Without Informed Consent: The Global Export of a Failed Paradigm of Care


From back cover:

“The discourse around health as a human rights issue usually focuses on access to medical treatment. However, the “right to health” begins with the right to informed consent about the merits of a treatment, which has been lacking as a US-constructed “disease” model of psychiatric care has been exported around the globe. The narrative that supported the adoption of the disease model told of how major psychiatric disorders were due to chemical imbalances in the brain, which could be treated by a second generation of psychiatric drugs that fixed those imbalances, much like “insulin for diabetes.” Randomized clinical trials had proven that antidepressants, antipsychotics, and other psychiatric drugs were safe and effective. However, missing from this narrative of medical progress were three key facts: that investigations failed to validate the chemical-imbalance theory of mental disorders; that studies of long-term outcomes regularly failed to show a benefit for the medicated patients; and that this model of care has led to poor public health outcomes in the United States and other developed countries. The principle of informed consent in medicine can be expanded to include the obligation of a medical specialty to be a reliable narrator of its own research, which provides a framework for understanding the violation of human rights that occurred with the exporting of a disease model of care to a global population.”

Without Informed Consent_The Global Export of a Failed Paradigm of Care pdf

Questioning (the authority of) Psychiatry

In 1961, a young psychiatrist by the name of Thomas S. Szasz initiated a one-man insurgency against his own profession. After years of being a practicing psychiatrist, he became an outspoken dissident, hell-bent on dynamiting the foundations of psychiatry.

Why is self-control, autonomy, such a threat to authority? Because the person who controls himself, who is his own master, has no need for an authority to be his master. This, then, renders authority unemployed. What is he to do if he cannot control others? To be sure, he could mind his own business. But this is a fatuous answer, for those who are satisfied to mind their own business do not aspire to become authorities.” -Thomas S. Szasz

Questioning Psychiatry pdf

Reclaim Your Mind

Text from back cover:

“As far as we know, we only have one life on this planet. Why should we waste it trying to adapt ourselves to the always more demanding expectations of this insane society when there is so much to live, explore, experience and discover? Changes always come from below and the old structures of oppression will inexorably fall when we stop relying on them.”

Reclaim Your Mind pdf