Psychiatry Reconsidered From Medical Treatment to Supportive Underst

Psychiatry suffers a lot of criticism, not least from within its own scientifically founded medical world. This book provides an account of mental health difficulties and how they are generally addressed in conventional medical circles, alongside critical

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Psychiatry Reconsidered From Medical Treatment to Supportive Understanding Hugh Middleton Associate Professor, School of Sociology and Social Policy, University of Nottingham and Consultant Psychiatrist, Nottinghamshire Healthcare NHS Trust

© Hugh Middleton 2015 Softcover reprint of the hardcover 1st edition 2015 978-1-137-41136-5 All rights reserved. No reproduction, copy or transmission of this publication may be made without written permission.

No portion 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, Saffron House, 6–10 Kirby Street, London EC1N 8TS. Any person who does any unauthorized act in relation to this publication may be liable to criminal prosecution and civil claims for damages. The author has asserted his right to be identified as the author of this work in accordance with the Copyright, Designs and Patents Act 1988. First published 2015 by PALGRAVE MACMILLAN Palgrave Macmillan in the UK is an imprint of Macmillan Publishers Limited, registered in England, company number 785998, of Houndmills, Basingstoke, Hampshire RG21 6XS. Palgrave Macmillan in the US is a division of St Martin’s Press LLC, 175 Fifth Avenue, New York, NY 10010. Palgrave Macmillan is the global academic imprint of the above companies and has companies and representatives throughout the world. Palgrave® and Macmillan® are registered trademarks in the United States, the United Kingdom, Europe and other countries. ISBN 978-1-349-68171-6 ISBN 978-1-137-38490-4 (eBook) DOI 10.1007/978-1-137-38490-4 This book is printed on paper suitable for recycling and made from fully managed and sustained forest sources. Logging, pulping and manufacturing processes are expected to conform to the environmental regulations of the country of origin.

A catalogue record for this book is available from the British Library. A catalog record for this book is available from the Library of Congress. Typeset by MPS Limited, Chennai, India.

This would not have been possible unaided and in isolation. The support of family and friends has been indispensable, but greatest thanks must go to the many hundreds if not thousands of people I have encountered in my professional life. It is a privilege to have been able to spend time with and alongside so many and so intimately. Books, even this one, can only tell so much, and teachers likewise. The real world in all its messiness and uncertainty has much more to offer, and for a doctor that world is their patients’. This comes with heartfelt gratitude to all who over the years have opened up or put their trust in me, doubted and argued. From you I have learned far more than any book could convey or any teacher wisely share. Hugh Middleton, Nottingham, December 2014

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Contents List of Illustrations

ix

Acknowledgeme