
Contents
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Controversies in psychiatric practice Controversies in psychiatric practice
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Old sins Old sins
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The Hawthorn effect The Hawthorn effect
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Electro convulsive therapy and brain surgery Electro convulsive therapy and brain surgery
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Political abuse in psychiatry Political abuse in psychiatry
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Psychiatry unlimited: a diagnosis for everything Psychiatry unlimited: a diagnosis for everything
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The patient The patient
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‘Big Pharma’ ‘Big Pharma’
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Reliability versus validity Reliability versus validity
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Psychiatric gullibility Psychiatric gullibility
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Personality problems and addictions Personality problems and addictions
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Coercion in psychiatry Coercion in psychiatry
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Severe personality disorders Severe personality disorders
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Drug and alcohol abuse Drug and alcohol abuse
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The insanity defence The insanity defence
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Psychiatry: a controversial practice Psychiatry: a controversial practice
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Cite
Abstract
The nature of psychiatric practice lays it open to potential misuse. ‘Open to abuse’ highlights the unequal power relationship with dependent and vulnerable patients whose opinions and complaints can be easily dismissed. The diagnostic process is subjective, relying on psychiatrists' assessments of the patient's motives and mental state, with no visible markers for diseases. The history of psychiatry is littered with shameful episodes of political abuse, hare-brained theories, and dangerous and barbaric treatments. The visibility of modern-day psychiatry, plus a well-informed public and a willingness to admit mistakes, is the greatest safeguard against such abuses. Psychiatry is now engaged in scientific, evidence-based medicine — facts and figures outweigh authority and opinion.
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