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Addressing the Global Mental Health Crisis: How a Human Rights Approach Can Help End the Search for Pharmaceutical

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Neoliberalism influences mental health, prioritizing pharmaceutical solutions over human rights and lived experiences. This approach, driven by industry influence, medicalizes distress and violates patient rights, necessitating a human rights-based reform.

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Area of Science:

  • Medical sociology
  • Public health
  • Psychiatry

Background:

  • Calls to address the "mental health crisis" and develop new psychotropics are often influenced by neoliberal ideologies.
  • This perspective can divert attention from the social determinants and human rights violations contributing to mental ill-health.
  • The mental health field faces undue influence from industry and organized psychiatry, prioritizing pharmaceutical solutions.

Purpose of the Study:

  • To critically examine the influence of neoliberalism and industry on mental health research, policy, and practice.
  • To analyze how medicalization and pharmaceutical-driven approaches may violate human rights.
  • To propose reforms grounded in a human rights framework.

Main Methods:

  • Analysis of the "mental health crisis" rhetoric through a neoliberal lens.
  • Application of institutional corruption framework to understand economies of influence in psychotropic drug development.
  • Case illustration using the marketing of postpartum distress (PPD) and zuranolone.

Main Results:

  • Neoliberal sensibilities shape mental health discourse, favoring pharmaceutical interventions over addressing root causes.
  • Industry influence, academic-industry relationships, and regulatory environments facilitate the fast-tracking of psychotropic drugs.
  • Medicalizing emotional distress, such as postpartum distress (PPD), and promoting single-pill solutions like zuranolone, can infringe upon patient rights.

Conclusions:

  • The current trajectory of mental health research and practice is heavily influenced by industry and medicalization, potentially violating human rights.
  • A shift towards a human rights framework is essential for reforming mental health policy and practice.
  • Addressing the root causes of mental ill-health and ensuring informed consent are crucial for ethical and effective care.