Tag Archives: psychiatry

The Importance of Alternatives: Critical Psychiatry and Narrative Therapy

There’s more than one way to skin a cat. But, still, people in the feline flaying business can get so accustomed to the accepted techniques they forget there may be alternative approaches available.

That this idea can be applied beyond the delicate art of cat skinning has been the subject of a couple of the articles I’ve written during my three month long absence1 from My Last Nerve. Both of these articles relate to psychiatry and our approach to mental illness and I’m going to build on them here.

Critical psychiatry: Thomas Szasz and an alternative to the disease model

Dr Thomas Szasz

The idea that psychological and behavioural problems are diseases of some description is now firmly embedded in the popular psyche.

We’ve all heard about depression being some sort of neurochemical imbalance, or how attention deficit hyperactivity disorder (ADHD) is likely caused by faulty genes. In this view, people with schizophrenia are wired wrong and need to be dosed with heavy meds (whether they like it or not) to keep those buzzing live wires from shorting out.

It might not enjoy the same level of publicity or acceptance but there is an alternative approach to mental illness. Many of its proponents belong to the “critical psychiatry” movement and some of them go so far as to reject the legitimacy of the phrase “mental illness” outright.

The best known of these is Thomas Szasz, one of the fathers of critical psychiatry, and a man for whom the words “radical”, “controversial” and “maverick” could have been invented (some of his critics might be inclined to add “mad” to that list). Continue reading