Abstract

Awais Aftab’s response to my article is informative because it expresses what I suspect is a widespread but confused inclination among psychiatrists to “have their cake and eat it.” On the one hand they do not want to be branded as reductionists, so they deny they are equating mental disorder with brain disease or brain mechanisms. Yet, they want to maintain a role for physical causation in mental disorder, because without it the link between psychiatry and medicine starts to look tenuous.Reductionism is the implication of what Aftab is saying, however. By denying any important distinction between behavior produced by a brain disease and other, non-disease driven behavior (which I refer to here as “ordinary...