OneIsEros
Rising Star
I got the joke. And I’m not saying you’re saying that shamans are psychotic. I’m saying that, they weren’t saying that either. There were certainly quacks who might have institutionalized a guy like Souther, were he time travelled back to those days and invited to share his experiences as a trained shaman… but they would be violating even their own, now outdated standards in doing so. Because again, he wouldn’t exhibit any deterioration in cognitive function, which they defined as follows:
“ Schizophrenia always involves deterioration from a previous level of functioning during some phase of the illness in such areas as work, social relations, and self-care.”
Note that word “always”. Souther would not meet any of those, and they very specifically note that this is a symptom that *must* be present for a valid diagnosis to be made. You could probably find a Nurse Ratched who would lie and institutionalize him - sure. But the authors of that diagnostic manual wouldn’t have validated her for doing so.
There’s a lot of things wrong with those old books. Sexual orientation and gender identity variance was pathologized, for example. And their treatment methods for a wide array of things were nothing short of horrifying - and are still improving, and in some respects, possibly getting worse (in the sense that pharmaceutical profit is more of a factor than it was historically). But in this particular instance, they actually didn’t fuck up too badly. They knew the difference between simple non-ordinary cognitive phenomena, and full-fledged schizophrenia. Their definition for that was significantly more stringent than you are giving them credit for, even if you could find abusive individuals who would ignore their own standards of practice.
“ Schizophrenia always involves deterioration from a previous level of functioning during some phase of the illness in such areas as work, social relations, and self-care.”
Note that word “always”. Souther would not meet any of those, and they very specifically note that this is a symptom that *must* be present for a valid diagnosis to be made. You could probably find a Nurse Ratched who would lie and institutionalize him - sure. But the authors of that diagnostic manual wouldn’t have validated her for doing so.
There’s a lot of things wrong with those old books. Sexual orientation and gender identity variance was pathologized, for example. And their treatment methods for a wide array of things were nothing short of horrifying - and are still improving, and in some respects, possibly getting worse (in the sense that pharmaceutical profit is more of a factor than it was historically). But in this particular instance, they actually didn’t fuck up too badly. They knew the difference between simple non-ordinary cognitive phenomena, and full-fledged schizophrenia. Their definition for that was significantly more stringent than you are giving them credit for, even if you could find abusive individuals who would ignore their own standards of practice.