1. There are phenomena that people experience within their own mental life that are often life-denying at a minimum, life-destroying as a maximum. Please do not interpret anything else that I say here as in any way denying this first and most basic truth. My issue is all to do with a) how these phenomena are understood and b) how those who have to endure them are treated, both by ‘professionals’ and by wider society.

2. There is no such thing as ‘mental illness’. There are physical illnesses that have mental symptoms (eg Alzheimers). To describe the phenomena of thesis #1 as ‘mental illness’ is to wrongly apply a form of language (‘illness’ and ‘disease’) from one area of life to a different area of life. It is a category error, a philosophical mistake. That it is a mistake with a vast apparatus of the state and capitalist industry supporting it does not make it true.

3. The language of modern professional psychiatric care – as best summarised in the risible DSM (see this, which I think is brilliant) – is a perfect example of a Kuhnian paradigm which is overdue for being overthrown. In just the same way that the Copernican paradigm eventually couldn’t cope with all the epicycles that had to be introduced as a result of telescopic observations, we are not far from the time when contemporary psychiatric understandings will collapse under the weight of its own inadequacy and contradictions.

4. Pharmaceutical drugs do not work in terms of curing the phenomena of thesis #1. They do have benefit in terms of the placebo effect (which I do not see as trivial) and in terms of stabilising a volatile situation, ie they can suppress symptoms. Put simply they are a tool of social management. They do not heal people; at worst the side effects simply increase the phenomena of #1.

5. We cannot understand the phenomena of thesis #1 by looking at individuals in isolation but only as human beings embedded within a particular community and context. The phenomena of thesis #1 are inescapably social.

6. It is in the interests of the state that those who exhibit disorderly or otherwise unwelcome behaviour are pacified and controlled. Any full understanding of the phenomena of thesis #1 needs to have abandoned political naïvete.

7. It is in the interests of the pharmaceutical industry that there be new diagnoses of new forms of disorder, which thereby justify the creation of new drugs with new patents that form new income streams for those companies when old patents expire. Any full understanding of the phenomena of thesis #1 needs to have abandoned commercial naïvete.

8. The philosophical roots of contemporary psychiatric care lie in atheism and materialism – in other words, it proceeds on the assumption that there is no such thing as the soul.

to be with the freakshow

language of demons and angels

personal agency

human centred care

taking the soul seriously

it is possible that the greatest failure of Western churches in the twentieth century is that they have capitulated to the psycho-complex. If we are unable to cure souls, then what on earth is the point of us?

Clement quote about father nursing