Our Necessary Shadow: The Nature and Meaning of Psychiatry by Tom Burns


Our Necessary Shadow: The Nature and Meaning of Psychiatry
eBook Our Necessary Shadow: The Nature and Meaning of Psychiatry
By Tom Burns
ISBN 1605985708
ISBN-13 9781605985701
Publication 11 September 2025
Number of Pages 384
Format Type Hardcover

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Leaves me wondering about the paradigms we proclaim today The second part of the book is where Prof Burns delves into these philosophical and pragmatic mysteries He didn t resolve them for me as I was initially hoping I m left with questions than when I started but they re defined and nuanced now In our epoch where any illness can should be elucidated biopsychosocioculturally how do you distinguish a mental illness When does suffering become pathological How does a transmuting self and self control feature in its definition e. Book our necessary shadows pdf g Depression vs OCD vs Addiction Is the province of Psychiatry really bounded by mental illness or do we aspire towards wellness Contemporary Psychiatry treats people with mental disorders.

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Which I loved I d give it 5 stars easily I thought the history of mental hospitals asylums and the closing of them was illuminating It was strange how in the past people deemed mentally ill had the right to free room and board and medical care this was before there was any kind of social safety net but now they often live on the street and this is supposed to be a huge improvement I also thought the trend first to psychoanalysis and then from talking therapy to medical psychiatry was fascinating The second half of the book The questions psychiatry asks about us and the questions we ask of it was like 4 stars for me Yes.

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Sometimes it is glaringly obvious that this person or that person is so very different that some allowance just has to be made Psychiatry would be entering dangerous territory here if it suggested that human behaviour is entirely determined or predictable Psychiatry does not insist that certain classes of individuals must be exempt from the legal process It is not the case that psychiatry pushes itself forward to plead for these troubled individuals most psychiatrists feel relatively unsure in this arena It is that the courts want all the help they can get. Owning your own shadow book page 267 USA ethicists and lawyers despair at the intrusiveness and paternalism of European psychiatrists European ethicists and psychiatrists in their tun despair at perceived clinical neglect justified as respect for autonomy dying with your rights on. Book our necessary shadow review page 270 By the time this book is published my own RCT of CTOs will be published We have randomized over 300 patients and followed them up for a year There is absolutely no effect The CTOs neither reduce relapse and readmission to hospital.

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Despite substantial curtailment of patients liberties A salutary experience for me as I have been a strong advocate for twenty years But I was clearly wrong Will practice change dramatically in the light of these results I think it should otherwise why spend years doing the research but I doubt if it willwe cannot continue to insist that coercion in the community reduces relapse and readmission CTO Community Treatment Orders RCT randomized controlled trial page 273 The luxury we do not have is to declare ourselves unsatisfied with current thinking and to tell our patients to go away and come back some years hence when we have the answers. Our Necessary shadowridge golf pages 278 9 Almost invariably the model put forward for the mind as brain is some form of analogy with computers If we are no than a computer that processes inputs according to a series of set algorithms.

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In what will be a tour de force in the field of psychiatry in all its complexity and depth this important new volume explores the essential paradox of psychiatry and offers a balanced understanding of its history and development in the medical world Much is written about psychiatry but very little that describes psychiatry itself Why should there be such a need For good or ill psychiatry is a polemical battleground criticized on the one hand as an instrument of social control while on the other the latest developments in neuroscience are trumpeted as lasting solutions to mental illness. Kindle our necessary shadows pdf Which of these strikingly contrasting positions should we believe This is the first attempt in a generation to explain the whole subject of psychiatry in this deeply thoughtful descriptive and sympathetic book Tom Burns reviews the historical development of psychiatry throughout alert to where psychiatry helps and where it is imperfect What is clear is that mental illnesses are intimately tied to what makes us human in the first place and the drive to relieve the suffering they cause is even human. Our necessary shadow kindle review Psychiatry for all its flaws currently represents our best attempt to discharge this most human of impulses it is not something we can just ignore it is our necessary shadow Our Necessary Shadow The Nature and Meaning of PsychiatryOne of the books that made me want to study medicine 1605985708 A great book with powerful insights into life as a psychiatrist in the modern world Tom states a very valid point about the state of psychiatry in the western world informs the reader of its prominent rise into the sciences and its controversial history He also describes what to expect if you are reading this book hoping to find some guidance when seeking psychiatric intervention and I was left feeling warmth compassion and authenticity from his reasoning and personal accounts This book is definetly not something you want to pick up if you fancy a humorous read it s a very serious book with the point of explaining the current state of psychiatry from the perspective of a very respected professional in the field It is in many ways I feel a call to redefine psychiatry as a helping profession as apposed to a cure all profession or at least that s the message I got from this book Tom s realism honesty and integrity shines through in this book and you kinda hope he s the psych you see if it all goes wrong Seems like such a lovely guy Good book 1605985708 A wonderful concise balanced and well written synthesis of the History and the Dilemmas of Psychiatry As a Medical Student in the process of choosing a specialty this book really strengthened the idea of a career in Psychiatry 1605985708 This is a must read if you re working in or interested in Psychiatry I also recommend it if you re an inquisitive sort like history and are curious about mental illness and health. Kindle ebook shadow operative I read it after Shrinks the untold history of psychiatry as preparation for my imminent fellowship exam But I wish I d come across it earlier I felt a sense of contentment suffuse me as I realised he was exploring questions about humanity human nature our quest to understand it and serve it the search for answers which had driven me to join Psychiatry in the first place Aside from the depth and breadth of landscape traversed it was also a pleasure to read the book s elegance of written expression. Our necessary shadow book series The first part covering the fascinating history of psychiatry has left me with a contextualised sense of our era of practice realising how young models of practice I ve been raised in are It was interesting noting how two different authors approached this with each book giving varied limelight to alternative parts of Psychiatry s history of which I found this one rounded Observing the evolution of Psychiatry from the prevailing practices of our predecessors where the appreciable illness has crossed the threshold into significant distress and dysfunction Yet I wanted to have a dialogue or debate with Prof Burns on many of the positions he takes e. Book our necessary shadows summary 5 due to being cognizant that lay readers might just accept these stances rather than recognise the heterogeneity of the research literature and alternative conceptualisations However the refreshing thing about this book and part of the reason why I found it sophisticated than Shrinks is his candour with the disclaimer at the outset and littered throughout encouraging readers to investigate for themselves At the same time points of contention contributed to lingering ambiguities and complexities which serve as gauntlets thrown down for all of us involved in creating contemporary and prospective Psychiatry There are some questions which he cogently illustrates may never be answered and yet I feel inspired than ever to try 1605985708 A comprehensive yet concise and balanced summary of psychiatric psychological history and development that highlights both the triumphs and pitfalls of the science 1605985708

Our Necessary Shadow: The Nature and Meaning of Psychiatry By Tom Burns
1605985708
9781605985701
384
Hardcover
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Our Necessary Shadow: The Nature and Meaning of PsychiatryA fantastic overview of the psychiatric system in the UK Tom Burns writes with compassion and nuance sharing both the strengths and limitations of the psychiatric system This is a necessary read for anyone wanting to understand the mental health system in the UK 1605985708 A disappointing account skims over the surface of real debate by caricaturing opposing views in order to make his own perspective seem much simple and natural than it in fact is. Our Necessary shadowville He talks about the reality of mental illness but this is only meant relative to psychiatry as a means for psychiatrists to have justified power over other people People are portrayed as victims of their illness needing help from a medical industry they can trust in a way that rings extremely hollow and disingenuous He suggests that psychiatry will fight against and deal with big pharma but I will believe that when I see it not when a psychiatrist tells me to see it. Ebook our necessary shadows free He paints a completely false picture of the past of people wholesale already having had their rebellion stage against psychiatry and needing to come back to it by imagining that figures who were outcasts in their time somehow represented the mainstream perspective of that time such as figures like Foucault and Laing There perspectives may have now come to be accepted by people and this may be difficult for those who want to enforce a psychiatric model on people but there is no going back to old models of trust in psychiatric institutions I suppose this book shows its age quickly due to how massively things have changed in our whole assessment of society since 2016 A dying call for the liberal consensus to return and be imposed on people that is simply going to fall on death ears in an era when and people are finding alternate ways to embrace their divergent identities without running back to the safety of institutional care. Our necessary shadow epub online The only interesting part about this book is the title but the actual book does not explore in any real or insightful way the notion of the shadow in our psyche it reads as a politically motivated book by a psychiatry and institutional elite insider 1605985708 My friend is a psychiatrist so I thought reading this book might give me some insights which it did The first half of the book is a history of psychiatry the questions are really interesting but Part Two of the book felt a lot like a British psychiatrist s musings on philosophical subjects For questions like Are we over medicating young boys so they fit into school settings I d like to see science and less opinions of one admittedly very thoughtful man Also while the author seems very knowledgeable of the U. Ebook our necessary shadows pdf S health system and tries to cover it well it is not central to the book That s not a bad thing but less useful to me The author states in the introduction I worry that I may have devoted too much of this book to psychiatry s mistakes and controversies I concur but I agree with him that it was a good idea in the sense that although modern psychiatry tries to make their medical view akin to other diseases there is a huge perceived difference between a broken bone and the various mental illnesses Also a lot of these controversies like closing the asylums have direct impact on our personal lives 1605985708 2. Your own book of shadows 75 stars I became bored in the middle of this book and so skimmed a lot of that The end was interesting to me as was the beginning The title about says it all as far as the author s premise. Kindle our necessary shadows review Quotes I liked page 217 If we accept that people s personalities are the result of neglect or early abuse how fair is it to hold them responsible for their actions Should a court consider these early experiences when sentencing in short how much allowance can be made for an individual s personality In the end the courts and all of us have to strike a balance People have to be held accountable for their actions otherwise civil society is simply unworkable However nor appear to confer any real benefits in terms of symptoms or general wellbeing So three studies have failed to find an advantage then where do choice and responsibility lie How can we hold people morally accountable for their behaviour Each new psychological experiment conducted within this paradigm confirms our predictability Yet somehow this just does not fit with how we understand ourselves nor with how we conduct our lives As human beings we seem to have to believe in our own free will otherwise everythingbecomes impossible Even faiths based on predetermination or fate hold their members personally accountable for their day to day behaviour 1605985708 Great book on psychiatry captures everything that psychiatry should be about The reason I only give it four stars is this I greatly liked the argument Burns makes in his Very Short Introduction to Psychiatry I picked up this book looking for but I didn t find it added much The historical account which makes up the rest of the book is one I personally have read about five times over recently so it wasn t that riveting However he s got a great empathy for the patient and understanding of the tensions in psychiatry He suggests psychiatrists have got to face these tensions not hide behind doctorly omnipotence and drugs 1605985708.

. Book our necessary shadow pdf g on military psychiatry ADHD whether substance use and personality disorders are mental illnesses the medicalization of everyday life I found myself tempted towards rating a 4