What is psychiatry? Co-producing complexity in mental health

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Abstract

What is psychiatry? Such a question is increasingly important to engage with in light of the development of new diagnostic frameworks that have wide-ranging and international clinical and societal implications. I suggest in this reflective essay that 'psychiatry' is not a singular entity that enjoins consistent forms of critique along familiar axes; rather, it is a heterogeneous assemblage of interacting material and symbolic elements (some of which endure, and some of which are subject to innovation). In underscoring the diversity of psychiatry, I seek to move towards further sociological purchase on what remains a contested and influential set of discourses and practices. This approach foregrounds the relationships between scientific knowledge, biomedical institutions, social action and subjective experience; these articulations co-produce both psychiatry and each other. One corollary of this emphasis on multiplicity and incoherence within psychiatric theory, research and practice, is that critiques which elide this complexity are rendered problematic. Engagements with psychiatry are, I argue, best furthered by recognising its multifaceted nature. Social Theory & Health (2012) 10, 328-347. doi:10.1057/sth.2012.9; published online 25 July 2012

Original languageEnglish
Pages (from-to)328-347
Number of pages20
JournalSocial Theory & Health
Volume10
Issue number4
DOIs
Publication statusPublished - Nov 2012

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