – “no way; it’s much more often than that.”
...
Parenting and Psychiatry
About a week ago an article appeared on the ‘net concerning an attempt by parents to ban ice cream vendors from a playground in Brooklyn, New York. The piece was reprinted in the New York Post. Apparently some of the parents are upset because the arrival of the vendors stimulates requests for ice cream from the children, which results in confrontation and bitterness.
Responsible parents everywhere will recognize the dilemma. Ice cream has little or no nutritional value, but children like it. So do we stand our ground or do we give in?
...
Cracks in the Sandcastle
The central theme of this blog is that the APA’s so-called diagnostic system is spurious and destructive. It is destructive of the individuals that get caught in its net and destructive socially in that it undermines those values of resourcefulness and efficacy which are essential ingredients of a successful society.
Psychiatrists have become tawdry drug pushers. To this end they have prostituted their medical affiliations and have avidly promoted the big lie: that ordinary human problems are in fact illnesses best “treated” by drugs.
...
Obsessive Compulsive Disorder Is Not An Illness
Recently I was listening to NPR on the car radio. The program was about so-called obsessive compulsive disorder, and a woman was describing her difficulty in this area. I didn’t record her actual words, but it went something like this:
I have all these checks and rituals that I have to do each day. And it’s beginning to put a strain on my marriage. Sometimes my husband wants to go somewhere but I can’t go until I finish my checks.
...
Eccentricity
Yesterday I received the following email from a reader.
“What’s your stance on eccentricity? How do you relate to the general view in the APA that deviation from cultural norms is pathological? And, have you ever read about David Weeks?
I consider myself an eccentric person with many quirks and some fetishes. While I have many friends who share the same interests or many of them, I still feel a little bad about psychiatrists labeling eccentricity with SPD or Schizoid personality disorder. I am 19, and my friends are from the 18-25 years of age, and we share a common love for anime and cartoons. Maybe not always the same but sometimes we share two or more common cartoons. Some of them also are collectors of stuffed animals and figurines like me, and some of them engage in masturbation with those objects as me.
...
Intrusive Thoughts
I recently received the following email from a reader:
“I was wondering what your thoughts were on intrusive thoughts and anxiety problems or what some people call pure ocd. I have had problems for as long as I can remember. There is so much information out there it gets confusing. I don't believe these are illnesses I believe alot is learned or habitual. I am alot better thanks to my own hard work, but intrusive thoughts are one of the harder things to shake. Thank you.”
...
"Normal" Bereavement
There was a nice article in the Lancet last month. The article posed the question: “When should grief be classified as a mental illness?”
The author criticized the APA’s draft version of DSM-5 for blurring the distinction and for making it more likely that people in bereavement will be “diagnosed” as depressed and, of course, “treated” with prescription drugs.
There has been a good deal of criticism against the APA on this issue, and it is likely that the final version of DSM-5 will reflect some retreat in this matter.
...
Major Tranquilizers and Seniors
In 1997 I worked part-time for a nursing home. This facility had an open-door policy and had a reputation in the state for being able to accommodate even the most difficult and unmanageable clients.
Some of this reputation was attributable to their generous administration of major tranquilizers, but in addition there was a high level of acceptance and compassion among the staff, and there is no doubt in my mind that this was a major factor in their success.
...