Psychosis Without Meaning
Creating Modern Clinical Psychiatry, 1950 to 1980
Bibliographic Data
| ID | 18937735 |
|---|---|
| Authors | Joel T Braslow (0000-0002-6830-2991, University of California, Los Angeles, corresponding author) |
| Year | 2021 |
| Volume | 45 |
| Issue | 3 |
| Pages | 429-455 |
| Publication date | 2021-09-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Culture Medicine and Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 0165-005X • E-ISSN: 1573-076X |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1007/s11013-021-09744-3 |
| PMID | 34406556 |
| OpenAlex | W3193644752 |
| Language | EN |
| Citations received | 1 |
| References cited | 17 |
Over the last fifty years, American psychiatrists have embraced psychotropic drugs as their primary treatment intervention. This has especially been the case in their treatment of patients suffering from psychotic disorders such as schizophrenia. This focus has led to an increasing disregard for patients’ subjective lived-experiences, life histories, and social contexts. This transformation of American psychiatry occurred abruptly beginning in the late 1960s and 1970s. My essay looks the ways these major transformations played themselves out in everyday clinical practices of state hospital psychiatrists from 1950 to 1980. Using clinical case records from California state hospitals, I chronicle the ways institutional and ideological forces shaped the clinical care of patients with psychotic disorders. I show there was an abrupt rupture in the late 1960s, where psychiatrists’ concerns about the subjective and social were replaced by a clinical vision focused on a narrow set of drug-responsive signs and symptoms. Major political, economic, and ideological shifts occurred in American life and social policy that provided the context for this increasingly pharmacocentric clinical psychiatry, a clinical perspective that has largely blinded psychiatrists to their patients’ social and psychological suffering
Everyday life · Ideology · Political science · Politics · Psychiatry · Psychotherapist · Historical Psychiatry and Medical Practices · History · Law · Medicine · Mental Health and Psychiatry · Neurology and Historical Studies · Psychology
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,33 |
| Citation span | 2023 - 2023 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |