our treatment of mental illness has only become rationalized in the last 20-25 years or so
I mostly agree, except that the change began in the early 1950s, when Thorazine (the first anti-psychotic) came out. That was a huge change and the start of a tidal wave of change. And treatment still isn't very rational, it's just that we have a lot of effective drugs that we can try.
Before 1950, the situation for people with brain disorders was indeed horrific -- actually far worse than shown here. We call it "mental illness", but there's nothing mental about schizophrenia, manic-depressive illness, and other such conditions. They are brain disorders, pure and simple. Psychological treatment does not work for brain disorders.
So when the only drugs in use were alcohol and opium (which dulled the pain for a while but did not treat the condition at all), people were desperate to find treatments for those afflicted. As horrific (and usually ineffective) as these treatments were, they were serious attempts to help people whose untreated condition was even worse. This movie shows a little of the torture of the attempted treatments but less of the torture of the diseases -- Archangel's is far, far from the worst.
There are still no blood tests for these brain disorders. We have only a general idea of what causes them. The names (schizophrenia, bipolar, etc) are only umbrella designations for large groups of factors which interact in complex ways. Our knowledge of brain function, though vastly improved in the past half century, remains primitive. In 200 years, our descendants will look back on our knowledge of brain function, as we look back on our ancestors' knowledge of infection 200 years ago.
Edward
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