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Mental health culture in the 21st century is broken. After decades of influence from the anti-psychiatry movement, our conception of mental illness has become hopelessly romanticized, distorted by fictional depictions of madness that minimize the harms of debilitating conditions. It’s become fashionable to insist that mental illness is socially constructed, politically imposed, or secretly empowering. But these claims are dishonest and destructive. Psychosis is not creativity; delusion is not just another way of knowing; schizophrenia is not a sane response to an insane world. Mental illnesses are real, biological conditions that cause profound torment and destroy lives. Treating them as metaphors or identities does not liberate the afflicted. It condemns them.
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