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A must-read for anyone concerned with the well-being of society
on 21 October 2013
In this book, Dr Moncrieff explains carefully, soberly and with considerable academic integrity, how the world of psychiatry has become distorted by its own desire for recognition as a medical profession, its dubious assumptions about the nature of mental conditions and by the efforts made by drugs companies to increase their business.
Dr Moncrieff explains how the desire for psychiatry to be as scientific/medical as other areas of health has led to rushed conclusions about the link between brain chemistry/biology and complex mental conditions of the mind such as schizophrenia, manic depression and anxiety.
The assumption made is that a chemical imbalance in the brain requires toxic 'antipsychotic' drugs to counter it, and like insulin for diabetes, over a lifetime since it is a permanent deficiency in the brain. This assumption is shown to have little or no evidence to support it, yet is the mainstay of modern psychiatric practice. Dr Moncrieff proposes an alternative view, that the drugs are simply suppressing brain activity, and thus appear to 'cure' mental conditions. The trouble is, whichever view is taken, the drugs have toxic effects which are in many ways no different those from the illegal drugs taken for pleasure that we criminalise in society. These effects are downplayed as 'side effects' despite there being substantial evidence of long term damage to body and brain health.
Dr Moncrieff shows how drugs companies, keen to maintain and improve their business, have funded research which shows marginal and questionable improvement through their drugs and have suppressed negative reports. Despite contradictory results, this 'research' is followed by advertising and efforts to shift the wider society understanding of mental health, so that patients demand ever more drugs to 'cure' their sometimes modest problems, now made to sound like serious illnesses.
The distortions to academic practice, pyschiatric prescription and most damning of all, the attempts to treat young children with toxic drugs are revealed by Dr Moncrieff with careful attention to the published record in a convincing manner, providing a solid basis for further debate.
But, most damning of all, is the experience that Dr Moncrieff reports of a refusal in the psychiatric world to engage with these issues or to properly discuss the ethical dilemmas that arise. I found myself intrigued, challenged but ultimately enraged by the failure of the academic/medical professionals to 'do no harm'.
I recommend this book without reservation to anyone prepared to think hard about these issues, and who perhaps has been unaware of concerns about mental health treatment and the huge cost to the well-being of society. It is then for us to take up the challenges Dr Moncrieff has described and ask how are we and society to respond?