jdnewell wrote:Simple. Shrinks can't get rich unless there are bunches of people running around labelled as mentally ill, so shrinks therefore naturally ascribe mental illness to everyone they see. Shrinks further guarantee their lifelong rolling-in-dough by claiming that the alleged mental illness is an incurable condition which must be treated ad infinitum. It's corruption in its purest form, rank despotism sans checks or balances, sleaze incarnate.
So no, I don't subscribe to Fraud, nor cocaine addiction, nor the rantings of a deranged Austrian cocaine addict named Sigmund Fraud, whose solitary contribution to his fellows was to recommend to them the chronic use of cocaine.
I do have to agree, that the way the current mainstream mental health care system runs diagnosis are handed out all to easy. Medication is even more loosely prescribed. I see many mental conditions that can be made better if not completely cured, but truthfully mainstream psychiatry only treats the symptoms not the cause. In fact the whole model is centered around treating & managing symptoms rather than what might be a root cause. Psychiatrist are often told in training to be cold and distant to patients while handing out medication entirely on a symptom check list.
Certainly, If the mental health care system had a higher success rate, fewer patients would need life long treatment or the same level of psychotropic investment. In fact I have seen patients who are in a strong support system set up by the mental heath care institutions have fewer mood swings or depressive episodes which ultimately require less hospitalizations with less medication. Patients who I have seen in poor treatment environment fair far worse. The poor treatment seems to be in itself a trigger. In know in my experience any malpractice or treatment that was counter productive would set me back further eroding the few coping mechanisms I had left.
If the notion was discarded that mental illness is not for life rather curable, many people would begin to improve. Treatment would go from management of the incurable to healing what is curable... to helping a person reach their maximum potential. But for now I do agree with you, we have a long way to go.
CopperMoon wrote:I think that mental health is a field where corruption is a high risk, but I don't think all mental health workers are corrupt by default. It's sort of like with government, banking, pharmaceuticals (of all types), etc. The temptation for selfish and shady people is significantly greater than say, a career in the dairy industry.
I think what makes potential corruption especially risky in the mental health field is that people with genuine illness are unable to gauge and assess their own mental and emotional health accurately and clearly. This sets up a trump card of sorts, in that if a person does not have mental illness, or serious mental illness, professionals in the field can simply explain that the client/patient is unable to assess their own mental and emotional health, as that is part of the nature of mental illness.
The setup just makes it by default a situation where clients/patients are extremely vulnerable to corrupt professionals, and where corrupt professionals have an almost indefinite level of plausible deniability.
However, again, I don't believe that all mental health workers are corrupt by default. I also spent weeks homeless in southern California, and please believe me - some people really do need medical help. There was a very nice and intelligent woman in Venice who had Schizophrenia, and spent almost every night experiencing insects crawling out of her skin. She was in constant mental and emotional hell. If I had had the ability to do so, I would have had her medicated in a heartbeat, and there is no $$$ incentive for me in that plot. I just wanted to rescue her from perpetual torment. I don't consider myself a corrupt person. So I feel that it is possible for there to be mental health workers who are not just in it to win it, basically.
I'm not sure what the solution to it all is, though. It's complicated.
Everything you said is well true imo.
I agree that good people exist, but in the system I have met two other kinds of people. Those who have good intentions but don't know how to put them forward and those who are less than nice. The biggest perpetuator of ignorance and evil is the astronomical amount of protection the system has to those who run it. A one way street that grants power to psychiatric systems but removes the rights of the patient. I find that outside of HIPPA, a patient has few rights. And this long standing mentality exists that what ever is expressed by the patient is the byproduct of said illness, since its just easier to assume that it is. Patients are trapped and thus have no where to go or defend themselves.
But, the patient you bring up who is on the street is another victim. While she may not be in treatment, that fact she isn't or that it failed her to start with is a huge problem demanding a solution. Then again she may be on the street because she would rather be, than deal with a system that will just warehouse or abuse her. Ive met people who would rather be in poverty than have to deal with psychiatry. From what I personally went through I don't blame them in the least.
The solution is not easy. Even if less than well meaning staff left, there is still the complexity of treatment. I know for a fact that half of disorders mainstream psychiatry is not capable of treating. I lived through it first hand: Trauma disorder are well beyond what tools or understanding mainstream psychiatry can to offer. Trauma or the like, the system will not be able to help you, in fact they cant even make heads or tails of it.