Robert Whitaker Quote

The evaluation of the merits of medical treatments for madness has always been a calculation made by doctors and, to a certain extent, by society as a whole. Does the treatment provide a method for managing disturbed people? That is the usual bottom line. The patient’s subjective response to the treatment—does it help the patient feel better or think more clearly?—simply doesn’t count in that evaluation. The mad, in fact, are dismissed as unreliable witnesses. How can a person crazy in mind possibly appreciate whether a treatment—be it Rush’s gyrator, a wet pack, gastrointestinal surgery, metrazol convulsive therapy, electroshock, or a neuroleptic—has helped? Yet to the person so treated, the subjective experience is everything.

Robert Whitaker

The evaluation of the merits of medical treatments for madness has always been a calculation made by doctors and, to a certain extent, by society as a whole. Does the treatment provide a method for managing disturbed people? That is the usual bottom line. The patient’s subjective response to the treatment—does it help the patient feel better or think more clearly?—simply doesn’t count in that evaluation. The mad, in fact, are dismissed as unreliable witnesses. How can a person crazy in mind possibly appreciate whether a treatment—be it Rush’s gyrator, a wet pack, gastrointestinal surgery, metrazol convulsive therapy, electroshock, or a neuroleptic—has helped? Yet to the person so treated, the subjective experience is everything.

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