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"Mental illnesses are disorders of the brain that disrupt a person’s thinking, feeling, moods, and ability to relate to others. Just as diabetes is a disorder
by thelettere 13y ago
"Mental illnesses are disorders of the brain that disrupt a person’s thinking, feeling, moods, and ability to relate to others. Just as diabetes is a disorder of the pancreas, mental illnesses are brain disorders... [They] are not a result of personal weakness, lack of character, or poor upbringing."
That's from a 2000 pamphlet written by the National Alliance for the Mentally Ill. Kandal's claim that this is new is BS - it's an old idea, and one not demonstrated by the research he cites. It's simply more evidence that mental illnesses are mediated by biological processes - something we've known for years.
The claim that mental illnesses are "caused" by biology is just as false now as it was then, and these experiments make no suggestion in either direction.
Clearly, neither study permits inferences about cause. Again, just because biological processes are involved does not mean that it is triggered by it. This is the same idea that's been pushed by over-zealous neuro-scientists for years. It's based on the belief that if we just drill down far enough in biology and genetics, we will explain most of the variance in behaviors.
If you don't cherry-pick the evidence, the whole picture suggests the same story that we've known for quite a while - but some in the psych/mental illness field aren't satisfied with it because the truth doesn't fit with their cravings for prestige - with our cultural obsession with the biological being more "real" than the social. Not to mention the financial aspects - one of the reasons we know so little about the social etiology of mental illness is because there's so little funding available for it.
The evidence suggests that environmental factors are just as involved - and in many cases is the primary cause, which plays on biological vulnerabilities that determine how the illness is expressed and through which it becomes self-perpetuating, not only for the individual, but on down through the family through cultural transmission and epigenetics.
Why does this even matter though? Because our perceptions of mental illness influences its outcome - how we view mental illness determines in large part what it is and how it expresses itself. If we believe it's fundamentally a fixed genetic and biological disorder that the individual themselves is helpless to do anything about, then through the nocebo effect it becomes a self fulfilling prophesy. That is one reason why outcomes for schizophrenia are better in sub-saharan Africa than they are in the US.
Sources
On Epigenetics:
Masterpasqua, F. (2009). Psychology and epigenetics. Review of General Psychology, 13(3), 194. http://pzacad.pitzer.edu/~dmoore/2009_Masterpasqua_Psych&Epi_Rev%20Gen%20Psych.pdf http://pzacad.pitzer.edu/~dmoore/2009_Masterpasqua_Psych&Epi...
On Biological and Environmental Etiology:
Bentall, R. (2009). Doctoring the mind: Is our current treatment of mental illness really any good?. NYU Press. http://www.power2u.org/downloads/Richard-Bentall-Broken-Brain-Critique.pdf http://www.power2u.org/downloads/Richard-Bentall-Broken-Brai...
Scheid, T. L., & Brown, T. N. (Eds.). (2009). A handbook for the study of mental health: social contexts, theories, and systems. Cambridge University Press.http://hmid.basijmed.ir/public/hmid/books/mental%20health/A_Handbook_for_the_Study_of_Mental_Health__Social_Contexts__Theories__and_Systems___2nd_edition.pdf#page=28(pg http://hmid.basijmed.ir/public/hmid/books/mental%20health/A_.... 104 to end of chapter provides a good overview)
Whitaker, R. (2011). Anatomy of an epidemic: Magic bullets, psychiatric drugs, and the astonishing rise of mental illness in America. Random House Digital, Inc..
On social Expectancy:
Burns, J. K. The Social Determinants of Schizophrenia: An African Journey in Social Epidemiology. Public Health Reviews, 34(2). http://www.publichealthreviews.eu/upload/pdf_files/12/00_Burns.pdf http://www.publichealthreviews.eu/upload/pdf_files/12/00_Bur...
Whittaker, R., Kemp, S., & House, A. (2007). Illness perceptions and outcome in mild head injury: a longitudinal study. Journal of Neurology, Neurosurgery & Psychiatry, 78(6), 644-646 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2077969/ http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2077969/
- pekk 13y agoEverything is mediated by biological processes, we are organisms. What illness has nothing to do with "biology" - robot illnesses? The idea that there is exactly one cause for any event is ridiculous, this isn't specific to illnesses.
- thelettere 13y agoFor a long time it was thought that mind and brain were not synonymous. I do not argue it either way though - my point was that Kandel's claim that mental illnesses are fundamentally biological, that people are not at all responsible and that our brains "control our actions" is not supported by his examples or the evidence.
- eli_gottlieb 13y agoAs TelmoMenezes said above, explaining mental illness entirely through neurological glitching is like explaining a software bug by claiming a circuit board wasn't soldered correctly. Yes, there can be "hardware" causes, and yes, the "software" does run on the "hardware" as substrate, but the hardware is not a useful model of the software. Neurology is not necessarily an entirely useful model of an individual mind.
- slurry 13y agoThe alleged new thing about the research he cites is that it's based on a 'circuit' model rather than a chemical imbalance model. The other new[ish] thing is that strong-version biopsychiatry advocates feel the need to explain themselves at all. It's kind of fun to see one on the defensive for a change.