Over the last 50 years, outcomes for individuals with serious mental illness (SMI) in the US have worsened. Individuals with schizophrenia die 20 to 25 years sooner than those without SMI,1 and—although it was unthinkable 50 years ago—many find themselves incarcerated or homeless because of their psychiatric disease. Explanations include stigma, welfare state contraction, and limited access to evidence-based treatments. Less scrutinized is the role of clinical psychiatry. We suggest that clinical psychiatry’s taken-for-granted, everyday beliefs and practices about psychiatric disease and treatment have narrowed clinical vision, leaving clinicians unable to apprehend fundamental aspects of patients’ experiences.
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Braslow JT, Brekke JS, Levenson J. Psychiatry’s Myopia—Reclaiming the Social, Cultural, and Psychological in the Psychiatric Gaze. JAMA Psychiatry. Published online September 09, 2020. doi:10.1001/jamapsychiatry.2020.2722
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