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The traumatic power struggle within mental health
ALASTAIR KEMP and RUTH HUNT explain how ideological differences about the causes of mental illness have been leveraged to make the case for cutbacks

ONE of the most vitriolic power struggles between professional groups is happening now and goes to the very essence of what is, or is not, mental illness.

Squaring off against each other are those who believe in a biomedical or genetic basis to mental illness (in the main, psychiatrists) and those who believe mental illness is a natural response to a threat or trauma (mainly psychologists).

At the root of it, is the battle between professions for legitimacy. Who should be controlling the narrative and who should be informing policy? Yet forgotten are the service users who are most affected by such policy arguments at this level.

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