Abstract
Like any other intellectual and practical discipline (or, indeed, institution or culture), psychiatry needs a stable conceptual scaffolding. Such a structure can be found only after much effort, well hidden from the view of ordinary users. All the latter can see is putative “empirical facts” and (of late) what is grandly called “evidence-based” guidelines for their diagnostic and therapeutic interventions. What is more, since the nineteenth century, decisions as to which “scaffolding” to accept and what “facts” and “rules” to follow have been taken by small, changing cliques and are well beyond the control of ordinary users. This vaticanisation of psychiatry started in continental Europe and has since moved across the English Channel.
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Berrios, G.E. (2001). The History of Psychiatric Concepts. In: Henn, F., Sartorius, N., Helmchen, H., Lauter, H. (eds) Contemporary Psychiatry. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59519-6_24
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