Critical psychiatry in the UK: potentially useful but in need of regeneration

Medical decision-making involves choosing from diverse - even oppositional - viewpoints to guide patient care. Critical psychiatry aims to improve psychiatric practice by providing alternative viewpoints on several topics: interrogating psychiatric concepts (for example, 'mental disorder'); flattening power differentials between professionals and patients; highlighting misuse of psychiatric authority; increased focus on social factors; scepticism about biological emphasis in psychiatry; using natural science methodologies and the 'medical model' in mental health; and critiquing the psychiatric evidence base, such as the effectiveness of medication and concern over pharmaceutical company influence. Critical psychiatry has helped identify and raise awareness about treatment-related adverse effects. Among concerns regarding current critical psychiatry are a reluctance to reconsider its positions when many of them are contradicted by the evidence, and promotion of views that can be used to justify reductions in services and welfare benefits for patients. Changes in leadership within critical psychiatry may help address these issues.