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Cruel Compassion: Psychiatric Control of Society's Unwanted

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Thomas Stephen Szasz

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“Schizo. It didn't matter how many times Dr. Gill compared it to a disease or physical disability, it wasn't the same thing. It just wasn't. I had schizophrenia. If I saw two guys on the sidewalk, one in a wheelchair and one talking talking to himself, which would I rush to open a door for, and which would I cross the road to avoid?”

Mental IllnessSchizophreniaMental DisorderInvisible IllnessMental Illness StigmaMental Illness Discrimination
Book:The Summoning
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“In exchange for institutionalization, people with mental illness today have been provided with splendid autonomy. But this particular bland of autonomy comes with a price. It’s an autonomy that allows them to survive however they may: on their own if they can, in the homes of their families available to support them–if they happen to have families available to support them–or on the streets and in prisons if they don’t. In any case, the beauty of this system is that the treatment they presently receive is killing them earlier than ever, so there will be less cost to the system than ever.”

Mental IllnessMental Illness StigmaMental Illness Discrimination
Book:Bitter Medicine: A Graphic Memoir of Mental Illness
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“In 2006, there is no army of recovered memory therapists, and Dr McNally’s assumptions about patients with PTSD and those working in this field are troubling. Owing to past debates, those working in the PTSD field are perhaps more knowledgeable than others about malingered, factitious, and iatrogenic variants. Why, then, does Dr McNally attack PTSD as a valid diagnosis, demean those working in the field, and suggest that sufferers are mostly malingered or iatrogenic, while giving little or no consideration is given to such variants of other psychiatric conditions? Perhaps the trauma field has been “so often embroiled in serious controversy” (4, p 816) for the same reason Dr McNally and others have trouble imagining the traumatization of a Vietnam War cook or clerk. One theory suggests that there is a conscious decision on the part of some individuals to deny trauma and its impact. Another suggests that some individuals may use dissociation or repression to block from consciousness what is quite obvious to those who listen to real-life patients." Cameron, C., & Heber, A. (2006). Re: Troubles in Traumatology, and Debunking Myths about Trauma and Memory/Reply: Troubles in Traumatology and Debunking Myths about Trauma and Memory. Canadian journal of psychiatry, 51(6), 402.”

DenialPtsdRepressionDissociationSociety DenialMental Health StigmaTraumatizedTrauma SurvivorsTrauma MemoryMental Illness DiscriminationIatrogenicMalingeringRecovered Memory Therapists
Author:Colin Cameron
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“In his recent guest editorial, Richard McNally voices skepticism about the National Vietnam Veteran’s Readjustment Study (NVVRS) data reporting that over one-half of those who served in the Vietnam War have posttraumatic stress disorder (PTSD) or subclinical PTSD. Dr McNally is particularly skeptical because only 15% of soldiers served in combat units (1). He writes, “the mystery behind the discrepancy in numbers of those with the disease and of those in combat remains unsolved today” (4, p 815). He talks about bizarre facts and implies many, if not most, cases of PTSD are malingered or iatrogenic. Dr McNally ignores the obvious reality that when people are deployed to a war zone, exposure to trauma is not limited to members of combat units (2,3). At the Operational Trauma and Stress Support Centre of the Canadian Forces in Ottawa, we have assessed over 100 Canadian soldiers, many of whom have never been in combat units, who have experienced a range of horrific traumas and threats in places like Rwanda, Somalia, Bosnia, and Afghanistan. We must inform Dr McNally that, in real world practice, even cooks and clerks are affected when faced with death, genocide, ethnic cleansing, bombs, landmines, snipers, and suicide bombers ... One theory suggests that there is a conscious decision on the part of some individuals to deny trauma and its impact. Another suggests that some individuals may use dissociation or repression to block from consciousness what is quite obvious to those who listen to real-life patients." Cameron, C., & Heber, A. (2006). Re: Troubles in Traumatology, and Debunking Myths about Trauma and Memory/Reply: Troubles in Traumatology and Debunking Myths about Trauma and Memory. Canadian journal of psychiatry, 51(6), 402.”

DenialPtsdSociety DenialPosttraumatic Stress DisorderMental Illness StigmaCombat PtsdMental Illness DiscriminationIatrogenicMalingering
Author:Colin Cameron
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