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Alienation

Alienation

Alienation is estrangement or splitting apart. The term has specialized meanings in a variety of disciplines.
- In law, "alienation" refers to a transfer of title of ownership to another party.
- In medicine, "alienation" can refer to a splitting apart of the faculties of the mind.
- An "alienist" is an old name for a psychiatrist, who attempts to reintegrate an alienated mind.
- In sociology and critical social theory as well as continental philosophy more broadly, social alienation refers to the individual subject's estrangement from its community, society, or world.

External links

- [http://www.marxists.org/archive/meszaros/works/alien/ Marx's Theory of Alienation] by István Mészáros
- [http://www.crimethinc.com/library/english/alien.html AlieNation: A Map Of Despair] by CrimethInc Category:Sociology Category:Social philosophy

Law

:This article is about law in society. For other possible meanings, see law (disambiguation). Law (a loanword from Old Norse lag), in politics and jurisprudence, is a set of rules or norms of conduct which mandate, proscribe or permit specified relationships among people and organizations, provide methods for ensuring the impartial treatment of such people, and provide punishments of/for those who do not follow the established rules of conduct. Law is typically administered through a system of courts, in which judges hear disputes between parties and apply a set of rules in order to provide an outcome that is just and fair. The manner in which law is administered is known as a legal system, which typically has developed through tradition in each country. Legal practitioners, most often, must be professionally trained in the law before they are permitted to advocate for a party in a court of law, draft legal documents, or give legal advice.

Legal traditions

There are generally four broad legal traditions that are practiced in the world today.

Civil law

The Civilian system of law is a codified law that sets out a comprehensive system of rules that are applied and interpreted by judges. It is by and large the most commonly practiced system of law in the world, with almost 60 % of the world's population living in a country ruled on the civilian system. The most important difference to common law is that normally, only legislative enactments are considered to be legally binding, but not precedent cases. However, as a practical matter, courts normally follow their previous decisions. Furthermore, in some civil law systems (e.g. in Germany), the writings of legal scholars have considerable influence on the courts. In most jurisdictions the core areas of private law are codified in the form of a civil code, but in some, like Scotland it remains uncodified. The civil law system has its origins in Roman law, which was adopted by scholars and courts from the late middle ages onwards. Most modern systems go back to the 19th century codification movement. The civil codes of many, particularly Latin countries and former French and Spanish colonies closely trail the Code de Napoléon in some fashion. However, this is not true for most Central and Eastern European, Scandinavian and East Asian countries. Notably, the German BGB was developed from Roman law with reference to German legal tradition. The importance of the Code Napoléon should also not be overemphasized as it covers only the core areas of private law, while other codes and statutes govern fields such as corporate law, administrative law, tax law and constitutional law.

Common law

The Common law is an Anglo-Saxon legal tradition, based on unwritten laws developed through judicial decisions that create binding precedent. The common law system is currently in practice in Australia, Canada (excluding Quebec), United Kingdom, and the United States (excluding Louisiana). In addition to these countries several others have adapted the common law system into a mixed system. For example, India and Nigera operate largely on a common law system but incorporate a good deal of customary law and religious law.

Customary law

Customary law are systems of law that has evolved largely on their own within a given country and have been adapted to meet the needs of the particular culture. Note that customary law may also be relevant within jurisdictions following another legal tradition in fields or subfields of law where no legislative enactment exists. For example, in Austria, scholars of private law often claim that customary law continues to exist, whereas public law scholars dispute this claim. (In any case, it is hard to find any practically relevant examples.)

Religious law

Many countries base their system of law on religious tenants. The most dominant system of this form of law is Muslim law (or "Sharia") which is a codified law that is found within the Koran. These laws deal primarily with the personal rights and dispute resolution between individuals. It is used in some Middle Eastern nations; such as in the Iran and Saudi Arabia. On a smaller level there are still regions of the world that practice canon law, which is followed by Catholics and Anglicans, and a similar legal system is used by the Eastern Orthodox Church. The same can be said for Jewish law (halakha or halacha), which is followed by Orthodox and Conservative Jews, in substantially different forms.

Bodies of law

In the broadest sense, bodies of law can be subdivided on the basis of who the parties to an action are. It is frequent that practiced fields of law overlap into several of these bodies of law.

Private law

The area of private law in a legal system concerns law that oversees disputes between private individuals. This area is, to a large extent, the most comprehensive area of law, dealing with all non-criminal harm one person does to another.

Public law

The area of public law, in a general sense, is the law in a given legal system that concerns disputes between the government and private individuals residing within the country. The state can bring actions against people for criminal acts, as well as breach of regulatory laws. Equally, individuals can bring actions against the government for harm it has done. This includes grounds on the basis of a breach of regulations, legislate on matters beyond their competence, or violation of an individuals rights. These last two points are often protected under a countries’ constitution.

Procedural law

Procedural law concerns the areas of law that regulate how all actions are dealt with. This includes who can have access to the court system, how complaints are submitted, and what are the rights of the parties involved. Procedural law is often known as "adjective" law as it is the law that concern how other laws are to be applied. Typically, this is broadly covered by a government’s civil and criminal procedure rules. But equally this includes the law of evidence which determines what means are used to prove facts, as well as, the law regarding remedies.

International law

International law governs the relations between states, or between citizens of different states, or international organizations. Its two primary sources are customary law and treaties.

Philosophy of law

Philosophy of law is a branch of philosophy and jurisprudence which studies basic questions about law and legal systems, such as "what is the law?", "what are the criteria for legal validity?", "what is the relationship between law and morality?", and many other similar questions. In the western tradition there are several schools of thought on the philosophical basis of law. First, there is natural law, which attempts to describe law as an inherent quality in humans that is derived from natures. Second, there is the positivism which believes that law is a purely human-made construct that society uses to maintain social order. Third, there is legal realism which believes that law is an arbitrary set of rules that are largely established through the tastes and preferences of judges.

Anthropology of law

:See main discussion at Honour Law has an anthropological dimension. It has been recognized from Montesquieu to the present that law is shaped by the kind of society in which it is practised. One continuum into which various societies can be placed contrasts the "culture of law" with the "culture of honour". In order to have a culture of law, people must dwell in a society where a government exists whose authority is hard to evade and generally recognised as legitimate. People take their grievances before the government and its agents, who arbitrate disputes and enforce penalties. This behaviour is contrasted with the culture of honour, where respect for persons and groups stems from fear of the revenge they may exact if their person, property, or prerogatives are not respected. Cultures of law must be maintained. They can be eroded by declining respect for the law, achieved either by weak government unable to wield its authority, or by burdensome restrictions that attempt to forbid behaviour prevalent in the culture or in some subculture of the society. When a culture of law declines, there is a possibility that an culture of honor will arise in its place.
History

Practice of law
Practice of law is typically overseen by either a government organization or independent regulating body such as a bar association or barrister society. To practice law – i.e. appear in front of a judge on behalf of someone, draft legal documents, etc. – the practitioner must be certified by the regulating body. This usually entails a two or three year program at a university’s faculty of law or a law school, followed by an entrance examination (eg. bar admissions). Once accredited, a legal practitioners will often work in law firm, as well as in government, a private corporation, or even work as sole practitioner. A significant component to the practice of law in the common law tradition involves legal research in order to determine the current state of the law. This usually entails exploring case reporters, legal periodicals, and legislation.
See also

- Law topics overview
- List of areas of law
- List of legal topics
- List of legal terms
- List of jurists
- List of legal abbreviations
- List of case law lists
- List of law firms
Further reading

- Cheyenne Way: Conflict & Case Law in Primitive Jurisprudence, Karl N. Llewellyn and E. Adamson Hoebel, University of Oklahoma Press, 1983, trade paperback, 374 pages, ISBN 0806118555
- The Bilingual LSP Dictionary. Principles and Practice for Legal language, Sandro Nielsen, Gunter Narr Verlag 1994.
- [http://browse.addall.com/Browse/Author/2088479-1 Other books by Karl N. Llewellyn]
- David, René, and John E. C. Brierley. Major Legal Systems in the World Today: An Introduction to the Comparative Study of Law. 3d ed. London: Stevens, 1985 (ISBN 0420473408).
External links

- [http://www.legalmatch.com LegalMatch] Legal Resource
- [http://ausicl.com The Australian Institute of Comparative Legal Systems]
- [http://www.lpig.org Law and Policy Institutions]
- [http://www.llbee.com/news.php?p=news Laws External Education- Legal News By Subject]
- [http://www.4lawschool.com 4LawSchool- Legal Reference]
- [http://ww3.definitions-legal.com:8567/ Law, Legal Definitions & Reference]
- [http://www.ericdigests.org/1996-3/law.htm Essentials of Law-Related Education. ERIC Digest.]
- [http://www.law.cornell.edu LII - Topical overviews, US Supreme Court decisions, US Code (Acts of Congress)]
- [http://www.worldlii.org WorldLII - The World Legal Information Institute]
- [http://www.lawmoose.com LawMoose Legal Reference Library]
- [http://legallinks.jenkinslaw.org Legal Research Links]
- [http://www.findlaw.com FindLaw]
- [http://ausicl.com The Australian Institute of Comparative Legal Systems]
- [http://www.nolo.com/glossary.cfm Everybody's Legal Glossary] - From Nolo
- [http://www.alllaw.com/ AllLaw]
- [http://legal.wikicities.com/ WikiCities Legal Site]
- Stanford Encyclopedia of Philosophy:
- [http://plato.stanford.edu/entries/law-ideology/ Law and Ideology]
- [http://plato.stanford.edu/entries/law-language/ Law and Language]
- [http://en.jurispedia.org/ The shared law] in Jurispedia
- [http://www.avocatura.com Romanian Law]
- [http://www.thedailylaw.com Daily Law news]
- [http://members.fortunecity.com/victorcauchi/lex/lexindex.htm Laws of Malta] Chapter summaries and a general Glossary of definitions.
- [http://LawyerIntl.com LawyerIntl.com] Legal Resource and Law Dictionary
- [http://LawGuru.com LawGuru.com] Legal Portal
- [http://forumprawne.org Prawo i porady prawne] - web discussion board about Polish law Category:Core issues in ethics ja:法 (法学) simple:Law th:กฎหมาย

Title (property)

Title is a legal term for an owner's interest in a piece of property. It may also refer to a formal document that serves as evidence of ownership. Conveyance of the document may be required in order to transfer ownership in the property to another person. Title is distinct from possession, a right that often accompanies ownership but is not necessarily sufficient to prove it. In many cases, both possession and title may be transferred independently of each other.

Elements

The three elements of title are possession, the right of possession, and the right of property. Possession is the actual holding of a thing, with or without any right thereto. The right of possession is the right to legitimacy of possession (with or without actual possession), the evidence for which is such that the law will uphold it unless a better claim is proven. The right of property is that right which, if all relevant facts were known (and allowed), would defeat all other claims. Each of these may be in a different person. For example, suppose A steals from B, what B had previously bought in good faith from C, which C had earlier stolen from D, which had been a heirloom of D's family for generations, but had originally been stolen centuries earlier (though this fact is now forgotten by all) from E. Here A has the possession, B has an apparent right of possession (as evidenced by the purchase), D has the absolute right of possession (being the best claim that can be proven), and the heirs of E, if they knew it, have the right of property, which they cannot prove. Good title consists in uniting these three (possession, right of possession, and right of property) in the same person(s). The extinguishing of ancient, forgotten, or unasserted claims, such as E's in the example above, was the original purpose of statutes of limitations. Otherwise, title to property would always be uncertain.

Applications

In countries with a sophisticated private property system, documents of title are commonly used for real estate, motor vehicles, and some types of intangible property. When such documents are used, they are often part of a registration system whereby ownership of such property can be verified. In the case of real estate, the legal instrument used to transfer title is the deed. A famous rule is that a thief cannot convey good title, so title searches are routine (or highly recommended) for purchases of many types of expensive property (especially real estate). However, most personal property items do not have a formal document of title. For such items, possession is the simplest indication of title, unless the circumstances give rise to suspicion about the possessor's ownership of the item. Transfer of possession to a good faith purchaser will normally convey title if no document is required.

Political Implications Of Title

Title laws have often been manipulated by governments to discriminate against ethnic groups whom they perceived to be undesirable or inferior. For example, California prevented aliens (mainly Asians) from holding title to land until the law was declared unconstitutional in 1952. Currently there are no restrictions on foreign ownership of land in the United States, although sales of real estate by non-resident aliens are subject to certain special taxation rules. Category:Property law

Medicine

Medicine is a branch of health science concerned with maintaining human health and restoring it by treating disease and injury; it is both an area of knowledge, a science of body systems and diseases and their treatment, and the applied practice of that knowledge. The practice of medical care is shared between the medical profession—physicians or doctors—and other groups of professionals, such as nurses or pharmacists (sometimes called allied health professions). Historically, only members of the medical profession proper have been considered to actually practice medicine in the strictest sense, in contrast to the allied fields of health care professionals. Clinicians can be physicians, nurses, or physician assistants -- those who provide health care or otherwise tend to their patients. The medical profession is the social and occupational structure of the group of people formally trained and authorized to apply medical knowledge. Many countries and legal jurisdictions have legal limitations on who may practice medicine or the allied medical fields. Medicine is typically seen as composed of various specialized sub-branches, such as pediatrics, gynecology, neurology, dealing with particular body systems, diseases, or areas of health. Systems of medical and healthcare practices have existed among human societies since at least the dawn of recorded history. These systems have developed in various ways in different cultures and regions. Medicine as understood in the modern period has historically been considered to be the mainstream tradition which developed in the Western world since the early modern age. Many other traditions of medicine and healthcare are still widely practiced throughout the world, most of which are still considered to be separate and distinct from Western medicine, also called biomedicine or the Hippocratic tradition. The most highly developed systems of medicine outside the Western system are the Ayurvedic tradition of India and traditional Chinese medicine. Various non-mainstream traditions of health care have also developed in the Western world distinct from mainstream medicine. The various other systems practiced among various cultures are sometimes practiced alongside or in cooperation with Western medicine, while sometimes being seen as competing traditions. Medicine is also often used amongst medical professionals as shorthand for Internal Medicine. Veterinary medicine is the practice of health care specialized for other animal species.

History of medicine

Medicine as it is practiced now is rooted in various traditions, but developed mainly in the late 18th and early 19th century in Germany (Rudolf Virchow) and France (Jean-Martin Charcot, Claude Bernard and others). The new, "scientific" medicine replaced earlier Western traditions of medicine, mostly based on the "four humours" and other pre-modern theories. The focal points of development of clinical medicine shifted to the United Kingdom and the USA by the early 1900s (Sir William Osler, Harvey Cushing). Evidence-based medicine is the recent movement to link the practice and the science of medicine more closely through the use of the scientific method and modern information science. Genomics and knowledge of human genetics is already having a large influence on medicine, as the causative genes of most monogenic genetic disorders have now identified, and the development of techniques in molecular biology and genetics are influencing medical practice and decision-making.

Practice of medicine

The practice of medicine combines both science and art. Science and technology are the evidence base for many clinical problems for the general population at large. The art of medicine is the application of this medical knowledge in combination with intuition and clinical judgment to determine the proper diagnoses and treatment plan for this unique patient and to treat the patient accordingly. Central to medicine is the patient-doctor relationship established when a person with a health concern or problem seeks the help of a physician (i.e. the medical encounter). Other health professionals similarly establish a relationship with a patient and may perform interventions from their perspective, e.g. nurses, radiographers and therapists. As part of the medical encounter, the doctor needs to:
- develop a relationship with the patient
- gather data (medical history and physical examination combined with laboratory or imaging studies)
- analyze and synthesize that data (assessment and/or differential diagnosis), and then
- develop a treatment plan (further testing, therapy, watchful observation, referral and follow-up)
- treat the patient accordingly
- assess the progress of treatment and alter the plan as necessary. The medical encounter is documented in a medical record, which is a legal document in many jurisdictions. One method that is used is called the problem-oriented medical record (POMR), which includes a problem list of diagnoses and a "SOAP" method of documentation for each visit:
- S - Subjective, the medical history of the problem from the point-of-view of the patient.
- O - Objective, the physical examination and any laboratory or imaging studies.
- A - Assessment, is the medical decision-making process including the differential diagnoses and most probable diagnoses.
- P - Plan, the way resolve the problem and monitor progress

Medical systems

Medicine is practiced within the medical system of a particular culture or government. Leaving aside tribal cultures, the most significant divide in developed countries is that between universal health care and the market based health care (such as practiced in the U.S.).

Patient-doctor relationship

The doctor-patient relationship and interaction is a central process in the practice of medicine. There are many perspectives from which to understand and describe it. An idealized physician's perspective, such as is taught in medical school, sees the core aspects of the process as the physician learning from the patient his symptoms, concerns and values; in response the physician examines the patient, interprets the symptoms, and formulates a diagnosis to explain the symptoms and their cause to the patient and to propose a treatment. In more detail, the patient presents a set of complaints or concerns about his health to the doctor, who then obtains further information about the patient's symptoms, previous state of health, living conditions, and so forth, and then formulates a diagnosis and enlists the patient's agreement to a treatment plan. Importantly, during this process the doctor educates the patient about the causes, progression, outcomes, and possible treatments of his ailments, as well as often providing advice for maintaining health. This teaching relationship is the basis of calling the physician doctor, which originally meant "teacher" in Latin. The patient-doctor relationship is additionally complicated by the patient's suffering (patient derives from the Latin patiens, "suffering") and limited ability to relieve it on his own. The doctor's expertise comes from his knowledge about, or experience with, other people who have suffered similar symptoms, and his presumed ability to relieve it with medicines or other therapies about which the patient may initially have little knowledge. The doctor-patient relationship can be analyzed from the perspective of ethical concerns, in terms of how well the goals of non-maleficence, beneficence, autonomy, and justice are achieved. Many other values and ethical issues can be added to these. In different societies, periods, and cultures, different values may be assigned different priorities. For example, in the last 30 years medical care in the Western World has increasingly emphasized patient autonomy in decision making. The relationship and process can also be analyzed in terms of social power relationships (e.g., by Michel Foucault), or economic transactions. Physicians have been accorded gradually higher status and respect over the last century, and they have been entrusted with control of access to prescription medicines as a public health measure. This represents a concentration of power and carries both advantages and disadvantages to particular kinds of patients with particular kinds of conditions. A further twist has occurred in the last 25 years as costs of medical care have risen, and a third party (an insurance company or government agency) now often insists upon a share of decision-making power for a variety of reasons, reducing freedom of choice of both doctors and patients in many ways. The quality of the patient-doctor relationship is important to both parties. The better the relationship in terms of mutual respect, knowledge, trust, shared values and perspectives about disease and life, and time available, the better will be the amount and quality of information about the patient's disease transferred in both directions, enhancing accuracy of diagnosis and increasing the patient's knowledge about the disease. In some settings, e.g. the hospital ward, the patient-doctor relationship is much more complex, and many other people are involved when somebody is ill: relatives, neighbors, rescue specialists, nurses, technical personnel, social workers and others.

Clinical skills

Main articles: Medical history, Physical examination. A complete medical evaluation includes a medical history, a physical examination, appropriate laboratory or imaging studies, analysis of data and medical decision making to obtain diagnoses, and treatment plan. The components of the medical history are:
- Chief complaint (CC) - the reason for the current medical visit.
- History of present illness (HPI) - the chronological order of events of symptoms. A mnemonic PQRST is sometimes helpful in obtaining the history:
- Provocative-palliative factors - what makes a symptom worse or better.
- Quality - description of the symptom
- Region - which part of the body is affected
- Severity - what is the intensity of the symptom; using a scale of 0-10 (10 worst)
- Timing - what is the course of the symptom
- Current activity - occupation, hobbies, what the patient actually does.
- Medications - what drugs including OTCs, and home remedies, as well as herbal remedies such as St. John's Wort. Allergies are recorded.
- Past medical history (PMH/PMHx) - other medical diagnoses, past hospitalizations and operations, injuries, past infectious diseases and/or vaccinations, history of known allergies.
- Review of systems (ROS) - an outline of additional symptoms to ask which may be missed on HPI, generally following the body's main organ systems (heart, lungs, digestive tract, urinary tract, etc).
- Social history (SH) - birthplace, residences, marital history, social and economic status, habits (including diet, medications, tobacco, alcohol).
- Family history (FH) - listing of diseases in the family that may impact the patient. A family tree is sometimes used. The physical examination is the examination of the patient looking for signs of disease. The doctor uses his senses of sight, hearing, touch, and sometimes smell (taste has been made redundant by the availability of modern lab tests). Four chief methods are used: inspection, palpation, percussion, and auscultation; smelling may be useful (e.g. infection, uremia, diabetic ketoacidosis). The clinical examination involves study of:
- Vital signs include height, weight, body temperature, blood pressure, pulse, respiration rate, hemoglobin oxygen saturation
- General appearance of the patient
- Skin
- Head, eye, ear, nose, and throat (HEENT)
- Cardiovascular - heart and blood vessels
- Respiratory - lungs
- Abdomen and rectosigmoid
- Genitalia
- Spine and extremities - musculoskeletal
- Neurological and psychiatric Laboratory and imaging studies results may be obtained, if ncessary. The medical decision-making (MDM) process involves analysis and synthesis of all the above data to come up with a list of possible diagnoses (the differential diagnoses), along with an idea of what needs to be done to obtain a definitive diagnosis that would explain the patient's problem. The treatment plan may include ordering additional laboratory tests and studies, starting therapy, referral to a specialist, or watchful observation. Follow-up may be advised. This process is used by primary care providers as well as specialists. It may take only a few minutes if the problem is simple and straightforward. On the other hand, it may take weeks in a patient who has been hospitalized with multi-system problems, with involvement by several specialists. On subsequent visits, the process may be repeated in an abbreviated manner to obtain any new history, symptoms, physical findings, and lab or imaging results or specialist consultations.

Settings where medical care is delivered

See also clinic, hospital, and hospice Medicine is a diverse field and the provision of medical care is therefore provided in a variety of locations. Primary care medical services are provided by physicians or other health professionals who has first contact with a patient seeking medical treatment or care. These occur in physician's office, clinics, nursing homes, schools, home visits and other places close to patients. About 90% of medical visits can be treated by the primary care provider. These include treatment of acute and chronic illnesses, preventive care and health education for all ages and both sex. Secondary care medical services are provided by medical specialists in their offices or clinics or at local community hospitals for a patient referred by a primary care provider who first diagnosed or treated the patient. Referrals are made for those patients who required the expertise or procedures performed by specialists. These include both ambulatory care and inpatient services, emergency rooms, intensive care medicine, surgery services, physical therapy, labor and delivery, endoscopy units, diagnostic laboratory and medical imaging services, hospice centers, etc. Some primary care providers may also take care of hospitalized patients and deliver babies in a secondary care setting. Tertiary care medical services are provided by specialist hospitals or regional centers equipped with diagnostic and treatment facilities not generally available at local hospitals. These include trauma centers, burn treatment centers, advanced neonatology unit services, organ transplants, high-risk pregnancy, radiation oncology, etc. Modern medical care also depends on information - still delivered in many health care settings on paper records, but increasingly nowadays by electronic means.

Branches of medicine

Working together as an interdisciplinary team, many highly trained health professionals besides medical practitioners are involved in the delivery of modern health care. Some examples include: nurses, laboratory scientists, pharmacists, physiotherapists, speech therapists, occupational therapists, dietitians and bioengineers. The scope and sciences underpinning human medicine overlap many other fields. Dentistry and psychology, while separate disciplines from medicine, are sometimes also considered medical fields. Physician assistants, nurse practitioners and midwives treat patients and prescribe medication in many legal jurisdictions. Veterinary medicine applies similar techniques to the care of animals. Medical doctors have many specializations and subspecializations which are listed below.

Basic sciences

- Anatomy is the study of the physical structure of organisms. In contrast to macroscopic or gross anatomy, cytology and histology are concerned with microscopic structures.
- Biochemistry is the study of the chemistry taking place in living organisms, especially the structure and function of their chemical components.
- Biostatistics is the application of statistics to biological fields in the broadest sense. A knowledge of biostatistics is essential in the planning, evaluation, and interpretation of medical research. It is also fundamental to epidemiology and evidence-based medicine.
- Cytology is the microscopic study of individual cells.
- Embryology is the study of the early development of organisms.
- Epidemiology is the study of the demographics of disease processes, and includes, but is not limited to, the study of epidemics.
- Genetics is the study of genes, and their role in biological inheritance.
- Histology is the study of the structures of biological tissues by light microscopy, electron microscopy and immunohistochemistry.
- Immunology is the study of the immune system, which includes the innate and adaptive immune system in human, for example.
- Microbiology is the study of microorganisms, including protozoa, bacteria, fungi, and viruses.
- Neuroscience is a comprehensive term for those disciplines of science that are related to the study of the nervous system. A main focus of neuroscience is the biology and physiology of the human brain.
- Nutrition is the study of the relationship of food and drink to health and disease, especially in determining an optimal diet. Medical nutrition therapy is done by dietitians and is prescribed for diabetes, cardiovascular diseases, weight and eating disorders, allergies, malnutrition and neoplastic diseases.
- Pathology is the study of disease - the causes, course, progression and resolution thereof.
- Pharmacology is the study of drugs and their actions.
- Physiology is the study of the normal functioning of the body and the underlying regulatory mechanisms.
- Toxicology is the study of hazardous effects of drugs and poisons.

Diagnostic specialties

- Clinical laboratory sciences are the clinical diagnostic services which apply laboratory techniques to diagnosis and management of patients. In the United States these services are supervised by a Pathologist. The personnel that work in these medical laboratory departments are technically trained staff, each of whom usually hold a medical technology degree, who actually perform the tests, assays, and procedures needed for providing the specific services.
- Transfusion medicine is concerned with the transfusion of blood and blood component, including the maintenance of a "blood bank".
- Cellular pathology is concerned with diagnosis using samples from patients taken as tissues and cells using histology and cytology.
- Clinical chemistry is concerned with diagnosis by making biochemical analysis of blood, body fluids and tissues.
- Hematology is concerned with diagnosis by looking at changes in the cellular composition of the blood and bone marrow as well as the coagulation system in the blood.
- Clinical microbiology is concerned with the in vitro diagnosis of diseases caused by bacteria, viruses, fungi, and parasites.
- Clinical immunology is concerned with disorders of the immune system and related body defenses. It also deals with diagnosis of allergy.
- Radiology is concerned with imaging of the human body, e.g. by x-rays, x-ray computed tomography, ultrasonography, and nuclear magnetic resonance tomography.
- Interventional radiology is concerned with using imaging of the human body, usually from CT, ultrasound, or fluoroscopy, to do biopsies, place certain tubes, and perform intravascular procedures.
- Nuclear Medicine uses radioactive substances for in vivo and in vitro diagnosis using either imaging of the location of radioactive substances placed into a patient, or using in vitro diagnostic tests utilizing radioactive substances.

Clinical disciplines

- Anesthesiology (AE), Anaesthesia (BE), is the clinical discipline concerned with providing anesthesia. Pain medicine is often practiced by specialised anesthesiologists.
- Dermatology is concerned with the skin and its diseases.
- Emergency medicine is concerned with the diagnosis and treatment of acute or life-threatening conditions, including trauma, surgical, medical, pediatric, and psychiatric emergencies.
- General practice, Family practice, family medicine or primary care is, in many countries, the first port-of-call for patients with non-emergency medical problems. Family doctors are usually able to treat over 90% of all complaints without referring to specialists.
- Hospital medicine is the general medical care of hospitalized patients. Doctors whose primary professional focus is hospital medicine are called hospitalists.
- Internal medicine is concerned with systemic diseases of adults, i.e. those diseases that affect the body as a whole , (restrictive ,current meaning) or with all adult non-operative somatic medicine (traditional , inclusive meaning) , thus excluding pediatrics , surgery , gynaecology & obstetrics and psychiatry. There are several subdisciplines of internal medicine:
- Cardiology is concerned with the heart and cardiovascular system and their diseases.
- Critical care medicine is concerned with the therapy of patients with serious and life-threatening disease or injury. Intensive care medicine employs invasive diagnostic techniques and (temporary) replacement of organ functions by technical means. Also known as Intensive care medicine. This field is often associated with Pulmonology.
- Endocrinology is concerned with the endocrine system, i.e. endocrine glands and hormones, usually Diabetes or Thyroid diseases.
- Gastroenterology is concerned with the alimentary tract.
- Geriatrics is concerned with medical care of the elderly.
- Hematology (or haematology) is concerned with the blood and its diseases.
- Hepatology is concerned with the liver and biliary tract, and is usually a part of Gastroenterology
- Infectious diseases is concerned with the study, diagnosis and treatment of diseases caused by biological agents.
- Nephrology is concerned with diseases of the kidneys.
- Oncology is devoted to the study, diagnosis and treatment of cancer and other malignant diseases, and is often grouped with Hematology.
- Pulmonology (or chest medicine, respiratory medicine or lung medicine) is concerned with diseases of the lungs and the respiratory system.
- Rheumatology is devoted to the diagnosis and treatment of inflammatory diseases of the joints and other organ systems, such as arthritis.
- Neurology is concerned with the diagnosis and treatment of nervous system diseases.
- Obstetrics and Gynecology (often abbreviated as Ob/Gyn) are concerned respectively with childbirth and the female reproductive and associated organs. Reproductive medicine and fertility medicine are generally practiced by gynecological specialists.
- Palliative care is a relatively modern branch of clinical medicine that deals with pain and symptom relief and emotional support in patients with terminal diseases (cancer, heart failure).
- Pediatrics (or paediatrics) is devoted to the care of infants, children, and adolescents. Like internal medicine, there are many pediatric subspecialities for specific age ranges, organ systems, disease classes and sites of care delivery. Most subspecialities of adult medicine have a pediatric equivalent such as pediatric cardiology, pediatric endocrinology, pediatric gastroenterology, pediatric hematology, and pediatric oncology, pediatric ophthalmology, and neonatology.
- Physical medicine and rehabilitation (or physiatry) is concerned with functional improvement after injury, illness, or congenital abnormality.
- Preventive medicine is the branch of medicine concerned with preventing disease.
- Community health care or public health is an aspect of health services concerned with threats to the overall health of a community based on population health analysis.
- Occupational medicines principal role is the provision of health advice to organisations and individuals to ensure that the highest standards of health and safety at work can be achieved and maintained.
- Psychiatry is a branch of medicine that studies and treats mental disorders. Related non-medical fields are psychotherapy and clinical psychology. There are several subdisciplines of Psychiatry:
- Child & adolescent psychiatry focuses on the care of children and adolescents with mental/emotional/learning problems (i.e., ADHD, Autism, family conflicts).
- Geriatric psychiatry focuses on the care of elderly people with mental illnesses (i.e., dementias, post stroke cognitive changes, depression).
- Addiction psychiatry focuses on substance abuse and its treatment.
- Forensic psychiatry focuses on the interface of psychiatry and the Law.
- Radiation therapy is concerned with the therapeutic use of ionizing radiation and high energy elementary particle beams in patient treatment.
- Surgical specialties - there are many medical disciplines that employ operative treatment. Some of these are highly specialized and are often not considered subdisciplines of surgery, although their naming might suggest so.
- General surgery is traditionally defined as the specialty of surgery of the skin, endocrine glands, and abdomen (and, sometimes, the mammary glands). In some countries, it is still deemed a pre-requisite training prior to progression to training in certain sub-specialties, but lately has evolved into its own sub-specialty.
- Cardiovascular surgery is the surgical specialty that is concerned with the heart and major blood vessels of the chest.
- Neurosurgery is concerned with the operative treatment of diseases of the nervous system.
- Maxillofacial surgery (technically a subspeciality of dentistry)
- Ophthalmology deals with the diseases of the eyes and their treatment.
- Orthopedic surgery consists on surgery of the locomotor system.
- Otolaryngology (or otorhinolaryngology or ENT/ear-nose-throat) is concerned with treatment of ear, nose and throat disorders. The term head and neck surgery defines a closely related specialty which is concerned mainly with the surgical management of cancer of the same anatomical structures.
- Pediatric surgery treats a wide variety of thoracic and abdominal (and sometimes urologic) diseases of childhood.
- Plastic surgery includes aesthetic surgery (operations that are done for other than medical purposes) as well as reconstructive surgery (operations to restore function and/or appearance after traumatic or operative mutilation).
- Surgical oncology is concerned with curative and palliative surgical approaches to cancer treatment.
- Urology focuses on the urinary tracts of males and females, and on the male reproductive system. It is often practiced together with andrology ("men's health").
- Vascular surgery is surgery of "peripheral" blood vessels, i.e. those outside of the chest (usually operated on by cardiovascular surgeons) and of the central nervous system (treated by neurosurgery).
- Urgent Care focuses on delivery of unscheduled, walk-in care outside of the hospital emergency department for injuries and illnesses that are not severe enough to require care in an emergency department.
Interdisciplinary fields
Interdisciplinary sub-specialties of medicine are:
- Aerospace medicine deals with medical problems related to flying and space travel.
- Bioethics is a field of study which concerns the relationship between biology, science, medicine and ethics, philosophy and theology.
- Clinical pharmacology is concerned with how systems of therapeutics interact with patients.
- Conservation medicine studies the relationship between human and animal health, and environmental conditions. Also known as ecological medicine, environmental medicine, or medical geology.
- Diving medicine (or hyperbaric medicine) is the prevention and treatment of diving-related problems.
- Evolutionary medicine is a perspective on medicine derived through applying evolutionary theory.
- Forensic medicine deals with medical questions in legal context, such as determination of the time and cause of death.
- Medical humanities includes the humanities (literature, philosophy, ethics, history and religion), social science (anthropology, cultural studies, psychology, sociology), and the arts (literature, theater, film, and visual arts) and their application to medical education and practice.
- Medical informatics and medical computer science are relatively recent fields that deal with the application of computers and information technology to medicine.
- Nosology is the classification of diseases for various purposes.
- Sports medicine deals with the treatment and preventive care of athletics, amateur and professional. The team includes specialty physicians and surgeons, athletic trainers, physical therapists, coaches, other personnel, and, of course, the athlete.
- Therapeutics is the field, more commonly referenced in earlier periods of history, of the various remedies that can be used to treat disease and promote health [http://2.1911encyclopedia.org/T/TH/THERAPEUTICS.htm] [http://www.britannica.com/eb/article-9106176?query=Therapeutics&ct=].
- Travel medicine or emporiatrics deals with health problems of international travelers or travelers across highly different evironments.
Medical education
See also Medical doctor (BE), Physician (AE), and Medical school. Medical training involves several years of university study followed by several more years of residential practice at a hospital. Entry to a medical degree in some countries (such as the United States) requires the completion of another degree first, while in other countries (such as the United Kingdom, Australia and New Zealand) medical training can be commenced as an undergraduate degree immediately after secondary education. The name of the medical degree gained at the end varies: some countries (e.g. the US) call it "Doctor of Medicine" (abbreviated 'M.D.'), while other countries (mostly following the British Oxbridge system) call it "Medicinæ Baccalaureus & Baccalaureus Chirurgiæ" (Latin for "Bachelor of Medicine/Bachelor of Surgery", Old English: "Chirurgie"); this is technically a double degree, frequently abbreviated 'MB BChir', 'MB ChB', 'MB BS' (or variations thereof), dependent on the medical school. In either case, graduates of a medical degree may call themselves physician. In the US and some other countries there is a parallel system of medicine which is equal in all aspects of education, legality, and practice to M.D.'s. It is called osteopathic medicine (generic term: "osteopathy") which awards the degree of "Doctor of Osteopathic Medicine" (abbreviated 'D.O.'). In many countries, a doctorate of medicine does not involve original research as does, in distinction, a Ph.D.. Once graduated from medical school most physicians (both M.D.'s and D.O.'s) begin their residency/house post training, where skills in a speciality of medicine are learned, supervised by more experienced doctors. The first year of residency is known as the "intern" year (USA) or "junior/pre-registration house officer" year (UK). The duration of residency training depends on the speciality. A medical graduate can then enter general practice and become a general practitioner (or primary care internist in the USA); training for these is generally shorter, while specialist training is typically longer. Medical education is a never ending endeavor. In addition to continually reading relevant medical journals, physicians require a number of continuing medical education (CME)credits annually to be recertified. These can be acquired by attending conferences, lectures, online, and through other sources.
Medical devices
See also the main articles: implant, artificial limbs, corrective lenses, cochlear implants, ocular prosthetics, facial prosthetics, somato prosthetics, surgical prosthetics, maxillo-facial prosthetics and dental implants Medical devices are devices used by health professionals as tools in diagnosis, treatment, or other aspects of patient care.
Legal restrictions
In most countries, it is a legal requirement for medical doctors to be licensed or registered. In general, this entails a medical degree from a university and accreditation by a medical board or an equivalent national organization, which may ask the applicant to pass exams. This restricts the considerable legal authority of the medical profession to doctors that are trained and qualified by national standards. It is also intended as an assurance to patients and as a safeguard against charlatans that practice inadequate medicine for personal gain. While the laws generally require medical doctors to be trained in "evidence based", Western, or Hippocratic Medicine, they are not intended to discourage different paradigms of health and healing, such as alternative medicine or faith healing.
Criticism
Criticism of medicine has a long history. In the Middle Ages, it was not considered a profession suitable for Christians, as disease was considered Godsent, and interfering with the process a form of blasphemy. Barber-surgeons generally had a bad reputation that was not to improve until the development of academic surgery as a speciality of medicine, rather than an accessory field. Through the course of the twentieth century, doctors focused increasingly on the technology that was enabling them to make dramatic improvements in patients' health. The ensuing development of a more mechanistic, detached practice, with the perception of an attendent loss of patient-focused care led to further criticisms. This issue started to reach collective professional consciousness in the 1970s and the profession had begun to respond by the 1980s and 1990s. Perhaps the most devastating criticism of modern medicine came from Ivan Illich, in his 1976 work Medical Nemesis. In his view, modern medicine only medicalises disease, causing loss of health and wellness, while generally failing to restore health by eliminating disease. The human being thus becomes a lifelong patient. Other less radical philosophers have voiced similar views, but none were as virulent as Illich. (Another example can be found in Technopoly: The Surrender of Culture to Technology by Neil Postman, 1992, which criticises overreliance on technological means in medicine.) Criticism of modern medicine has led to some improvements in the curricula of medical schools, which now teach students systematically on medical ethics, holistic approaches to medicine, the biopsychosocial model and similar concepts. The inability of modern medicine to properly address many common complaints continues to prompt many people to seek support from alternative medicine. Although most alternative approaches lack scientific validation, some report improvement of symptoms after obtaining alternative therapies. The bioscience medical paradigm and the alternative / complementary healthcare paradigms may differ to such an extent that what constitutes scientific evidence is contested. Many medical doctors also practice alternative medicine alongside the orthodox. Medical errors are also the focus of many complaints and negative coverage. Practitioners of human factors engineering believe that there is much that medicine may usefully gain by emulating concepts in aviation safety, where it was long ago realized that it is dangerous to place too much responsibility on one "superhuman" individual and expect him or her not to make errors. Reporting systems and checking mechanisms are becoming more common in identifying sources of error and improving practice. Radical critics of certain medical traditions may hold that whole fields or traditions of medicine are intrinsically harmful or ineffective. They would reject any use or support of practices belonging to that tradition. However, generally, there is spectrum of efficacy on which all traditions lie; some are more effective, some are less effective, but nearly all contain some harmful practices and some effective ones. Naturally, though, most individuals or groups seeking a healthcare practice to improve their own health would seek a tradition with the maximum degree of efficacy.
See also

- Academic conference
- Big killers
- Complementary and alternative medicine
- Health profession
- Healthcare system
- Iatrogenesis (ill health caused by medical treatment)
- List of diseases
- List of medical abbreviations
- List of medical schools
- Important publications in medicine
- Medical equipment
- Rare diseases
External links

- [http://home.planet.nl/~hend2438/MOTW/index.htm Medicine on the Web]
- [http://www.nlm.nih.gov NLM] (National Library of Medicine, contains resources for patients and healthcare professionals)
- [http://www.vh.org Virtual Hospital] (digital health sciences library by the University of Iowa)
- [http://cancerweb.ncl.ac.uk/omd/index.html Online Medical Information]- medical news, links and resources.
- [http://www.medmark.org Online Medical Directory]
- [http://www.wikimd.org/index.php?title=Free_Medical_Resources Collection of links to free medical resources] fiu-vro:Arstitiidüs als:Medizin zh-min-nan:I-ha̍k ko:의학 ja:医学 simple:Medicine th:แพทยศาสตร์

Alienist

"Alienist" was a somewhat derogatory and now obselete term for a psychiatrist or psychologist. It was given renewed attention when used in the title of the 1994 novel The Alienist by Caleb Carr.

Psychiatrist

Psychiatry is the branch of medicine that studies, diagnoses and treats mental illness and behavioral disorders. While all physicians will encounter patients with mental illnesses and any of them may treat it, psychiatrists specialize in these areas. They are more extensively trained in the differential diagnosis (the distinguishing of various forms) and treatment of mental illness and are required to keep up to date on the newest developments in the field of mental illness. Psychologists, nurse practitioners and social workers may also provide mental healthcare, though of these none may prescribe medication in the UK and only nurse practitioners may prescribe medication in the United States.

Practice of psychiatry

Psychiatry has proven to be a malleable term, meaning that it is associated with the diagnosis, treatment and prevention of mental, emotional and behavioral disorders such as major depression, schizophrenia and anxiety disorders. Psychiatry uses laboratory and imaging studies, medication and psychotherapy in diagnosing and treating psychiatric conditions. The field of psychiatry itself can be divided into various subspecialities. These include:
- Child and Adolescent Psychiatry
- Geriatric Psychiatry
- Consultation-Liaison Psychiatry
- Emergency Psychiatry
- Addiction Psychiatry
- Forensic Psychiatry Other areas of focus include mood disorders, neuropsychiatry and various forms of psychotherapy such as Psychodynamic Therapy and Cognitive Behavioral Therapy. Individuals with mental illness, typically referred to as patients or, sometimes when privately treated, clients, may come under the care of a psychiatrist or other psychiatric practitioners through various processes. This may be by self-referral or referral by a primary care physician (the two most common methods in the United States) or by hospital medical staff; or by court order, involuntary commitment or, in the UK, by sectioning under the Mental Health Act. In all circumstances the psychiatrist assesses the patient's mental and somatic (general medical) condition through interviewing the patient and/or by obtaining information from relatives, associates, carers, law enforcement personnel, nursing staff or other healthcare professionals. Physical examination is usually performed to establish or exclude other illnesses or identify any signs of self-harm. Blood tests and medical imaging may be also performed and their associated medical specialists consulted. Mental and behavioral conditions are treated with various forms of medication, therapy and counseling. Psychotherapy may be used for many conditions, either exclusively or in combination with medication. Commencing treatment with medication requires the patient to agree to this treatment (although in many countries the law provides overriding circumstances) and that they will follow the dosage prescribed. Many psychiatric medications can produce side-effects in patients and hence they may need ongoing therapeutic drug monitoring, for instance full blood counts or, for patients taking lithium salts, serum levels of lithium. Electroconvulsive therapy, a controversial practice despite claims for its efficacy, is sometimes administered for serious and disabling conditions, especially those unresponsive to medication. Psychiatric patients may be either inpatients and outpatients. Psychiatric outpatients periodically visit their psychiatrist for consultation in his or her office, usually for an appointment lasting thirty to sixty minutes. These consultations normally involve the psychiatrist interviewing the patient to update their assessment of the patient's condition and management of any medication. The psychiatrist may also provide psychotherapy. The frequency with which a psychiatrist sees patients varies widely, from days to months, depending on the type, severity and stability of each patient's condition. Inpatients are admitted to a hospital to receive psychiatric care. In the majority of cases this admission is voluntary, but it can be involuntary if the patient is in immediate danger of harming others or themselves. In a hospital setting, patients can be more carefully monitored, treated more rapidly and better protected from self-harm or harming others. Hospitalized patients are increasingly being managed in a multidisciplinary fashion, where nursing staff, occupational therapists, psychotherapists, social workers and other healthcare professionals all may contribute to a patient's care. Historically, particularly before the advent of psychiatric medication, hospital stays averaged six months or more, with a significant number of cases requiring hospitalization for many years. Today the average hospital stay is around two to three weeks, with only a small number of cases requiring long term hospitalization. On being discharged from hospital, inpatients typically become outpatients.

The DSM system

The Diagnostic and Statistical Manual of Mental Disorders (DSM) is a system of psychaitric diagnoses overseen and revised by the American Psychiatric Association and is presently (2005) in its fourth revised edition (IV-TR, published 2000). It is based on five axes:
- Axis I: Psychiatric disorders
- Axis II: Personality disorders / Mental retardation
- Axis III: General medical condition
- Axis IV: Social functioning and impact of symptoms
- Axis V: Global Assessment of Functioning (on a scale from 100 to 0) Common axis I disorders include substance dependence and abuse (e.g. alcohol dependence); mood disorders (e.g. depression, bipolar disorder); psychotic disorders (e.g. schizophrenia, schizoaffective disorder); and anxiety disorders (e.g. post-traumatic stress disorder, obsessive-compulsive disorder). Common axis II disorders include borderline personality disorder, schizotypal personality disorder, avoidant personality disorder and antisocial personality disorder. The intention is to create a set of diagnoses that are replicable and meaningful, although the categories are broad and many of the symptoms overlap. While the system was originally intended to enhance research into both diagnosis and treatment, the nomenclature is now one of two standards widely used by clinicians, administrators and insurance companies in many countries. The other standard, the ICD-10 (International Classification of Diseases-10), is less specific in its criteria for each illess.

Contrast with psychology

Psychiatry is practised by psychiatrists, who are medical doctors specializing in mental illness and who may prescribe drugs. Psychiatrists evaluate patients from a biopsychosocial perspective before prescribing treatment. In contrast, psychology is the broader study of human behaviour and thought processes, not just in the context of mental health. Clinical psychologists specialize in mental health and have extensive training in psychotherapy and psychological testing. Psychologists are generally not allowed to prescribe medications in the United States (exceptions have been made in the Department of Defense, Guam, New Mexico, and Louisiana, but the psychologist must complete a postdoctoral training program in clinical psychopharmacology and practicum, and pass a licensing examination prior to doing so). The turf battle over prescribing privileges is ongoing in the U.S. A significant subset of psychologists argue that there is an inadequate number of psychiatrists to treat all of the nation's psychiatricaly ill and that focused education in psychopharmacology is adequate to provide expert medication management. The American Psychiatric Association has long argued that psychologists lack the medical training to make the sometimes difficult diagnostic and therapeutic decisions that accompany the pharmacologic treatment of the seriously mentally ill.

Professional requirements

In the United States, psychiatrists are board certified as specialists in their field. After completing four years of medical school, physicians will practise as psychiatry residents for four years. After completing their training, psychiatrists take written and then oral board examinations, each of which has a failure rate that approaches 50%, before becoming board certified. In the United Kingdom, people work as a senior house officer (SHO) in psychiatry for 2-3 years while sitting postgraduate exams, after which they may apply for a specialist registrar post, which may be in any one of several areas of specialisation within psychiatry. In other countries, similar rules usually apply. Some psychiatrists specialize in helping certain age groups; child and adolescent psychiatrists work with children and teenagers in addressing psychological problems. Those who work with the elderly are called geriatric psychiatrists, or in the UK, psychogeriatricians. Those who practise psychiatry in the workplace are called industrial psychiatrists (this is a term used in the US but not the UK); those working in the courtroom and reporting to the judge and jury (in both criminal and civil court cases) are forensic psychiatrists. Forensic psychiatrists also treat mentally disordered offenders and other patients whose condition is such that they have to be treated in secure units. In the United Kingdom there are several different areas of specialisation in which one may train as a specialist registrar (the 3-4 final years of training required before becoming a senior doctor or consultant). They are: general adult psychiatry, child and adolescent psychiatry, psychogeriatrics, forensic psychiatry, psychotherapy, and drugs and alcohol. After this period as a specialist registrar, one has to be approved by the Royal College of Psychiatrists as an approved specialist in the chosen field before going on to apply for a consultant post in that field.

History

Psychiatric illnesses are generally characterised as disorders of the mind rather than the brain, although the distinction is not always obvious. Many conditions have been linked to biological or chemical abnormalities in the brain's psychology, but for most conditions the etiology and pathogenesis are still the subject of intense research. For a long period of history, neurology and psychiatry were a single discipline, and following their division the tremendous advances in neurosciences (especially in genetics and neuroimaging) recently are bringing areas of the two disciplines back together. Indeed, in a 2002 review article in the American Journal of Psychiatry, Professor Joseph B. Martin, Dean of Harvard Medical School and a neurologist by training, wrote that "the separation of the (neurological versus psychiatric disorders) is arbitrary, often influenced by beliefs rather than proven scientific observations. And the fact that the brain and mind are one makes the separation artificial anyway" (Martin 2002). Psychiatry was at first a pragmatic discipline that was part of general medicine, combining medicine and practical psychology. The work of Emil Kraepelin laid the foundations of scientific psychiatry. A neurologist, Sigmund Freud, used these same powers of medically-based observation to develop the field of psychoanalysis. For many years, Freudian theories dominated psychiatric thinking. The discovery of lithium carbonate as a treatment for bipolar disorder (and shortly thereafter after by the development of typical antipsychotics for treatment of schizophrenia), followed by the development of fields such as molecular biology and tools such as brain imaging has led to psychiatry re-discovering its origins in physical and observational medicine without losing sight of its humane dimension.

Opposition to and criticism of psychiatry

Anti-psychiatry

Unlike most other areas of medicine, there is a politicised anti-psychiatry movement opposed to the practices of, and in some cases the existence of, psychiatry. This phenomenon mainly originated in the 1960s and 1970s under the leadership of David Cooper, Thomas Szasz and R. D. Laing. The Church of Scientology opposes psychiatry for various reasons, mainly through its Citizens Commission on Human Rights.

Other criticisms

Others, probably a considerably larger number than those who oppose psychiatry altogether, still have problems with a number of aspects of the profession as practised today. Many believe that psychiatrists have a tendency to over-diagnose mental disorders and to prescribe medication in cases where it is not necessary (or in some cases even when medically contraindicated). Many critics question the current DSM diagnostic labels, finding some or all labels arbitrary, vague, and/or lacking in firm biological basis, leading some to describe them as pseudoscientific. However, it could be argued that many psychiatrists share such concerns, thus helping to guide the profession forward from within. Drug companies spend large amounts of money marketing psychiatric drugs. There is evidence this leads some psychiatrists to prescribe advertised drugs instead of more appropriate, better, or cheaper drugs (or prescribing them when drugs are not needed at all). The training and techniques of psychiatrists can vary substantially, according to critics, and patients often have to switch psychiatrists a few times before they find one they are satisfied with. Critics also contend training is unduly influenced by the drug industry. Misdiagnosis (one common example, unipolar depression instead of bipolar depression) remains a problem in some cases, prolonging the suffering for those patients. Also, as in any medical specialty, different individuals respond differently to a given drug; this can lead to some patients experiencing a prolonged trial-and-error process.

Related terms

- "Alienist" was a somewhat derogatory and now obselete term for a psychiatrist or psychologist.
- "Shrink", taken from "head shrinker", is a slang term for a psychiatrist or psychotherapist, sometimes treated as derogatory or offensive.

External links

- [http://www.psych.org American Psychiatric Association]
- [http://www.aacap.org American Academy of Child and Adolescent Psychiatry]

References

- Martin JB. The integration of neurology, psychiatry and neuroscience in the 21st century. Am J Psychiatry 2002; 159:695-704. [http://ajp.psychiatryonline.org/cgi/content/full/159/5/695 Fulltext]. PMID 11986119. Psychiatry Category:Applied psychology Category:Mental health ja:精神医学

Critical social theory

:This article is a discussion of critical theory as the phrase is used by the Frankfurt School. For the more general use of the term, see: critical theory Critical theory, in sociology and philosophy, is shorthand for critical theory of society or critical social theory, a label used by the Frankfurt School, i.e., members of the Institute for Social Research of the University of Frankfurt, their intellectual and social network, and those influenced by them intellectually, to describe their own work, oriented toward radical social change, in contradistinction to "traditional theory," i.e. theory in the positivistic, scientistic, or purely observational mode. In literature and literary criticism and cultural studies, by contrast, "critical theory" means something quite different, namely theory used in criticism. The original critical social theorists were Marxists, and there is some evidence that in their choice of the phrase "critical theory of society" they were in part influenced by its sounding less politically controversial than "Marxism". Nevertheless there were other substantive reasons for this choice. First, they were explicitly linking up with the critical philosophy of Immanuel Kant, where the term critique meant philosophical reflection on the limits of claims made for certain kinds of knowledge and a direct connection between such critique and the emphasis on moral autonomy. In an intellectual context defined by dogmatic positivism and scientism on the one hand and dogmatic "scientific socialism" on the other, critical theory meant to rehabilitate through its philosophically critical approach an orientation toward revolutionary agency, or at least its possibility, at a time when it seemed in decline. Second, in the context of both Marxist-Leninist and Social-Democratic orthodoxy, which emphasized Marxism as a new kind of positive science, they were linking up with the implicit epistemology of Karl Marx's work, which presented itself as critique, as in Marx's "Capital: A Critique of Political Economy". That is, they emphasized that Marx was attempting to create a new kind of critical analysis oriented toward the unity of theory and revolutionary practice rather than a new kind of positive science. Critique in this Marxian sense meant taking the ideology of a society (e.g. "freedom of the individual" or "equality" under capitalism) and critiquing it by comparing it with the social reality of that very society (e.g. subordination of the individual to the class structure or real social inequality under capitalism). It also, especially in the Frankfurt School version, meant critiquing the existing social reality in terms of the potential for human freedom and happiness that existed within that same reality (e.g. using technologies for the exploitation of nature that could be used for the conservation of nature). In the 1960's, Jürgen Habermas raised the epistemological discussion to a new level in his "Knowledge and Human Interests", by identifying critical knowledge as based on principles that differentiated it either from the natural sciences or the humanities, through its orientation to self-reflection and emancipation. The term critical theory, in the sociological or philosophical and non-literary sense, now loosely groups all sorts of work, e.g. that of the Frankfurt School, Michel Foucault, Pierre Bourdieu, and feminist theory, that has in common the critique of domination, an emancipatory interest, and the fusion of social/cultural analysis, explanation, and interpretation with social/cultural critique.

Notable figures in critical theory

- Theodor Adorno
- Walter Benjamin
- Judith Butler
- Klaus Eder
- Erich Fromm
- Henryk Grossman
- Carl Gruenberg
- Arkadij Gurland
- Jürgen Habermas
- Axel Honneth
- Max Horkheimer
- Otto Kirchheimer
- Alexander Kluge
- George Kneller
- Leo Lowenthal
- Herbert Marcuse
- Franz Neumann
- Claus Offe
- Friedrich Pollock
- Alfred Sohn-Rethel
- Rudolf Siebert
- Albrecht Wellmer

Links

- [Institute for Social Research at the University of Frankfurt www.ifs.uni-frankfurt.de/english/index.htm]
- [http://www.gseis.ucla.edu/faculty/kellner/illumina%20Folder/ Illuminations - The Critical Theory Project]

References

- "Introduction to Critical Theory: Horkheimer to Habermas" by David Held (ISBN 0-520-04175-5)
- "The Frankfurt School: An Analysis of the Contradictictions and Crises of Liberal Capitalist Societies" by Richard A. Brosio (ISBN )
- "The Essential Frankfurt School Reader" edited by Andrew Arato & Eike Gebhardt (ISBN 0-8264-0194-5)
- "The Frankfurt School and its Critics" by Tom Bottomore (ISBN 0-415-28539-9)
- "Critique, Norm, and Utopia: A Study of the Foundations of Critical Theory" by Seyla Benhabib (ISBN 0-231-06165-X)
- "Critical Theory and Society: A Reader" edited by Stephen Eric Bronner and Douglas MacKay Kellner (ISBN 0-415-90041-7)
- "Critical Theory: The Essential Readings" by David Ingram and Julia Simon-Ingram (ISBN 1-55778-353-5)
- "The Critical Theory of Religion: The Frankfurt School" by Rudolf J. Siebert (ISBN 0-8108-4140-1)

Continental philosophy

Continental philosophy is a general term for several related philosophical traditions that (notionally) originated in continental Europe, in contrast with Anglo-American analytic philosophy. Continental philosophy includes phenomenology, existentialism, hermeneutics, structuralism, post-structuralism and post-modernism, deconstruction, French feminism, critical theory such as that of the Frankfurt School, psychoanalysis, the works of Friedrich Nietzsche and Søren Kierkegaard, and most branches of Marxism and Marxist philosophy (though there also exists a self-described Analytical Marxism).

History

The distinction between continental and analytic philosophy is relatively recent, probably dating from the early twentieth century. In terms of a break in the philosophical tradition, however, its roots can be traced back to Immanuel Kant – analytic philosophy is generally not interested in the German philosophers of the nineteenth century who followed Kant, such as Hegel, Kierkegaard, Schopenhauer, Marx, and Nietzsche, except for Frege and, in the twentieth century, the Austrian Wittgenstein, who were two of the founders of analytical philosophy. What came to be called "continental philosophy" is largely descended from the tradition of those thinkers, as well as earlier thinkers like Kant who are also important to analytic philosophy. In the early-to-mid twentieth century, Germany continued to have the most vital philosophical scene in Europe, until the rise of Hitler. This had the initial effect that many of Germany's most eminent philosophers, who were largely Jewish or left-wing, had to flee abroad, particularly to America, as in the case with the members of the Frankfurt School. The remaining philosophers, particularly Martin Heidegger, the most eminent German philosopher of the time, remained due to their affiliation with Nazism. After the fall of Nazism, they often found themselves banned from teaching, and their philosophies fell out of favour. After World War II there was an explosion of interest in German philosophy in neighbouring France. On the one hand, the role of the French Communist Party in liberating France meant that it became for a brief period the largest political movement in the country. The attendant interest in communism translated into an interest in Marx and Hegel, who were both now studied extensively for the first time in the conservative French university system. On the other hand, there was a major trend towards the ideas of the phenomenologist Edmund Husserl, and toward his former disciple Martin Heidegger. Most important in this popularisation of phenomenology was the author and philosophy teacher Jean-Paul Sartre (by then a noted intellectual), who called his philosophy existentialism.

Continental philosophy in English-speaking countries

While it derives from the philosophical traditions of non-Anglophone Europe, much "continental" philosophy at least since the 1980s has been taught and written in the United States and the United Kingdom. (Also, some French and German-speaking European philosophers such as Gottlob Frege and the Vienna Circle were important contributors in the analytic tradition, but these are not generally considered continental philosophers.) While continental philosophy has a central place in university philosophy departments in Germany and France, in the English-speaking world analytic philosophy is generally taught in philosophy departments while continental philosophy is taught in various other departments, including literature, film, architecture, art history among the humanities (where it is often known as literary theory or critical theory), and sociology, anthropology, social psychology among the social sciences (where it is sometimes known as social theory or critical social theory).

Differences from analytic philosophy

There are such large differences among the various "continental" schools of thought that the

Alienation

See also

External links

Law

Legal traditions

Civil law

Common law

Customary law

Religious law

Bodies of law

Private law

Public law

Procedural law

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Philosophy of law

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Title (property)

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Medicine

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Medical education

Medical devices

Legal restrictions

Criticism

See also

External links

Alienist

Psychiatrist

Practice of psychiatry

The DSM system

Contrast with psychology

Professional requirements

History

Opposition to and criticism of psychiatry

Anti-psychiatry

Other criticisms

Related terms

See also

Lists

External links

References

Critical social theory

Notable figures in critical theory

Links

References

See also

Continental philosophy

History

Continental philosophy in English-speaking countries

Differences from analytic philosophy