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Index
Cover
Title Page
Dedication
Copyright Page
Contents
List of Illustrations
List of Figures
Acknowledgements
Preface: Rational Antipsychiatry
On the distinction between antipsychiatry and being against psychiatrists
The purpose of this book
Doctoring the Mind
PART ONE: AN ILLUSION OF PROGRESS
1: A Smashing Success?
What is psychosis?
The medical treatment of severe mental illness
Has there been progress in the treatment of mental illness?
The best psychiatry in the world?
Doing without medical psychiatry
Psychiatry is not working
2: The Appliance of Science: The Emergence of Psychiatry as a Medical Discipline
Building the intellectual foundations of psychiatry
Life in the asylums
Extreme remedies
The absence of alternatives
3: Therapeutic Innovation at the End of the Asylum Era
The first drug that worked
The clinical psychologist arrives
The psychologist as engineer
Harnessing the therapeutic relationship
The two psychologies confront each other
The impact of innovation
Insane places
4: Dissent and Resolution: The Triumph of Biological Psychiatry
The new biological psychiatry
The neo-Kraepelinian revolution
The strange case of Rafael Osheroff
Replicating Rosenhan
PART TWO: THREE MYTHS ABOUT MENTAL ILLNESS
5: People or Plants? The Myth that Psychiatric Diagnoses are Meaningful
The personal and political significance of psychiatric diagnoses
How psychiatric diagnoses were invented
The mass production of psychiatric diagnoses
Spurious precision
Multiplying diagnoses
Correlations between symptoms
The predictive validity of psychiatric diagnoses
The boundary between the ‘normal’ and the ‘sick’
Are schizophrenia and bipolar disorder scientific delusions?
Andrew
6: The Fundamental Error of Psychiatry: The Myth that Psychiatric Disorders are Genetic Diseases
The fundamental error of psychiatry
Unpromising beginnings
How genes cause disease
The miscalculation of h2
The misinterpretation of h2
Hannah’s story
The slings and arrows of outrageous fortune
Victimization and powerlessness
Expressions of emotion
Vague communication
Insecure attachment
The era of molecular genetics
The seductiveness of genetic myths
Living with Mr Pinkerton
7: Brains, Minds and Psychosis: The Myth that Mental Illnesses are Brain Diseases
The significance of biology
Brain structure and psychosis
The neurochemistry of psychosis
Cognitive functioning and psychosis
How to explain psychosis
The engine of paranoia
The paranoid mind
Hearing voices
Psychiatric disorders are not simply brain diseases
PART THREE: MEDICINE FOR MADNESS
8: Science, Profit and Politics in the Conduct of Clinical Trials
We all need to understand randomized controlled trials
What is a randomized controlled trial?
There’s gold in them thar pills
RCT wars
The case of the SSRIs
Can psychiatric trial data be trusted?
9: Less is Probably Better: The Benefits and Costs of Antipsychotics
The short-term therapeutic effects of antipsychotic medication
Dose, side effects and the development of second-generation drugs
There are more side effects than stiffness and shakes
Do antipsychotics help in the long term?
Could antipsychotics make patients more vulnerable to future episodes?
Fooled again?
First do no harm
10: The Virtue of Kindness: Is Psychotherapy Effective for Severe Mental Illness?
How can we find out if psychotherapy works?
Is psychotherapy helpful to people with psychosis?
The new insulin coma therapy?
A universal therapeutic good?
11: What Kind of Psychiatry Do You Want?
Two visions of psychiatry
Do as you are told
Psychosis and violence
Insight and psychosis
The place of drugs in psychiatry
Psychotherapy for the masses?
Mental health tribalism
Journey’s end
Notes
Index
Footnotes
Preface: Rational Antipsychiatry
Page xi
PART ONE: AN ILLUSION OF PROGRESS
1: A Smashing Success?
Page 11
Page 22
2: The Appliance of Science: The Emergence of Psychiatry as a Medical Discipline
Page 28
Page 31
3: Therapeutic Innovation at the End of the Asylum Era
Page 50
Page 52
Page 59
Page 62
4: Dissent and Resolution: The Triumph of Biological Psychiatry
Page 76
Page 83
Page 84
PART TWO: THREE MYTHS ABOUT MENTAL ILLNESS
5: People or Plants? The Myth that Psychiatric Diagnoses are Meaningful
Page 107
6: The Fundamental Error of Psychiatry: The Myth that Psychiatric Disorders are Genetic Diseases
Page 116
Page 125
Page 141
Page 145
7: Brains, Minds and Psychosis: The Myth that Mental Illnesses are Brain Diseases
Page 164
Page 173
Page 174
PART THREE: MEDICINE FOR MADNESS
8: Science, Profit and Politics in the Conduct of Clinical Trials
Page 193
Page 205
9: Less is Probably Better: The Benefits and Costs of Antipsychotics
Page 218
Page 226
Page 229
Page 233
Page 239
10: The Virtue of Kindness: Is Psychotherapy Effective for Severe Mental Illness?
Page 248
11: What Kind of Psychiatry Do You Want?
Page 266
Page 271
Page 274
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