Education And Debate

Limitations of psychiatry

BMJ 1995; 311 doi: (Published 09 September 1995) Cite this as: BMJ 1995;311:670
  1. Anthony J Pelosi, consultant psychiatrista
  1. a Lanarkshire Healthcare NHS Trust, Hairmyres Hospital, East Kilbride G75 8RJ

    The author is correct to state that psychiatry is more divided and less founded on objectivity than other branches of medicine. Despite this there are principles of good practice1 which seem not to have been followed in his daughter's case. This family has suffered because some informal medical advisers have failed to grasp that schizophrenia is idiopathic and is almost certainly not a single disease entity. Therefore, treatment must be unsatisfactory and there is no knowledge base and no technical skills which could justify superspecialist clinical opinions. Misguided enthusiasm …

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