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Creating Mental Illness by Horwitz, Allan V. (2002) Paperback, by Allan V. Horwitz
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Most helpful customer reviews
88 of 91 people found the following review helpful.
A sociologist looks at the mental health professions
By A Customer
Dr. Horwitz provides in this book a well researched assessment of the current state of affairs of the mental health system, primarily in America. He discusses the growth of the number of accepted mental disorders from only a few (around 1900) to somewhere around 500 (DSM-IV, for instance). Much of this growth seems to be attributable to efforts to get third-party payers (generally insurance companies) to pay for treatment.
Horwitz presents plenty of evidence and argument about how clinical trials favor the use of psychiatric medications over counseling (it is difficult to conduct a double-blind controlled, with placebo, study with counseling: usually someone knows when he/she is being counseled or not counseled). He presents additional evidence that professionally trained counselors/therapists have not been shown to be better than untrained counselors -- for the main ingredients in counseling are empathy and support (something often missing in professionally trained mental health workers). He discusses how many of the "new" disorders (that give 500, versus the few that were considered to exist in 1900) are merely sociological problems or the result of sociological problems -- and medications do not usually make them go away, but merely help them be tolerated.
My words cannot really do justice to the high quality of this book. Recommended reading for all mental health professionals and for anyone with concerns about the current status of mental health practices in America, and perhaps the world.
30 of 31 people found the following review helpful.
superb for classroom use
By Reader
"Creating Mental Illness" provides an excellent account of how mental disorders are defined, diagnosed and treated, as well as how and why the criteria for them have changed so much over time. I used this book in an upper-level undergraduate course on mental health & policy and my students thoroughly enjoyed it. Very well written and organized, "Creating Mental Illness" is that rare book that is both pleasurable to read and educational. I highly recommend it to anyone wanting to learn more about mental health and disorders.
2 of 2 people found the following review helpful.
A MUST-READ THAT CAPTURES THE HUMAN FACE OF MADNESS
By Timothy Weeks
Sobering and incendiary. Those are two words that surge immediately to mind after reading Creating Mental Illness, a controversial and compelling treatise that redefines the concept of insanity. Written by Allan Horwitz, this startling book presents evidence that most mentally-ill patients aren't actually mentally ill!
"Historically, labels of mental illness were reserved for people whose behavior was extremely strange," Horwitz introduces. Arguing that there are 50 million Americans who meet the criteria for being deranged, but in fact don't have mental disorders - they only suffer from stressful lifestyle choices and from being unable to adapt to their social arrangements.
Horwitz suggests mental illness as a whole has been miscatergorized. For instance, pro wrestlers who choose to drop weight to qualify for a lighter weight class would be classified by most psych docs as candidates for bulimia nervosa, if the docs considered only the facts. He is very critical of the psychoanalysis field and how they have defined mental dysfunction. Creating Mental Illness will make you re-think how you define the insanity and mentally ill at best and give you a panic disorder at worst! Thankfully, the book concludes its diagnosis of modern medicine with a possible cure. Those interested in this topic would also get a lot of our Face of Madness: Hugh W. Diamond and the Origin of Psychiatric Photography.
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