Mental illness denial

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Mental illness denial or mental disorder denial is a form of denialism in which a person denies the existence of mental disorders. [1] Both serious analysts [2] [3] and pseudoscientific movements [1] question the existence of certain disorders.

Contents

In psychiatry, insight is the ability of an individual to understand their mental health condition, [4] and anosognosia is the lack of awareness of a mental health condition. [5] Certain psychological analysts argue this denialism is a coping mechanism usually fueled by narcissistic injury. [6]

A minority of professional researchers see disorders such as depression from a sociocultural perspective and argue that the solution to it is fixing a dysfunction in the society, not in the person's brain. [3]

Insight

In psychiatry, insight is the ability of an individual to understand their mental health, [4] and anosognosia is the lack of awareness of a mental health condition. [5]

According to Elyn Saks, probing patient's denial may lead to better ways to help them overcome their denial and provide insight into other issues. [6] Major reasons for denial are narcissistic injury and denialism. [6] In denialism, a person tries to deny psychologically uncomfortable truth and tries to rationalize it. [6] This urge for denialism is fueled further by narcissistic injury. [6] Narcissism gets injured when a person feels vulnerable (or weak or overwhelmed) for some reason like mental illness. [6]

Scholarly criticism of psychiatric diagnosis

Scholars have criticized mental health diagnoses as arbitrary. [7] According to Thomas Szasz, mental illness is a social construct. He views psychiatry as a social control and mechanism for political oppression. [8] Szasz wrote a book on the subject in 1961, The Myth of Mental Illness . [9]

See also

Related Research Articles

A mental disorder, also referred to as a mental illness, a mental health condition, or a psychiatric disability, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. A mental disorder is also characterized by a clinically significant disturbance in an individual's cognition, emotional regulation, or behavior, often in a social context. Such disturbances may occur as single episodes, may be persistent, or may be relapsing–remitting. There are many different types of mental disorders, with signs and symptoms that vary widely between specific disorders. A mental disorder is one aspect of mental health.

Anti-psychiatry, sometimes spelled antipsychiatry, is a movement based on the view that psychiatric treatment is often more damaging than helpful to patients, highlighting controversies about psychiatry. Objections include the reliability of psychiatric diagnosis, the questionable effectiveness and harm associated with psychiatric medications, the failure of psychiatry to demonstrate any disease treatment mechanism for psychiatric medication effects, and legal concerns about equal human rights and civil freedom being nullified by the presence of diagnosis. Historical critiques of psychiatry came to light after focus on the extreme harms associated with electroconvulsive therapy or insulin shock therapy. The term "anti-psychiatry" is in dispute and often used to dismiss all critics of psychiatry, many of whom agree that a specialized role of helper for people in emotional distress may at times be appropriate, and allow for individual choice around treatment decisions.

<span class="mw-page-title-main">Causes of mental disorders</span> Etiology of psychopathology

A mental disorder is an impairment of the mind disrupting normal thinking, feeling, mood, behavior, or social interactions, and accompanied by significant distress or dysfunction. The causes of mental disorders are very complex and vary depending on the particular disorder and the individual. Although the causes of most mental disorders are not fully understood, researchers have identified a variety of biological, psychological, and environmental factors that can contribute to the development or progression of mental disorders. Most mental disorders result in a combination of several different factors rather than just a single factor.

A psychiatric or psychotropic medication is a psychoactive drug taken to exert an effect on the chemical makeup of the brain and nervous system. Thus, these medications are used to treat mental illnesses. These medications are typically made of synthetic chemical compounds and are usually prescribed in psychiatric settings, potentially involuntarily during commitment. Since the mid-20th century, such medications have been leading treatments for a broad range of mental disorders and have decreased the need for long-term hospitalization, thereby lowering the cost of mental health care. The recidivism or rehospitalization of the mentally ill is at a high rate in many countries, and the reasons for the relapses are under research.

<span class="mw-page-title-main">Thomas Szasz</span> Hungarian-American psychiatrist and activist (1920–2012)

Thomas Stephen Szasz was a Hungarian-American academic and psychiatrist. He served for most of his career as professor of psychiatry at the State University of New York Upstate Medical University in Syracuse, New York. A distinguished lifetime fellow of the American Psychiatric Association and a life member of the American Psychoanalytic Association, he was best known as a social critic of the moral and scientific foundations of psychiatry, as what he saw as the social control aims of medicine in modern society, as well as scientism.

<span class="mw-page-title-main">Hypochondriasis</span> Medical condition

Hypochondriasis or hypochondria is a condition in which a person is excessively and unduly worried about having a serious illness. Hypochondria is an old concept whose meaning has repeatedly changed over its lifespan. It has been claimed that this debilitating condition results from an inaccurate perception of the condition of body or mind despite the absence of an actual medical diagnosis. An individual with hypochondriasis is known as a hypochondriac. Hypochondriacs become unduly alarmed about any physical or psychological symptoms they detect, no matter how minor the symptom may be, and are convinced that they have, or are about to be diagnosed with, a serious illness.

<i>The Myth of Mental Illness</i> 1961 book by Thomas Szasz

The Myth of Mental Illness: Foundations of a Theory of Personal Conduct is a 1961 book by the psychiatrist Thomas Szasz, in which the author criticizes psychiatry and argues against the concept of mental illness. It received much publicity, and has become a classic, well known as an argument that "mentally ill" is a label which psychiatrists have used against people "disabled by living" rather than truly having a disease.

<span class="mw-page-title-main">Narcissistic personality disorder</span> Personality disorder

Narcissistic personality disorder (NPD) is a personality disorder characterized by a life-long pattern of exaggerated feelings of self-importance, an excessive need for admiration, and a diminished ability to empathize with other people's feelings. Narcissistic personality disorder is one of the sub-types of the broader category known as personality disorders. It is often comorbid with other mental disorders and associated with significant functional impairment and psychosocial disability.

In psychoanalytic theory, a defence mechanism is an unconscious psychological operation that functions to protect a person from anxiety-producing thoughts and feelings related to internal conflicts and outer stressors.

Anosognosia is a condition in which a person with a disability is cognitively unaware of having it due to an underlying physical condition. Anosognosia results from physiological damage to brain structures, typically to the parietal lobe or a diffuse lesion on the fronto-temporal-parietal area in the right hemisphere, and is thus a neuropsychiatric disorder. A deficit of self-awareness, the term was first coined by the neurologist Joseph Babinski in 1914, in order to describe the unawareness of hemiplegia.

The mental status examination (MSE) is an important part of the clinical assessment process in neurological and psychiatric practice. It is a structured way of observing and describing a patient's psychological functioning at a given point in time, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and judgment. There are some minor variations in the subdivision of the MSE and the sequence and names of MSE domains.

Biological psychiatry or biopsychiatry is an approach to psychiatry that aims to understand mental disorder in terms of the biological function of the nervous system. It is interdisciplinary in its approach and draws on sciences such as neuroscience, psychopharmacology, biochemistry, genetics, epigenetics and physiology to investigate the biological bases of behavior and psychopathology. Biopsychiatry is the branch of medicine which deals with the study of the biological function of the nervous system in mental disorders.

Reduplicative paramnesia is the delusional belief that a place or location has been duplicated, existing in two or more places simultaneously, or that it has been 'relocated' to another site. It is one of the delusional misidentification syndromes; although rare, it is most commonly associated with traumatic or acquired brain injury, such as stroke, particularly when there is simultaneous damage to the right cerebral hemisphere and to both frontal lobes.

<span class="mw-page-title-main">Emergency psychiatry</span> Clinical application of psychiatry in emergency settings

Emergency psychiatry is the clinical application of psychiatry in emergency settings. Conditions requiring psychiatric interventions may include attempted suicide, substance abuse, depression, psychosis, violence or other rapid changes in behavior.

<span class="mw-page-title-main">Emotional detachment</span> Inability and/or disinterest in emotionally connecting to others

In psychology, emotional detachment, also known as emotional blunting, is a condition or state in which a person lacks emotional connectivity to others, whether due to an unwanted circumstance or as a positive means to cope with anxiety. Such a coping strategy, also known as emotion-focused coping, is used when avoiding certain situations that might trigger anxiety. It refers to the evasion of emotional connections. Emotional detachment may be a temporary reaction to a stressful situation, or a chronic condition such as depersonalization-derealization disorder. It may also be caused by certain antidepressants. Emotional blunting, also known as reduced affect display, is one of the negative symptoms of schizophrenia.

Medical model is the term coined by psychiatrist R. D. Laing in his The Politics of the Family and Other Essays (1971), for the "set of procedures in which all doctors are trained". It includes complaint, history, physical examination, ancillary tests if needed, diagnosis, treatment, and prognosis with and without treatment.

Anosodiaphoria is a condition in which a person who has a brain injury seems indifferent to the existence of their impairment. Anosodiaphoria is specifically used in association with indifference to paralysis. It is a somatosensory agnosia, or a sign of neglect syndrome. It might be specifically associated with defective functioning of the frontal lobe of the right hemisphere.

Elyn R. Saks is associate dean and Orrin B. Evans Professor of Law, Psychology, and Psychiatry and the Behavioral Sciences at the University of Southern California Gould Law School, an expert in mental health law, and a MacArthur Foundation Fellowship winner. Saks lives with schizophrenia and has written about her experience with the illness in her award-winning best-selling autobiography, The Center Cannot Hold, published by Hyperion Books in 2007. She is also a cancer survivor.

Narcissistic defenses are those processes whereby the idealized aspects of the self are preserved, and its limitations denied. They tend to be rigid and totalistic. They are often driven by feelings of shame and guilt, conscious or unconscious.

Asomatognosia is a neurological disorder characterized as loss of recognition or awareness of part of the body. The failure to acknowledge, for example, a limb, may be expressed verbally or as a pattern of neglect. The limb may also be attributed to another person, a delusion known as somatoparaphrenia. However, they can be shown their limb and this error is temporarily corrected. Some authors have focused on the prevalence of hemispatial neglect in such patients.

References

  1. 1 2 Novella, Steven (24 January 2018). "Mental Illness Denial". ScienceBasedMedicine.org. Retrieved 4 November 2021.
  2. "'Depression' Is a Symptom, Not a Disorder". opmed.doximity.com. Retrieved 2021-12-13.
  3. 1 2 Escalante, Alison. "Researchers Doubt That Certain Mental Disorders Are Disorders At All". Forbes. Retrieved 2021-12-13.
  4. 1 2 Marková, Ivana (2005). Insight in psychiatry. Cambridge: Cambridge University Press. ISBN   0-511-14045-2. OCLC   63814379.
  5. 1 2 Moro, Valentina; Pernigo, Simone; Zapparoli, Paola; Cordioli, Zeno; Aglioti, Salvatore M. (2011). "Phenomenology and neural correlates of implicit and emergent motor awareness in patients with anosognosia for hemiplegia". Behavioural Brain Research. 225 (1): 259–269. doi:10.1016/j.bbr.2011.07.010. PMID   21777624. S2CID   8389272.
  6. 1 2 3 4 5 6 Saks, Elyn R. "Some thoughts on denial of mental illness." American Journal of Psychiatry 166.9 (2009): 972-973. Web. 11 Dec. 2021
  7. Paris, Joel (2020). Overdiagnosis in psychiatry how modern psychiatry lost its way while creating a diagnosis for almost all of life's misfortunes (Second ed.). New York, NY. ISBN   978-0-19-750430-7. OCLC   1147940363.{{cite book}}: CS1 maint: location missing publisher (link)
  8. Benning, Tony (2016). "No such thing as mental illness? Critical reflections on the major ideas and legacy of Thomas Szasz". BJPsych Bulletin. 40 (6): 292–295. doi:10.1192/pb.bp.115.053249. PMC   5353517 . PMID   28377805.
  9. Carey, Benedict (11 September 2012). "Dr. Thomas Szasz, Psychiatrist Who Led Movement Against His Field, Dies at 92". The New York Times. Retrieved 4 November 2021.