Critical Psychiatry The Limits of Madness

Psychiatry is increasingly dominated by the reductionist claim that mental illness is caused by neurobiological abnormalities. Critical psychiatry disagrees with this and proposes a more ethical foundation for practice. This book describes an original fra

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Critical Psychiatry The Limits of Madness Edited by

D. B. Double

*

Selection, editorial matter and chapters 1, 2, 10 and 12 ©D. B. Double 2006 All other chapters © their authors 2006 Softcover reprint of the hardcover 1st edition 2006 978-0-230-00128-2 All rights reserved. No reproduction, copy or transmission of this publication may be made without written permission. No paragraph of this publication may be reproduced, copied or transmitted save with written permission or in accordance with the provisions of the Copyright, Designs and Patents Act 1988, or under the terms of any licence permitting limited copying issued by the Copyright licensing Agency, 90 Tottenham Court Road, london W1T 4lP. Any person who does any unauthorised act in relation to this publication may be liable to criminal prosecution and civil claims for damages. The authors have asserted their rights to be identified as the authors of this work in accordance with the Copyright, Designs and Patents Act 1988. First published 2006 by PALGRAVE MACMILLAN Houndmills, Basingstoke, Hampshire RG21 6XS and 175 Fifth Avenue, New York, N.Y. 10010 Companies and representatives throughout the world PALGRAVE MACMILLAN is the global academic imprint of the Palgrave Macmillan division of St. Martin's Press, llC and of Palgrave Macmillan ltd. Macmillan® is a registered trademark in the United States, United Kingdom and other countries. Palgrave is a registered trademark in the European Union and other countries. ISBN 978-1-349-27969-2 DOI 10.1057/9780230599192

ISBN 978-0-230-59919-2 (eBook)

This book is printed on paper suitable for recycling and made from fully managed and sustained forest sources. A catalogue record for this book is available from the British library. library of Congress Cataloging-in-Publication Data Critical psychiatry: the limits of madness I edited by D. B. Double. p.cm. Includes bibliographical references and index. 1. Psychiatry-Philosophy. 2. Mental health policy. 3. Crisis intervention (Mental health services) 4. Psychiatry-Social aspects. I. Double, D.B., 1952RC437.5.C75 2006 616.89-dc22 10 15

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Man is most often led from the free use of reason to madness by overstepping the limits of his good qualities and of his generous and magnanimous inclinations. Phillippe Pinel, 'Memoir on madness', 11 December, 1794 Truth has its limits, absurdity has none. Ernst von Feuchtersleben, The principles ofmedical psychology, 1845

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Contents

List of Tables and Figures

ix

Notes on Contributors

xi

Introduction 1 Critical Psychiatry: Challenging the Biomedical Dominance ofPsychiatry D.B. Double

3

Part I: Anti-psychiatry and Critical Psychiatry in Retrospect 2 Historical Perspectives on Anti-psychiatry D.B. Double

19

3 From Anti-psychiatry to Critical Psychiatry John M Heaton

41

4 Transcultural Mental Health Care: The Challenge to Positivist Psychiatry David lngleby

61

Part ll: The Prospect of Critical