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Controversies and Dilemmas in Contemporary Psychiatry (Paperback)
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Controversies and Dilemmas in Contemporary Psychiatry (Paperback)
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The controversies and dilemmas in contemporary psychiatry are so
numerous and serious that they, to a great extent, define
psychiatry. Yet most psychiatrists pay little attention to the
field's controversies, maintaining that talking about controversies
tarnishes psychiatry's reputation and them along with it. Critics
of psychiatry use these controversies and dilemmas, along with
psychiatrists' unwillingness to discuss them, to undermine
psychiatry. They question the existence of mental disorder and the
purpose of psychiatric therapy. Kecmanovic undertakes a major
effort of resolving with science, not ideology, such dilemmas.
Although psychiatrists give no thought to the mind-body
relationship, their attitude towards this relationship determines
their approach to the mentally ill, their understanding of the
origin and nature of the mental disorder, and the therapy they
think has priority. Sometimes psychiatrists implicitly or
explicitly cite a specific school of philosophy in order to find
conceptual support for their particular practice. As a result
psychiatrists do not speak the same language about the same issues.
Kecmanovic suggests that there can be no dialogue without common
language; opposing views cannot converge without dialogue. The
behavior of the mentally ill is socially jarring. This is a major
reason why the mentally ill are considered to be a menace. They
threaten prevailing manners of communicating, expressing one's
thoughts and feelings, and the existing meaning of symbols in a
given environment. Deviance of a person with a mental disorder is
specific; socially perceived as incomprehensible, irrational, and
unpredictable. What is common to all reactions to the disruptive
nature of a mental disorder is the desire to be protected from
those with illness; in other words, to put them under control and
supervision.
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