Currently, it is common practice among the child psychiatric establishment to prescribe powerful and potentially addictive drugs to children who have emotional or behavioural problems. Pathological Child Psychiatry and the Medicalization of Childhood is a strong challenge to this way of thinking.
Sami Timimi uses a wide variety of sources that shape our understanding including his personal experiences to highlight the role of culture, beliefs, science, social hierarchy and power, in shaping our understanding of childhood problems and how to deal with them. He urges professionals who work with children to question their assumptions in a manner that will enable them to access a greater variety of potentially helpful therapeutic frameworks.
Since the 1960s, psychiatry has had to learn to accommodate critical analysis of its beliefs and methods. The legitimacy of its core assumptions continues to be questioned. Now child psychiatry too must engage with such a debate, if it wishes to develop into a genuinely democratic and inclusive profession. Pathological Child Psychiatry and the Medicalization of Childhood will be of great interest to professionals and trainees in psychiatry and child psychiatry, social work, family therapy and other psychotherapies for children and adolescents.

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Rates of diagnosis of psychiatric disorders in children, such as depression, ADHD and autistic spectrum disorders, have shot up in recent years. So too has the prescription of antidepressant and antipsychotic drugs and stimulants. Yet the diagnoses are based on weak science, questionable research and powerful financial incentives. In this updated edition of his powerful critique, consultant child psychiatrist Sami Timimi questions why Western societies routinely seek to manage children’s behaviour with dangerous medication. He offers a humane and child-centred alternative that is about understanding our children’s distress, not medicating it, and practical advice that all parents, carers and teachers will find helpful.

"Part of these institutionalized biases, we think, results from the institutionalized racism that lies at the heart of the conceptual systems we use in psychiatry". There is a crisis of credibility within child and adolescent psychiatry. Child and adolescent mental health theory and practice have come to be dominated by a narrow biomedical frame. Rising numbers of children are being diagnosed with psychiatric illnesses and given psychotropic medication to 'treat' these 'illnesses'. This text brings together knowledgeable specialists across the spectrum of child and adolescent psychiatry, which are deeply critical about current mainstream theory and practice. These 'critical voices' drawing upon research and writing from related disciplines, radically question many of psychiatry's most cherished assumptions and offer new ways of thinking about theory and practice. This courageous book aims to bring marginal voices into the mainstream. Exploring the influence of drug companies, the impact of trauma, the crisis in academic medicine, systemic perspectives, adolescent in-patient units, ADHD, childhood depression and the role of diet and nutrition, the contributors offer hope to those looking for alternatives to diagnosis and medication for children and families with emotional and behavioral problems.

Challenging existing approaches to autism that limit, and sometimes damage, the individuals who attract and receive the label, this book questions the lazy prejudices and assumptions that can surround autism as a diagnosis in the 21st Century. Arguing that autism can only be understood through examining 'it' as a socially or culturally produced phenomenon, the authors offer a critique of the medical model that has produced a perpetually marginalising approach to autism, and explain the contradictions and difficulties inherent in existing attitudes. They examine and dispute the scientific validity of diagnosis and 'treatment', asking whether autism actually exists at the biological level, and question the value of diagnosis in the lives of those labelled with autism. The book recognises that there are no easy answers but encourages engagement with these essential questions, and looks towards service provision and practice that moves beyond a reliance on all-encompassing labels. This unique contribution to the growing field of critical autism studies brings together authors from clinical psychiatry, clinical and community psychology, social sciences, disability studies, education and cultural studies, as well as those with personal experiences of autism. It is essential and challenging reading for anyone with a personal, professional or academic interest in 'autism'.

ADHD remains a controversial condition. Opinions are polarised with each side holding passionate views about the nature of this disorder and how best to help those that attract the label. In this unique text, Dr Timimi first investigates what lies behind these different views and how the view we hold about ADHD influences not only our choice of treatment, but also has far wider effects. In the second part of the book, Dr Timimi uses his many years of experience in successfully weaning children off psychiatric drugs, to provide practical advice, bringing together for the first time the full range of approaches from behavioural to nutritional, from family dynamics to working with schools, that make up a comprehensive approach to dealing with ADHD without needing to use medications.

Psychiatry can help free persons from social, physical and psychological oppression, and it can assist persons to lead free self-directed lives. And, because social realities impact on mental well-being, psychiatry has a critical role to play in social struggles that further liberation. These are the basic foundations of liberatory psychiatry. In recent years, dramatic transformations in social and political structures worldwide have increased the problems of domination, alienation, consumerism, class, gender, religion, race and ethnicity. Confronting the psychological impact of these changes, and exploring new ideas to help develop the liberatory potential of psychiatry, this book should be read by mental health practitioners from the widest range of disciplines and those interested in social theory and political science.