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Drug treatment for mental illness is an extremely contentious subject. As we pointed out when reviewing the American Psychiatric Association’s Diagnostic and Statistical Manual (American Psychiatric Association, 2013), (RR 2014/102) the diagnosis of such disorders is very uncertain and, to some extent, arbitrary. Mental illnesses are nearly all “spectrum disorders” – the same named disease can range in intensity from a very minor disturbance to a crippling or even life-threatening handicap. Some patients are remarkably ungrateful: a cancer patient will say “they gave me chemotherapy, which had horrible side-effects, but it got me into remission”, while a...

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