Sexuality, Modern Identities and Psychiatry (original) (raw)

Normalizing sexuality in twentieth-century western societies: a critical reading of the "Diagnostic and Statistical Manual of Mental Disorders"

The aim of this essay is to indicate the centrality of psychiatry's scientific discourse in the negotiation, construction and normalization of human sexuality. After a short historical account upon the dominant psychiatric discourse about homosexuality from the beginning of the nineteenth century when psychiatry emerged as a medical specialty, our focus will be on the presentation and negotiation of homosexuality in the Diagnostic and Statistical Manual of Mental Disorders (DSM). DSM was the first formal recording and scientific categorization of mental disorders, which was edited by the American Psychiatric Association (APA) in 1952 and is still being constantly enriched. Our target is to highlight the role of psychiatry and its functions as a means of the normalization of human bodies, as well as to highlight the role of gender within specific regimes of truth as another regulative norm.

Psychiatric practices beyond psychiatry: The sexological administration of transgender life around 1980

Doing psychiatry in postwar Europe, 2024

In the late 1970s, a new model for sex reassignment was developed in Norway. While people seeking medical treatment to transition had until then been cared for in an unorganised way, a new team based in a medical sexology department at the Oslo Health Council became the main medical facility for this group of patients. The team consisted of psychiatrists, psychologists, social workers, nurses and GPs with a professional interest in lesbian and gay health, sexuality and the negative health effects of stigma and discrimination, and many of the professionals were themselves lesbian or gay. However, the team’s normalising and depathologising approach to lesbian and gay patients did not translate into a similar approach to transgender patients. The professionals approached the question of sex reassignment from the standpoint of sexology and social medicine, but anchored it in a diagnostic and pathologising model of transsexuality. Based on archival material and oral history interviews with health professionals and former patients, the chapter analyses the role of psychiatric expertise in the welfare state context. It argues that the role of psychiatric expertise in trans healthcare, i.e. the administrative function of psychiatrists in decisions about non-psychiatric hormonal and surgical treatment, highlights the historical significance of the non-formalised evaluative expertise of psychiatry to the welfare state – of psychiatric practices beyond psychiatry. Drawing on science and technology studies, I explore how experts standardised and legitimised psychiatric practices by incorporating them into existing epistemologies and infrastructures, but also how psychiatry was transformed in the process.

British psychiatry and homosexuality

The British Journal of Psychiatry, 1999

Access the most recent version at DOI: 1999, 175:106-113. BJP M King and A Bartlett British psychiatry and homosexuality. References http://bjp.rcpsych.org/content/175/2/106#BIBL This article cites 0 articles, 0 of which you can access for free at: permissions Reprints/ permissions@rcpsych.ac.uk to To obtain reprints or permission to reproduce material from this paper, please write to this article at You can respond http://bjp.rcpsych.org/cgi/eletter-submit/175/2/106 from Downloaded The Royal College of Psychiatrists Published by on March 9, 2013 http://bjp.rcpsych.org/ http://bjp.rcpsych.org/site/subscriptions/ go to: The British Journal of Psychiatry To subscribe to

‘Who are you today?’ Problems of identity in psychiatry

BJPsych International

Our attributes change. Sometimes they are changed so dramatically (for instance by organic brain disease, traumatic brain injury or psychiatric disease) that it is hard to see any significant continuity with the premorbid person. Sometimes this can have important ethical and legal consequences, but the problems are often ignored. This article highlights some of the difficulties.

1 Introduction : Psychiatry at a Crossroads

2016

Psychiatry today faces challenges on many fronts, with vigorous critiques of its theory and practice from clinicians, scholars, and people with lived experience of mental health problems. These critiques target the slow progress in understanding and treating mental illness, overreliance on medications and other biomedical treatments, and the lack of attention to patients’ lifeworlds and aspirations, but extend to much broader concerns about the medicalization of everyday life, and even wholesale condemnation of psychiatry as a source of heavy-handed social control, stigma, and harmful interventions that actually undermine recovery. In recent years, many of the concerns of the antipsychiatry movement of the 1960s have been reasserted by a new critical psychiatry literature that builds on these earlier critiques but includes attention to contemporary questions of epistemology, political economy, and globalization (Bracken et al., 2012 Cohen & Timimi, 2008; Fernando, 2014; Mills, 2014;...

The Crisis of Present-Day Psychiatry: Regaining the Personal

The Crisis of Present-Day Psychiatry: Regaining the Personal , 1999

(The following is the second of two articles adapted by the authors from lectures given at the University of Zurich upon their receiving the 1998 Dr. Magrit Egnér-Stiftung prize-Ed.) Present-day psychiatry has fallen into crisis because of the severe limitations of its conception of the person and, as a result, its conception of the patient. It objectifies the patient in a number of ways: 1) It lacks a conception of normality and consequently perceives most aspects of the patient's life in pathological terms; 2) It reduces the patient's problems to a list of pathological symptoms; 3) It tends to conceive of these symptoms as having primarily biological causes; and 4) Its methods of treatment are pharmacological and behavioral. Because of this reductionism, psychiatry fails to distinguish between healthy and pathological features of human life. It fails to view the pathological aspects of patients' lives within the larger context of their personalities and sociocultural milieus. It fails to consider adequately the psychological and social factors that cause and maintain each patient's problems. Finally, it fails to employ treatments that address whole people living daily in their sociocultural worlds. Yet this reductionism does alert us to important components of human life. To express our point as generally as possible: it alerts us to the anthropological fact that human beings are, in many respects, objects. Although the reductionist conception of the patient does, because of its limitations, signal the loss of the personal, our attempt to regain the personal must incorporate the object-like components of human existence that reductionism pinpoints. Because human beings are, in certain respects, objects, a full conception of people must not disregard this object-like-ness but must rather situate it within the broader philosophical context in which it rightfully belongs.

Psychiatry and the gay Holocaust

Objective: We aim to consider issues relevant to psychiatry raised by the television series, Transparent. Conclusions: Psychiatry's disturbing history regarding the lesbian, gay, bisexual, transgender and intersex (LGBTI) community shares many aspects with the group's persecution by the National Socialist regime in Germany. The medicalised 'otherness' conferred on LGBTI patients, latent homophobia and transphobia, and lack of culturally sensitive clinical services for these people represent a major ethical challenge for modern Australasian psychiatry.

Culture, mental health and psychiatry - Spring 2024

While mental illness has recently been framed in largely neurobiological terms as brain disease, there has also been an increasing awareness of the contingency of psychiatric diagnoses. In this course, we will draw upon readings from medical and psychological anthropology, cultural psychiatry, and science studies to examine this paradox and to examine mental health and illness as a set of subjective experiences, social processes and objects of knowledge and intervention. On a conceptual level, the course invites students to think through the complex relationships between categories of knowledge and clinical technologies (in this case, mainly psychiatric ones) and the subjectivities of persons living with mental illness. Put in slightly different terms, we will look at the multiple links between psychiatrists’ professional accounts of mental illness and patients' experiences of it. Questions explored include: Does mental illness vary across social and cultural settings? How are experiences of people suffering from mental illness shaped by psychiatry’s knowledge of their afflictions?