Riccola wrote:twistednerve wrote:Psychiatrists who can't tell apart side effect from symptom are far too common. But I don't know if it's intended - I think most of them are just clueless and most of all: they don't care.
The average psychiatrist doent care or is just misled. But those at the top know how to rig their education to benefit them. Big pharma is the biggest player since every prescription is a score.
But I don't doubt any kind of abuse that might be done by a mental health professional. These people tend to be the least mentally healthy individuals.Psychiatrists are sicker then the patients they treat. Some good ones exist, but the lot of them are either despotic arrogant elitists or screw jobs trying to treat their own insecurities through their patients. They greater amount seem to have power issues. They love control. The ones who go by the book are the ones in it just for the money. They were goody goody 2 shoes excelled at school and choose the profession just so they can impress their parent and society. Hey Im a doctor, I became something. 'I am smarter and worked harder than you.' They memorized the whole curriculum but have no clue what it means nor do they care. 6 figure paychecks just sitting at a chair writing prescriptions sounding smart.
But this discussion was regarding GOOD (by that I meant perfect) psychiatry. No point discussing the effectiviness of any practice if you include people who are horrible at it.The profession is one where mistakes are tolerated. Most mentally ill people have poor financial means to sue for medical mal practice. If anything comes up patients are gas lighted. Once you have an illness, particularly one involving delusions/ hallucinations on your record that becomes the default accuse to discredit medical mal practice claims.
Alas, bad psychiatrists have to be the most common kind of bad physician. So let's have a go at bad psychiatry:
At least here in my country, psychiatrists are usually specializations for the MDs that:1. want to max their profits by prescribing meds, and yet, not doing much of anything. (least expensive medical practice is psychiatry, no investment in equipment whatsoever)Ditto
2. they are bad doctors and choose a field where they can f*ck up all the time and go away unpunished, since it's hard to prove, legally, that a medication/verbal abuse has caused you harm. Or even to prove his opinion was wrong. Specially if a patient is a severe "out of reality" kind/perceived to be kind of patient. (aka: crazy people have no influence or credibility and psychiatrists exploit this fact, they really do)You are scary spot on. That is the blunt reality. Getting a psychiatrist for medical mal practice is impossible. They know how to cover themselves even if it got that far. Because, a professional with a college degree who sounds smart over a patient with a diagnosis is 2 wolves and a lamb voting on what to eat. Society will automatically believe the professional. Most just go about doing there thing knowing the patient is powerless. You have no rights when dealing with psychiatrists.
3. they are insane themselves and chose psychiatry to be able to fly under the radar and carry their own (sometimes evil) agenda. Only if it was the more benelovent kind of crazy (aka DSM's Axis I), but no, I'm referring to Axis II. Do you believe a person capable of willingly prescribe massive doses of dangerous brain altering chemicals, knowing of it's damages, in a such a care free manner is a healthy human being? Or do poorly executed ETC that will destroy the patients brain, knowingly, and is ok with it.
The crazy psychs get to meet people like themselves, both colleagues and patients.
The kind of remorselesness, lack of care and overall extrapolation of what is socially acceptable, in psychiatric abuse, isn't the work of just the circumstances or a cultural bias, I believe. PSYCHOPATHS (Cluster B people) choose to work on the mental health field all too often.A good chunk of them would score high on a psychopathy test. Especially those working in wards: The ones who work in-patient are peak psychopath. Seeing that much human suffering while making it worse it a giveaway.
This can extend to psychotherapists, too:
No remorse; all about their own gains and profits; sadistical; low self esteem with an enormous need to boost their egos, paradoxically; using patients as a way to get selfish and abusive affection; sometimes not perceived, but often present awkward behavior, such as dressing, acting or talking like a person (or at least a doctor) wouldn't; extremely manipulative of situations and emotions; does not care about the patient's well being at all, and is perfectly capable of murder; always acts like he is already being asked too much of himself; prone to random fits of anger, rage, unnecessary harsh words, and overall aggressive behavior that seems somewhat contained and consciously directed; usually have broken and unstable relationships IRL, or come from dysfunctional families.I have seen those guys. Run. They truly are capable of anything.
From all I've suffered and heard about experiences with mental health professionals, I really would go as far as to think many of these people are suffering from personality disorders and maybe Axis I disorders as well. They see so much illness they have learned to hide their own... ok maybe not

. By all means I see one common theme and thats control over the patients well beyond any actual need. Despotic is the right word. They all have that.
In my country there's a joke (and I've read a similar joke from an USA based website) that says half of the psychology majors are there because they couldn't find an easier major, and that the other half is there because majoring in it was cheaper than paying for sessions.
/\ Bad joke, but reflects reality here. Mentally disordered people choose the mental health field, and their patients suffer.

Not a bad joke. It fits.
I'm not casting blame or prejudice on Axis II disorders by the way, as I know a lot of actual sufferers don't do real harm. Specially the ones who are likely to be diagnosed and seek treatment.
I also do know character or behavior faults can not be always atributed to a PD or life circumstance, and that psychiatrists and psychotherapists are somestimes just genuine azzzholes, who just want their money and sometimes choose to play God since they have such vulnerable people in thier hands. Perfectly healthy people can do that too.
They like the easy targets. Some really do play god. I have seen some so arrogant that Id say they really thought they were god. I wouldn't call anyone like that healthy. Some sadly do end up in positions of power or professions where those the treat are vulnerable.
But yeah, a good psychiatrist or psychotherapist are like finding a needle in a haystack. Somethin's terribly wrong with the mental healthy industry.

The mental health care industry is profit machine. Big pharma controls it, and thus can influence anything. The institutions themselves are the second half. They are profit driven businesses as well. Unlike a regular business that is forced to oblige to ethics pharma and institutions serve people who cant complain or just spend their money else where. So no worry of losing business unlike a regular one that will go bankrupt ruining its customers. Because they will get payed no matter what, they have no incentive to hold themselves to morals or ethics. In fact having no ethic restraints means maximizing profit. Nothing is in place to stop institutions from making a patient worse, scamming insurance and so fourth.
Mainstream psychiatry is a business all the way from the top down thought of by business men and goes along like this: Sell medication and treatments that do nothing to actually help the patient but appear to be doing so in the eyes of the public. Influence the education of those entering to work in your business in a manner that it will produce an individual that will follow your regimes designed to satisfy the profit model. Have the education weed out those who are a threat to it such as independent thinkers or those holding strong moral character. Strengthen those who will blindly follow the model. Have institutions hire those only with the character capable of pulling this off. (If people with a strong moral compass were hired by institutions they would be incapable of performing unethical actions for the sake of increasing profits) Create a perception in the public's opinion or anyone who might otherwise interfere with it, this is a business that does as its mission statement claims. Have the diagnostic symptoms take into account any iatrogenic affects of treatment while rendering any short coming/claims made by the patient as non believable. (both create a self fulfilled prophecy as well as protecting the institution from prosecution of wrong doing) The end result is a deceiving business that can covertly capitalize on human suffering to the fullest extent without anyone being able to question it.

You know, seeing how you and I meet so eye to eye on these matters makes me think how all correct we are on our perceptions. People usually dismiss psychiatric patient stories of abuse. They think is justified, or the patient just doesn't 'want to admit they have mental issues and is hating the psychiatrist for it.
Of course, similarly ignorant people also believe every "shrink" (psychologist or psychiatrist) is crazy. Most of the times, they're spot on.
90% of the times (I don't think I'm exagerating), a psychiatrist will be:
Bad medical student that found an outlet to be incompetent;
A sociopath/psychopath, who's in it for the sadism and power trip;
Someone troubled that got in the field due their own issues. Even the ones with good intentions, because of said issues, will eventually harm his patients;
A puppet of big pharma: This, actually, is appliable to almost any medical specialization nowadays. And most of them are pushing not just meds, but "psychiatric" meds, since their use is so broad;
He is a good doctor, good person, and healthy, however, he doesn't apply himself: He doesn't care about the more personable and circumstantial aspects of a patients illness/life. He just wants to go by the book - that is, look for obvious symptoms and prescribe a drug or therapy -, and push through psychiatry as if it were just a day job. He also doesn't keep up with research and doesn't believe any other information aside from what official pharmaceutical companies studies publish.
Usually the same applies to psychotherapists, however, due to the less "physicial" these can have on their patients, you'll often find more actual scammers in this field. Most therapists are usually little sheetz who found an outlet to have a higher status than someone or make a living by doing nothing tangible. Honestly, what 99% of psychotherapists do that you can't do for yourself? Most people who are "in therapy" are there out of false hope or because people told them this kind of issues are to be dealt with a therapist. Honestly, psychotherapy is just snake oil in my opinion. Doesn't treat or cure anything. It promises to maybe do that or do this, but in the end, it's just someone charging a lot for NOTHING you can't get by yourself.
They should advertise it for what it really is: Renting someone to listen and sometimes pretend to be a friend. Don't like the term, but "prostitute of the mind" fits it well.
To the more active "psychotherapy approaches", you can advertise it as someone who will listen to some extent and profess an opinion at best, or someone who will force a philosophy/preach/demand actions at worst.
Most people who get "success" in psychotherapy are just suffering from placebo effect.
Arguably, it can be didatical. It can teach you something. But most of the times the psychotherapist will be such a miserably excuse for a succesful and/or mentally healthy person that it completely hinders anything good. And all the USEFUL stuff has ABSOLUTELY NOTHING to do with psychology. Like CBT varieties, such as DBT: most of it has to do with well known physical approaches to "tame" emotions and shift focus. Breathing exercises and the whole mindfulness concepts are advices my grandmother (WHO WAS THE DAUGHTER OF A BRAZILIAN NATIVE AMERICAN WOMAN AND AN ILLITERATE SPANISH MAN FOR CRYING OUT LOUD) gave me!!
Argh. Psychotherapists disgust me on how they talk, talk and use such fancy terms to produce nothing of new of useful, but keep you there hoping and paying. Psychotherapy should be Conartistology.
It amazes how slowly people are realizing psychotherapy is producing frustrations and placebos more often than anything tangible. And that people compare psychotherapy to a medication BAFFLES me. Depression or anxiety that requires medication has absolutely nothing to do with psychotherapy. Nor psychotherapy can guarantee to produce any improvements in your life.
If it does, it's because you "lucked out" and got a therapist who is a nice person and can relate to what you're going through, by either experience or studying anything aside from his psychology classes.
Psychology has so much crap based on nothing real, that a psychology student is more likely to unlearn how to guide people through life than the other way around.
This is a f*cked up world. Honestly, I don't know if I'm crazy or people who realize these things just aren't very vocal. If it was up to me, i'd ban psychotherapy from existance. And psychiatry, honestly, I don't know how to fix it.