Psychiatry in Peril: Need for a Paradigm Shift

Abstract

This article addresses the growing concern of peril in psychiatry, emphasizing the urgency of recognizing and addressing the rising incidence of psychiatric disorders. It identifies the increase in misdiagnosis and mistreatment as critical contributors to this crisis. The discussion is structured around three primary lenses—epidemiological, diagnostic, and pharmacological—each shedding light on different aspects of the issue. A key focus is on epidemiological evidence, referencing a 2020 Lancet study that highlights the significant rise in mental health disorders in India from 1997 to 2017. The study reveals that one in seven Indians has been affected by mental illness, a situation worsened by the COVID-19 pandemic. The article calls for a deeper awareness of the root causes and the need for a paradigm shift in mental health care, urging improvements in diagnosis, treatment, and awareness to tackle this growing public health challenge.

Keywords

psychiatry - mental health - diagnostic reliability - DSM critique - homeopathy in psychiatry - paradigm shift - Hahnemann's legacy

Publication History

Article published online:
11 March 2025

• References

• 1 Sharma B. Mental health: a critical overview. Homoeopath Links 2024; 37 (03) 125-126
• 2 Sagar R, Dandona R, Gururaj G. et al; India State-Level Disease Burden Initiative Mental Disorders Collaborators. The burden of mental disorders across the states of India: the global burden of disease study 1990-2017. Lancet Psychiatry 2020; 7 (02) 148-161
• 3 Moreno C, Wykes T, Galderisi S. et al. How mental health care should change as a consequence of the COVID-19 pandemic. Lancet Psychiatry 2020; 7 (09) 813-824
• 4 Duffy RM, Kelly BD. India's Mental Healthcare Act, 2017: content, context, controversy. Int J Law Psychiatry 2019; 62: 169-178
• 5 Murthy RS. National mental health survey of India 2015–2016. Indian J Psychiatry 2017; 59 (01) 21-26
• 6 Parliament of India Rajya Sabha Department-Related Parliamentary Standing Committee on Health and Family Welfare Rajya Sabha Secretariat. New Delhi August, 2023/Sravana, 1945 (SAKA). One hundred forty-eighth report “Mental health care and its management in contemporary times” pertaining to Ministry of Health and Family Welfare. . Accessed September 6, 2024 at: https://sansad.in/getFile/rsnew/Committee_site/Committee_File/ReportFile/14/187/148_2023_9_17.pdf?source=rajyasabha
• 7 Rosenhan DL. On being sane in insane places. Science 1973; 179 (4070) 250-258
• 8 Davies J. Cracked: Why Psychiatry Is Doing More Harm than Good. London: Icon Books; 2013
• 9 Rey JM, Stewart GW, Plapp JM, Bashir MR, Richards IN. Sources of unreliability of DSM-III Axis IV. Aust N Z J Psychiatry 1987; 21 (01) 75-80
• 10 Morgan CT, King RA, Weisz JR, Schopler J. Introduction to Psychology. New York, NY: McGraw Hill; 1986
• 11 Haehl R. Samuel Hahnemann: His Life and Work. New Delhi: B. Jain Publishers Pvt. Limited; 2006
• 12 Hahnemann S. Organon of Medicine. 5th and 6th ed.. New Delhi: B. Jain Publishers Pvt. Limited; 2013