Demedicalizing Depression: An Interview with Milutin Kostić
May 22, 2024
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A practicing Serbian psychiatrist discusses challenging norms in psychiatry, critiquing genetics research in depression and advocating for de-medicalizing experiences rather than immediate diagnoses or treatments. Topics include the impact of biological narratives on patients, complexities of drug dependency, and effects of psychiatric diagnoses on identity.
Demedicalizing depression acknowledges diverse human experiences beyond simplistic genetic explanations.
Critical psychiatry challenges traditional diagnostic practices, emphasizing personalized, holistic approaches over standardized treatments.
Deep dives
Challenging Biological Psychiatry
Militin Kostich, a Serbian psychiatrist, challenges traditional biological psychiatry by emphasizing the benefits of demedicalizing depression experiences over quick drug diagnoses. Kostich's critical psychiatry approach highlights the influence of biological narratives on patients' outlook and explores the impact of psychiatric diagnoses on individual identity.
Medical Training and Critical Thinking
Kostich reflects on his medical training, where little emphasis was placed on critical thinking and understanding research methodologies like randomized control trials. His shift towards critical psychiatry was gradual, triggered by exposure to critique of DSM diagnoses, leading him to question traditional psychiatric practices.
Deconstructing Depression Diagnosis
Kostich challenges the diagnostic approach to depression, arguing that the starting premise is flawed, and diagnoses may not accurately capture the diverse experiences of individuals. He criticizes genetic research aiming to find underlying causes of depression, highlighting the complexity and heterogeneity of human experiences.
Enhancing Patient Care
In his studies, Kostich explores alternatives to traditional treatment approaches for depression. His depathologization study offers patients options beyond medication, presenting a more holistic approach that respects patients' autonomy and focuses on individual experiences rather than conforming to standardized medical treatments.
Milutin Kostić is a practicing Serbian psychiatrist trained in the tradition of biological psychiatry who has become a new figure in the critical psychiatry movement. Affiliated with the Institute of Mental Health in Belgrade, Serbia, he is currently a Fulbright scholar working alongside Lisa Cosgrove in Boston to challenge established norms in psychiatry and psychology.
Kostić utilizes his extensive training and traditional research methods to question the fundamental assumptions of his field. For example, Kostić critiques the flawed premises of genetics research in depression, arguing that it overlooks the heterogeneity of human experience. He uses analogies to illustrate how psychiatry often pathologizes normal human emotions, drawing parallels to how medical conditions are misunderstood when the context is ignored, like trying to treat the lungs alone in a society overrun by air pollution.
We will also discuss his latest study, which emphasizes the benefits of de-medicalizing experiences of depression rather than quickly resorting to diagnoses and subsequent treatments with medication or psychotherapy. His research also sheds light on the effects of biological narratives on patient perspectives, the complexities of drug dependency, and the profound impact of psychiatric diagnoses on individual identity.
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