I have never been any official enemy of the AMA, despite the organization's record (of which I have limited details myself) beginning in the 1950's, of harassing my religious community and its founder.
Perhaps the bottom line is only that during a certain period of time in the Twentieth Century, like many others in America and throughout the West, allopathic medical practitioners became too arrogant.
I remember my own grandfather, who was a renowned general surgeon in Flint, Michigan, as being a humble man despite common adoration he received from the community. As a teenager, my dad could be stopped for speeding 50 mph over the limit and the cop, seeing the name on the driver's license, would immediately ask if he was related to Dr. Kretchmar. When he admitted he was Dr. Kretchmar's son, he'd get off with a warning because the cop's mother's emergency gall bladder surgery had gone so well.
My mother recalled in her aged infirmity that her father-in-law always tried to remind people, "We (doctors) don't know everything, and we cannot control everything people want us to control." Just yesterday, my wife and I finally scattered my mother's ashes after keeping them on a shelf for seven years.
There was also a girl whom I had loved but decided not to marry, almost a lifetime ago. Going forward through the years, of course I lost touch with her. But I did know that at some point she had gone to work at AMA headquarters in Chicago. Recently I was in that building on a research errand and I asked the very pleasant lady who was assisting me in archives if she had ever heard of my long-ago paramour. To my surprize, she did know of her, but didn't think she worked for AMA any longer. Nevertheless, the connection somehow made me happy as I was leaving.
The bottom line is, I've never had a personal categorical animus against the AMA. But what other organization can be said to represent American doctors in their validation of psychiatry? The AMA formally accepted psychiatry as a medical specialty in 1934, when it approved the creation of the American Board of Psychiatry and Neurology (ABPN). Psychiatry was one of the first specialties to be organized under an emerging system of specialty boards, which were overseen in part by the AMA and later the American Board of Medical Specialties (ABMS). That formal acceptance encouraged state legislatures to allow psychiatrists to use legal force to recruit "patients", because in theory that force was "help". But in actual fact, psychiatry never provided benefits like real medicine. Unlike real medicine, it always caused net harm. And more fundamentally, "help" that goes unrecognized as such by the supposed beneficiary simply is not help. Things can be intended as help; but if intentions fail, they do not change a harmful result.
Courts have come to accept anything written about a mental patient, even whether the writer is called a doctor or a security guard, nurse, social worker, etc., as valid evidence from a medical record. When the patient protests that a report is untrue, he/she is discredited as, after all, "mentally ill." The way it works is, anyone who doesn't agree they are mentally ill thereby conclusively proves whatever "diagnosis" a state psychiatrist has slandered them with; there is no other or any better proof of any disorder in the DSM.
As I wrote in the very first article I ever published on this blog, psychiatrists in state institutions are confused about whether they are healers, jailors, or overall experts in sociology and law; and patients don't know why they are there or how to get out. Nobody's happy about it, and the public who foot the bill don't want to see, hear, or speak about the evil that's going on under a very thin guise of medically "treating" bad behavior, poor thinking and unpleasant emotions. Almost unbelievable failures of judgment bring us such preposterous policies as J. B. Pritzker's recently celebrated "universal mental health screening" mandate for all Illinois public school children. (This will never actually happen, but much money and good will certainly will be squandered on useless attempts to make it happen.)
The real issue is the difference between helping a person and controlling a person. Psychiatry has attempted to erase any line between the two actions and confuse them. The result is everyone suspects all offers of help, because from their clear experience, offers of help mostly threaten cruel betrayal. "Here, take this pill to correct the chemical imbalance in your brain, and cure your depression." (Oops, there goes your sexuality, and when you stop taking the pills, you'll be tortured by withdrawal!) "Here, we'll just shoot electricity through your brain and you'll feel better." (Oops, there goes your memory, your whole identity!) "Here, trip with psychedelics, you'll have amazing revelations about yourself and the world." (Oops, bad trip, now you're insane and you can never go back, so believe in me and let's have sex!")
I've written many times, and I continue to write almost every day, that coercion in mental health care is a fundamental insult to both scientific medicine and rational law. It degrades and undermines the most important bases of civilized society. Every intelligent person knows this instinctively, which is precisely why the Illinois Mental Health and Developmental Disabilities Code is nearly as voluminous as the tax code: complexity is spawned by lies. We lie to each other and ourselves when we pretend we can help people by forcing them to take drugs they don't want and forcing them to say they believe things they don't believe. Minds are not changed by medicine, only bodies are. Brains cannot be minds, even by the best Twentieth Century mystical apotheosis.
Doctors are commonly presumed to be smart people. They had to go to college, and get into medical school, and go through long medical internships and residencies, and pass licensing exams, right? That proves they are smart, and we should all listen to them. But intelligence is really the ability and the constant, disciplined habit of discerning truth in microcosms and in the macrocosm. When a smart person starts lying, they lose intelligence very rapidly. Soon enough, they must resort to force in dealing with their fellows and the world.
Maybe the AMA started lying a lot, to recruit the force of the law in favor of their members' profession. Maybe they had to put a thumb on the scales of justice when they were afraid to admit, as my grandfather freely did, that doctors don't know everything and can't control as much as we all wish they could, to make us happy and immortal.
But the AMA's lies helped to bring us Elgin Mental Health Center, and Chester, Packard, Choate, Alton, Chicago-Read, and Madden: the whole plantation system of psychiatric slavery in Illinois! James Baker in Master Malis-with-malice's chains. Countless unknown, damaged people, and unmeasurable shame.
I am an abolitionist. I'll happily tear down part of what the AMA built.
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