Logan Jenny, Karter Justin M
Brooklyn Institute for Social Research, Brooklyn, NY, United States.
Counseling Services, Boston College, Boston, MA, United States.
Front Sociol. 2022 Mar 8;7:784390. doi: 10.3389/fsoc.2022.784390. eCollection 2022.
This article examines contemporary examples of psychiatrization as a tool of disciplinary control and repression, focusing on new research on the co-option of consumer/survivor/ex-patient movements within the Global South. Here, we understand psychiatrization as (1) the process of imposing certain interpretive limits on states of difference and distress and (2) the conceptualization of treatment and recovery through the teleological notion of normalcy. By interpreting difference solely in psychiatric terms, psychiatrization functions as a tool of disciplinary control in both domestic and international contexts by reterritorializing efforts to resist hegemonic norms and political institutions of gendered and racialized oppression, colonialism, and imperialism. After setting out our understanding of psychiatrization as a political process in the sense that it enacts a particular "ontological politics", one that foregrounds psychiatric interpretations of difference and dissent to the exclusion of other possible meanings, we examine the reach and complexity of psychiatrization in the suppression of political and social movements that attempt to resist oppressive norms and institutions. We then present new research within the consumer/survivor/ex-patient and psychosocial disability movements in the Global South to show how psychiatrization can thwart activist's aims of transforming how we view both the end goals of mental health treatment and the political valence of mental distress.
本文探讨了将精神医学化作为一种纪律控制和镇压工具的当代实例,重点关注全球南方消费者/幸存者/ former患者运动被吸纳方面的新研究。在此,我们将精神医学化理解为:(1)对差异和痛苦状态施加某些解释性限制的过程;(2)通过常态这一目的论概念对治疗和康复进行概念化。通过仅从精神病学角度解释差异,精神医学化在国内和国际背景下都充当了纪律控制的工具,它通过重新划定抵制性别化和种族化压迫、殖民主义和帝国主义的霸权规范及政治制度的努力来发挥作用。在阐述了我们对精神医学化作为一种政治过程的理解后,即它实施了一种特定的“本体论政治”,这种政治突出了对差异和异议的精神病学解释,而排除了其他可能的含义,我们考察了精神医学化在压制试图抵制压迫性规范和制度的政治及社会运动方面的影响范围和复杂性。然后,我们展示了全球南方消费者/幸存者/ former患者及心理社会残疾运动中的新研究,以说明精神医学化如何能够挫败激进主义者改变我们对心理健康治疗最终目标以及精神痛苦政治价值的看法的目标。