Skip to main content Accessibility help
×
Hostname: page-component-76fb5796d-vvkck Total loading time: 0 Render date: 2024-04-27T18:54:56.371Z Has data issue: false hasContentIssue false

3 - Challenging risk: a critique of defensive practice

Published online by Cambridge University Press:  25 August 2009

Duncan Double
Affiliation:
Norfolk and Waveney Mental Health Partnership, NHS Trust University of East Anglia, UK
Carl I. Cohen
Affiliation:
SUNY Downstate Medical Center
Sami Timimi
Affiliation:
Lincolnshire Partnership NHS Trust
Get access

Summary

Perhaps one of the most obvious manifestations of liberatory psychiatry was the Congress on the Dialectics of Liberation held in London at the Roundhouse in Chalk Farm in July 1967. David Cooper (1968) designated the four organizers of the Congress as anti-psychiatrists. Besides himself, these were R. D. Laing, Joseph Berke, and Leon Redler. Both Laing and Cooper gave papers at the conference, as did celebrated social theorists such as Herbert Marcuse and political activists such as Stokely Carmichael.

To Free a Generation was the alternative title of the book of the conference The Dialectics of Liberation (Cooper, 1968). This description makes clear that the book was concerned with how liberation may be achieved. The strands of anti-psychiatry were interwoven with the 1960s counterculture, whose aim was to free the spirit of the age from the nightmare of the world (Nuttall, 1970). The writings of R. D. Laing, perhaps especially The Politics of Experience and The Bird of Paradise, helped to articulate this perspective. Laing (1967) was explicit that civilization represses transcendence and so-called “normality” too often abdicates our true potentialities.

Psychedelic drugs seemed to expand the limits of imminent experience (Wolfe, 1989). One of the originators of hippie culture, Ken Kesey who, with his Merry Pranksters drove across America in a brightly painted bus, wrote One Flew Over the Cuckoo's Nest (Kesey, 1963). This successful novel depicts Randle McMurphy's attempt, possibly on behalf of the counterculture, to overthrow the bureaucratic control of Nurse Ratched in the psychiatric institution.

Type
Chapter
Information
Liberatory Psychiatry
Philosophy, Politics and Mental Health
, pp. 55 - 72
Publisher: Cambridge University Press
Print publication year: 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Andrews, J. (1998). R. D. Laing in Scotland: facts and fictions of the ‘Rumpus Room’ and interpersonal psychiatry. In Cultures of Psychiatry and Mental Health Care in Postwar Britain and the Netherlands, ed. Gijswijt-Hofstra, M. & Porter, R.. Amsterdam: Editions Rodopi.
Appleby, L., Shaw, J., Amos, T.et al. (1999). Safer services: Report of the National Confidential Inquiry into suicide and homicide by people with mental illness. London: Stationery Office.
Barton, R. (1959). Institutional Neurosis. Bristol: Wright.
Evans, Barton F. III (1996). Harry Stack Sullivan. Interpersonal Theory and Psychotherapy. London: Routledge.
Basaglia, F. O. (1989). The psychiatric reform in Italy: Summing up and looking ahead. International Journal of Social Psychiatry, 35, 90–97.Google Scholar
Beck, U. (1992). The Risk Society. London: Sage.
Buchanan, A. (1999). Independent inquiries into homicide. British Medical Journal, 318, 1089–1090.Google Scholar
Buchanan-Barker, P. & Barker, P. (2005). Observation: the original sin of mental health nursing?Journal of Psychiatric and Mental Health Nursing, 12, 550–555.Google Scholar
Clark, D. H. (1996). The Story of a Mental Hospital: Fulbourn 1858–1993. London: Process Press.
Cook, R. I., Render, M., & Woods, D. D. (2000). Gaps in the continuity of care and progress on patient safety. British Medical Journal, 320, 791–794.Google Scholar
Cooper, A (2001). The state of mind we're in: social anxiety, governance and the audit society. Psychoanalytic Studies, 3, 349– 362.Google Scholar
Cooper, D. (1967). Psychiatry and Anti-psychiatry. London: Tavistock.
Cooper, D. (ed.) (1968). The Dialectics of Liberation. Harmondsworth: Penguin.
Cooper, D. (1971). The Death of the Family. Harmondsworth: Penguin.
Cooper, D. (1974). The Grammar of Living. London: Allen Lane.
Craig, T. & Timms, P. W. (1992). Out of the wards and onto the streets? Deinstitutionalisation and homelessness in Britain. Journal of Mental Health, 1, 265–275.Google Scholar
Crawford, M. (2000). Homicide is impossible to predict. Psychiatric Bulletin, 24, 152.Google Scholar
Crichton, J. & Sheppard, D. (1996). Psychiatric inquiries: learning the lessons. In Inquiries after Homicide, ed. Peay, J.. London: Duckworth.
Department of Health (1998a). Frank Dobson outlines third way for mental health. Press release reference 98/311. (Available at http://www.dh.gov.uk/PublicationsAndStatistics/PressReleases/PressReleasesNotices/fs/en?CONTENT_ID=4024509&chk=G4JMRG).
Department of Health (1998b). Modernising Mental Health Services: Safe, Sound and Supportive. London: Department of Health.
Department of Health and Social Security (1975). Better Services for the Mentally Ill. London: HMSO.
Department of Health and Social Security and Welsh Office (1971). Better Services for the Mentally Handicapped. London: HMSO.
Double, D. B. (ed.) (2006). Critical Psychiatry: The Limits of Madness. Basingstoke: Palgrave Macmillan.
Douglas, M. (1992). Risk and Blame: Essays in Cultural Theory. London: Routledge.
Geddes, J. (1999). Suicide and homicide by people with mental illness. British Medical Journal, 318, 1225–1226.Google Scholar
Giddens, A. (1991). Modernity and Self-identity. Cambridge: Polity Press.
Goffman, E. (1961). Asylums. Essays on the Social Situation of Mental Patients and Other Inmates. Harmondsworth: Penguin.
Goodwin, S. (1993). Community Care and the Future of Mental Health Service Provision. Aldershot: Avebury.
Goodwin, S. (1997). Comparative Mental Health Policy: From Institutional to Community Care. London: Sage.
Halligan, A. & Donaldson, L. (2001). Implementing clinical governance: turning vision into reality. British Medical Journal, 322, 1415–1417.Google Scholar
Jones, M. (1952). Social Psychiatry. London: Tavistock.
Kesey, K. (1963). One Flew Over the Cuckoo's Nest. London: Methuen.
King, M. & 59 other signatories (2006). Community psychiatry inquiries must be fair, open and transparent [Letter]. The Times, Dec 4.
Kisely, S., Campbell, L. A., Scott, A., Preston, N. J., & Xiao, J. (2006). Randomized and non-randomized evidence for the effect of compulsory community and involuntary out-patient treatment on health service use: systematic review and meta-analysis. Psychological Medicine, doi:10.1017/S0033291706008592 (published online 21 Aug).Google Scholar
Laing, R. D. (1967). The Politics of Experience and The Bird of Paradise. Harmondsworth: Penguin.
Laing, R. D. (1985). Wisdom, Madness and Folly. London: Macmillan.
Laing, R. D. (1987). Laing's understanding of interpersonal experience. In The Oxford Companion to the Mind, ed. Gregory, R. L. (assisted by O. L. Zangwill) Oxford: Oxford University Press.
Leff, J. (1993). All the homeless people – where do they all come from?British Medical Journal, 306, 669–670.Google Scholar
Martin, J. P. (1984). Hospitals in Trouble. Oxford: Blackwell.
Mollica, R. F. (1985). From Antonio Gramsci to Franco Basaglia: the theory and practice of the Italian psychiatric reform. International Journal of Mental Health, 14, 22–41.Google Scholar
Mullan, B. (1995). Mad to be Normal. Conversations with R. D. Laing. London: Free Association.
Nuttall, J. (1970). Bomb Culture. London: Paladin.
Norfolk & Waveney Mental Health Partnership NHS Trust (2005). Panel report from the inquiry into the care and treatment of Richard King. (Available at http://www.nmhct.nhs.uk/FOI/Class%207/inquiry%20doc.pdf).
O'Neill, O. (2002). A Question of Trust. Cambridge: Cambridge University Press.
Passmore, K. & Leung, W-C. (2002). Defensive practice among psychiatrists: a questionnaire survey. Postgraduate Medicine, 78, 671–673.Google Scholar
Reder, P., Duncan, S., & Gray, M. (1993). Beyond Blame: Child Abuse Tragedies Revisited. London: Routledge.
Salter, M. (2003). Serious incident inquiries: a survival kit for psychiatrists. Psychiatric Bulletin, 27, 245–247.Google Scholar
Schatzman, M. (1972). Madness and morals. In Laing and Anti-psychiatry, ed. Boyers, R. & Orrill, R.. Harmondsworth: Penguin.
Scheff, T. J. (1999). Being Mentally Ill: A Sociological Theory, 3rd edn. New York: Aldine de Gruyter.
Scotland, Baroness, Kelly, H., & Devaux, M. (1998) The report of the Luke Warm Luke mental health inquiry (Vols I & II). London: Lambeth and Lewisham Health Authority.
Sullivan, H. S. (1962). Schizophrenia as a Human Process. New York: W. W. Norton & Co.
Szmukler, G. (2000). Homicide inquiries: What sense do they make?Psychiatric Bulletin, 24, 6–10.Google Scholar
Tantam, D. (1991). The anti-psychiatry movement. In 150 Years of British Psychiatry, 1841–1991, ed. Berrios, G. E. & Freeman, H.. London: Gaskell.
Taylor, F. J. & Gunn, I. (1999). Homicides by people with mental illness: Myth and reality. British Journal of Psychiatry, 174, 9–14.Google Scholar
Dorn, , Elbogen, R. A., Redlich, E. B., Swanson, A. D., Swartz, J. W., , M. S., & Mustillo, S. (2006). The relationship between mandated community treatment and perceived barriers to care in persons with severe mental illness. International Journal of Law and Psychiatry, 29, 495–506.Google Scholar
Wall, S., Hotopf, M., Wessely, S., & Churchill, R. (1999). Trends in the use of the Mental Health Act: England, 1984–96. British Medical Journal, 318, 1520–1521.Google Scholar
Walshe, K. & Higgin, J. (2002). The use and impact of inquiries in the NHS. British Medical Journal, 325, 895–900.Google Scholar
Weller, M. P. I. (1989). Mental illness – who cares?Nature, 339, 249–252.Google Scholar
Wolfe, T. (1989). The Electric Kool-aid Acid Test. London: Black Swan.
World Health Organization (1953). Expert Committee on Mental Health: Third Report. Geneva: WHO.

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×