Should Psychiatrists Resurrect the Body?

The current article interrogates the mind-body dualism that characterizes modern psychiatry and contends that the dualism is manifested by the relative neglect by psychiatrists of the body, or soma. The article argues that the state of affairs has several consequences, including psychiatrists' underappreciation of the somatic manifestations of mental disorders and of the therapeutic potential of somatic or body-based therapies. Empirical data attest to the association of a range of mental illnesses with somatic pathologies, as does the fact that a range of somatic therapies, including yoga and t'ai chi, are increasingly being shown to be efficacious in the treatment of a range of mental illnesses. The current article contextualizes contemporary Western psychiatry's relative neglect of the body by drawing on some historical as well as cross-cultural perspectives. Although their overall effect has been minimal, various theoretical perspectives in Western psychiatry, including Jungian thought, psychoanalytical psychosomatics, Reichian and related schools, and the phenomenological tradition, have sought to overcome psychiatry's mind-body dualism. Neither has psychiatry incorporated the values of various non-Western schools of medicine that maintain a far more integrated conceptualization of the relationship between mind and body than is seen in modern Western psychiatry. The field of psychosomatics could potentially influence general psychiatry to reverse its bifurcated mind-body relationship, but that field's increasingly narrow mandate and organizational separation from general psychiatry conspire to militate against the latter's incorporation of psychosomatic medicine's conceptual advances or pragmatic insights in any convincing or enduring manner.