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The history of madness and its treatment is a fascinating one. At one time, the mentally ill were diagnosed as demonically possessed; later, when mental illness became the province of psychoanalysts, those conditions that are actually physical in nature, such as schizophrenia or manic depression, went insufficiently treated, their sufferers consigned to asylums. In his book,
A History of Psychiatry, Edward Shorter, a medical historian at the University of Toronto, presents a concise chronology of mental illness and its treatment. Shorter favors a biological understanding of these disorders, concentrating on medical approaches to helping the seriously mentally ill.
From Publishers Weekly
Shorter cites recent research indicating that adult-onset schizophrenia is genetically influenced and often traceable to uterine trauma or difficult birth. In his view, brain biology and genetics underlie much mental illness, and biological psychiatry-combining drugs with psychotherapy-has replaced Freudian psychoanalysis as the dominant paradigm for explaining and treating a host of disorders. In this richly informative, iconoclastic, sure-to-be-controversial chronicle, Shorter, professor of the history of medicine at the University of Toronto, argues that Freud, by turning psychoanalysis into a movement instead of a method of objective inquiry, fostered a stifling orthodoxy, therapists' arrogance toward patients and scientific stagnation. He defends electroshock as a valuable tool in the treatment of depression; identifies German physician Emil Kraepelin, systematizer of diagnoses-rather than Freud-as the central figure in the history of psychiatry; and dismisses as unhistorical nonsense Michel Foucault's theory that psychiatry arose in a collusion between capitalism and the state as a means to control deviant individuals. While this study won't end the nature-versus-nurture debate, it mounts a formidable challenge to strict adherents of the talking therapies. Photos.
Copyright 1996 Reed Business Information, Inc.
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