Faculty of Medicine, Dentistry and Nursing, University of Dundee, Scotland, UK.
Nurs Ethics. 2012 Jul;19(4):451-63. doi: 10.1177/0969733011429017. Epub 2012 Apr 11.
The enduring psychiatric myth is that particular personal, interpersonal and social problems in living are manifestations of 'mental illness' or 'mental disease', which can only be addressed by 'treatment' with psychiatric drugs. Psychiatric drugs are used only to control 'patient' behaviour and do not 'treat' any specific pathology in the sense understood by physical medicine. Evidence that people, diagnosed with 'serious' forms of 'mental illness' can 'recover', without psychiatric drugs, has been marginalized by drug-focused research, much of this funded by the pharmaceutical industry. The pervasive myth of psychiatric drugs dominates much of contemporary 'mental health' policy and practice and raises discrete ethical issues for nurses who claim to be focused on promoting or enabling the 'mental health' of the people in their care.
持久存在的精神科医学神话是，生活中的特定个人、人际和社会问题是“精神疾病”或“心理疾病”的表现，只能通过精神科药物的“治疗”来解决。精神科药物仅用于控制“患者”的行为，而不能从物理医学所理解的意义上“治疗”任何特定的病理。人们被诊断出患有“严重”形式的“精神疾病”，即使没有精神科药物，也可以“康复”，但这方面的证据却被药物为中心的研究边缘化了，其中大部分研究资金都来自制药行业。精神科药物的普遍神话主导了当代“心理健康”政策和实践的大部分内容，这给那些声称专注于促进或实现其护理对象“心理健康”的护士带来了明确的伦理问题。
