| Abstract: | Two official position papers of our APA seem to contradict each other with respect to whether mental illness is a myth or not. The APA official position paper, "The Community and the Community Mental Health Center," questions the appropriateness of the term "illness." The APA official position paper, "The Psychologist and Voluntary Health Insurance." identifies psychology in some of its roles as a health profession. Is psychology in some of its roles supposed to be a health profession that regards illness as a myth in some of its other roles? The answer seems to be, "Yes." If psychologists would switch hats as they changed roles from clinician to social science consultant, the contradiction would be resolved easily. Instead, the contradiction is denied by one role player or the other. Somehow, the medical model is supposed to be absolutely evil and to stand in the way of social progress. At the same time, psychiatrists seem to expect to exercise leadership in matters of social science. I believe that mental illness exists. Psychiatrists have primary responsibility for its treatment, and there is a very large and honorable role for clinical psychologists in the struggle against mental illness. Social disorganization exists. I doubt very much that psychologists deserve primary responsibility for the amelioration of social disorganization, but psychologists can make important contributions. Let us not overdefend against the boundless ambitions of our medical colleagues as social science experts by denying the legitimacy of mental illness and of the medical model. (PsycINFO Database Record (c) 2010 APA, all rights reserved) |
