Title : " The psychiatric establishment should follow the American Psychoanalytic Association’s defiant lead and retire the Goldwater Rule altogether."
link : " The psychiatric establishment should follow the American Psychoanalytic Association’s defiant lead and retire the Goldwater Rule altogether."
" The psychiatric establishment should follow the American Psychoanalytic Association’s defiant lead and retire the Goldwater Rule altogether."
Argues Jesse Singal (at New York Magazine).As Stat News reported yesterday,* earlier this month the executive committee of the American Psychoanalytic Association told its 3,500 members in an email that they should feel free to flout the Goldwater Rule... To be sure, this is a drop in the bucket in terms of the wider world of psychiatry, given that the American Psychiatric Association has more than 37,000 members...In reality? Singal's grasp of reality is way different from mine. 76% of psychiatrists are Democrats. Their political beliefs are very likely to skew their assessment of when it's "urgent" to get the word out that a political candidate is disordered and when they should "ostracize" a fellow psychiatrist who's spoken out. What happened with Goldwater is what will happen again. Even if only 1% of psychiatrists jump into the public spotlight to opine on the craziness of Candidate X, that's still 370 psychiatrists. And how many of the rest of them — the "more professionally responsible colleagues" — will passively enjoy the damage done to the candidate they'd like to see taken down? Meanwhile, a profession that needs to be believed in is going to get its credibility undermined. And that self-interest is the driving force behind the Goldwater rule.
[A] psychiatrist commenting on a public figure is simply making informed inferences based on the publicly available information, in much the same way an aviation expert might comment on a deadly plane crash without having direct access to the crash site or the details of the subsequent government investigation....
In reality, it is very unlikely that credible psychiatrists would make public statements of concern about public figures’ psychiatric well-being in all but the most urgent cases, given the potential hit to their professional reputations. Those who would take these claims too far, who would politicize vital questions of mental health, would be drowned out and ostracized by their more professionally responsible colleagues
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* I blogged that here.
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