- Hardcover: 288 pages
- Publisher: Belknap Press; 1 edition (January 15, 2011)
- Language: English
- ISBN-10: 0674046498
- ISBN-13: 978-0674046498
- Product Dimensions: 8.5 x 5.9 x 1 inches
- Shipping Weight: 13.6 ounces
- Average Customer Review: 13 customer reviews
- Amazon Best Sellers Rank: #1,144,732 in Books (See Top 100 in Books)
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What Is Mental Illness? 1st Edition
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From Publishers Weekly
"The boundary between mental distress and mental illness will never be neat and clean," says Harvard professor McNally (Remembering Trauma) in this dense and well-researched scholarly work. He explores changes in society and science that influence how we distinguish disorder from distress. Though McNally serves as an advisor to the DSM (psychiatry's diagnostic bible), he warns against its over application and asks if we should look at mental illness as a spectrum, as we do physical illness; mild expressions would count (and, perhaps, their treatment would be reimbursed for by insurance companies) as much as severe cases. Alternately, the expansion of a disorder's definition, which would include more and more people, does a disservice to patients as well. McNally explores the genetic components of mental illness and looks to evolutionary psychology to explain its persistence. A standout chapter examines the social construction of mental disorders, comparing, for example, the ways that depression sufferers in China and the United States describe their symptoms. This is no pop psychology handbook and will not appeal to the casual reader, but those involved or interested in the field will find it useful.
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The meaning of madness has confounded us for centuries. Now, we learn that half the population meets criteria for mental disorders. In this lucid and erudite book, Richard McNally tackles the difficult questions of science, philosophy, and politics that bear on this issue. His answers will have a great impact on the study of psychopathology. (David H. Barlow, Boston University)
Richard McNally's book is the definitive description of the cultural impact of DSM-style empiricism in psychiatry, and the mostly rational but ultimately unsatisfactory approaches that have led to the state of confusion over the nature of mental maladies and mental health we have today. Although our present chaos will probably last at least a decade past the publication of the DSM-V in 2012, all who long for the replacement of this strange and primitive answer to the question 'What is Mental Illness?' will find some hope in McNally's analysis of new ways of thinking about caring for patients and understanding the mind. (Paul R. McHugh, M.D., Johns Hopkins School of Medicine)
Compassionate and insightful. (Kirkus Reviews 2010-10-01)
McNally, an adviser on the Diagnostic and Statistical Manual of Mental Disorders, calls himself a "friendly critic" of psychiatry. In eight compact, well-written chapters, he points out the high prevalence of mental disorder in the United States, the tendency to create diagnoses to fit with new pharmaceuticals, and the blurred line between distress and disorder that allows grief to be labeled depression and high spirits [labeled] mania. McNally explains how homosexuality was removed from the list of disorders, how posttraumatic stress disorder was added, how the "recovered memory" phenomenon rose and fell, and much more. Together, biology, culture, politics, economics, and religion determine what is and isn't normal. Essential for mental-health professionals, this remarkable book will give diligent lay readers a grasp of genetics, evolutionary psychology, and diagnostic controversies. (E. James Lieberman Library Journal (starred review) 2010-11-15)
McNally's book is essentially an extended critique of the DSM, for which he serves as an advisor...[He] begins by asking if we are pathologizing everyday life...One thing that I particularly appreciated about this book is that McNally doesn't take any sides when describing...hypotheses about the origins of mental illness, allowing the reader to draw his or her own conclusions. Those conclusions will probably be mixed and inconsistent, and that's okay. You get the real sense that he is truly committed to the alleviation of mental suffering...It's a clear, thorough, and lively accounting of the problems facing mental health and its practitioners today, and will prove a fascinating read to scientist and layperson alike. (Jason Goldman Wired blog 2011-05-18)
McNally's wide-ranging and extremely readable book is quite sane, and vastly illuminating...Perhaps the most profound insight in What Is Mental Illness? has to do with the role of culture. McNally presents a clinically nuanced, historically rich, and anthropologically informed discussion of how mental illnesses are expressed...The next DSM edition, the fifth, is now in the works. To judge by the heated controversy within academic and advocacy circles generated by interim progress reports, its unveiling in 2013 will doubtless shine an uncomfortable spotlight on the psychiatric profession and spark plenty of debate. McNally's masterful synthesis will help us understand the discussion, and thereby help us to understand ourselves. (Sally Satel New Republic 2011-05-12)
Top customer reviews
McNally, who has served in various roles as an adviser to the DSM review committees, addresses all of these concerns, and more, and does so without pointing fingers and laying blame. He highlights the difficulties psychiatrists face on the ground not only with trying to help patients who are suffering, but also when dealing with insurance companies. In fact, he emphasizes the role that insurance coding and the need for patient benefits has played in the significant growth of the DSM and its myriad disorders over the past decades.
Regarding the DSM more generally, McNally provides a bit of history of the motivations behind the symptoms-only focus of DSM III, discussing how this was (deemed) necessary and how this both helped and hindered psychiatry ever since. He also discusses a number of ongoing debates within the field (along with psychology) about how DSM 5 ought to be restructured, focusing more on psychopathology and perhaps adjusting diagnoses to reflect degrees of mental illness rather than distinct kinds.
Perhaps one of the weak points of the book is the time he sets aside to discuss differing ideas about the role mental disorders might have played in -- and the problems they may present for -- human evolution. The fault is not so much his as that of the proponents of many of the ideas that, frankly, aren't worthy of much consideration. He returns to the idea more fruitfully in his discussion of genetics and the problem of accounting for disorders like schizophrenia.
Overall, McNally is quite sympathetic to the many problems facing psychiatrists and psychologists today, and realistic about the current state of neurology and psychopathology, and any real chance to fully understand the complex etiology of many disorders. Nonetheless, he addresses those problems honestly and fairly, lightly weighing in certain issues without framing the discussions in his favor.
Most recent customer reviews
Not any damage is on this book and it's not late.