Pushing
the Psychiatric Envelope
In June 2000, the
Toronto Globe and Mail ran an article headlined, �The Gap Is Closing Between
Psychiatry and Family Medicine,� which reported: �Psychiatrists are wary
of the unfamiliarity family doctors often show with mental health problems.�
The arti cle quoted Glenn Thompson, the executive director of the Ontario
division of the Canadian Mental Health Association, saying that there�s
nothing wrong with the primary care physician being �the likely first
port of call,� provided the physician is working with a psychiatrist.
The �mental health problems�
to which the article refers are those outlined in the DSM. This contrived
system of diagnosis and the inevitable assignment of a psychoactive drug prescription
is the singular �expertise� that psychiatry has to offer.
Non-psychiatric medical
acceptance of psychiatric thinking and practice may come at a steep price.
Say J. Allan Hobson and Jonathan A. Leonard, authors of Out of Its
Mind, Psychiatry in Crisis, A Call For Reform, �� DSMIV�s authoritative
status and detailed nature tends to promote the idea that rote diagnosis
and pillpushing are acceptable.�
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