The history of psychiatry and mental hygiene in a ::cough:: nutshell:
First they locked up crazy people and chained them to the wall because they thought the moon had driven them mad and made them lunatics.
Then Phillippe Pinel made them take the chains off (sorry, “struck”, in every account I’ve ever read he “struck” their chains off) and the poor lunatics were free to run around in the asylum and treated with compassion and all (but presumably were not allowed to leave).
Then came Sigmund Freud and that ushered in the next phase, in which lunatics became “the mentally ill” for the first time.
Eventually in the 1950s, Thorazine came out and started making everything all better, because before that all the mental patients were getting psychoanalysis (::insert image of people on the Bellevue ward being escorted to the therapy office for their time to lay face-up on the couch and talk about their potty training days::).
But with the advent of Thorazine, we came to realize mental illness is a chemical imbalance, and a great social stride was made by understanding that these people are sick, not bad, that it’s a medical, not a moral problem, so they are so much better off now.
Oh, then around the same time, they were doing electroshock and lobotomies. The lobotomies were Bad Things and made Vegetables out of people so everyone in psychiatry knows that was a mistake and they don’t do that any more.
But electroshock got better and safer and stuff and so it’s OK now.
Meanwhile, they started understanding what causes mental illness. At first in the 1960s we were really shooting blind and just had some theories about mental illness being a chemical imbalance in the brain, and the drugs turned people into shuffling zombies and gave them bad side effects and bad permanent damage that made them drool and twitch.
But in the 70s, and the 80s, and the 90s, and now, we’ve gotten more and more closer to being on the verge of really understanding mental illness as a chemical imbalance and having drugs that make mental illnesses go away and although yesterday’s drugs turned people into shuffling zombies and didn’t really make the problems go away, we’re so much closer now, and psych treatment is only imposed against people’s will because they are too sick to know any better and don’t realize how much the drug helps them think straight, it’s not that they hate the drugs because the drugs turn them into shuffling zombies or anything, and so mental patients are so much better off now.