Medicalization of Suicide as an Antipsychiatry Problem

A. Antipov
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Abstract

Suicidal behavior in the modern scientific world is considered from the perspective of different disciplines (sociology, anthropology, philosophy, etc.), but psychiatry stands out in this list, because it can directly impact the suicider. Antipsychiatry, considered as a space of problematization and criticism of psychiatry, concerns both the foundation of psychiatry and individual situations related to the implementation by psychiatrists of their functions. This is why the phenomenon of suicide attracts the attention of one of the prominent representatives of the American anti-psychiatrist movement – T. Szasz. The key point in suicide analysis for Т. Szasz is that suicide is considered as a phenomenon closely associated with mental disease, thus, it is medicalized. In this case, it becomes much more important, why suicide as a phenomenon turns into an object of study of psychiatry. Т. Szasz refers to this transformation as a transition from a sin-and-crime to an illness-as-excuse. He fairly points out that the emergence of an explanatory suicide model within the framework of psychiatry made it possible for suiciders to change their category from those accused and rejected from Christian burial and rights of inheritance to those affected by a disease, and requiring medical treatment. Besides, Т. Szasz emphasizes the situation, in which suiciders find themselves in a mental health institution. The main feature of this situation is restriction of personal freedom and the ability to have a life worth living.
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自杀的医学化是一个反精神病学问题
在现代科学界,自杀行为是从不同学科(社会学、人类学、哲学等)的角度来考虑的,但精神病学在这个列表中脱颖而出,因为它可以直接影响自杀者。反精神病学,被认为是精神病学问题化和批评的空间,既涉及精神病学的基础,也涉及与精神科医生履行其职能有关的个人情况。这就是为什么自杀现象引起了美国反精神病学家运动的著名代表之一T. Szasz的注意。自杀分析的关键点为Т。Szasz认为,自杀被认为是一种与精神疾病密切相关的现象,因此,它被医学化了。在这种情况下,更重要的是,为什么自杀作为一种现象变成了精神病学研究的对象。Т。Szasz将这种转变称为从罪恶和犯罪到以疾病为借口的转变。他公正地指出,在精神病学的框架内出现了一种解释性的自杀模式,这使得自杀者有可能改变他们的类别,从那些被指控和被拒绝接受基督教葬礼和继承权的人,变成那些受疾病影响,需要治疗的人。此外,Т。Szasz强调了这种情况,自杀者发现自己在精神卫生机构。这种情况的主要特点是限制了个人自由和过有价值生活的能力。
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