My experience deviates from the experience of the depressed and psychotic people in
Anatomy of an Epidemic. I would argue against Robert Whitaker (antipsychiatrists) by making the following points:
- Robert Whitaker said that depression used to be thought of as cyclic and a limiting illness. My experience is that it is more
chronic and that chronicity wasn't due to medications . My depression
was chronic for about eleven years prior to taking any medication. They
don't acknowledge atypical depression which is more chronic and less
severe.
- Whitaker believes that medication causes a more severe
type of illness. This isn't the case with me. The way depression
expresses itself has changed over the years but I would necessarily say
that medications made it more severe. Depression tends to be more
atypical in younger people and more typical in older individuals.
- Whitaker
believes that psychosis is a fairly limited condition and consequently
can be dealt with without medication. I experienced psychosis about four
years ago and didn't take medication until about a year ago. The
psychotic episode didn't seem to be resolving on it's own.
- Whitaker
believes that most mental illness is resolved by time and alternative
medicine such as diet, exercise and psychotherapy. Prior to
experimenting with antidepressants and antipsychotics I tried quite a
few natural therapies without much luck.
- He believes that mental
illness isn't real, much like Thomas Szasz, due to a lack of pathology.
There isn't any test that doctors can run to diagnose someone as
"mentally ill". While this is true migraines don't have any particular
pathology either and yet are accepted as quite real. Why do
antipsychiatrists assume that scientists know everything there is to
know regarding mental illness. Antipsychiatrists seem to exist just in
the present.
- In many of his comparisons of nonmedicated vs
medicated patients he never seems to discuss why the nonmedicated
patients were nonmedicated. Did they possibly have a more limited
illness or a less severe one?
- Whitaker believes that medication
interferes with people taking responsibility for their "illness". Why is
there a need to blame the patient with mental illness. Whitaker would
like to take us back to the middle ages where mental illness was seen in
the context of religion. It was seen primarily as a moral failing and
not a physical one.
I agree with Whitaker that
antidepressants aren't particularly effective and many people are
diagnosed incorrectly however there is still much that I don't agree
with him on.
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