By: John Read and Jacqui Dillon
Published by: Routledge, 24th May 2013
Models of Madness
Psychological, Social and Biological Approaches to Psychosis
Edited by John Read, University of Liverpool, UK
and Jacqui Dillon, National Chair, Hearing Voices Network, UK
“Truly, a revolution is occuring in our understanding of severe mental illness…This volume will serve as an inspiration, not only to established clinicians and researchers, but to the young people who will develop better services for people with psychosis in the future.”
– Prof Richard Bentall, From the Foreword.
“The publication is very timely given the international debate about this month’s publication of DSM-5, the latest and most controversial version of psychiatry’s diagnostic ‘bible’. Our book documents all the evidence showing that these diagnoses are unscientific and a major cause of the stigma faced by people who receive these labels. It also presents the research demonstrating the urgent need for a fundamental paradigm shift towards evidence-based, effective and humane mental health services.”
– Prof John Read, Lead Editor
Are hallucinations and delusions really symptoms of an illness called ‘schizophrenia’? Are mental health problems really caused by chemical imbalances and genetic predispositions? Are psychiatric drugs as effective and safe as the drug companies claim? Is madness preventable?
This second edition of Models of Madness challenges the simplistic, pessimistic and often damaging theories and treatments of the ‘medical model’ of madness. Psychiatric diagnoses and medications are based on the false premise that human misery and distress are casued by chemical imbalances and genetic predispositions, and ignore the social causes of psychosis and what psychiatrists call ‘schizophrenia’. This edition updates the now extensive body of research showing that hallucinations and delusions etc. are best understood as reactions to adverse life events and that psychological and social approaches to helping are more effective and far safer than psychiatric drugs and electroshock treatment. A new final chapter discusses why such a damaging ideology has come to dominate mental health and, most importantly, how to change that.
Models of Madness is divided into three sections:
- Section One provides a history of madness, including examples of violence against the ‘mentally ill’, before critiquing the theories and treatments of contemporary biological psychiatry and documenting the corrupting influence of drug companies
- Section Two summarises the research showing that hallucinations, delusions etc. are primarily caused by adverse life events (eg. parental loss, bullying, abuse and neglect in childhood, poverty, etc.) and can be understood using psychological models ranging from cognitive to psychodynamic
- Section Three presents the evidence for a range of effective psychological and social approaches to treatment, from cognitive and family therapy to primary prevention.
This book brings together thirty-seven contributors from ten countries and a wide range of scientific disciplines. It provides an evidence-based, optimistic antidote to the pessimism of biological psychiatry.
Models of Madness will be essential reading for all involved in mental health, including service users, family members, service managers, policy makers, nurses, clinical psychologists, psychiatrists, psychotherapists, counsellors, psychoanalysts, social workers, occupational therapists, and art therapists.
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By: Mark Rapley, Joanna Moncrieff and Jacqui Dillon
Published by: Palgrave Macmillan, 12th October 2011
Thomas Szasz (1960) suggested that the myth of ‘mental illness’ functions to ‘render more palatable the bitter pill of moral conflict in human relations’. The medicalization of distress enables the mental health professions to manage the human suffering that they are confronted with, and also the suspicion that there is little that they can do to help. But the medicalization of misery and madness renders people unable to comprehend their experiences in ordinary, meaningful terms. In this collection we restore to everyday discourse a way of understanding distress that, unlike contemporary psychiatry and psychology, recognises and respects the essential humanness of the human condition. De-medicalizing Misery is a shorthand term for this project. The book resists the psychiatrization and psychologization of human experience, and seeks to place what are essentially moral and political – not medical – matters back at the centre of our understanding of human suffering.
Notes on Contributors
Carving Nature at its Joints? DSM and the Medicalization of Everyday Life; M.Rapley, J.Moncrieff & J.Dillon
Dualisms and the Myth of Mental Illness; P.Thomas & P.Bracken
Making the World Go Away, and How Psychology and Psychiatry Benefit; M.Boyle
Cultural Diversity and Racism: An Historical Perspective; S.Fernando
The Social Context of Paranoia; D.J.Harper
From ‘Bad Character’ to BPD: The Medicalization of ‘Personality Disorder’; J.Bourne
Medicalizing Masculinity; S.Timimi
Can Traumatic Events Traumatise People? Trauma, Madness and ‘Psychosis’; L.Johnstone
Children Who Witness Violence at Home; A.Vetere
Discourses of Acceptance and Resistance: Speaking Out About Psychiatry; E.Speed
The Personal Is the Political; J.Dillon
‘I’m Just, You Know, Joe Bloggs’: The Management of Parental Responsibility for First-Episode Psychosis; C.Coulter & M.Rapley
The Myth of the Antidepressant: An Historical Analysis; J.Moncrieff
Antidepressants and the Placebo Response; I.Kirsch
Why Were Doctors so Slow to Recognise Antidepressant Discontinuation Problems?; D.Double
Toxic Psychology; C.Newnes
Psychotherapy: Illusion With No Future?; D.Smail
The Psychologization of Torture; N.Patel
What Is To Be Done?; J.Moncrieff, J.Dillon & M.Rapley
Figure: Papers Using Term ‘Antidepressant’ On Medline 1957-1965
‘Despite longstanding awareness of the limitations of the medical model when applied to difficulties of human behavior and adjustment, the fields of psychiatry and psychology continue to accede to the pressures of medicine and the drug industry in their conceptualization of these human realities. Ironically, however, this medical model, eager as it is to fit so much of people’s experience into diagnostic categories, is a social construction. This book represents a significant effort to de-mystify, de-medicalize, and reclaim important aspects of the human condition.’ – Kenneth D. Keith, Professor, Department of Psychological Sciences, University of San Diego, USA
‘De-Medicalizing Misery has assembled an impressive cast of leading mental health experts. Together they challenge the simplistic and pessimistic biological model of human distress that has, with eager support from the pharmaceutical industry, dominated the mental health field for far too long. This evidence-based, humane and optimistic book not only explains where biological psychiatry went wrong, it spells out the alternatives.’ – John Read, University of Auckland, New Zealand and Editor of ‘Models of Madness’
Authors: MARK RAPLEY is Professor of Clinical Psychology at the University of East London, UK. He is the author of The Social Construction of Intellectual Disability, Quality of Life Research and, with Susan Hansen and Alec McHoul, Beyond Help: A Consumers’ Guide to Psychology.
JOANNA MONCRIEFF is Senior Lecturer in the Department of Mental Health Sciences at University College London, UK and a Practising Consultant Psychiatrist at the North East London Foundation Trust. She has spent her academic career re-evaluating the nature and efficacy of psychiatric drugs and exploring the history and politics of psychiatry. She is the co-chair of the Critical Psychiatry Network, and has campaigned against the dominance of the biomedical approach to psychiatry, the extension of psychiatric coercion and the influence of the pharmaceutical industry, in alliance with service user groups. She is the author of The Myth of the Chemical Cure (Palgrave Macmillan), A Straight Talking Introduction to Psychiatric Drugs, and numerous papers and book chapters.
JACQUI DILLON is the National Chair of the Hearing Voices Network, UK, and a Director of Intervoice – the International Network for Training, Education and Research into Hearing Voices. She is a campaigner, international speaker and trainer specialising in hearing voices, psychosis, dissociation and trauma. She is the co-editor of Living with Voices: An Anthology of 50 Voice Hearers’ Stories of Recovery. She has published numerous articles and papers, is on the editorial board of the journal Psychosis: Psychological, Social and Integrative Approaches and is a member of the collective for Asylum, The Magazine for Democratic Psychiatry.
Tags: Alternatives, Campaigning, Children, Collaboration, Critical Perspectives, Critical Psychiatry, Diagnosis, Hearing Voices, Hearing Voices Network, Inspiration, Medication, Personal Experience, Psychology, Research