Misplaced Pages

Revision as of 09:13, 14 April 2006

Someone added a paragraph to the article that's blatantly POV. I'm reverting the article back to its last form until I can organize a response. I apologize for the lack of citations in what follows, but I'm throwing this out in a hurry. Once I have those I'll get to work on the cleaning up the article itself. Whoever added it (anonymously, at that ) seems to be of the opinion that any criticism of biological psychiatry constitutes an attack against the scientific method and the concept of science in general. There's a difference between a critique of the assumptions behind the biologically deterministic school of psychiatry that's been in vogue for a while and that of the more radical anti-psychiatrists who use "biological psychiatry" as an all-purpose epithet for those that don't agree with them that psychic anguish is only the result of the conflict between the free-spirited individual and a repressive society. If only the layers of societal repression could be removed, and people could learn to expand their idea of "normal behavior" then mental illness would cease to exist. In a sense, this use of "biological psychiatry" is the diametric opposite of the beliefs of the ones who posit its existence in the first place. The anti-psychiatrists (in this author's opinion, amongst others) romanticize the plight of people who are seriously suffering as a means of speaking truth to power.

There's another, less radical definition of "biological psychiatry". That there's a journal out there that goes by that moniker indicates (to me, at least) that the term is more than just the creation of anti-psychiatry activists. I've personally known people who consider themselves "biological psychiatrists". I would define "biological psychiatry" in this sense as the theory that depression/schizophrenia/anxiety/etc (what are commonly known as "mental illnesses") that are illnesses and as such are the result of pathological differences in the way their brains work compared to other people, in a manner analogous to other, physical diseases. To this critic at least (one heavily influenced by Stanton Peele, among others), conceptualizing differences in mood and/or perception as purely the result of a disease process denies the role of individual agency and experience in determining how they feel. In particular, the idea that "mental illnesses" are inexorably lifelong, chronic, and relapsing, isn't necessarily borne out by the data (cites to follow), and that conceiving them as such can make it harder for people to get better by encouraging them to view their thoughts and emotions as ipso facto evidence of pathology. You can be anti-"biological psychiatry" without denying a role for biology in psychiatry.

That there are differences in brain activity between "normal" and "mentally ill" individuals does not necessarily imply that the "mentally ill" brain state is pathological. To the extent that the brain is the seat of the mind it follows that there is a physiological correlate to every mental state, associated with different levels of neurotransmitters or receptors, gene expression, etc. It's easy to simply pick two groups of people labled "normal" and "mentally ill" and then proceed to pick them apart in search of differences between the two groups. You'd find plenty. A lot of them might even show strong correlations. But, as they say, correlation does not equal causation. There is dramatic overlap between "normal" brain activity and "mentally ill" brain activity, enough so that it's impossible to look at HVAA or DMT levels in spinal fluid or urine, or glucose or oxygen utilization and make a diagnosis with any reliability. False-color MRIs or other imaging techniques can be manipulated to make minor, possibly inconsequential differences in brain activity seem more dramatic than they are.

Contrast this to diabetes or hypothyroidism. In the former case, insufficient insulin production or a reduced cellular response to insulin is diagnostic. In the latter, low circulating thyroid hormone levels and abnormally high TSH levels are. There are some borderline cases, but if you've got a TSH of 10, something's wrong with your thyroid, or else your pituitary gland. In the case of Parkinson's Disease or Alzheimer's Disease (both of which the author compares to mental illnesses), specific, identifiable neurodegenerative changes are clearly present. The specific causes might not be known at this time, but when you cut open the brain of someone with Alzheimer's disease, it becomes very clear very quick that they have it. It's the same with Parkinson's. In the case of bipolar disorder and schizophrenia, no such clear healthy/ill dichotomy can be found. Every so often it seems that someone comes along with a discovery that a gene (or genes) is the cause of alcoholism or drug abuse or bipolar disorder or schizophrenia or depression or... the list is endless. The "discovery" inevitably garners great media attention as an example of the way that modern medicine is conquering all ills, but the retraction a few weeks, months, or years later showing that the correlation isn't the slam-dunk it originally seemed to be usually doesn't. Despite that, these "great discoveries" keep getting trotted out in textbooks and further media reports as examples of the "overwhelming evidence" that mental illness is the result of a dysfunctional brain, with a little lip service paid to the role of the environment.

I'm stopping here before I get too carried away on that. Here are some ideas for expanding the article:

-A better definition of biolgical psychiatry. If there's a journal that goes by the name, there's people actually devoting themselves to its study.

-More examples of the evidence for biological psychiatry, as defined above, without being presented as simply "overwhelming". The biopsychiatric interpretation of the evidence is the most popular right now, but the data lend themselves to other reasonable (and scientific, unlike the relationship between evolution and "intelligent design", say) interpretations.

eg: The higher depressive relapse rates for people who have been on antidepressants and go off of them versus people who stay on them has been commonly accepted as evidence that the drugs work, but as a result of the way antidepressant studies are structured (more on that later) the difference could be interpreted as the result of some kind of biological change making people more liable to depression after taking antidepressants.

-More about the differences between anti-biological psychiatry critiques. Link the radical one to anti-psychiatry and let people who want to learn about it read up on it there. Maybe some examples of psychatric excesses so as to give some perspective on why people might be skeptical of it, without transforming it into a psychatrists-as-amoral-butchers freakshow.

-More balanced coverage about weaknesses in or excesses of the biological psychiatric model, without smearing all critics as being anti-science or the "everyone's ok, it's society that's the problem" model.

One example that comes to mind is the study that came out recently that referred to conservatism as a mental disorder.

Article as written is highly POV, inappropriate for an encyclopedia, and based on a misconception

This article is extremely biased, and inappropriate for an encyclopedia. The main purpose of an encyclopedia article is to describe the topic, not take positions on it. Simply describing it does not equate to a "pro" position. Furthermore this article as written is based on a misconception: that because the term "biological psychiatry" is frequently used by detractors of the concept, that justifies writing a highly POV disparaging article on the topic.

Examples: abortion is very controversial, but that article mainly describes the topic. Describing abortion in detail does not constitute taking a "pro" position on that. Within the article there's a link to a separate article on Abortion debate. Likewise evolution is very controversial, but that article primarily covers that topic not the controversy. Describing evolution in detail does not constitute taking a pro position on that. There's a link within the article to Creation-evolution controversy.

Similarly this article should primarily cover the topic: biological psychiatry and the basis for that concept. If anybody feels strongly against the associated controversy, they are welcome to write a separate article on that and place a link to it in this article. If you further want to advocate your opinions, there are plenty of opportunities on Usenet and various other discussion forums. However this is an encyclopedia article on a specific topic and not the place for those opinions.

Re "biological psychiatry" being primarily used by detractors, that is not necessarily correct. Of course a Google search will show many such hits, but that is NOT representative of how the term is generally used. You can go to any library, use their search tools and you'll see most of the references are factual descriptions of biological psychiatry or related matters.

To better understand this, consider the term "Yankee". It is often used in a disparaging way, but the Misplaced Pages article on Yankee doesn't emphasize that. Rather it describes the origin and basis for the term. Likewise this article (like any other encyclopedia article) should focus primarily on describing the topic. Joema 18:54, 25 January 2006 (UTC)

The prime directive of an encyclopedia article is to describe the topic. This is not a Usenet discussion, nor a high school debate. The article should emphasize the topic description, basis for existence, and history. If great controversy is associated with the topic, it should be placed in a separate article.

This article is currently worthless

First of all, biopsychiatry is not a term used entirely by detractors. It's just that one of them (a detractor, that is) wrote this article. Second of all, medicine has its basis in the natural sciences (e.g. biology, chemistry) and it is a widely, if not universally, accepted fact that medical (and by extension, psychiatric) problems arise from some tangible source. In other words, medicine attempts to look for the cause of the problem. Psychological counseling neither diagnoses nor specifically treats any underlying physical (whether it be anatomical or phsyiological) illnesses. See the article called "chemical imbalance theory" for an explanation of why this conception of biopsychiatry exists.

"...which they believe places undue emphasis upon biological theories and psychiatric drug treatment, rather than objective diagnosis of medical pathologies and psychological counseling."

First of all, who are these critics? Scientologists, no doubt. Second of all, what is "objective diagnosis" in the context of psychological counseling? The answer is, it doesn't exist. Psychological counseling and diagnosis of medical pathologies are diametrically opposed. Psychology is not (currently) a science, nor is it objective, by any means.

Lastly, let me point out that without "biological theories" medicine would cease to exist. Without these theories, we simply wouldn't have the sort of advanced technology that we do. Let me end this by saying: All medical problems have a biological basis, whether we know what it is or not. With conditions of an unknown etiology, remember that: Absence of evidence is not evidence of abscence.

- Fuzzform (not logged in, using school computer) Mar. 3rd, 12:31 EST.

I've removed the following paragraph, as it is highly misleading and totally against all notions of NPOV. I think it should, at most, be used in a "Criticism" section, definitely not as a main description of this field. More partisan stuff will show up in this section.

"...used mainly by critics of mainstream mental health practice to describe what opponents of psychiatry believe are unproven and subjective diagnostic and treatment practices in modern psychiatry. References to biological psychiatry are used specifically by critics to denote the biological model of mental health, which they believe places undue emphasis upon biological theories and psychiatric drug treatment, rather than objective diagnosis of medical pathologies and psychological counseling."

This entire article is pretty much worthless right now. I moved the criticism out of the initial description and into the "Criticism" section. The entire article is criticism. No neutral references to the discipline whatsoever. And certainly no rebuttals to or reasons for any of the criticism. The article starts denigrating biopsychiatry before the reader even knows what it is. One neutral sentence isn't quite enough. I'll keep working on it, and if it changes drastically, please leave any comments on this page (especially relating to edits). Fuzzform 00:10, 4 March 2006 (UTC)

Only one tag removed

The article is indeed POV. However, I removed the “disputed” tag since I cannot see factual inaccuracy in the article.

The article can be saved introducing in the first paragraphs biological psychiatry as the psychiatric profession views it. Only after that the controversy could be presented (there is no need for another article; the recently re-written Anti-psychiatry article is enough).

On the other hand, there are errors of logic in the “Rebuttals to criticism” section. The sort of reasoning “If it responds to medication it must be biological” has been refuted by psychiatrist Colin Ross in his article “Errors of logic in biological psychiatry”. I read Ross’ article in a book he co-edited with Alvin Pam. When I bought “Pseudoscience in Biological Psychiatry” ten years ago I only paid $50. It now costs $165 in Amazon Books! . However, it is worth reading Ross and Pam’s critique of biopsych. (Of course, you can see for free Ross’ web page .)

Though the initial paragraphs in the Misplaced Pages article are anti-psychiatry POV, the last paragraphs are pro-psychiatry POV. This makes the article no less POV but more POV! Consider the last paragraph:

It is also worth noting that all medical conditions are caused by biological factors, whether those factors are anatomical or physiological. A disorder with unknown etiology is still rooted in biology (despite the fact that the origin is unknown - absence of evidence is not evidence of absence), whether the problem is a product of somatic of neural malfunctioning.

I have written a whole article about this sort of tricky argument. Though it has not been published (I live in Mexico and don’t have editorial connections with other countries), an English version of it can be read in my own web page. Please take a look at it . Cesar Tort 17:43, 28 March 2006 (UTC)

Dualism?

Just reverted the dualist epithet. Thomas Szasz is perhaps the best known critic of bio-psychiatry. He is not a dualist. Like me and many other critics of biopsych, Szasz is totally agnostic. We don’t even believe in post-mortem survival. —Cesar Tort 23:40, 2 April 2006 (UTC)

Without some sort of dualism, what is there to influence that is not biological, and accessible to drugs? Would you describe it as a non-cartesian dualism or in some other way? Midgley 03:22, 4 April 2006 (UTC)

Thanks for your presence in this page and for your edits. You are very welcomed here! This page needs more people like you.

It is not a matter of Cartesian vs. non- Cartesian dualism. It is possible to be a materialist and to fight against involuntary psychiatry as well. I myself am a fan of CSICOP and the secular humanists. There is even a CSICOP fellow, Robert Baker, who recently passed away, who wrote a book stating that bio-psych is a pseudoscience . In a nutshell, neurology is true science and a genuine branch of medicine; biological psychiatry is not, as can be seen in the arguments in the Anti-psychiatry article. Biopsych is similar to phrenology or Lysenkoism. As to your specific question, please take a look at neurologist Elliot Valenstein’s “Blaming the brain: the truth about drugs and mental health” . —Cesar Tort 06:50, 4 April 2006 (UTC)

Thank you. Is the phrase being used a good one? "Biology" seems to me to be orthogonal to "involuntary". I mean one may have involuntary talking treatment, and voluntary biological - drug surely - treatment. In the UK also under the Mental health Act it is entirely possible for people to not accept any drug treatment even if their medical attendants think it is very clear that it would be beneficial to them.

There is a distinction between "not entirely understood" and "know nothing about" and some of this article seems to have been based on ignoring or eliding that difference. The mind is more complex than the hardware it runs on, but that doesn't stop some things being known about it well enough to improve. There is an evidence-based psychiatry movement. Midgley 08:34, 4 April 2006 (UTC)

The word “biopsych” is a code word used to oppose involuntary psychiatric drugging, electroshock or lobotomy. In 1998-1999 I took a mental health course in Manchester’s Open University. If I remember correctly, the 1983 Mental Health Act does not warrant at all the liberties you mention to users. As to your last paragraph, I believe that neurologists, psychologists (on the science side) and biographers and autobiographers (on the humanities side) can handle the mind problem. But psychiatry has absolutely nothing to do with hard sciences. You can also take a look at the book “Pseudoscience in Biological Psychiatry” . —Cesar Tort 09:21, 4 April 2006 (UTC)

You make good points in your informative postings. I was perhaps lazy in pointing at our MHA - I meant it defines the rather limited times and scope of compulsory treatment, and outwith that (and common law and so on) treatment can be resisted, and is. Doctors in general, and nurses and otehr professions allied to medicine (PAMs) as much so, are not only content with that, but don't want extensions of it such as the mental health bill rattling around Parliament currently. The general population may though. Midgley 09:55, 4 April 2006 (UTC)

Codeword is what i was getting at. There are perfectly good words for all those concepts, and they are more clear and specific, and without etymological problems than the codeword. (Part of the definition of a code vis a vis a cipher is that the words in a code are arbitrary. here a word which appears to have a meaning is being used for something not quite the same. There has been some over-categorisation in the general area of activity and discussion. It would be better in many ways to use "JKLIV" than "Biological" because the definition would then be from scratch.)Midgley 09:55, 4 April 2006 (UTC)

My impression is that psychiatrists come in many flavours, and that they start off as medical students and junior doctors and get a grounding in the scientific basis of medicine as we all do. I think it exaggerates to say they and their specialty have nothing to do with hard sciences. On one model this would be slightly similar to condemning computer programmers for having nothing to do with the soldering of the hardware their programs run on. Midgley 09:55, 4 April 2006 (UTC)

Biopsych has really nothing to do with hard sciences: just as Soviet psychiatry in communist times had nothing to do with real science, but only imitated the scientific method. Another book I may recommend on this very subject is Szasz’s “Pharmacracy” , though for the moment you can take a look at my own article . Only neurology is a true hard science. —Cesar Tort 11:29, 4 April 2006 (UTC)

I suspect that despite, or alongside, the excesses of a police state mediated through the cover of psychiatric institutions and language, there were people trying to improve the quality of life of other people with mental illness. Many things go on at the same time, some of them better than others, and some of them more firmly rooted than others. Midgley 11:45, 4 April 2006 (UTC)

Vague, uncited, POV. Parked here

"Criticisms of mental health marketing practices and pharmaceutical treatments have seemingly had little impact on the growing solidarity between the pharmaceutical industry and the mental health professions. Instead, the influence of 'biological psychiatry' appears to actually be strengthening, as evidenced by the growing political and economic clout of the industry."

Needs work, or abandoning. Midgley 03:26, 4 April 2006 (UTC)

I vote for abandoning. —Cesar Tort 06:53, 4 April 2006 (UTC)

Alzheimer’s disease? Biological psychiatry?

I have great problems with the phrase: “Much of the criticism attributed to biological psychiatry centers on the fact objectively defined pathological conditions have been found for only a select few mental illnesses, such as Alzheimer...”

Historically, if a psychiatric condition is found to be biological, it is withdrawn from the psychiatric field and studied by neurologists. And there’s the rub with all of this neurology vs. psychiatry, hard- or pseudo-science issue. Alzheimer is absolutely unique: it’s exactly in the border of neurology and psychiatry. But it’s not a paradigmatic psychiatric disorder. These are schizophrenia (dopamine pseudoscientific theory); depression (serotonine pseudoscientific theory); ADHD (ibid.), and many more. It is therefore unwise to mention Alzheimer: it may be misleading for the Misplaced Pages readership.

As to the article’s opening paragraphs, I have been in psychiatry libraries and have seen mainstream psychiatry manuals with the title BIOLOGICAL PSYCHIATRY. So it’s not used only by critics...

I am curious if you have read the main Anti-psychiatry article, Midgley? —Cesar Tort 18:50, 4 April 2006 (UTC)

I expect I swung the meaning of the opening too far - crisp, clear, but incomplete. Its next iteration will be better, I expect. I read anti-psychiatry (and I'd met it) but I know the article has been edited since, and IIRC it was described as major edits... The psycho-geriatricians are an increasing specialty who deal with general medicine ("internal medicine" for Americans I think), neurology obviously, and psychiatry. There is a risk of ending up characterising a doctor as nothing to do with science in their psychiatry practice, and all to do with it in their neurology practice, when they are actually dealing (holistically even) with patients running minds on damaged and degenerating hardware. Same doctors, same patients... As Humpty Dumpty might say, given that "Biological psychiatry" is a code for (see earlier) and means what those using it (WP: Owning the words perhaps) decide it means, perhaps someone writing a textbook or journal with the same words on the cover is not writing about the same thing? Relative, essential, or confusing. Midgley 21:17, 4 April 2006 (UTC)

The Anti-psychiatry article was re-written by me and others last month. It is precisely the re-written article, not the original article (very bad written by the way), which you might find interesting.

If you read the re-written article you will see that only neurologists deal with damaged hardware; never psychiatrists. And yes, I agree with you: since it is used by both sides, the “Biological Psychiatry” term is indeed confusing! —Cesar Tort 21:36, 4 April 2006 (UTC)

I'll make time for that. Possibly tomorrow. I'm unsure how many topics there are here, and where to slice them up - certainly there is something worth having around these articles. Midgley 23:00, 4 April 2006 (UTC)

Shaky clause

..."rather than objective diagnosis of medical pathologies and psychological counseling."

However one spells counselling, I suspect this clause has deeper troubles, starting off from a POV forumulation, and continuing through an absence of the demonstration of objective diagnoses of _psychiatric_ medical diagnoses where the question is begged. In short, I doubt that this represents the polar opposite of the first clause in the sentence in which it lies, still. Midgley 21:22, 4 April 2006 (UTC)

Cull

If no objections, with the help of other editors I will unmercifully cull and re-write this article as I did with the Anti-psychiatry article. —Cesar Tort 10:44, 5 April 2006 (UTC)

Breggin

Yes Midgley, please correct my English when you feel it necessary. Spanish is my native language so my phrases need syntactic correction and clarification. (BTW, Breggin studied psychiatry in Harvard; has written a dozen of psychiatry books; founded the International Center for the Study of Psychiatry and Psychology; founded the only peer-reviewed journal I know devoted exclusively to criticize biopsych, and has been called to Congress to talk about the dangers of Ritalin.) As I said above, to make the article NPOV we could first present biological psychiatry as mainstream psychiatry perceives the field. A paragraph may be needed above the “Critics” section. —Cesar Tort 13:43, 5 April 2006 (UTC)

Caesar's English is very good. Ratehr than correcting anything I might strip some redundancy out of sentences, something I do to any writing, except my own. Midgley 14:38, 5 April 2006 (UTC)

Ombudsman's edit

"rv: cursory examination of Midgley's edits indicates insertion of pov, spin, or worse; even the copy edit re: reference vs references, after consideration of context, is dubious at best" I am displeased by this unWP:CIVIL

NPOV tag removal?

The article may still need changes, additions or modifications. As I said above, English is not my native language.

However the re-written article looks NPOV to me. Any objections to remove the NPOV tag? —Cesar Tort 15:35, 6 April 2006 (UTC)

Much better. I've made an edit to the opening paragraph that is seeking precision rather than a change of meaning. Midgley 17:04, 6 April 2006 (UTC)

Add further info?

I see the article has been significantly improved from the earlier state, which is great. I have a fair amount of additional info (definitions, history, etc) I'd like to add. Is that OK? Misplaced Pages says "be bold", but I didn't want to surprise everybody if I add a bunch of stuff. Joema 23:12, 7 April 2006 (UTC)

Of course you can contribute! The only rule is that the edition should be NPOV. —Cesar Tort 23:37, 7 April 2006 (UTC)

Discuss changes

As previously discussed, I've integrated a lot of new material. It's essentially a total re-write. I hope it's obvious it was an ambitious, laborious project.

My goal was to produce an article worthy of an encyclopedia (that's what Misplaced Pages is, after all): scholarly, neutral, informative, and well-referenced.

I'm not a healthcare professional, and am completely agnostic about biological vs behavioral determinants to mental health. However an encyclopedia should prioritize describing the topic, not debating it, critiquing it, or editorializing on it. This descriptive-oriented approach is standard practice at of other encyclopedias, and for good reason. To do otherwise damages the scholarly impartiality, usefulness and ultimately the very legitimacy of the encyclopedia.

Please discuss any questions, issues or problems here. (remark by Joema) (Please sign with 4 tildes Midgley 19:25, 11 April 2006 (UTC))

I've cleaned up the references quite a bit. Some names of authors and journals need further editing, as they are incomplete. Access dates are also needed for all web-based sources. Also, I've added a few "citation needed" tags to uncited pieces of information. Fuzzform 20:14, 12 April 2006 (UTC)

Thanks, I'll work on that. Joema 21:13, 12 April 2006 (UTC)

NPOV tag

Biological psychiatry is a pseudoscience like phrenology and Lysenkoism, as can be demonstrated in the writings of several non biological psychiatrists and mental health professionals: , , , , , , , . There is even an entire peer-reviewed journal devoted exclusively to debunk bio-psychiatry . The totally re-written article is pro-psychiatry propaganda. —Cesar Tort 04:15, 13 April 2006 (UTC)

What do you think the article should say? --WikiCats 11:10, 13 April 2006 (UTC)

A problem here is that the term is being used for different things by different people. I suspect that while articles could be written about each use, any of those, or an article about all uses is unlikely to satisfy any group. A lot of it looks like alternative doctor-knocking rubbish, but that may just be the view you'd expect from a doctor. Midgley 12:04, 13 April 2006 (UTC)

I propose that the short NPOV article edited by Midgley and me replace the existing long POV article and then try to work together on a NPOV basis if the article edited by Midgley and me is going to be extended. —Cesar Tort 16:30, 13 April 2006 (UTC)

Incidentally, I agree with you Midgley that alternative medicine is rubbish. As stated above, I am a fan of CSICOP and the skeptics (I even contributed with a note in Skeptical Inquirer to debunk the “wall face” appearances of Belmez, Spain). However, criticism of phrenology, Lysenkoism or biopsych is not “alternative medicine”. —Cesar Tort 17:31, 13 April 2006 (UTC)

The article is NOT pro-biological psychiatry, any more than the article on abortion is pro-abortion or the article on evolution is pro-evolution. The main purpose of an encyclopedia article is to describe the topic. Think of it as an elaborate dictionary. Describing the topic and the underlying basis DOES NOT equate to a pro position on the subject. The NPOV tag is entirely unwarranted. Joema 23:24, 13 April 2006 (UTC)

I am not alone in this opinion. In his 17:59, 13 April 2006 contribution to the article, Ombudsman wrote: “this article has become a poster child for extreme ivory tower pov pushing”. —Cesar Tort 23:53, 13 April 2006 (UTC)

Incidentally, evolution is real science; biopsych is not. —Cesar Tort 23:57, 13 April 2006 (UTC)

Just like you have very strong feelings against this topic, and claim it's not real science, millions have strong feelings against evolution and claim IT is not real science. From an encyclopedia standpoint, that makes no difference. The purpose of an encyclopedia is describe and explain the topic. Doing so does not equate to taking a position on it. I understand you may want to convince others of your position, and that's fine -- but not in an encyclopedia article. I sincerely entreat you, please do not continue this. You have many avenues to persuade others of your position. Please don't use an encyclopedia article for this. If necessary this can be escalated, but I beg you -- please save everybody the time. Put anything you want in the anti-psychiatry article. Or create your own specific anti-biological psychiatry article. But please, please don't continue putting that into this article. Joema 00:10, 14 April 2006 (UTC)

I could say exactly the same about the article Midgley and I edited and you took over: please, don't continue putting that into this article. —Cesar Tort 00:17, 14 April 2006 (UTC)

I'm going to have to side with Joema on this one. The critics of biopsychiatry are criticizing certain aspects of it yes, but I have yet to see any claims that it is a pseudoscience. Perhaps you came to this conclusion abrubtly due to some unpercieved bias - I surely hope you are not another Scientologist seeking to smear the notion that perhaps there is a biological basis for all medical conditions. After all, we are just a gigantic complex of molecules, organized into cells, tissues, and in the end, the organism - humans. So if you would like to debunk something, try psychology. After all, that wasn't considered a science until fairly recently, and it still incorporates incorrect and non-empirical conclusions in varying degrees. If you would like to include a "Criticism" of biopsych, feel free to add a section toward the end. But please don't change the intro to say "biopsych is a pseudoscience" or anything of that nature, because it is no more a pseudoscience than psychology. (P.S. you do realize the article already incorporates criticism of biopsychiatric theories?) Fuzzform 04:10, 14 April 2006 (UTC)

Citation number 17: all of the contributors to this journal are in the fields of "divinity", "psychology", "psychoanalysis", "spirituality", "author", "survivor" (those last two greatly puzzle me), "mind-body medicine", "phenomenological psychology". All of these draw conclusions through deductive reasoning. None of them use empirical, or inductive reasoning to come to conclusions. Biopsychiatry does use empiricism as its basis; using MRI, EKG and many, many other quantitative methods, the physical/biological nature of mental illness can be investigated. Ergo, psychology is a pseudoscience, biopsychiatry is not. But still, feel free to add criticism, if you can find specific examples. Fuzzform 04:18, 14 April 2006 (UTC)

Write out what you want to say here so the other editors can have a look at it. --WikiCats 04:23, 14 April 2006 (UTC)

Why psychiatry is a pseudo-science

No: I am not a scientologist. I am not a psychologist either.

Didn’t Fuzzform misrepresent citation number 17 (Ethical Human Psychology and Psychiatry: An International Journal of Critical Inquiry)? The journal’s founding editor that debunks biological psychiatry is a psychiatrist himself: Peter R. Breggin, MD. The editors are Jonathan Leo, PhD, and Laurence Simon, PhD; the associate editors are David Cohen, PhD; David Jacobs, PhD; Jay Joseph, PsyD; Stephen E. Wong, PhD, and Michael McCubbin, PhD.

Also, the editor of Pseudoscience in Biological Psychiatry is a psychiatrist .

In a nutshell, as a Popperian philosopher of science would easily notice, the way bio-psychiatrists present their hypotheses on the diverse neuroses and psychoses —biological diseases “of unknown etiologies”— makes them non-falsifiable or irrefutable biological hypotheses. “Thus, an irrefutable hypothesis is a sure-fire sign of a pseudoscience” (Terence Hines). —Cesar Tort 05:02, 14 April 2006 (UTC)

Cesar, I appreciate you think psychiatry is a pseudo-science. People have strong opposing feelings about many subjects: evolution, abortion, The Holocaust, etc. However encyclopedia articles on those subjects should prioritize documenting the topic, not being a forum for dissenting opinion.

There's no shortage of venues to express your feelings and persuade others. But this encyclopedia article is not that place. I beg you, please, please, use those other avenues. Feel free to write a Wikiepdia article on anti-biological psychiatry. Start your own discussion forum. But I earnestly entreat you, please don't continue this. I beg you with all my heart -- please. Joema 05:31, 14 April 2006 (UTC)

I could also beg you, Joema, not to delete the article I edited with Midgley: but you nuked it.

Also, Holocaust deniers and creationists are crackpots. I hate Holocaust deniers and despise creationists. On the other hand, psychiatrist Peter Breggin, the founding editor of the journal that criticizes biopsych, and the other mental health professionals, are sane people. Why don’t you better address my Popperian argument? After all, biopsychs, not their critics, say that they study biomedical entities “of unknown etiology”. —Cesar Tort 05:49, 14 April 2006 (UTC)

Hi guys (and perhaps, gals). I was referred to this page to offer an opinion. I've read through the article and talk and, as its stands, i think it isn't too bad, but there are still a few problems about neutral tone. For example we cannot say: a central theory of biological psychiatry (monoamine hypothesis, popularly known as the "chemical imbalance theory") is deeply flawed in its original form. or Since the monoamine theory is certainly wrong in its initial formulation, and likely incomplete even in the current form, it would appear that much of biological psychiatry is based on a shaky foundation. Both are highly POV and thus it must be attributed if they are to remain.

I also happen to think that the article loses focus, it should be more factually descriptive of what biopsych is (from both the majority (pro) and minority (anti) POV) and less a critique of its flaws. I agree that much of the content would much better linked to another article on the controversy of chemical imbalance. However, the argument that it is a pseudoscience is easily cleared up in policy, WP:NPOV says:

If we're going to represent the sum total of human knowledge, then we must concede that we will be describing views repugnant to us without asserting that they are false. Things are not, however, as bad as that sounds. The task before us is not to describe disputes as though, for example, pseudoscience were on a par with science; rather, the task is to represent the majority (scientific) view as the majority view and the minority (sometimes pseudoscientific) view as the minority view ''

In terms of this article, I interpret that as follows. Whether something is psuedoscientific or not is not relevent in regards to how it is presented in an encyclopedia (after all we adopt a neutral point of view, not a scientific point of view). Therefore we describe biopsych according to what the majority view is (and i'm pretty sure that majority view is that biosych is not pseudoscience) AND we state what the minority view is (i.e. that anti-psychiatrists, some religious groups and assorted others believe that it is a pseudoscience). From my discussions with Cesar, i think he believes that the "majority scientific view" on this subject does somehow infringe what defines pseudoscience (i appreciate that is an oxymoron, but i hope you can see what i mean). That may be the case, but its got good enough for Misplaced Pages to call it a pseudoscience. For our purposes, "scientific" is what current mainstream science accepts and "pseudoscientific" is what the current mainstream calls a pseudoscience. So as long as we state what the majority and minority beliefs are, we should have no problem, as both should be explained neutrally. Thus the question is not whether biopsych can fulfil the criteria of a pseudoscience, but does anyone dispute that the scientific mainstream currently treats it as a science and those that call it a pseudoscience are in a minority? Rockpocket 06:52, 14 April 2006 (UTC)

I have no objections with your comments Rockpocket but I wonder if you read the article I edited with Midgley (who is quite a skeptic of alternative medicine). Anyway, that article was nuked. But I agree that the minority view deserves a space in the article even if it is just 25%. Take a look at the flaming debate about the Mother Teresa article (MT for short). Almost the entire world is convinced that MT was a saint. However, a tiny minority believes she was an evil and selfish old woman. I wrote at the end of the current debate in Talk:Mother_Teresa: “A single individual may be right and the rest of the society wrong. That’s what I learnt in John Stuart Mill’s On Liberty and Orwell’s 1984. Hitchens is no Wonkum. All I am asking is some space for people like him in the MT article”. In other words, the majority view about biopsych doesn’t mean that it’s real science. That’s the ad populum fallacy. Like the MT article, 25% of space should be conceded to critics. —Cesar Tort 08:44, 14 April 2006 (UTC)

I've got to agree with Rockpocket, above, only more strongly: this article reeks of POV and original research. I don't know how Cesar Tort has arrived at the notion that the ad populum fallacy applies in this instance and I'm concerned that the article, as envisioned by Cesar Tort, would have the same problems that would arise if a creationist wrote an article about evolution and promptly labeled it "pseudoscience." And I can't agree that 25% of any article should be "conceded to critics." In some articles, the mere mention that there are critics may suffice. This page seems to be a candidate for a "Needs Expert Attention" template. Ande B 09:13, 14 April 2006 (UTC)