The Medicalisation of Normality

"Mislabeling everyday problems as mental illness has shocking implications for individuals and society: stigmatising a healthy person as mentally ill leads to unnecessary, harmful medications, the narrowing of horizons, misallocation of medical resources, and draining of the budgets of families and the nation. We also shift responsibility for our mental well-being away from our own naturally resilient and self-healing brains, which have kept us sane for hundreds of thousands of years, and into the hands of 'Big Pharma', who are reaping multi-billion-dollar profits."




"Over the last 40 years The Diagnostic and Statistical Manual of Mental Disorders – the bible of the psychiatric professions – has spawned more and more diagnostic categories, "inventing" disorders along the way and radically reducing the range of what can be construed as normal or sane. Meanwhile Big Pharma, feeding its appetite for profits and ours for drugs, has gained an ever greater hold over our mental and emotional lives, medicalising normality.

The more studies that come along to tell us about the rise in mental illness, the more we fit our problems and unhappiness into a category of mental disorder, developing symptoms to take to the doctor in search of a cure. Humans are suggestible creatures. And doctors like to help: they provide the pills Big Pharma recommends, though many must now know that research has shown placebos can work just as well and with fewer side effects."




"ADHD, or attention deficit hyperactivity disorder, was conceived at a meeting of the American Psychiatric Association in 1987. It was brought into being by a show of hands, and duly included in a textbook, the Diagnostic and Statistical Manual of Mental Disorders (DSM). Psychiatrists consider it a real disorder, but for those who use scientific evidence to support claims of an illness, it’s fictional. To this day, there have been no scientific tests to support the existence of ADHD.

Then, there are the diagnostic criteria. Whichever way you try and bend them, the criteria are still reflective of normal childhood behaviour. They include “often has difficulty sustaining attention in tasks or play activities”; “often has difficulties organising tasks and activities”; “often avoids, dislikes or is reluctant to engage in tasks that require sustained mental effort”; “often loses things necessary for tasks or activities”; “is often forgetful in daily activities”; “is often on the go”; “often talks excessively” and “often interrupts or intrudes on others”. It’s a reclassification of normal behaviour with a scientific-sounding, made-up label.

Then, there are the drugs that produce nullifying effects and which are hailed as ‘demonstrably effective’. All that has happened is the person has been drugged, and is exhibiting the effects of a dangerous, mind-altering foreign substance in his or her body. Psychiatric drugs have an effect on a person: they will keep him/her quiet and compliant, but drugs don’t cure anything.

The fundamental contradiction lies in the fact that psychiatrists manufacture the labels, they diagnose the ‘disorders,’ and they prescribe the drugs.

If psychiatry was against the medicalisation of normality, then ‘disorders’ like ADHD would be scrapped, the drugging of children would decrease, and the real cause of problems would be found and treated, using less invasive treatments. It’s time for change."

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Comments (14)

Thanks, Socrates, for your post. Lawyers populate the legislatures, and we have their laws, which enrich them professionally, as they have great control over our lives. Likewise, your concern about organized psychiatry, and perhaps allopathic/osteopathic medicine in general, has much validity. There are a handful of real psychiatric challenges people face, but the way the psychiatrists, psychologists and social workers behind the DSM's expand the list has little positive real value. Sure, there's value in trying to name different syndromes so they can be further studied, but in the absence of valid diagnostic input (most are interview schedules and questionnaire data---almost no 'hard' laboratory input), and effective treatments, much is not helpful for clinicians in the trenches. And it confuses all the rest of us. It does allow insurance companies and government payors for treatment to process billing, and creates administrative jobs, inflating health care costs. Your concerns have precedent from psychiatrists. Read Dr. Thomas Szazs's work of almost a half century ago. In the formal study of the effectiveness of various treatments (drugs and other interventions) there are huge so called placebo effects, reducing statistical treatment-control group differences to small percentages. With only two such tiny treatment effect studies in hand, and big pharma/big therapy can get the FDA to approve a new drug or treatment. Misclassification of who has a disorder, and who doesn't, may be at the bottom of this. Furthermore, complementary-alternative viewpoints get short shrift. If you line up 100 patients, all rigorously classified as having, say, major depression by DSM criteria, and have them evaluated for their problems by, say, a doctor of traditional Chinese medicine, they may form several distinct groups, with different treatments and outcomes. But there is hope. Dooser.
Love, attention and discipline are what kids need and don't get anymore. With both parents working most kids spend most of their day in day care facilities where there is very little individual attention. Drugging the more demanding ones makes it easier for day care and the parents. Schools can also not cope with disruptive ones so they keep them drugged rather than give them what they really need

To discipline a child became child abbuse making it even harder for parents and teachers. Giving a more demanding child drugs to calm him down is a quick fix that takes the responibility off the people who are suppose to support and guide him. Unfortunately it also prevents the child from learning to take responsibility for his actions. And we wonder why the world looks the way it does.
Our life-style the kind of work we are doing,the environment that we live in can have a big impact on our mental health,


There are some days when I need to work all day in the garden just to clean my mind..

But then when had we ask our-sleves are living a balanced life...
So agree with you on this. Once label goes on you for maybe a natural hicup in your life, it stays and doc never see past that. When meds are given for life they stop workingmoping

I do realize their are some serious conditions but a lot of trouble these days is put under mental health problem not life style.

Erkself is so correct in my view, if you do not give kids firm background rules, they run amok. They are only kids. Kids need firm guidance. I have never heard so many screaming babies and screaming tantrum kids, in every shop without fail.

Let kids decide, conversing let kids tell teachers what they needconversing let them find their own wayconversing leads to chaos,.

Oh this is my hobbie horse socrates. I have just been asked for permission, (seeing as I refused it when first registering with new doc)
to put my info forward on a central registra so docs, nurses, pharmasits and ambulance people can access my medical notes wherever I am.doh doh Trouble with that is one doc gives you a label and next doc does not view you as person growing in and out of things he just sees label. I of course answered NO again if someone wants to know how I feel I will tell them. If I faint all meds, name and address and next of kin together in my purse. That is all thats needed.teddybear teddybear
I agree with all the above and more besides.

And to Molly 's comment thumbs up
Altarboy

Thanks for your detailed insight into the situation, which, judging from your profile, is based on your personal experience and knowledge.

It's interesting that you mentioned Thomas Szasz's work. I read some of it many years ago.

I think the consequences of “labeling”, which you mentioned is summed up very nicely in W.I. Thomas famous quote:

“If men define situations as real, they are real in their consequences.”
ekself

“Love, attention and discipline are what kids need and don't get anymore.”

Thanks for your most enlightening comment with regard to the fundamental truth re ADHD.
Fly

Thanks for reminding us of the positive impact that a balanced life has on our mental health.
Redex

Thanks for your comment re labeling:

“Trouble with that is one doc gives you a label and next doc does not view you as person growing in and out of things he just sees label”

According to labeling theory, which you have highlighted:

“...the self-identity and behavior of individuals may be determined or influenced by the terms used to describe or classify them. It is associated with the concepts of self-fulfilling prophecy and stereotyping.”
really great post Socrates,
you said what I've been noticing for a good while now.
Molly

“Big pharma and their 'bought" doctors invent mental disorders to suit themselves.”

As you point out:

“Some psychiatrics, and all psychologists are trying to fight the system and push for non-medical intervention as the norm. More people should join the fight.”

Thanks for your incisive comment and brilliant summary.
Minerva

Thanks for your comment.
Group therapy has been shown to be very effective in dealing with certain problems, such as alcoholism, instead of labeling it as a disease and seeking treat it with prescription drugs which may have undesirable side effects.
I believe this is the reason for the overall success of groups like “Alcoholic Anonymous”.
emphnero

Thank you for your kind comment.
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socrates44

San Fernando, Trinidad and Tobago

I identify with the following words of Socrates:
“Know thyself”.
“The unexamined life is not worth living”.

I am a person who seek depth in life and living. This has been an overwhelming desire in me even since childhood. It is identified with a [read more]