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[The new problems in psychiatry (author's transl)].
Summary
Modern psychiatry
Area of Science:
- Psychiatry and Mental Health
- History of Psychiatry
- Biological Psychiatry
Context:
- The historical trajectory of psychiatry, from its humanitarian origins to the influence of biological psychiatry.
- The shift in focus towards schizophrenia and the concept of incurability.
- The emergence of psychopharmacology and its impact on etiological and therapeutic approaches.
Purpose:
- To critically analyze the evolution of psychiatric thought and practice.
- To highlight the detrimental effects of focusing on incurability in mental illness.
- To advocate for a balanced approach that integrates historical context with modern advancements.
Summary:
- Psychiatry's history shows a move from patient rejection to a focus on curable psychoses.
- Biological psychiatry's focus on schizophrenia introduced a damaging "incurability" paradigm.
- Toxicological discoveries and psychopharmacology expanded treatment, yet a regression threatens patient rights and social standing.
Impact:
- Warns against a potential return to archaic, harmful psychiatric practices and legislation.
- Emphasizes the need to counteract the narrative of incurability in mental illness.
- Calls for legislative and societal safeguards to prevent the social decline of psychiatric patients.