Since the 1970s, psychiatry has been in the grip of a paradigm I call ‘madness-as-dysfunction’. In this view, mental disorders happen when something inside the person isn’t working as it should, or is ‘broken.’ In his previous work, Justin Garson has identified an alternate paradigm, which he calls ‘madness-as-strategy,’ which sees mental illness in terms of purpose, adaptation and function. In this lecture, Justin contrasts these frameworks and outlines their implications for research, ...
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