AHA! I found my old post... which I shall paste here
Makes more sense.
Had SUCH an interesting lecture today. I thought I would waffle about it.
We looked at mental illness, and all the labels (eg, ADHD, PTSD, schizophrenia etc etc etc) and discussed whether they are real diagnoses or absolute boll-hocks (not the state of distress - the label, the diagnosis).
We looked at a study called "Being sane in insane places".
And we looked at whether psychiatrists are really capable of "diagnosing" mental illnesses, and the implications of being labelled as having an "illness".
Our lecturer was keen to stress that she does not dispute that people suffer mental distress, and hear voices, are depressed etc etc - people clearly have mental distress, but her point was that she does not necessarily believe that these are mental illnesses that can be categorised and labelled.
I'll try and explain...
There is..
no biological origin for mental illness
no genetic componant for mental illness
you can't catch one
and no proven chemical changes.
Fact is, people don't understand WHAT causes them.
Some quotes:
They are "complex creations brought about by a variety of factors"
"Are psychiatric diagnoses real, or do they exist only in the minds of the observer?"
The study we looked at by Rosenhan was interesting.
He basically asked some of his pychologist mates to go to a hospital and explain they were hearing voices. ALL other info they gave about themselves was true.
He doubted psychiatrists can tell the difference between mentally ill, or mentally healthy people.
All but 1 of the 8 people were admitted to hospital and diagnosed as schizophrenic.
Once admitted the "patients" acted totally normally, and "stopped" hearing voices.
Their normal behaviour was seen as a "symptom" of their illness - so..everything they said and did, was in context to them being "ill" from then on.
In a 2nd study (I missed some of this part, I needed a wee ) I think they sent some REAL "patients" back, and they were turned away.
Sooo - diagnosis...
People with supposedly the "same" disorder, often display TOTALLY different symptoms, and everything someone does is interpreted in accordance to the diagnosis.
Basically, the lecturer (and MANY other professionals) are arguing that these "illnesses" are socially constructed disorders.
For example!
Homosexuality.
Originally, it was a sin.
Psychiatrists then decided, homosexuality was an ILLNESS. A MENTAL ILLNESS. Like bi-polar, or schizophrenia.
Then... a POLITICAL decision was made, and homosexualty is no longer an illness, it is social diversity.
Crazy huh? All these people regarded as mentally ill, suddenly cured?!
Thats a pretty crude example, but it's just to illustrate the point.
ANYWAY (are you bored yet???)
Someone else decided to copy the Rosenhan study - EXACTLY the same.
She was not admitted once. Was spoken to on average for 12 mins each session.
Instead she was diagnosed as depressed with psychotic features!! Not schizophrenia?! So - what changed??
And she was prescribed 25 anti-psychotics and some other crap I forget about.
This also demonstrates the TREND in diagnoses.
I'm getting bored of typing now.
Another point.
PSTD, ADHD etc are more prevelant in the USA that anywhere else - if these are MEDICAL conditions - how could that be? Again, not saying people aren't feeling something, going through something, but how can we be so quick to judge that they are all feeling a set ILLNESS, one specific condition?? I mean, when you break your leg, you can diagnose that - its the same for everyone...
I think she was basically trying to say, that mental illnesses, aren't necessarily illnesses, but different ways people cope with certain things. Some people may be predisposed to behaving in a certain way (hallucinations etc), but each person is INDIVIDUAL, and we should treat them as such, not label with them socially constructed, and infact, demeaning illnesses that are a hindrence, which probably has more of an impact that not being labelled....
Well - the lecture certainly gave me food for thought today.
I hope some of that makes sense.......
http://www.chazhound.com/forums/showthread.php?t=49522&highlight=mental+illness