Once again, the institution of psychiatry is in crisis and desperately seeking to excite a general public that is increasingly disenchanted by psychiatry’s repeated failures. As I document in A Profession Without Reason (2022), psychiatry’s treatment outcomes were acknowledged in 2011 by former National Institute of Mental Health (NIMH) director Thomas Insel as “abysmal” and “bleak.” Since then, in 2021, the New York Times concluded that psychiatry had done “little to improve the lives of the millions of people living with persistent mental distress. Almost every measure of our collective mental health—rates of suicide, anxiety, depression, addiction deaths, psychiatric prescription use—went the wrong direction, even as access to services expanded greatly.”
Has psychiatry contributed anything positive to society? SSRI antidepressants—psychiatry’s last heralded “miracle drug”—are now known to create a far higher percentage of sexual dysfunction than to positively affect depression, with success rates no different or even lower than placebo rates. Psychiatry’s serotonin imbalance theory of depression, discarded by researchers three decades ago, is now finally known to the world to have no merit; and psychiatry’s attempt to gaslight the general public into believing that it is blameless for this theory’s perpetuation has made it vulnerable to a potential class-action lawsuit. Psychiatry’s DSM diagnostic manual has now been acknowledged even by high-ranking members of the psychiatry establishment to be invalid and even “bullshit.” The Open Payments database reveals 75% of psychiatrists are on the take from drug companies. And research shows psychiatry’s idea that “serious mental illness” is a brain disease has resulted in a perception of greater dangerousness and a desire for social distance—in other words, increased stigmatization.
The history of psychiatry is one of consistent scientific failure, but it is also one of remarkable political success through a variety of tactics, which include partnering with financially powerful drug companies so as to control the mainstream media—and co-opting attractive radical movements. Thanks to well-meaning psychedelic advocates, including Michael Pollan (bestselling author of How to Change Your Mind, 2018), psychedelics today have a mainstream respectability and a popular allure. Politically astute establishment psychiatrists recognize that psychiatry desperately needs to excite the general public, but that with no new Big Pharma “magic bullet” on the horizon, psychiatry has no choice but to attempt to co-opt psychedelics from an underground radical subculture.