Challenging Psychiatry’s Reliance on the Disease Model

Challenging Psychiatry’s Reliance on the Disease Model
Author: Digby Tantam
Publisher: Taylor & Francis
Total Pages: 236
Release: 2024-08-22
Genre: Psychology
ISBN: 1040110436

This volume critiques and challenges the use and promotion of the disease model in psychiatry, arguing that its misconceived approach prevents the preferred disablement model from becoming the default method to understand mental health conditions, including schizophrenia. Featuring first-hand experiences as well as qualitative and quantitative findings, the book posits that mental illnesses are an expression of disablement, not disease, and that the alternative disablement approach (already being applied in the psychiatry of neurodevelopmental disorders but applicable to mental illness, too) allows for greater dignity and autonomy for the patient, collaboration between medical professionals, a replacement of categorical approaches with more appropriate dimensional ones, and a liberation from the restrictive idea of a ‘cure’. The initial chapters of the book summarize the now overwhelming evidence that the disease model is flawed, as is the simplistic materialism that psychiatry has built around the concept of the brain as a kind of standalone biological computer. The later chapters consider the currently existent alternatives to the disease model and put forward the evidence for a psychiatry based on the person, as described by the philosopher Heidegger among others. This volume will appeal to researchers, scholars, and postgraduate students in clinical psychiatry, mental health research, and psychotherapy. Psychologists and clinicians active in research or teaching in mental health will also benefit from this volume.

Challenging Psychiatry's Reliance on the Disease Model

Challenging Psychiatry's Reliance on the Disease Model
Author: Digby Tantam
Publisher:
Total Pages: 0
Release: 2024-08
Genre: Disability Evaluation
ISBN: 9781032709437

"This volume critiques and challenges the use and promotion of the disease model in psychiatry, arguing that its misconceived approach prevents the preferred disablement model from becoming the default method to understand mental health conditions, including schizophrenia. Featuring first-hand experiences as well as qualitative and quantitative findings, the book posits that mental illnesses are an expression of disablement, not disease, and that the alternative disablement approach (already being applied in the psychiatry of neurodevelopmental disorders but applicable to mental illness, too), allows for greater dignity and autonomy for the patient, collaboration between medical professionals, a replacement of categorical approaches with more appropriate dimensional ones, and a liberation from the restrictive idea of a 'cure'. Initial chapters of the book summarize the now overwhelming evidence that disease model is flawed, as is the simplistic materialism that psychiatry has built around the concept of the brain as kind of standalone biological computer. Later chapters consider the currently existent alternatives to the disease model, and puts forward the evidence for a psychiatry based on the person, as described by the philosopher Heidegger amongst others. This volume will appeal to researchers, scholars, postgraduate students in clinical psychiatry, mental health research, and psychotherapy. Psychologists and clinicians active in research or teaching in mental health will also benefit from this volume"--

Ending Discrimination Against People with Mental and Substance Use Disorders

Ending Discrimination Against People with Mental and Substance Use Disorders
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 171
Release: 2016-09-03
Genre: Social Science
ISBN: 0309439124

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

Common Mental Health Disorders

Common Mental Health Disorders
Author: National Collaborating Centre for Mental Health (Great Britain)
Publisher: RCPsych Publications
Total Pages: 316
Release: 2011
Genre: Health services accessibility
ISBN: 9781908020314

Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.

Psychiatry Reborn: Biopsychosocial psychiatry in modern medicine

Psychiatry Reborn: Biopsychosocial psychiatry in modern medicine
Author: Will Davies
Publisher: Oxford University Press
Total Pages: 300
Release: 2020-10-21
Genre: Medical
ISBN: 0192506846

Psychiatry Reborn: Biopsychosocial Psychiatry in Modern Medicine is a comprehensive collection of essays by leading experts in the field, and provides a timely reassessment of the biopsychosocial approach in psychiatry. Spanning the sciences and philosophy of psychiatry, the essays offer complementary perspectives on the ever more urgent importance of the biopsychosocial approach to modern medicine. The collection brings together ideas from the series of Loebel Lectures by world leaders in the field of psychiatry and associated Workshops at the University of Oxford, including revised versions of the Lectures themselves, and a wide range of related commentaries and position pieces. With contributions from psychiatry, psychology, neuroscience, and philosophy, the book provides the most comprehensive account to date of the interplay between biological, psychological, and social factors in mental health and their ethical dimensions. The 23 chapters of this multi-authored book review the history and place of the biopsychosocial model in medicine, and explore its strengths and shortcomings. In particular, it considers how understanding this interplay might lead to more effective treatments for mental health disorders, as developments in genomic and neurobiological medicine challenge traditional conceptions and approaches to the research and treatment of mental health disorders. The book explores the challenges and rewards of developing diagnostic tools and clinical interventions that take account of the inextricably intertwined bio-psycho-social domains, and the ethical implications of the conceptualization. It concludes with chapters drawing together the book's range of expertise to propose a best conception of the model, and how it might be adopted going forward in an age of exponentially increasing technological advances and of integrated/collaborative care. The volume is intended to present the BPS model as it stands today in the academy, the lab, and the clinic, and to start to address the challenges and potential that the model has for each.

The Medical Model in Mental Health

The Medical Model in Mental Health
Author: Ahmed Samei Huda
Publisher: Oxford University Press
Total Pages: 384
Release: 2019-05-16
Genre: Medical
ISBN: 0192534092

Many published books that comment on the medical model have been written by doctors, who assume that readers have the same knowledge of medicine, or by those who have attempted to discredit and attack the medical practice. Both types of book have tended to present diagnostic categories in medicine as universally scientifically valid examples of clear-cut diseases easily distinguished from each other and from health; with a fixed prognosis; and with a well-understood aetiology leading to disease-reversing treatments. These are contrasted with psychiatric diagnoses and treatments, which are described as unclear and inadequate in comparison. The Medical Model in Mental Health: An Explanation and Evaluation explores the overlap between the usefulness of diagnostic constructs (which enable prognosis and treatment decisions) and the therapeutic effectiveness of psychiatry compared with general medicine. The book explains the medical model and how it applies in mental health, assuming little knowledge or experience of medicine, and defends psychiatry as a medical practice.

The Biology of Desire

The Biology of Desire
Author: Marc Lewis
Publisher: PublicAffairs
Total Pages: 256
Release: 2015-07-14
Genre: Psychology
ISBN: 1610394380

Through the vivid, true stories of five people who journeyed into and out of addiction, a renowned neuroscientist explains why the "disease model" of addiction is wrong and illuminates the path to recovery. The psychiatric establishment and rehab industry in the Western world have branded addiction a brain disease. But in The Biology of Desire, cognitive neuroscientist and former addict Marc Lewis makes a convincing case that addiction is not a disease, and shows why the disease model has become an obstacle to healing. Lewis reveals addiction as an unintended consequence of the brain doing what it's supposed to do-seek pleasure and relief-in a world that's not cooperating. As a result, most treatment based on the disease model fails. Lewis shows how treatment can be retooled to achieve lasting recovery. This is enlightening and optimistic reading for anyone who has wrestled with addiction either personally or professionally.

Global Mental Health and Neuroethics

Global Mental Health and Neuroethics
Author: Dan J. Stein
Publisher: Academic Press
Total Pages: 312
Release: 2020-01-13
Genre: Psychology
ISBN: 0128150645

Global Mental Health and Neuroethics explores conceptual, ethical and clinical issues that have emerged with the expansion of clinical neuroscience into middle- and low-income countries. Conceptual issues covered include avoiding scientism and skepticism in global mental health, integrating evidence-based and value-based global medicine, and developing a welfarist approach to the practice of global psychiatry. Ethical issues addressed include those raised by developments in neurogenetics, cosmetic psychopharmacology and deep brain stimulation. Perspectives drawing on global mental health and neuroethics are used to explore a number of different clinical disorders and developmental stages, ranging from childhood through to old age. Synthesizes existing work at the intersection of global mental health and neuroethics Presents the work of leading practitioners of global mental health and neuroethics who address clinical issues Looks at clinical decision-making in settings with non-Western values and customs Covers patient empowerment, human rights, cognitive enhancement, and more

Personalized Psychiatry

Personalized Psychiatry
Author: Bernhard Baune
Publisher: Academic Press
Total Pages: 604
Release: 2019-10-16
Genre: Medical
ISBN: 0128131772

Personalized Psychiatry presents the first book to explore this novel field of biological psychiatry that covers both basic science research and its translational applications. The book conceptualizes personalized psychiatry and provides state-of-the-art knowledge on biological and neuroscience methodologies, all while integrating clinical phenomenology relevant to personalized psychiatry and discussing important principles and potential models. It is essential reading for advanced students and neuroscience and psychiatry researchers who are investigating the prevention and treatment of mental disorders. Combines neurobiology with basic science methodologies in genomics, epigenomics and transcriptomics Demonstrates how the statistical modeling of interacting biological and clinical information could transform the future of psychiatry Addresses fundamental questions and requirements for personalized psychiatry from a basic research and translational perspective

Disease Control Priorities, Third Edition (Volume 4)

Disease Control Priorities, Third Edition (Volume 4)
Author: Vikram Patel
Publisher: World Bank Publications
Total Pages: 307
Release: 2016-03-10
Genre: Medical
ISBN: 1464804281

Mental, neurological, and substance use disorders are common, highly disabling, and associated with significant premature mortality. The impact of these disorders on the social and economic well-being of individuals, families, and societies is large, growing, and underestimated. Despite this burden, these disorders have been systematically neglected, particularly in low- and middle-income countries, with pitifully small contributions to scaling up cost-effective prevention and treatment strategies. Systematically compiling the substantial existing knowledge to address this inequity is the central goal of this volume. This evidence-base can help policy makers in resource-constrained settings as they prioritize programs and interventions to address these disorders.