NASNIcares is calling for a divorce within the profession of psychiatry between those who conceptualize “psychiatric illness” as afflictions of the mind – and those who conceptualize these disorders as afflictions of the brain’s semblance of mind. A hundred years ago, psychiatry broke away from neurology and the consequences have been catastrophic. It is unknown how dominant the “biopsychosocial” or psychosocial cohort is in the profession of psychiatry, but the influence of this ideological and conceptual perspective in the field has resulted in psychologization of neurologic phenomenon. This powerful influence has informed public policies, leading to homelessness, unjust jail detentions, unjust incarcerations, and premature death.
The cohort of this profession that desires to unencumber themselves from the memification of their professional identities as ‘shrinks’ and the gravitational forces of regressive and misguided belief systems (and their attendant disordered lexicon) that isolate them from the legitimacy and stature of their fellows in other disciplines of medicine, needs to practice under another credential. Leave psychiatry behind.
Excerpting from an article in American Journal of Psychiatry (https://ajp.psychiatryonline.org/doi/10.1176/ajp.155.4.457)
When historians of science turn their attention to the emergence of molecular medicine in the last half of the twentieth century, they will undoubtedly note the peculiar position occupied throughout this period by psychiatry. In the years following World War II, medicine was transformed from a practicing art into a scientific discipline based on molecular biology. During that same period psychiatry was transformed from a medical discipline into a practicing therapeutic art. In the 1950s and in some academic centers extending into the 1960s, academic psychiatry transiently abandoned its roots in biology and experimental medicine and evolved into a psychoanalytically based and socially oriented discipline that was surprisingly unconcerned with the brain as an organ of mental activity.
*This article is 23 years old, which does nothing to outdate it in the stagnant and eccentric field of Psychiatry. While it does have something compelling to say, it eventually descends into preoccupations with nature vs nurture consistent with the misapplication of the biopsychosocial model, embraces psychotherapy in a way that is consistent with the odd belief that CBT can alter brain function to a degree of clinical significance, and makes a baffling distinction between psychiatric and medical…all tenets of the psychosocial psychiatry that the article is critical of, and thereby undermining its central thesis.
The Somatic School of Psychiatry of the 19th and early 20th century which asserted that “insanity” (an archaic construct) was a product of biological causes was subverted by a virulent imposition of psychosocial psychiatry and that disordered school of thought (which established deep roots in America and propagated across the world) fueled ideological movements that have public policies corrupted to this very day.
Illnesses of the mind (in the controversial sense of the subjective or objective sense of illness rather than a disease state), or “mental illness”, or mental health (the psychosocial mind rather than the organic semblance of mind) should be the domain of their psychologist colleagues, who are not medical doctors. The term “mental illness” is a metaphor. Metaphorical illness should not be the concern of or in the domain of medicine.
It is time for a seismic paradigm shift away from the idea that it is necessary to classify disorders that “affect your mood, thinking and behavior” – the common definition of a so-called mental illness, as “mental or psychiatric illness”. Dementias are generically classified as neurodegenerative diseases and Alzheimer’s is not typically conceived of as a “mental illness”. Ponder some of these contorted attempts to explain how Alzheimer’s and Dementias are not “mental illness”
It’s not unusual for mental illness, particularly depression, to occur in the early stages of Alzheimer’s disease. But accurate diagnosis and treatment can improve cognitive function.
Dementia of all kinds, specifically Alzheimer’s disease, comes with many unfortunate mood and behavior changes. However, sometimes these changes are not side effects of the dementia, but mental disorders that merely accompany dementia, causing more stress in the patient’s life.
Alzheimer’s disease and other dementias are not mental illnesses in the traditional sense, but as they progress, they may elicit all the symptoms and effects of mental illness. – this same article, oddly enough, characterized “mental illnesses” as physiologic disorders – which is what Alzheimer’s is.
Now, contemplate how some insurance companies have traditionally set “psychiatric illness” apart even though scientists have long known that so-called mental or psychiatric illnesses like so-called “schizophrenia” (a potentially catastrophic and deadly symptom complex – or syndrome) are physiologic and specifically neurologic disorders of brain function. Any affliction that is physiologic and neurologic causing disordered brain organ function is without qualification a medical condition – and is certainly not a metaphorical illnesses or diseases in the fallacious sense of the IMD Exclusion’s “mental diseases”.
Medical Condition Any injury, illness or disease, excluding psychiatric illness.
Now, juxtapose this definition of medical conditions with this excerpt from an article in jscimedcentral.com
Advances in neuropsychiatry are increasing our understanding of brain-behavior relationships. With this knowledge, the classification of illnesses as psychiatric and neurologic appears increasingly out –dated
It is time to escape the antiquated and misconceived lexicon of psychiatry, of psychoanalysis, and of psychotherapy where brain disorders are concerned. It is time to cease calling brain disorders “mental health” conditions. “Schizophrenia”, possibly Bipolar, “Anxiety” and “Depression” (the neurologic rather than the psychosocial ) all need to be renamed. Newly branded, discrete disease or disorder names will attach all of the mental and behavioral symptomologies that are deemed to be so important to signify by the nomenclature of “mental” or “psychiatric”.
*NASNIcares is developing a “rogue’ lexicon for the purpose of disposing of antiquated and misguided psychoanalytical terms and concepts. The Profession of Psychiatry will cling to these problematic terms for eternity unless general medicine imposes reclassification of so-called mental illnessess and until then, we will be forced to live with these terms.
NASNIcares has renamed “Schizophrenia” as Jacobi Flemming Nasse Syndrome (JFNS – “jayfins”..phonetically). These names are synonymous with the Somatic (or Biological) School of Psychiatry.