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Quixotic jousting over mental states

  • Sebastian Kraemer
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Abstract
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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1 Szasz, T. The myth of mental illness: 50 years later. Psychiatrist 2011; 35: 179–82.
2 Shorter, E. Still tilting at windmills. Commentary on … The myth of mental illness. Psychiatrist 2011; 35: 183–4.
3 Miller, H. Psychiatry: medicine or magic? Br J Hosp Med 1970; 3: 122–6.
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Quixotic jousting over mental states

  • Sebastian Kraemer
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eLetters

�Common ground� model for mental health instead of the �either/or� one

Amgad R Atia, Trainee Psychiatrist, West London Mental Health Trust.
04 July 2011

I read with great interest Sebastian Kraemer 1 comparison betweem Thomas Szasz 2 and Edward Shorter 3 articles which showed the paradox between the two different models they both adopt. It is very interesting also that the comparison ended showing how such paradox and “Quixotic jousting” lead to diminished psychiatry which cannot grasp the nettle of mental pain and cannot help patients to be understood and treated.

How interesting will it be if there could be a third model “common ground” which model does not abandon psychopathology as one paradigm of approaching mental health and at the same time accepts questioning and engages positively with diverse patients’ experiences which may be based on a different paradigm? Such model 4 should celebrate critical thinking and should not be afraid of accepting contradictions and diversity. This will help doctors and health care professionals to accept and work efficiently with patients whether they accept or refuse the medical model.The last thing that patients need is to find out they have to deal with health professionals who are “Quixotic jousting” instead of trying to finda “common ground” to understand and treat them.

References:1-Kraemer S. Quixotic jousting over mental states. The Psychiatrist (2011) 35: 277. doi: 10.1192/pb.35.7.2772-Szasz T. The myth of mental illness: 50 years later. Psychiatrist 2011;35: 179-82.[CrossRef] 3-Shorter E. Still tilting at windmills. Commentary on . ... The myth of mental illness. Psychiatrist 2011; 35: 183-4.[CrossRef]4-Bracken P, Thomas P. Beyond consultation: the challenge of working withuser/survivor and carer groups. The Psychiatrist (2009) 33: 243-244. doi: 10.1192/pb.bp.109.026229
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