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James Barnes MSc., MA Profile picture
@psychgeist52
Feb 3, 2024 • 5 tweets • 2 min read • Read on X
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I wanted to share a few slides from my talk @dropthedisorder on Wednesday.

These give definition to what I call the 'Psychiatric-Cognitive' paradigm of psychiatry & cognitive clinical psychology, and the 'Humanistic-Relational' one of counselling-psychotherapy (1/5) Image
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More from @psychgeist52

James Barnes MSc., MA Profile picture
Aug 24, 2024
An analogy of modern psychiatry:

Knives flood a small town that is collapsing economically, morally & spiritually. Fighting soars & stabbings proliferate.

It is decided that because injuries appear at the doctor's door, it must be a medical issue. (1/7)
Biopsychosocial model employed. They set to work.

Questions such as, why do some people get in fights but not get stabbed? Why do some people's stab wounds heal quicker than others?, are focused on.

'Social determinants' are recognised but biology is looked to for the answers
Clearly, they reason, there must be a genetic cause, as only some people who get into fights get stabbed.

Twin studies show that identical twins are more likely to get stabbed in a fight than non-identical twins (3/7)
Read 8 tweets
James Barnes MSc., MA Profile picture
Nov 25, 2023
1/5 "What mattered wasn’t what was true based on scientific research, but what was useful, based on the pragmatic beliefs of DSM-IV leaders & APA activists."

If you don't believe 'critics' about the DSM, maybe you'll believe Tufts professor of psychiatry, @nassirghaemia? Image
2/5 "We have to accept DSM-5 definitions from a legal and practical perspective. We have to use them for insurance forms, and to protect ourselves against lawsuits.  But we don't have to believe in them."
3/5 "If we want to know what genes cause a disease, or the biological processes of an illness, we will not find such genes or biological markers using DSM diagnoses.  This statement is based on 40 years of failed research in psychiatry, but is also based on simple logic..."
Read 5 tweets
James Barnes MSc., MA Profile picture
Dec 2, 2022
I've had conversations with @awaisaftab on his definition of what makes psychological & emotional distress medical, which he has put in print in response to @justin_garson.

My comments :

1. 'There is suffering/impairment/harm.' True of things that should not be medical.. Image
2. For example, those oppressed by a society often experience these things, but being oppressed is not a medical problem. It iw a socio-political one. If it can't distinguish between the two, that's a serious issue.
3. 'That people experience it as illness' Firstly, many do not. Secondly, that expression of 'illness' is not a medical but a phenomenological one. One can similarly talk about (and many used to) being "spiritually sick" or a "sick society" but these are not medical phenomena.
Read 8 tweets
James Barnes MSc., MA Profile picture
Sep 19, 2022
From "we never said there was a "chemical imbalance"" to "psychiaitrists have always been psychotherapists." A thread 🧵1/
2/ Firstly, it's simply a matter of historical fact that psychiatry divorced itself from psychotherapy.

Previous to the 1980s US psychiatry was all about (Freudian) psychoanalysis. Psychiatrists were psychoanalysts. Since then psychiatrists have been biomedical practitioners.
3/ With the DSM- 3, in the 1980's psychiatry almost entirely rejected psychoanalysis and embraced the "biomedical revolution." Psychoanalysis was no longer relevant; psychiatry was now all about finding and treating biological disorders.
Read 8 tweets
James Barnes MSc., MA Profile picture
Jul 21, 2022
1/ I just want to offer my own elaboration on this point in @markhoro excellent thread on the recent 'chemical imbalance' research

The real problem is not about serotonin levels but about how and why such throughly reductive & flimsy explanations got/get so widely disseminated🧵
2/ What was so compelling for drug companies—and practically irresistible to psychiatry—was the notion that depression could be explained (and sold) as something that was effectively independent of the person's (adverse) social situations, life events & relationships.
3/ It's not your dead marriage, not the vacuous materialism you breath, not the sociopathic, demeaning institutions you work in every day, not the neglect you experienced as a child, not the harsh messages from your parents lodged inside, not unresolved loss, not racism poverty..
Read 8 tweets
James Barnes MSc., MA Profile picture
May 11, 2022
1/2 This latest @PsychTimes article from @MarkLRuffalo (and Daniel Morehead) "Psychotherapy: A Core Psychiatric Treatment" deserves some comment, as its very misleading.

Do psychiatrists practise psychotherapy? 🧵

psychiatrictimes.com/view/psychothe…
2/ Firstly, they conclude that "the claim that psychiatrists do not learn psychotherapy is false."

Technically true, but the best I've heard of in the training is seeing 2 clients (1 CBT and 1 psychodynamic) over two years.

That *is* learning psychotherapy, but not to...
3/... anywhere near a professional standard. It probably equates to about 300 hours of client work. Compare that to the minimum of 3000 hours needed to be licensed as an MFT in the US. That's 1/10th of the training!

This is not...
Read 15 tweets

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