Psychology vs Psychiatry

Zenmervolt

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Oct 22, 2000
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I got to thinking about this from the other thread about the term "shrink".

Psychology and Psychiatry both start with what is essentially the same premise; namely that a person's thoughts, feelings, and behaviours have discoverable causes and that those causes can either be removed, or the reactions to those causes can be modified in such a way as to alter the resultant thought, feeling, or behaviour. Psychology chooses to investigate those causes and their negation or the alteration of the reactions to them within an individual's psyche, whereas Psychiatry seeks to understand the physiological and physiochemical process that underly certain reactions.

Same basic theory, differing approaches (each legitimate in its own way).

So why then are we as a nation (in general) drawn so much more towards Psychiatry's approach rather than Psychology's? Is it simply another manifestation of the classic Western/Easter dichotomy where most western thought patterns suggest that the things which cannot be quantified or fully explained must somehow be suspect? That seems to me as though it must be an oversimplification of the issue.

Is it simply that we are looking to find results faster and so we choose drugs rather than taking the slower approach even though drugs are a treatment while Psychology can sometimes offer a cure?

Or is it that we don't like the idea of not being in control of our own minds? Psychology contains an implicit assumption that there are things within our minds that we don't get to touch or understand and can only work with our reactions thereto. Psychiatry is friendlier in that it suggest that we can take control through the alteration of our chemical make-up and in so doing seems to give us the control that Psychology implies is forbidden.

Then again, there's my own personal stumbling stone; the idea that we can be deconstructed and predicted within a certain broad spectrum as a psychological type. The idea of being "merely human" and therefore predictable (which can be seen by our own minds as being synonomous with controllable) is frightening to a nation that prides itself on individuality and so we resist the idea. Our own cognitive dissonance throws us into the side in support of Psychiatry since it doesn't seem to typecast people, even in the very broad way that Psychology does. The interesting thing about this, though, is that Psychiatry is vastly more restrictive and imposing of prediction and typology than Psychology because the very nature of Psychiatry rests on the idea that who and what we are is dependant upon chemicals and neurological pathways. We resist being lumped into large groups by Psychology even though Psychology allows one to retain his individual distinguishing characteristics, and embrace Psychiatry which not only says "You are so predictable that we know that X milligrams of chemical Y will have this effect upon you.", but also implicitly tells us that we're no different at all from the thousands of other people who are also taking x milligrams of chemical Y in order to gain that same effect. The only difference is that Psychology is up front with its classification and grouping, while all of the grouping in Psychiatry occurs on a functional level that is more difficult to see. And so our fear of being predictable drives us away from the things that are in reality less predictive and more open and understanding of new data.

Thoughts? Comments? I'd love to get some other random musings on this.

ZV
 

MrDudeMan

Lifer
Jan 15, 2001
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i would rather work on it mentally myself than take a drug to fix it. if that proved to be useless over a long period of time, then i might resort to drugs.

oh, and about the being predictable thing...i agree that is why most people shy away from going to either of these types of people for treatment. we talked about this briefly in my psych class, so i cant offer much more insight.
 

MrDudeMan

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just FYI, you may get a better response in HT. much better deep thinkers in there than the trash you will find in OT.
 

Zenmervolt

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Oct 22, 2000
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Originally posted by: Bigsm00th
just FYI, you may get a better response in HT. much better deep thinkers in there than the trash you will find in OT.
I may repost it there in search of more philosophizing, but was hoping that there was enough traffic here to pull in the quality thinkers of OT. :)

ZV
 

Mo0o

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Jul 31, 2001
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Maybe Psychiatry offers a quick immediate solution, ie curing the symptoms, while further treatment will hopefully resolve the source of these issues. Psychologists can not do that and have to rely on long term therapy, which the psychiatrist can offer anyways. So why go to a Psychologist who might just refer you to a psychiatrist anyways, why you can simply ask a Psychiatrist for both kinds of treatment?
 

msparish

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Aug 27, 2003
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Drugs actually can provide a cure in some cases. For example, we're starting to think--from much research over the past few years--that a person can be trapped into a "loop" of thinking/reacting that is beyond their control. Something triggers the reaction loop, and then neuron pathways do the rest. Some drugs can help circumvent this...essentially "rewiring" the brain so that it does not get caught in the destructive loop, giving the brain the ability to send the nerve impulse down a different path. As the brain re-learns where to send the signal, the drugs can be discontinued.

Personally, I think both are psychology and psychiatry are useful in contemporary medical practice. That said, as our knowledge of the brain's physiology continues to increase, I think we'll discover that most psychological problems have a physiological basis. As our methods, drugs, and knowledge improve, psychiatry will slowly become the field that cures mental disorders and conditions.
 

Zenmervolt

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Oct 22, 2000
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You know, this fear of predictability thing is interesting, I need to look at it more in-depth. *files that away for a future post*

ZV
 

Zenmervolt

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Oct 22, 2000
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Originally posted by: msparish
Drugs actually can provide a cure in some cases. For example, we're starting to think--from much research over the past few years--that a person can be trapped into a "loop" of thinking/reacting that is beyond their control. Something triggers the reaction loop, and then neuron pathways do the rest. Some drugs can help circumvent this...essentially "rewiring" the brain so that it does not get caught in the destructive loop, giving the brain the ability to send the nerve impulse down a different path. As the brain re-learns where to send the signal, the drugs can be discontinued.
Very interesting. I had been under the impression that drug treatments were persistent throughout a person's life. It's incredibly cool to hear that there's change on that front.

Keep 'em coming!

ZV
 

TheLonelyPhoenix

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Feb 15, 2004
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Psychiatrists go to medical school. They regard mental issues as something along the lines of "diseases". They treat problems by treating the symptoms, and they have the power to prescribe drugs and other similar treatments like any other doctor.

Psychology is the study of underlying thought processes, how the brain works and reacts to different experiences. They don't go to medical school, and only one branch (clinical psychology) deals with mental disorders - there are developmental psychologists and other branches which study different aspects of the human brain as well. The clinical psychologiists don't deal with problems as diseases, but rather underlying mindsets which need to be adjusted so the person can function relatively "normally". They don't treat by the symptoms (though they might disgnose that way), but rather the causes behind them.

At least, that's what I remember from my psych class long ago. I could be wrong.

Edit: Its important to note that I'm not saying one approach is better than any other. My psychology professor related a story to us about a former student of his who became a clinical psychologist, who went to visit a psychiatrist every week for many years. She claimed that, through talking with her psychiatrist on a weekly basis and discussing various issues, she was able to become an even better psychologist in her own field. There are merits to both approaches, and from what I learned, I'd say any good treatment for those with psychological problems should combine both aspects of both approaches.
 

MrDudeMan

Lifer
Jan 15, 2001
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Originally posted by: Mo0o
Maybe Psychiatry offers a quick immediate solution, ie curing the symptoms, while further treatment will hopefully resolve the source of these issues. Psychologists can not do that and have to rely on long term therapy, which the psychiatrist can offer anyways. So why go to a Psychologist who might just refer you to a psychiatrist anyways, why you can simply ask a Psychiatrist for both kinds of treatment?

i guess you are smarter than everyone else because no one has thought of this yet! or you are wrong. im going with option 2. if it was really this clear cut and easy, there would not be 2 distinctly different professions.