Concept

Psychiatry

Overview

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

Initial psychiatric assessment begins with taking a case history and conducting a mental status examination. Laboratory tests, physical examinations, and psychological assessments may also be used. On occasion, neuroimaging or 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) was published in May 2013. However, its release coincided with a statement by then-NIMH (National Institute of Mental Health) director Thomas Insel noting that the manual lacks validity compared to other medical specialties due to the absence of objective laboratory measures (biomarkers) for diagnosis.

Treatment may include psychotropics (psychiatric medicines), psychotherapy, substance-abuse treatment, and other modalities such as interventional approaches, assertive community treatment, community reinforcement, 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 by psychiatrists on an interdisciplinary basis with other professionals, including clinical psychologists, epidemiologists, nurses, social workers, and occupational therapists. Psychiatry has been controversial since its inception, facing criticism both internally and externally over its medicalization of mental distress, reliance on pharmaceuticals, use of coercion, influence from the pharmaceutical industry, and its historical role in social control and contentious treatments.

Overview adapted from Wikipedia (CC BY-SA 4.0; see the article history for authors).

In the original texts

Passages from public-domain books where Psychiatry is discussed.

And, presumably at a not too distant date, we shall have perceived that there can be no psychiatry which is scientifically radical without a thorough knowledge of the deep-seated unconscious processes in mental life.
Sigmund Freud, Introductory lectures on psycho-analysis
names the idea; a chapter is titled for it
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The study of higher mental achievements is not considered to belong within the field of medicine, but rather into the realm of another science. Psychiatry alone is supposed to attend to disturbances of psychological functions, and it is only too well known in which way, and with what objective in view this is done: psychiatry simply tries to discover the physical reasons for psychological disturbances, treating them…
Sigmund Freud, The problem of lay-analyses
names the idea; states what it is
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Lastly, when the soul employs itself in didactic pursuits and logomachies, publicly as well as in private, through a certain ambitious strife, it then inflames the body and dissolves its constitution, and by introducing distillations of humours, deceives the great part of those who are called physicians, inducing them to consider these effects as proceeding from contrary causes.
Plato, The works of Plato
states what it is; author linked in the graph
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Purgatives of a weaker sort are called salt and, having no bitterness, are rather agreeable. Inflammatory bodies, which by their lightness are carried up into the head, cutting all that comes in their way, are termed pungent. But when these are refined by putrefaction, and enter the narrow veins of the tongue, and meet there particles of earth and air, two kinds of globules are formed—one of earthy and impure…
Plato, Timaeus
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I mean such conditions as insanity, irascibility, and so on: for people are said to be mad or irascible in virtue of these. Similarly those abnormal psychic states which are not inborn, but arise from the concomitance of certain other elements, and are difficult to remove, or altogether permanent, are called qualities, for in virtue of them men are said to be such and such. Those, however, which arise from causes…
Aristotle, The Categories
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Psychiatry

Overview

In the original texts

Philosophers who discussed Psychiatry

Related ideas

Place in the tradition