Why We Need to Abandon the Disease-Model of Mental Health Care

The idea that our more distressing emotions such as grief and anger can best be understood as symptoms of physical illnesses is pervasive and seductive. But in my view it is also a myth, and a harmful one. Our present approach to helping vulnerable people in acute emotional distress is severely hampered by old-fashioned, inhumane and fundamentally unscientific ideas about the nature and origins of mental health problems. We need wholesale and radical change, not only in how we understand mental health problems, but also in how we design and commission mental health services.

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American Schools Are Failing Nonconformist Kids. Here’s How

Of the possible child heroes for our times, young people with epic levels of the traits we valorize, the strongest contender has got to be the kid in the marshmallow study. Social scientists are so sick of the story that some threaten suicide if forced to read about him one more time. But to review: The child—or really, nearly one-third of the more than 600 children tested in the late ’60s at Bing Nursery School on the Stanford University campus—sits in a room with a marshmallow. Having been told that if he abstains for 15 minutes he’ll get two marshmallows later, he doesn’t eat it. This kid is a paragon of self-restraint, a savant of delayed gratification. He’ll go on, or so the psychologists say, to show the straight-and-narrow qualities required to secure life’s sweeter and more elusive prizes: high SAT scores, money, health.

American Schools Are Failing Nonconformist Kids. Here’s How