Review: Mad in America by Robert Whitaker

Mad in America: Bad Science, Bad Medicine and the Enduring Mistreatment of the Mentally Ill [2002] ★★★★1/2

Robert Whitaker opens his book with this quote by David Cohen: “We are still mad about the mad. We still don’t understand them and that lack of understanding makes us mean and arrogant, and makes us mislead ourselves, and so we hurt them”. His book is an engaging overview of the methods to treat mentally ill patients through centuries (starting in the pre-1750s period and continuing to the present day), and how changes in societal attitudes and perceptions, as well as in psychiatry politics and business considerations impacted the treatment. “Scientific” and “therapeutic” approaches to treating mentally ill had competed with each other for centuries, and Whitaker shows how politics of this or that time period ultimately dictated what mentally ill patients were supposed “to need”, with mentally ill people often caught in a trap of doctors and businesses’ ambitions to make a mark in science or earn money respectively.

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