Monday, September 23, 2013

A Problem with Psychiatry

This link: talks about temper tantrums in the DSM and how too many a week, 3 is apparently too many, can lead to a diagnosis.

But here is the problem:

How many temper tantrums should a “normal” person throw? Children may not be able to speak English, but they are still reacting to their environment.

How many tantrums should a child throw when confronted with a verbally and physically abusive father? If a single mother spends her days in a drug-induced stupor, what is the "proper" behavior for a child? In both cases “their parents may be unable to control them at home,” but that is a problem with the parents and the home, not the child.

Obviously, no father or mother is going to admit the true cause of the tantrums. The incentive for the abusive father, abusive mother and psychiatrist is to silence the child: often through the use of life-altering medication. These practices can change the child, but it does not change the underlying environment the tantrums were reacting to.

The problem springs from the idea that you can segment off some behavior as “unnatural” and that you can/should change it. What if these disorders are simply normal behavior that is two standard deviations from the mean? What if “depression” or “tantrums” are a natural human reaction to a death in the family, or severe verbal abuse?

The danger is obvious:

It was not long ago (40 years) that homosexuality was not only considered a disease, but a crime in the US. Currently, Russia, China, and parts of the Middle East harbor intense anti-homosexual sentiments that extend into the law. The West may not have had the ability to change sexual preference in 1972, but medical technology is increasing at a startling rate, and the medical technology to turn off libido already exists, which may be a “good-enough” substitute if oppressive legal systems are punishing homosexual actions, not desire.

This problem is not limited to sexual preference with regards to gender; “kinky” sex is a diagnosable behavior. What if these sexual practices fall within the range of “normal” human behavior? Why should we be shamming, and medicating, people for normal behavior that falls outside the straight-jacket of cultural acceptance? This is especially disconcerting because “normal” is defined by an elite group of psychiatrists who themselves view these problems disproportionately through a Western, upper-class lens; there is no objective 3rd party.

While there is no doubt that some of these issues can be chalked up to a “chemical imbalance,” this explanation remains dubious at best. How is a psychiatrist sure that the behavior is due to an imbalance in the brain and not a natural outcome of horrible circumstances-or just normal human preferences? In order to define part of the human population as “nonstandard,” psychiatry must first label part of the population as “standard”- the epitome of hubris. How can a psychiatrist know what “natural” human behavior is; if “normal” is just a “statistical average,” then what makes the average correct-and why does that justify the medication of statistically fringe behavior? Just because something is uncommon does not make it wrong.

When intense religious belief was the norm, assuming we had the same psychiatric institutions, would we medicate atheism as an illness? Would that make the religious population any more correct, any more rational? How long before scientific advances allow cultures, and governments, to bend “abnormal” individuals into predefined stereotypes?

Liberty has never progressed linearly; we can move backwards. Places like Russia already legally discriminate against homosexuals, among many others; how long until they move beyond discrimination and decide, instead, to remake the people they disagree with?