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About the Book: Medicine functions outside of the law and has fashioned its own codes of conduct. Although an arm of government it also functions as a state within a state in which doctors act as little more than commissars. If a patient does not do as the doctor demands, he or she can suffer punishments such as the withdrawal of treatments.
In psychiatry, the doctor has absolute control of patients and can perform invasive brain therapies on very young children, employ memory-destroying ECT on the basis of subjective judgement and medical authority. In this specialisation, as a patient you lose many of your democratic rights on the word of a doctor.
About the Author: Dr Wilkin is a lecturer and writer who has written numerous works on history, psychology and medicine. His series on religion, Ancient Fictionality, deals with Egyptian and Mesopotamian religions, Judaism, Christianity and Islam. His series of books, An Unusual Power, details the historical development of medicine and the efficacy of psychiatry. To his credit, he has several books of poetry. For a few years he practised as a counsellor. He has worked in many colleges thoughout the United Kingdom, Africa, Egypt and the Far East.
His work as a therapist created a concern in him on the overall validity of psychiatry and other medical specialisations. Medicine as a whole but psychiatry in particular has its own rules, which often conflict with national law codes. Pervaded by group and individual arrogance, bad medicine, including harmful drugs and doubtful invasive treatments, is propagated as effective and idealised as a science.
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TheNewFascism-StateandMedicine
BY
DrStanleyWilkin
ISBN
978-93-90463-40-4
©
Dr
Stanley
Wilkin
2020
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DISCLAIMER:TheopinionsexpressedinthisbookarethoseoftheauthorsanddonotpurporttoreflecttheviewsofthePublisher.
Dr
Wilkin
is
a
lecturer
and
writer
who
has
written
numerous
works
on
history,
psychology
and
medicine.
His
series
on
religion,
Ancient
Fictionality,
deals
with
Egyptian
and
Mesopotamian
religions,
Judaism,
Christianity
and
Islam.
His
series
of
books,
An
Unusual
Power,
details
the
historical
development
of
medicine
and
the
efficacy
of
psychiatry.
To
his
credit,
he
has
several
books
of
poetry. For
a
few
years
he
practised
as
a
counsellor.
He
has
worked
in
many
colleges
thoughout
the
United
Kingdom,
Africa,
Egypt
and
the
Far
East.
His
work
as
a
therapist
created
a
concern
in
him
on
the
overall
validity
of
psychiatry
and
other
medical
specialisations.
Medicine
as
a
whole
but
psychiatry
in
particular
has
its
own
rules,
which
often
conflict
with
national
law
codes.
Pervaded
by
group
and
individual
arrogance,
bad
medicine,
including
harmful
drugs
and
doubtful
invasive
treatments,
is
propagated
as
effective
and
idealised
as
a
science.
STATEANDMEDICINEwheredoesoneendandtheotherbegin
DARKTRIADManichean,ZoroasterandStarWars
PSYCHIATRYANDEUGENICS-THEWHITEMANSSCIENCE
Psychiatry,Power,UniversalIdeologiesandtheNazis
Criminology,Psychopathology,Dehumanisation,andMorlocks“TheAnatomyofViolence”
While the concepts of wellness and the present development of medicine into all areasof life is in many ways a welcome development on the other hand it invades individualautonomy. On the basis of professional (a state in fact fairly new to modern societies)perception in the west people can involve themselves in your life. Professionalinterference modes are due to social change such as the shrinking of families andfamily life, with outside distractions eminent, as well as family breakdowns.
[1]
Although the family is still seen as the traditional, emotional and relationship core ofsociety, the state has made continuous inroads.
At some point, mainly as a consequence of the breakup of family life and a consequentlack of interest in each other, everyone below a certain income becomes theresponsibility of the state. This means care, possible hospitalisation, and submission tomedical drugs. Quality of life is unlikely to be sustained and individuals becomeobjects of obedience, their existences subject to record, the processing of data,diagnosis and inspection. Data stored on all of us becomes fixed and immutable.Bodies and minds become one; objects of inspection. For many this unremittingreductionism is acceptable as thinking, choice and intentionality become unnecessary.
To what degree are the claims of modern medicine true or are we subject to the effectsof propaganda? In
Medicine’s Symbolic Reality On a central problem in the philosophyof medicine
Arthur M Kleinman writes of modern medicine as a cultural system inwhich symbolic meaning plays a part in disease formation, the classification of andcognitive management of disease and treatment. For an example, medicine is oftenfilled with martial or management statements of control. Often the words and phrasesemployed reflect the hierarchical, political systems in play within medicine itself.
Science
, as an engaged word, is a symbolic indicator of efficacy, which involves thesymbolic rejection or putting off of death and in psychiatry represents stasis, exorcismand a thankful return to middleclass norms. A narrative of mind and body is formedthat demonstrates the location and power of physical decay through the clinician’sforestalling of the inevitable: not quality of life but simply life.
While Michel Foucault
[2]
held that the clinic is the rationale of medical empiricism (anewly translated Madness and Civilisation covers much more ground than the original1961 translation), throughout the twentieth century this became as much the GeneralPractioner’s surgery situated at the core of the community but representative of an elitegroup. The doctors, members of an elite, lived and functioned elsewhere and had andhave little to do with the community. The surgery was and is the place where treatmentand drugs are dispensed, although now it inhabits a business model where treatmentbecomes a form of economic activity. Treatments that have become increasinglyutilitarian fixed to a profit margin; treatments which the community itself does notqualify as effective or ineffective but only the medical profession; patients are objectsthat receive treatments, failing to engage or be engaged.
Doctors remain the central actors in medical institutions of all varieties, and are held aslargely responsible still for its development even though now they are merely by andlarge agents for medical bodies and drug companies. Much power is invested indoctors and they remain a cornerstone of government.
[3]
Like solicitors and barristers,doctors symbolise the nature of professionalism based upon a knowledge base, notskills, and are considered the guardians with autonomous control of the knowledgebase. Although instructed as to what is and is not effective treatments they remain abarrier to others acquisition of this knowledge. Doctor’s immense control of bothmedicine and patients is generally ascribed to the growth of capitalism (Weber, neo-Marxism) exemplified by their huge salaries. Doctors are certainly models for middleclass lifestyles, status and elite power. They have formed an unchallenged patriarchy ormatriarchy.
State within a state
G.V. Larkin writes in
Medical Dominance in Britain: Image and Historical Reality
that the medical profession forms a state within a state with (118) ‘
either acquired orinvested sovereignty.’
He remarks that economics has made headway into theirsovereignty but not to any great extent. Psychiatry indeed has retained and spread itsdominance over the discourse of human potentiality and patients’ lives. As will beseen, psychiatry is effectively as close to being an autonomous state within a state thatis possible to be, enjoying not only its own rules but also perceptions. Nevertheless,Larkin specifies that although medical dominance may not have expanded in theUnited States (sic) it seems to have in the United Kingdom.
Psychiatry anyway remains a special case and should be analysed differently. Freidsonspecifies that medical dominance is retained through doctors changing the nature ofmedicine and their part in it. Where psychiatry is concerned, the specialisation changesthrough its choice of treatments and by altering treatments (from the 1930s shocktreatment followed by lobotomy and then drugs) has allowed them to expand theirpower base as well as remove public and government gaze from the failures ofprevious treatments. At present, the specialisation is developing the idea of bacteria asthe aetiology of mental illness in order to cover up the failure and long term damage topatients of drug treatments. In that way it retains its power even if it does notnecessarily expand it.
Eliot Freidson
[4]
notes the powerful connection of medical authorities to governmentpolicies. The closing down of asylums several decades ago provided an opportunity forpsychiatry to move into the community out of hospitals and propagate more effectivelyits ideas and extend even further its treatment tally. The visibility of mental healthtropes may be an extension of this. Eliot Freidson
[5]
q ualifies
profession
, especiallythe medical profession, as within the desire for freedom to act outside of the oversightof laypeople, a position radically emphasised and achieved by psychiatry that insiststhat no layperson can understand its processes (sic), and within division of labour.Patient problems are re/structured and managed, and a new social reality established.In psychiatry, a patient goes from one reality
of family, work, domesticity and responsibility into another of complete subservienceand often complete control by others: of indeed autonomy of some degree to non-existence.
One salient point is that in the United Kingdom the medical profession expandedthrough the consent of ruling elites who in the past and now were often related to oneanother. The national state anyway seems to have been sympathetic to enhancedmedical authority. In the United Kingdom, medical doctors remain representative ofthe middle class, with, in the National Health Service their cliental belonging to thelower classes-those with often limited education and a subservient attitude towardsdoctors.
The National Health Service was probably the first and greatest aid to medicalexpansion, providing large salaries for doctors as well as enhancing their status.Deeply connected to governments, medical groups blossomed and deepened theirpower, which prior to the NHS had been less directional and more fragmented.
History
The nature of present medicine, its narrow focus, is a consequence of stateinvolvement with medicine and medical authorities’ contradictory desire to limitmedicine’s range. In the early part of the 20th century, herbalists and osteopaths weredenied state registration which meant that neither could apply for state employment.Although both occupations are now not considered genuine medicine by the generalpublic this is mainly due to the activity of medical authorities and the class structurethey inhabit. Medically trained members of the Ministry of Health made sure thatcertain medical treatments were excluded from the public arena but left to the privatearena only. Psychotherapy came under the same restrictions, but as much through itsown organisational desire not to become another arm of the state,
[6]
adding to itsdemotion today in favour of the state financed biological interpretation of mentalillness and the use of drugs. Psychotherapists have resisted the data led, quota based,economic mindset of modern medicine, especially psychiatry, for the deeper truths ofthe human personality that psychiatrist’s mock. Depersonalisation of patients isroutine in psychiatry but an anathema in psychotherapy.
Although Larkin claims that medical power is constrained and directed bygovernments, its power limited by a greater authority, this is not the case withpsychiatry. In fact psychiatry is directive of governments, providing hypothesis toradically increase funding from government bodies. This involves the byzantine natureof psychiatric processes, its poor research methods, persuasive if fabricated claims, andthe general state fear of madness and chaos.
Larkin raises the point that often doctors within the NHS are managers as much aspractitioners and this again is clearer in psychiatry where the work is mainly done forthem and connections to drug companies mean that psychiatrist’s play a transmissionor supervisory roles putting into practise the conclusions of others, agents rather thanactive participants. Even when researching they limit their efforts to an approvednarrow range. Mainly they only diagnose, the DSM and pharmaceutical companiesproviding remedies again within an approved range.
Doctor and state
Doctors close association with governments means they affect political culture, doingthis from an elite perspective hewing the biological hypothesis in psychiatry forexample into possible forms of political intervention that could easily affect individualfreedoms. If difficult people are driven only by genes with no prospect of effectivepsychological or moral change, then biological swamping through drugs, lifetimeoccupation of prisons or lifetime control by psychiatrists is the only answer. The last ofthese is commonly employed.
Joanna Moncrieff in
Psychiatric drug promotion and the politics of neoliberalism
[7]
connects the drugs companies to the promotion of the biological hypothesisencouraging the growth of neoliberal economic and social policies: their increase is adetermining factor in the 21st century.
There is a danger of elite controls of the general population being tightened withconnected elite groups of social managers, politicians and doctors constructing morecontrol through paradigms of benevolence. Mental illness is structured aroundeconomics and the focus on work-effectively on capitalism. Will we become ahospitalised world run according to medical (an elite body) perceptions andinstructions, just objects in another form of capitalist and state economic developmentour lives extended, fortified to medical drumbeats? Autonomous units, benevolent ornot, within a national state are political units often functioning as such. Whilepsychotherapy for example respects those they deal with, psychiatry operates outsideof state laws surviving as an anomaly in liberal states.
Power
In terms of this book, medical authorities, particularly psychiatry, are authoritariangroups that exist within the paradigm of
state within a state
, functioning outside ofthe rules of liberal society and in doing so are constructing an authoritarian group thatrepresents a New Right Wing. It conducts itself through normalcy codes withoutengaging in discourse with other groups. It is also through medicine that the state itselfhas enlarged its areas of control, until now it rules even in personal intimacy.
[1]
Ferguson, D M, et al. A Proportional Hazards Model of Family Breakdown.
Journal ofMarriage and Family
Vol. 46, No. 3 (Aug., 1984), pp. 539-549
[2]
Foucault, Michel. On Madness and Civilisation:A history of insanity in an age of reason. PsychologyPress 2001.
[3]
Medical Dominance in Britain: Image and Historical Reality.
The Milbank Quarterly
Vol. 66, Supplement 2: The Changing Character of the Medical Profession (1988), pp. 117-132 (16pages)
[4]
Profession of Medicine
. Harper and Row. 1970,
Professional Dominance,
New York, Dodd: Mead.1970.
[5]
Profession of medicine: A Study of the Sociology of Applied Knowledge
University of Chicago Press.1988.
[6]
The state regulation of counselling and psychotherapy: sometime, never…? Richard HouseMagdalen Medical Practice, Lawson Road, Norwich NR3 4LF, UK
[7]
The British Journal of Psychiatry. Cambridge University Press. 2018.
The
term
The
Dark
Triad
resembles
the
title
of
a
Hammer
horror
film
of
the
1950s
and
1960s
but
is
indeed
a
psychiatric
description
of
three
so
called
personality
types
of
an
apparently
distinctively
nasty
nature-Narcissism,
Machiavellian
andsychopathy.
[1]
As
often
in
psychiatry
there
appears
to
be
a
literary,
indeed
in
this
case
filmic,
aetiology
and
it
is
a
surprise
not
to
have
the
Wolfman
suddenly
appear.
Dracula
inhabits
all
three
of
the
above
so
effectively
he
is
included
in
everything
but
name.
With
the
Dark
Triad
it
seems
reasonable
to
expect
comic
book
villains
to
emerge
bearing
M,
for
Machiavellian,
N,
for
Narcissist,
and
P
for
Psychopathy
to
jump
into
the
room
and
snarl.
Or
failing
that,
the
Joker
spring
into
life
from
off
a
DC
Comics
page
or
one
of
the
better
Bat
Man
films.
These
are
of
course
archetypes
and
psychiatry
holds
that
archetypes,
principally
literary
techniques
or
used
in
films
to
hold
the
audience’s
attention
and
pin
down
the
narrative,
are
the
real
measure
of
human
beings.
The
subtleties
of
character
delineation
of
Shakespeare,
Tolstoy
and
D.H.
Lawrence
have
no
place
in
psychiatry,
nor
does
environment
reveal
its
many-layered
head.
Biological
aetiology
usually
overwhelms
all
complexities
of
thought
as
a
light
switch
takes
prominence
over
light.
This
article
will
concern
itself
with
the
way
that
psychiatry
creates
negative
variations
out
of
positive
traits
such
as
risk
taking,
an
element
of
genius
and
talented
artists,
and
why
it
does
it.
At
this
stage,
in
what
will
be
an
exploratory
article,
the
notion
is
raised
that
psychiatry
is
concerned
at
all
times
with
normalcy
codes
of
mediocrity.
It
will
also
look
at
the
symbolic
nature
rather
than
scientific
nature
of
much
psychiatric
thinking
and
analyse
why
psychiatry
rarely
provides
any
genuine
explanations
of
the
disorders
it
identifies
but
simply
raises
a
notion/image/hypothesis
and
then
works
for
years
to
try
and
prove
it
while
of
course
at
the
same
employing
the
above
to
substantiate
treatments.
All
prisoners
are
bad!
The
three
personality
traits
of
The
Dark
Triad
are
considered
as
archetypal
and
fixed
and
psychiatric
papers
tend
only
to
establish
the
degree
of
fixation
through
certain
traits,
in
this
case
risk
taking.
Does
each
type
take
different
attitudes
to
risk,
experiencing
risk
differently?
Now
in
any
academic
or
scientific
article
it
would
be
deemed
necessary
to
define
risk.
What
do
the
authors
believe
it
is?
Also,
what
do
other
scientists
and
academics,
who
consider
these
matters
with
equal
professional
intensity,
believe.
In
most
psychiatric
papers
other
disciplines
are
routinely
ignored.
If
a
psychiatric
researcher
is
alluding
to
events
in
history,
historians
are
ignored,
if
alluding
(of
course)
to
the
mind,
psychology
is
ignored,
if
alluding
to
human
culture,
anthropology
is
ignored.
Perhaps
by
doing
so
it
is
easier
for
psychiatric
commentators
to
construct
myths
without
fear
of
expert
contradiction?
Why
I
wonder
do
psychiatric
papers
tend
not
to
believe
that
comparison,
synthesis
and
explanation
are
ever
necessary.
A
risk
is
a
risk
is
a
risk
.
An
action
or
series
of
actions
preceded
by
states
is
fundamental
to
politics,
business
and
cultural
innovation
and
requires
exploration,
but
psychiatry
will
have
none
of
such
wishy/washy
intellectuality.
Perversely,
while
not
offering
tangible
proof
on
the
actual
nature
of
the
conditions
they
identify,
reluctant
to
engage
in
abstract
examination,
they
take
their
existence
as
read.
First
Paper
The
Utility
of
the
Dark
Triad
Model
in
the
prediction
of
self-reported
and
behavioural
risk-taking
behaviours
amongst
adolescents.
Marta
Malesza
and
Pawel
Ostaszewski.
Personality
and
Individual
Differences.
90.
2016.
7-11.
These
papers
are
referenced
through
a
random
process
of
selection.
One
psychiatric
paper
rarely
differs
from
another
as
usually
they
fail
to
question
the
basic
tenets
of
an
idea
or
subject
but
merely
attempt
to
prove
it.
The
first
paper
considered
here,
a
worthy
example
of
the
genre
(for
that
is
what
these
papers
are),
deals
with
adolescents
of
this
supposed
or
imagined
type.
The
actual
nature
of
assessments
is
somewhat
predictive.
In
this
instance
248
German
adolescents,
109
boys
and
139
girls
with
an
age
range
of
14
to
18
years,
were
selected
for
the
trials
by
their
parents.
In
other
words,
parents
had
come
to
negative
conclusions
about
their
own
children.
The
authors
do
not
find
this
shocking
revelation
important
or
strange.
In
psychiatry,
all
parents
likewise
fit
archetypes-that
is
kindly
and
responsible.
As
testing
and
experimenting
with
prisoners
from
nearby
jails
apparently
produces
predictable
results,
the
researchers
chose
adolescents
instead.
According
to
the
researchers,
occupants
of
jails
fit
the
above
stereotypes
by
the
nature
of
their
predicament.
In
their
thinking
it
seems
there
is
a
demarcation
line
between
normality
and
The
Dark
Triad,
which
appears
desperately
like
‘
respectability
.’
A
falsely
imprisoned
businessman
or
carpenter
is
thereby
narcissistic,
Machiavellian
and/or
psychopathic.
Such
normalising
and
prejudiced
thinking
is
common
in
the
construction
of
this
dreaded
threesome.
It
seems
not
to
occur
to
them
that
the
part-time
inhabitants
of
senates,
parliaments
and
psychiatric
training
colleges
might
be
better
breeding
grounds.
The
assumption
that
all
people
in
jails
inhabit
these
states
is
simply
childish
and
misinformed,
demonstrating
little
genuine
understanding
of
the
world.
[2]
Indeed,
it
is
to
some
extent
what
can
be
expected
from
relatively
well-off
members
of
a
bourgeoisie
viewing
those
less
fortunate
than
themselves.
In
Victorian
times
the
very
poor
stole
or
engaged
in
prostitution
to
survive;
they
were
simply
desperate.
Many
ended
up
in
prisons,
or
in
asylums
as
sufferers
of
the
made-up
category
of
moral
insanity
.
At
the
same
time
the
rich
employed
child
prostitutes
but
escaped
both
incarceration
and
moral
censorship.
The
complexities
of
human
communities
are
outside
the
obscurantist
vision
of
psychiatry.
Questionnaires
as
science
The
children
gathered
together
are
given
questionnaires
to
determine
which
trait
they
most
fit,
if
at
all.
The
questions
seem
leading
with
few
if
any
variables.
Two
behavioural
tasks,
Balloon
Analog
Risk
Task
and
Probabilistic
Discounting
Task
(on
a
reward
basis),
were
also
given
to
the
young
people.
Each
was
done
in
laboratory
conditions
but
without
variables.
The
questionnaire
employed
is
the
Adolescent
Risk-Taking
Questionnaire
.
In
addition,
for
good
measure,
the
Dirty
Dozen
(no
bias
there)
measure.
Each
was
given
randomly.
Investigator
effect,
whereby
the
researcher
influences
results,
is
not
anywhere
considered,
or
does
not
appear
to
be.
Immediately
the
risk-taking
positive
and
negative
indicators
strike
the
casual
observer
as
odd.
The
positive
is
conceived
of
as
thrill
seeking
and
recklessness,
which
can
present
danger
to
others-car
racing