Lecture 2: Antipsychiatry Flashcards

1
Q

When and where did the antipsychiatry movement begin?

A

It began in the 60s and 70s in the United States.

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2
Q

In what fields/areas did the antipsychiatry movement arise?

A

Philosophy, history, but also in broader society.

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3
Q

What was the overall criticism of psychiatry by early proponents of the antipsychiatry movement?

A

That psychiatry was attempting to control people’s minds and trying to make everyone fit a preconceived mould.

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4
Q

What social movement in the 1960s inspired the rise of antipsychiatry?

And what was this social movement in response to?

And what 5 things did this social movement emphasis?

A

The flower power movement.

This 1960s movement was a counter-reaction to the 1950s, a conservative era concerned with the nuclear family.

This social movement emphasised:

  • civil rights (among African Americans)
  • questioning of authority
  • music
  • drugs
  • free love (the pill was introduced in 1964).
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5
Q

Who was the first intellectual to embrace the idea of antipsychiatry?

A

Thomas S. Szasz

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6
Q

Who was Thomas S. Szasz?

A
  • He was the first intellectual to embrace and propagate the antipsychiatry movement.
  • He worked at the University of New York in Syracuse as a psychiatrist.
  • He writes fantastically well.
  • His famous book was called ‘the myth of mental illness’ - the main message that Szasz embraces.
  • He fled Hungary in 1956 when the Soviet Union took over.
  • He had a healthy hostility toward any forms of authority and saw that psychiatry had been used for social control.
  • He believed the USA was not that different to the Soviet Union.
  • He was politically very right wing, said that people are ALWAYS responsible for their behaviour, mental illness or not.
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7
Q

Thomas S. Szasz was painfully aware of the role of psychiatry in the Soviet Union. What was that role?

A

To control political dissidence. If someone hated communism, they were considered sick/insane.

Many dissidents were put into hospitals and given anti-psychotic drugs.

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8
Q

Thomas S. Szasz believed that there were two ways for psychiatry to “mainstream” people who did not meet social expectations and who disturbed social order.
What were those methods?

A
  • lock people into a mental hospital or asylum.

- or giving them psychotherapy and drugs to conform them.

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9
Q

What are the four main points in Thomas S. Szasz’s book, ‘the myth of mental illness’?

A
  1. There is no such thing as mental illness (it is a metaphor).
  2. Hysteria as a model for all mental illness (patients complain - doctor cannot find anything, it is also an escape of responsibility for the patient, a type of manipulation).
  3. He would argue that mental illness cannot be defined by symptoms, it is not a disease!
  4. Psychiatry treatment is a way of enforcing conformity, it is a device for managing deviance.
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10
Q

Who was Michel Foucault?

A
  • A historian and philosopher, a very imaginative man.

- He wrote about the history of psychiatry, not based in a lot of fact but deeply original.

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11
Q

The Age of Enlightenment, is also known as the Age of Reason. Michel Foucault has a different analysis of the Enlightenment, what is it? And how does it relate to psychiatry?

What did he call this process?

A
  • The enlightenment is considered an era where reason triumphed over superstition.
  • A time where the middle class grew, along with standards of living and cleanliness.
  • Michel Foucault saw the enlightenment as an intolerance toward those who lived unreasonably [men who did not have gainful employment, and women who did not have child-rearing capabilities].
  • Those who could not meet the standards of the time were put to work or put in an asylum.
  • This [to Foucault], was the beginning of psychiatry.
  • He called it the ‘great confinement’.
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12
Q

Who was Ronald D. Laing?

What was he famous for?

A
  • A psychiatrist who was considered a guru, a counter-culture hero.
  • Thought everyone is conditioned to behave exactly the right way and THAT is sickness.
  • Schizophrenia, on the other hand, is an authentic human experience, a journey of discovery.
  • He is famous for the thought that ‘we should leave this prison of modern society behind’, which fit the flower power movement really well.
  • Believed that mental hospitals should be different, he opened Kingsley House in London.
  • Staff would assist the patients on an authentic journey of discovery (painting, etc.).
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13
Q

What was Ronald D. Laing’s motto?

A

‘Turn on, tune in, and drop out’

… of this big prison of modern society and you will become authentic.

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14
Q

Who was Thomas Scheff?

What was he famous for?

A
  • An American professor of sociology.
  • Famous for introducing ‘labelling theory’.
  • Believed that mental illnesses and diagnostic categories are labels like those stuck on people who break the rules.
  • Once a label has been applied, it is hard to get rid of it.
  • This is done to disempower people.
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15
Q

What are the three components of ‘labelling theory’?

And, how does it relate to psychiatry?

A
  1. Labels are attached to individuals who break the rules.
  2. The individual accepts the label.
  3. They will then join a sub-culture and be segregated.

Thomas Scheff believed mental illnesses and diagnostic categories are labels like those stuck on people who break the rules.

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16
Q

Who is Irving Goffman?

What did he do?

A
  • Famous sociologist, who spent two years in a Washington DC mental hospital wanting to understand what is happening.
  • Believed that asylums are total institutions (like army, prisons, concentration camps).
  • Rob the individual of their identity and provide them with a new identity - as a patient.
  • No control over your own life.
  • If you are not sick when you go into a mental hospital, you will become so when you stay there.
  • Dehumanising effect.
  • Fit into the antipsychiatry movement of the time.
17
Q

What film captures the essence of the flower power ideologies?

A

One Flew Over The Cuckoo’s Nest.

18
Q

What does Hans believe to be the beginning/hallmark of Psychiatry?
When did this change?

A

Insane asylums/mental hospitals were the hallmark of psychiatry up until 1970.

19
Q

In 1970 psychiatry changed, what happened?

Was this a good outcome?

A

In 1970, psychiatry was deinstitutionalised and there were no more asylums.
This was not necessarily a good thing as those who were mentally ill went to boarding houses, became homeless, lived in terrible conditions.

20
Q

Is medication and therapy enough for helping the mentally ill?

A

Not necessarily, potentially we do need something like a mental asylum (obviously humane).

21
Q

What is trans-institutionalisation?

A

It refers to the transference of a person from one institution to another. For the mentally unwell, this is often going from a mental asylum to a prison.

22
Q

What is the fantastic piece of rhetoric, written by David Rosenhan, called?
What was it about?
And what three ideas did he hold to be true?

A

“On being sane in insane places.”
An experiment of pseudo-patients going into mental hospitals. Apparently he/his research was fraudulent.

  1. Psychiatrists can be fooled.
  2. It is hard to get rid of a label once it’s there.
  3. The mental hospital is a bad place to be. It maintains an (arbitrary diagnosis), rather than helping the underlying distress.
23
Q

Who repeated David Rosenhan’s experiment here in Australia?

A

A psychologist called Robin Winkler.

24
Q

Lauren Slater wrote about her experience with prozac and repeated the ‘David Rosenhan’ experiment in 2004. Although she did not get committed to a hospital, what four outcomes, about psychiatry, did she detail in her book?

A
  1. Psychiatrists can be fooled.
  2. Diagnostic fashions change - PTSD is now more popular than schizophrenia.
  3. Drugs are the main source of treatment.
  4. It is now virtually impossible to get admitted - which leads to the ‘revolving door treatment.’