- Psychiatric Times Vol 24 No 14
- Volume 24
- Issue 14
Psychiatric Tribalism
"Positive Psychology: A More Direct Route To Happiness" (Psychiatric Times, September 2007) brought to mind that no one asks an internist to which school of medicine he or she belongs.
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Psychotherapy wars are just the beginning of psychiatric tribalism-there are also psychopharmacologists; proponents of first, second, and third nerve cell messengers; and the experts on each neurotransmitter. Drug companies are frantically searching for new agents to cure persons with serious illnesses, those in pain, and even those who are merely unhappy.
A committee of 1000 experts is about to recarve mental disorders and to publish their conclusions in the fifth edition of the DSM. When Congress expands laws and alters the tax code, at least it does not claim to be scientific.
Everyone in mental health is presumably trying to help, but pious fighting, whether in the mental health or political arena, is destructive.
There are a spate of recent books denouncing God and praising science that laud evidence over faith. It is time to practice humility and to face the fact that after centuries of effort, severe mental illness is not curable, and the rest of human misery will not be eliminated by fish oil, transcranial magnets, the modulation of glutamate receptors by LY2140023, or psychotherapists. Humility means we can all try but should not feel superior to others who help. It is the mental health worker and clinician on the front line who do the most good.
We all hope research will continue and may someday provide answers. Presently, and unfortunately, the targets of the investigators remain surrounded by fog. What is severe mental disorder and how can we define it? To do so might help focus curative efforts, unless we get lucky and fix it without knowing how. Aspirin worked for years before its relief of pain and fever could be explained. Perhaps there is a plant out there in some shrinking rain forest that will relieve severe mental disorder and human misery. Until then, no professor has reason to look down on any other or on the frontline clinician or mental health worker. While we should not abandon the academy or the laboratory, we must redouble our outreach to patients and study them closely to find answers. That is how chlorpromazine, lithium, and the first antidepressants were discovered.
Articles in this issue
almost 18 years ago
Treating Catatonia in Autismalmost 18 years ago
New Drug Evaluation Workshops Focus on Improving Psychiatric Researchalmost 18 years ago
Antidepressants Not Linked to Adult Suicidealmost 18 years ago
Correctional Psychiatry: Room for Improvementalmost 18 years ago
Making Psychotherapy Work: Collaborating Effectively With Your Patientalmost 18 years ago
Ethics in Psychotherapy and Counseling: A Practical Guide, 3rd ed.almost 18 years ago
Confessionalmost 18 years ago
A Reluctant Journey Into Consciousnessalmost 18 years ago
Child and Adolescent Clinical Psychopharmacology, 4th ed.Newsletter
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