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  Postpsychiatry's Challenge to the Chemical Treatment of Mental Distress
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Runciman, Olga1, Forfatter
Nissen, Morten2, Vejleder
1Det Samfundsvidenskabelige Fakultet, Københavns Universitet, København, Danmark, diskurs:7001              
2Institut for Psykologi, Det Samfundsvidenskabelige Fakultet, Københavns Universitet, København, Danmark, diskurs:7012              
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Ukontrollerede emneord: Post-psychiatry, Schizophrenia, Antipsychotics, subjectivity, critical, Hearing Voices Network, Narrative, recovery, diagnosis, anti-psychiatry, power, psychopharmacology, qualitative, interviews
 Abstract: People who take psychiatric medication often have a very different view and experience of their medication than those who prescribe it. This thesis explores the discrepancies between the experiences of users and prescribers in an attempt to find out how we deal with these differences. It does this from a postpsychiatric perspective, which is critical of contemporary psychiatry, not as an opponent, but with the viewpoint of moving beyond current practices. In exploring these discrepancies, this thesis gives voice to those who are normally silenced by the current medical model of psychiatry, which insists that those diagnosed as schizophrenic suffer from a brain disorder and/or chemical imbalance.
A search through the research literature spanning five databases from 1950 to 2012 was performed looking for research focusing on the subjective medical experiences of those labeled schizophrenic. The research literature provides tangible evidence that the subjective experience of psychiatric medication from those labelled schizophrenic plays a small role in that only 14 articles were found. A counter history of psychopharmacology is also introduced in an attempt to counterbalance the gaps left out by the dominant discourse. The counter history shows that when psychiatric drugs first appeared, psychiatrists initially experienced the way these drugs worked as being in agreement with how service users experience them, including the seven interviewees here. The counter history also indicates that the pharmaceutical industry played a major role in transforming psychiatry's initial medical narrative into the one we recognize today.
For this thesis, seven people labeled schizophrenic participated in qualitative interviews, giving voice to their experience of taking psychiatric medication. Three accept medication, two doubt its efficacy, and two are off medication completely. The voices of the interviewees introduce a world of context, meaning and understanding and show that madness is multifaceted and complex but understandable. The narratives of their medication experiences challenge the current psychiatric belief system. The voices of the seven interviewees show that their medication experiences cannot be removed from the context of their lives. But this challenges psychiatry’s current discourse, which tends to symptomize or downplay the experiences of service users. Depending on how they themselves experienced the dominant medical discourse, the service users dealt with its variation from their own experiences in a variety of ways.
The narratives of the interviews indicate finally that there is a gap in the production of knowledge, and that if we are to move beyond the current psychiatric paradigm as proposed by postpsychiatry, we cannot continue to ignore the voices and thereby the rights of those whom psychiatry treats.
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 Type: Speciale
Alternativ titel: How do we deal with the discrepancies between traditional psychiatry’s medication experience and that of the service users?
Alternativ titel: Postpsykiatriens udfordring til psykiatriens kemisk behandling af sindslidelser
Alternativ titel: Hvordan håndterer vi de uoverensstemmelser mellem psykiatriens oplevelser af den medicinske behandlinger, og psykiatri-brugernes oplevelser?
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Sprog: English - eng
 Datoer: 2014-03-23
 Sider: -
 Publiceringsinfo: København : Københavns Universitet
 Indholdsfortegnelse: Abstract . 3
Introduction . 4
Problem Formulation 9
The Approach . 9
How do I want to express myself through this work? . 9
Methodological Structure 10
Method chosen 11
Review of the Research Literature 11
My review of the literature . 12
A counter History of Psychopharmacology . 13
Chlorpromazine . 13
Chlorpromazine in use 16
Theoretical Introduction 21
Antipsychiatry . 21
Antipsychiatry 21
Critical Psychiatry and Postpsychiatry 22
Critical psychiatry 22
Postpsychiatry . 23
The Hearing Voices Network . 26
Introduction to the Seven Interviewees . 28
Context of Medicine . 29
Accept Medication . 29
Lou . 29
Ben . 32
Zac 33
Doubt medication . 39
Mia 39
Postpsychiatry | Olga Runciman
Pat 43
Off medication . 47
Joe 47
Leo 51
Context of Trauma . 56
Reflections on Trauma 62
Conclusion and Closing Discussion . 66
EndNotes . 68
 Note: -
 Type: Speciale
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