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The Psychiatry Portal

Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of deleterious mental conditions. These include various matters related to mood, behaviour, cognition, perceptions, and emotions.

Initial psychiatric assessment of a person begins with creating a case history and conducting a mental status examination. Physical examinations, psychological tests, and laboratory tests may be conducted. On occasion, neuroimaging or other neurophysiological studies are performed. Mental disorders are diagnosed in accordance with diagnostic manuals such as the International Classification of Diseases (ICD), edited by the World Health Organization (WHO), and the Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association (APA). The fifth edition of the DSM (DSM-5), published in May 2013, reorganized the categories of disorders and added newer information and insights consistent with current research.

Treatment may include psychotropics (psychiatric medicines) and psychotherapy, and also other modalities such as assertive community treatment, community reinforcement, substance-abuse treatment, and supported employment. Treatment may be delivered on an inpatient or outpatient basis, depending on the severity of functional impairment or risk to the individual or community. Research within psychiatry is conducted on an interdisciplinary basis with other professionals, such as epidemiologists, nurses, social workers, occupational therapists, and clinical psychologists. (Full article...)

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Vienna's Narrenturm — German for "fools' tower" — was one of the earliest buildings specifically designed as a "madhouse". It was built in 1784.
Vienna's NarrenturmGerman for "fools' tower" — was one of the earliest buildings specifically designed as a "madhouse". It was built in 1784.
Anti-psychiatry has been active for almost two centuries, and is the view that many psychiatric treatments are ultimately more damaging than helpful to patients. Psychiatry is seen by proponents of anti-psychiatry as a coercive instrument of oppression. According to anti-psychiatry, psychiatry involves an unequal power relationship between doctor and patient, and a highly subjective diagnostic process, leaving too much room for opinions and interpretations.

Anti-psychiatry originates in an objection to what some view as dangerous treatments. Examples include electroconvulsive therapy, insulin shock therapy, brain lobotomy, and the over-prescription of potentially dangerous pharmaceutical drugs. An immediate concern lies in the significant increase in prescribing psychiatric drugs for children. There were also concerns about mental health institutions. Every society, including liberal Western society, permits involuntary treatment or involuntary commitment of mental patients. (Full article...)

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Illustration from A Rake's Progress, by William Hogarth (circa 1730s), showing Bethlem Royal Hospital, (origin of the word bedlam)

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Emil Kraepelin (15 February 1856 – 7 October 1926) was a German psychiatrist. H.J. Eysenck's Encyclopedia of Psychology identifies him as the founder of modern scientific psychiatry, as well as of psychopharmacology and psychiatric genetics. Kraepelin believed the chief origin of psychiatric disease to be biological and genetic malfunction. His theories dominated psychiatry at the start of the twentieth century and, despite the later psychodynamic influence of Sigmund Freud and his disciples, enjoyed a revival at century's end. (Full article...)

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