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by Miriam Siegler and Humphry Osmond, 287 pp, $8.95, New York, Macmillan, 1974.

Marjorie C. Meehan, MD, Reviewer
Chicago

JAMA. 1975;231(9):982.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

No one will deny that there is widespread disagreement among psychiatrists, psychologists, and lawyers about the nature of psychiatric disorder. Siegler and Osmond attempt to clarify the situation by pointing out that mental illness and addiction are conceptualized in terms -of different models.

In the moral model, the patient's behavior is viewed as "bad," to be corrected by punishment or reward. This viewpoint is especially common in regard to alcoholism and drug addiction, but also directs much of the everyday handling of patients in mental hospitals. It forms the background of the increasingly popular behavior modification therapy.

The impaired model is applied to long-term patients who are regarded as suffering from an untreatable and probably incurable defect that requires them to receive special protection (custodial care).

In the psychoanalytic model, patients are viewed not as suffering from a specific disease but from a lifelong disorder probably due to errors in . . . [Full Text PDF of this Article]

Footnotes
Edited by Lester S. King, MD, Contributing Editor.

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