Schizophrenia and child abuse in the media

A couple of weeks ago, the Observer printed a debate headlined “ Do we need to change the way we are thinking about mental illness ?” I read it with interest, as I happen to think that we do need to change, and that the new Diagnostic and Statistical Manual of the American Psychiatric Association (DSM5) has numerous problems. The discussion was opened by Simon Wessely, a member of the Royal College of Psychiatrists, who responded No. He didn’t exactly defend the DSM5, but he disagreed with the criticism that it reduces psychiatry to biology. The Yes response was by Oliver James, an author and clinical psychologist, who attacked the medical model of mental illness, noting the importance of experience, especially childhood experience, in causing psychiatric symptoms. I happen to take a middle way here; there’s ample evidence of biological risk factors for many forms of mental illness, but in our contemporary quest for biomarkers, the role of experience is often sidelined. The idea that y...