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View Poll Results: Is Psychiatry a science?
No, it's a pseudoscience only. 9 26.47%
No, it's a pseudoscience only.
9 26.47%
Yes of course it is. 8 23.53%
Yes of course it is.
8 23.53%
Not yet but getting closer to a science. 15 44.12%
Not yet but getting closer to a science.
15 44.12%
I'm not sure or don't know. 2 5.88%
I'm not sure or don't know.
2 5.88%
Voters: 34. You may not vote on this poll

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  #1  
Old Dec 12, 2014, 12:55 AM
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I was stunned when my pdoc told me psychiatry is not a science! The context of this discussion was me questioning my diagnosis. He said the diagnosis is not important and psychiatry is not a science. Symptoms over lap, there are no real boundires, every thing is subjective to opinions. We should focus on the symptoms and treat the symptoms and not worry about the diagnosis classes as they often change anyway and entirely subjective. Blew me away! I never expected a psychiatrist to say this. But makes sense. So I did some googling on the topic and found this is a highly debated area, meaning it is subjective. I think at best psychiatry tries to mimic science but it is not really a true science at all. There is no way to test, or validate or verify any diagnosis as there is in true science. We only have opinions. So I thought it might be interesting to see where this topic goes here and create a poll. So many of us, me included, get stuck on the diagnosis we over look the bigger picture which still remains fuzzy. So what do you think and why?
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  #2  
Old Dec 12, 2014, 02:11 AM
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There are lots of uncontrollable variables to behavioral studies. Yes, it's more scientific than a lot of groups, but to say that psychology is 100% a science ~ undeniably accurate studies to base work upon ~ and it just isn't that black & white. Sorry
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  #3  
Old Dec 12, 2014, 10:02 AM
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It is a soft science, so it's mostly theories, mays and maybes and probables.

Problem is when some act like it is hard science set in stone.
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  #4  
Old Dec 12, 2014, 10:24 AM
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Its in development. Since there's no one size fits all treatment, psychiatry has to go on intuition a lot.
  #5  
Old Dec 12, 2014, 11:30 AM
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It's an empirically-based medical practice. There is a difference between psychology (studies human behavior to predict and learn how to control) and psychiatry-treatment of mental disorders. Psychiatrists usually rely on thier patient's reports of symptoms and their own clinical judgement, based on experience to recommend and prescribe potentially helpful medications, or that's the way it's supposed to work.....
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  #6  
Old Dec 12, 2014, 12:59 PM
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Well, any branch of medicine is part science and part art, so to speak. The science is in the research, the technology, the medications, etc., but it takes the art of a skilled practicioner to get a good outcome. Alas, too many psychiastrists, I have been told, are the "losers" of their medical school class - a specialty of last resort for those who can't hack it in fields like neurology, oncology, cardiology. Don't know if that is true, but my current T, who has a PhD and to me seems a really excellent T as well as a nice guy, told me that, and I do believe it, as it's consistent with my experiences, albeit rather limited to a few.
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  #7  
Old Dec 12, 2014, 02:17 PM
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Well, they are on the low end of the income scale related to the other specialties. OTOH, I have met and worked with some pretty sharp and gifted ones.
  #8  
Old Dec 12, 2014, 07:40 PM
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I really don't think it is very scientific, going by my own experience and all the people I have met, with their ever-changing diagnoses. Maybe 10% science, 30% intuition, 30% guesswork, 30% fantasy. (I did start out with a lot of respect for psychiatry. Disillusioned.)

What gets me is that when it is so unscientific they are prepared to impose all kinds of decisions on people without worrying about the consequences. They are so sure they are right.
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  #9  
Old Dec 13, 2014, 07:24 AM
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All of medicine has been the medical "arts" for along time. In recent decades with huge advances in understanding of the human body most of it can be called science now. Psychiatry lags way behind because the brain and mind are just really hard to study and predict. It is making big advances and I suspect it will make huge advances in the next couple of decades.

I agree with your pdoc that labels overlap and what is important are your problems, how they affect your life, and what to do about it.

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  #10  
Old Dec 13, 2014, 07:40 AM
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I am reading a book by Steven Pinker, psychologist at Harvard, called "How the Mind Works." From what I have read so far he thinks psychology should be approached as a science. Evolutionary psychology. With huge advances in understanding how the brain works and in the "cognitive sciences" he doesn't agree with the Standard Social Science Model of psychology. He says the mind is a product of the brain and in turn the mind acts on the brain. Culture and society are for sure a big part of it but so are evolution and the brain. The brain is a massively complex information processing unit. I totally agree with his approach but I know there are going to be things I don't agree with. Especially when it comes to the spiritual aspect of things. I am not that far into the book. But I have watched his lectures.

The guy is brilliant.

Department of Psychology

How the Mind Works | Department of Psychology

Standard social science model - Wikipedia, the free encyclopedia
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Major Depressive Disorder
Anxiety Disorder with some paranoid delusions thrown in for fun.
Recovering Alcoholic and Addict
Possibly on low end of bi polar spectrum...trying to decide.

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  #11  
Old Dec 13, 2014, 11:23 AM
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Both psychiatry and psychology are accepted sciences by most. There are literally tens of thousands of researchers working on better understanding human behavior and the brain around the world. It would be an odd thing to consider these researchers aren't doing scientific research -- and the hundreds of scientific journals in psychology and psychiatry aren't publishing science?

Every psychiatric medication approved for use goes through a rigorous set of scientific studies.

Starting with the DSM-III in the 1980s, the diagnostic system for mental disorders is scientifically-based. Each time they do a revision, hundreds of researchers and clinicians review thousands of scientific studies to help inform new or changed diagnostic criteria. Having said that, ALL diagnosis -- in medicine and mental health -- is part science, part art. ALL doctors, regardless of their specialty, don't just apply one set of criteria to reach a diagnosis. It is a mashup of lots of different things.

I think someone who suggests these fields aren't "real" sciences simply hasn't spent much time reading the research. If it's not science, I'm not sure what is.

DocJohn
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  #12  
Old Dec 13, 2014, 11:49 AM
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I believe it is as much of a science as medicine. What would make psychology any different?
  #13  
Old Dec 13, 2014, 12:55 PM
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Quote:
Originally Posted by DocJohn View Post
Both psychiatry and psychology are accepted sciences by most. There are literally tens of thousands of researchers working on better understanding human behavior and the brain around the world. It would be an odd thing to consider these researchers aren't doing scientific research -- and the hundreds of scientific journals in psychology and psychiatry aren't publishing science?

Every psychiatric medication approved for use goes through a rigorous set of scientific studies.

Starting with the DSM-III in the 1980s, the diagnostic system for mental disorders is scientifically-based. Each time they do a revision, hundreds of researchers and clinicians review thousands of scientific studies to help inform new or changed diagnostic criteria. Having said that, ALL diagnosis -- in medicine and mental health -- is part science, part art. ALL doctors, regardless of their specialty, don't just apply one set of criteria to reach a diagnosis. It is a mashup of lots of different things.

I think someone who suggests these fields aren't "real" sciences simply hasn't spent much time reading the research. If it's not science, I'm not sure what is.

DocJohn
@DocJohn. In my experience as a patient I see two problems. I have had four psychiatrist in my life three I totally loved and one not so much. My current one is actually a psyche PA. I call him a psychiatrist because he is very very good. I have only seen a real psychiatrist once at this clinic and my PA is much better. So I am happy. But problem one is access. Because of the current health care system, the high costs of psychiatrists, and the shortage of them, they are regulated to 15 minute med checks. I am lucky in that I usually get 30 minutes with my PA. With my past insurance the dx was never done by the psychiatrist and I got to see him at the end of the process for 15 minutes for a prescription and then 30 day or 90 day med checks. So many people see psychiatrist as pill dispensers and not much else. I personally don't feel that way but I consider myself pretty lucky in the overall service I have gotten over the years.

Problem two it seems to me is that psychiatrists don't seem to have a lot of tools in the mishmash of a tool box. The DSM and a handful of meds. I have been tested for thyroid each time I did an intake over the years but that is it. I have never been tested for vitamin D deficiency. I have never been tested for a L Methylfolate genetic polymorphism. I have never had the antidepressant metabolism genetic test done. Not really anything medical other than med management.

I have been happy with overall service because it included therapists, nurses, medical doctor, and a psychiatrist. I have done lots of therapy and groups and so on, so I see the psychiatrist as one part of the treatment.

I try to read as much of the current research as I can and it is very promising. I just think currently psychiatrist have a very limited amount of tools. I hope this changes soon but costs will always be a factor.

I guess my point is that for the average patient who doesn't read research and who may not be super active in their own treatment may not see much science behind it. Although I certainly do.
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Last edited by Altered Moment; Dec 13, 2014 at 01:14 PM.
  #14  
Old Dec 13, 2014, 01:24 PM
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Quote:
Originally Posted by DocJohn View Post
Both psychiatry and psychology are accepted sciences by most. There are literally tens of thousands of researchers working on better understanding human behavior and the brain around the world. It would be an odd thing to consider these researchers aren't doing scientific research -- and the hundreds of scientific journals in psychology and psychiatry aren't publishing science?

Every psychiatric medication approved for use goes through a rigorous set of scientific studies.

Starting with the DSM-III in the 1980s, the diagnostic system for mental disorders is scientifically-based. Each time they do a revision, hundreds of researchers and clinicians review thousands of scientific studies to help inform new or changed diagnostic criteria. Having said that, ALL diagnosis -- in medicine and mental health -- is part science, part art. ALL doctors, regardless of their specialty, don't just apply one set of criteria to reach a diagnosis. It is a mashup of lots of different things.

I think someone who suggests these fields aren't "real" sciences simply hasn't spent much time reading the research. If it's not science, I'm not sure what is.

DocJohn
DocJohn, I agree with your thesis, but I have a question for you: Why is psychology in the Arts instead of the Sciences at universities? I look forward to your reply.
  #15  
Old Dec 13, 2014, 02:40 PM
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Psychiatry is not a science. Psychiatrists cannot define "mental illness." There are no equations in psychiatry. Unlike mathematics, where 2+2=4, or physics, where E=mc2 (energy is equal to mass multiplied by the speed of light squared), psychiatry (and psychology) have no equations. Psychiatrists claim that they conclude a diagnosis based on the Diagnostic and Statistical Manual of Mental Disorders (DSM). What is the the DSM based on? I submit that the DSM can only predict correlations, patterns, etc.

I conclude that psychiatry is not a science.
  #16  
Old Dec 13, 2014, 02:59 PM
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P.S.

If psychiatry is a science, then a statistician is a scientist. If that's the case, I see no difference between an odds maker in Vegas and a psychiatrist. Both are using statistics to determine the probability of an event.
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  #17  
Old Dec 13, 2014, 03:18 PM
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kindness, I refer you to the definition of "science" (which is different than the definition of mathematics):

Quote:
a department of systematized knowledge as an object of study (the science of theology)

knowledge or a system of knowledge covering general truths or the operation of general laws especially as obtained and tested through scientific method
Both psychology and psychiatry have long used the scientific method to test hypotheses against datasets, and conduct scientific analyses on the results. That's what science is.

DocJohn
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  #18  
Old Dec 13, 2014, 03:39 PM
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I think in the area of research psychiatry is a hard science. The research hasn't really trickled down to clinical practice yet in my opinion. It is very new and inconclusive though at this point and not much in the way of novel meds and treatments. Other than TMS. It is very new. I have been keeping a list of links on the research I have read. It is quite long but I will post it below in case anyone wants to read it. There are a ton more studies I have not listed. These are mostly depression because that is what I have. This stuff is definitely hard bio molecular science.

Biology of Depression/ Mental Illness
Genetics
Stem Cells Reveal How Illness-Linked Genetic Variation Affects Neurons - 08/18/2014

Common Genetic Variation Big Risk Factor for Alcoholism, Mental Illness - Addiction Treatment | Elements | Drug Rehab Treatment Centers

5 Major Mental Illnesses Traced to Same Genetic Variations | Psych Central News

http://www.journalofpsychiatricresea.../abstract?cc=y
NIMH · New Data Reveal Extent of Genetic Overlap Between Major Mental Disorders

Schizophrenia.com - Schizophrenia Genetics and Heredity

GenRED - Major Depression and Genetics - Genetics of Brain Function - Stanford University School of Medicine

Genetic Switch Involved in Depression - NIH Research Matters - National Institutes of Health (NIH)

Depression Research - Psych Central

Genetic link to depression found - Health News - NHS Choices

What causes depression? - Harvard Health Publications

New gene for bipolar disorder discovered -- ScienceDaily

Bipolar Disorder, Genetics, and the Brain :: DNA Learning Center
Schizophrenia and Manic-Depressive Disorder: The Biological Roots of Mental ... - Google Books

http://journals.cambridge.org/action...33291700028099

NIMH · Five Major Mental Disorders Share Genetic Roots

http://www.nature.com/ng/journal/v45...l/ng.2711.html

https://www.nimhgenetics.org/

Genetic Mental Illnesses | DNA and Mental Illness | Psychiatrist in Scottsdale

Mental Illness: The Challenge of Dual Diagnosis

First Blood Test to Diagnose Depression in Adults: Northwestern University News

Clear New Insights into the Genetics of Depression - Scientific American

Massive Study Reveals Schizophrenia's Genetic Roots - Scientific American

Genome Biology | Full text | Hypermethylation in the ZBTB20 gene is associated with major depressive disorder

Translational Psychiatry - How the serotonin transporter 5-HTTLPR polymorphism influences amygdala function: the roles of in vivo serotonin transporter expression and amygdala structure

Polymorphism in serotonin transporter gene associated with suscepti... - PubMed - NCBI

Receptor and transporter imaging studies in schizophrenia, depressi... - PubMed - NCBI

Neuropsychopharmacology - Serotonin 1A Receptors, Serotonin Transporter Binding and Serotonin Transporter mRNA Expression in the Brainstem of Depressed Suicide Victims

Animal models of depression in dopamine, serotonin, and norepinephr... - PubMed - NCBI

Hippocampus

Hippocampal volume loss in depression reflects glial loss -- ScienceDaily

The Johns Hopkins Psychiatry Newsletter

Depression, antidepressants, and the shrinking hippocampus

https://www.google.com/search?q=depr...Q&ved=0CDYQsAQ

Neurogenesis

Unraveling the Mystery of How Antidepression Drugs Work - Scientific American

Neuropsychopharmacology - Fluoxetine-Induced Cortical Adult Neurogenesis

Fluoxetine-induced cortical adult neurogenesis. - PubMed - NCBI

Antidepressants increase human hippocampal neurogenesis by activating the glucocorticoid receptor

Biology of Depression

Yale Scientific Magazine ? Uncovering the Biology of Depression

The Biology of Depression: How Stress Affects the Brain and the Body - UCTV - University of California Television

http://ajp.psychiatryonline.org/doi/....2009.10030434

http://www.nyng.org/MP%20cytokine%20review.pdf

What causes depression? - Harvard Health Publications

Biology of Depression - Genetics and Imaging - Depression: Major Depression & Unipolar Varieties

http://www.wfsbp.org/fileadmin/user_...Depression.pdf

GenRED - Major Depression and Genetics - Genetics of Brain Function - Stanford University School of Medicine

Unkind Cytokines: A Journey from the Mind to Brain to Mind The Biological Basis of Depression -



Blood test accurately distinguishes depressed patients from healthy controls - Massachusetts General Hospital, Boston, MA

These Are Revolutionary Times for the Biology of Psychology | Psychology Today

http://cdn.intechopen.com/pdfs-wm/22664.pdf

CNS Spectrums: Novel Therapeutics for Depression: L-methylfolate as a Trimonoamine Modulator and Antidepressant-Augmenting Agent

L-Methylfolate: A Promising Therapy for Treatment-Resistant Depression? | Psych Congress Network

Genetic Testing in Clinical Practice: What Psychiatrists Need to Know | Psych Congress Network

The Role and Postulated Biochemical Mechanism of L-Methylfolate Augmentation in Major Depression: A Case-Report | Psychiatric Annals

MTHFR Genotyping Laboratory Genetic Test | Seeking Health

Mice Study Suggests Lack of Serotonin Not Behind Depression | Psych Central News

Effectiveness of Antidepressants

NIMH · Antidepressants: A complicated picture

Antidepressants: Effectiveness, Trials, Realistic Expectations

http://www.scientificamerican.com/ar...-or-dont-they/

NIMH · Questions and Answers about the NIMH Sequenced Treatment Alternatives to Relieve Depression (STAR*D) Study ? All Medication Levels

Are antidepressants really no better than sugar pills? | The Johns Hopkins News-Letter

Robert DeRubeis on anti-depressants | News Center | Stanford Medicine

http://www.nytimes.com/2011/07/10/op...anted=all&_r=0

Study confirms antidepressant efficacy | Yale Daily News
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The "paradox" is only a conflict between reality and your feeling of what reality "ought to be." -- Richard Feynman

Major Depressive Disorder
Anxiety Disorder with some paranoid delusions thrown in for fun.
Recovering Alcoholic and Addict
Possibly on low end of bi polar spectrum...trying to decide.

Male, 50

Fetzima 80mg
Lamictal 100mg
Remeron 30mg for sleep
Klonopin .5mg twice a day, cutting this back
Thanks for this!
lizardlady
  #19  
Old Dec 13, 2014, 03:47 PM
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I had to say yes it is a science because it is more of a science than say a blind meandering about into the minds of individual's where diagnosis is based largely on theory and superstition and the particular religious beliefs of each patient...such as psychiatry was in its infancy. Thank God we are out of that brutal stage of non scientific approach to the human psyche. Heck we have come a long way since Freud even! However, we still have much to learn about the human mind and what is actual psychosis and what might be something that is actually spiritual in nature...we may never reach the point of it being an exact science but when you think about it NO science is truly exact when humans are involved
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  #20  
Old Dec 13, 2014, 04:12 PM
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Originally Posted by CaptainChaos79 View Post
I had to say yes it is a science because it is more of a science than say a blind meandering about into the minds of individual's where diagnosis is based largely on theory and superstition and the particular religious beliefs of each patient...such as psychiatry was in its infancy. Thank God we are out of that brutal stage of non scientific approach to the human psyche. Heck we have come a long way since Freud even! However, we still have much to learn about the human mind and what is actual psychosis and what might be something that is actually spiritual in nature...we may never reach the point of it being an exact science but when you think about it NO science is truly exact when humans are involved
Even in the area of physics, the hardest, purist, ultimate science in my opinion, they have had to constantly change what is known and take into account new evidence. It is causing us to question the whole nature of reality.
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The "paradox" is only a conflict between reality and your feeling of what reality "ought to be." -- Richard Feynman

Major Depressive Disorder
Anxiety Disorder with some paranoid delusions thrown in for fun.
Recovering Alcoholic and Addict
Possibly on low end of bi polar spectrum...trying to decide.

Male, 50

Fetzima 80mg
Lamictal 100mg
Remeron 30mg for sleep
Klonopin .5mg twice a day, cutting this back
Thanks for this!
lizardlady
  #21  
Old Dec 13, 2014, 04:20 PM
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When I was in grad school the profs referred to Physics as "hard" science, the life sciences as "soft" science and psychology/psychiatry as "impossible" science.

As other have pointed out psychology/psychiatry is in its infancy compared to the other sciences. The "hard" sciences are still evolving. It seems logical to me that psychology/psychiatry are still evolving too.
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Sinking Feeling
  #22  
Old Dec 13, 2014, 05:29 PM
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All they do is prescribe medication in an attempt to balance your biochemistry. It certainly is a science. And they don't engage in psychotherapy like most of their business cards state. They validate all psychotropic meds using empirical data (controlled studies) - it's kind of like backwards engineering or wagging the dog's tail. Maybe someday they will start at the first step and not at the back end to treat mental disorders.
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Old Dec 13, 2014, 05:29 PM
Anonymous37833
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Originally Posted by DocJohn View Post
kindness, I refer you to the definition of "science" (which is different than the definition of mathematics):


Both psychology and psychiatry have long used the scientific method to test hypotheses against datasets, and conduct scientific analyses on the results. That's what science is.

DocJohn
DocJohn, thank you for the definition of "science." I am not a psychiatrist/psychologist, and I did not imply that I was, so I was simply stating my opinion regarding the question raised in the original post. I hope that PsychCentral allows for civil discord. If we are going to take a serious look at mental health issues we need to hear from everyone--even if we vehemently disagree.
  #24  
Old Dec 13, 2014, 07:08 PM
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Is psychiatry a real science. Wow! I am someone that has always viewed it as such. A psychiatrist first trains as a doctor and then goes on to specialize in psychiatry. The same for psychologists, they are doctors, with degrees. Aren't social sciences real science? It is true that we do not know as much about the brain as we do about other body parts, and so the science is not as mature as other sciences. But yes I view psychiatry and psychology as a science with humanity thrown in...
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  #25  
Old Dec 13, 2014, 11:13 PM
martamiriam martamiriam is offline
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Quote:
Originally Posted by Sinking Feeling View Post
I was stunned when my pdoc told me psychiatry is not a science! The context of this discussion was me questioning my diagnosis. He said the diagnosis is not important and psychiatry is not a science. Symptoms over lap, there are no real boundires, every thing is subjective to opinions. We should focus on the symptoms and treat the symptoms and not worry about the diagnosis classes as they often change anyway and entirely subjective. Blew me away! I never expected a psychiatrist to say this. But makes sense. So I did some googling on the topic and found this is a highly debated area, meaning it is subjective. I think at best psychiatry tries to mimic science but it is not really a true science at all. There is no way to test, or validate or verify any diagnosis as there is in true science. We only have opinions. So I thought it might be interesting to see where this topic goes here and create a poll. So many of us, me included, get stuck on the diagnosis we over look the bigger picture which still remains fuzzy. So what do you think and why?
I would say as a psychiatric social worker( retired) that it is a pseudoscience...so much is not known, not even the drugs...as with medicine and other disciplines there is an ART to it....the only real HARD SCIENCES are physics and chemistry, astronomy. Even astro physics is as much an art as a science except that if there is math involved that is an absolute but as even TIME AND SPACE are relative according to Einstein and others including Hawking, it is difficult to know where to draw the line....Even traditional medicine is called a PRACTICE and my Da was a physician and used to say ALL THE TIME...EVERYTHING is relative....Nowadays psychiatrists deal mainly with drugs and leave the counselors to do therapy....so who knows? It is still better than in the 70's and even 80's when I was a social worker at a major state facility in Oshkosh, WI.....
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