Sunday, February 28, 2010

Of individual responsibility, personhood, moral dignity, and the mental health professions

George Will's latest Washington Post column really struck a chord with Colleen and me. He writes about the profession of psychiatry and the new edition of the DSM (Diagnostic and Statistical Manual of Mental Disorders), which Will describes as "psychiatry's encyclopedia of supposed mental "disorders."

Will, typically using his incredible vocabulary which always includes at least one word I need to look up, points out several problems with the DSM. One is that children are increasingly being diagnosed with some ailment requiring treatment with powerful drugs, when behavioral modification treatment can mitigate the problem. Another danger is that "childhood eccentricities, sometimes inextricable from creativity, might be labeled "disorders" to be "cured." (Think about Mozart, Temple Grandin). Furthermore, Will writes that "a society that thinks scientific determinism renders personal responsibility a chimera must consider it absurd not only to condemn depravity but also to praise nobility."

Colleen and I, being a psychologist and social worker, are often asked if our training has given us lots of advantages in knowledge and ideas that we can use as parents. Are you kidding me? Almost every effective parenting action we have employed has been in direct opposition to what we were taught in our mental health professions! I agree with George Will that "today's therapeutic ethos" ... "absolves the individual of responsibility, personhood, and moral dignity."

4 comments:

Webutante said...

Wonderful and worthwhile post, Bob.Thank you as always. I couldn't agree more.

Terri Wagner said...

I keep hoping one day we'll understand the difference between a disorder and bad lifestyle and how that connects. In the meantime, the ones we lose (Marie Osmond's son; Walter Koeing's son, my uncle), we mourn.

Cliff Stewart said...

Psychology represents the priest class of the secular religion. You have been in the belly of the beast for your whole career! Sounds like the makings of a great tell-all book! Don't be afraid of exposing our American Idols. FYI, Paul Vitz has written extensively on this subject. Check him out, especially "Psychology As Religion: The Cult Of Self-Worship" The title says a lot, doesn't it?

Nancy Reyes said...

true, I've seen a lot of mildly hyperactive kids treated when what they needed was a structured environment.

but on the other hand, even some kids need medications to function...

The problem is that they are so easy to use that they are used for "mild" cases that would get better on their own.

On the other hand, the underdiagnosis and underuse of the drugs, especially for depression (which is looked upon as a personal failure, not a biochemical problem) also needs to be addressed.
Father Groeschel's talk on depression"

as Hopkins wrote:
O the mind, mind has mountains; cliffs of fall
Frightful, sheer, no-man-fathomed. Hold them cheap
May who ne'er hung there.