Public health and classifying
mental disorders
The biological revolution in psychiatry resulted in effective
biomedical treatments for identifying a number of disorders, but
it did not necessarily identify the disorders underlying
mechanisms or etiology. It has led to the adoption of a classification
system that privileges signs and symptoms at the expense of multifactoral
etiologies. And I think that this combination of the biological
revolution in psychiatry and the ascent of the Diagnostics and
Statistical Manual for Mental Disorders [dsm] has influenced public
health interventions in risk-taking behaviors. . . . In terms
of public health, it seems that the dsm classification model is
not the best model for population mental health. First of all,
theres no robust reason to assume a single cause for a psychiatric
syndrome. Theres also no robust reason to assume a neurobiological
scenario can result in only one outcome. For syndromes like Tourettes
Syndrome (TS) for instance, the biological revolution has led
to new interventions for the control of the signs of ts but has
not gotten us any closer to understanding the etiology of TS.
Howard Kushner, Nat Robertson Professor of Science and
Society, speaking on The Biological Revolution in Neuropsychiatry:
A Public Health Challenge, February 18, 2002
Criminalizing migration
Immigration law has come to be an integral part of criminal law
enforcement through a system of penalties, largely exclusion or
deportation. . . . Those of you not closely watching immigration
law may think we are talking about murder, rape, and kidnapping
when we talk about aggravated felonies. In fact, Congress in 1996
broadened this area so substantially that now we find people in
this category who technically are not felons and surely didnt
commit a crime any of us would consider an aggravated felony.
If you are an aggravated felon, you cannot get any release from
removal. Whatever other redeeming features you may have, such
as for example having been in the United States since childhood,
being married to a United States citizen, having United States
citizen children, having led a law-abiding life until this one
encounter with the lawnone of this matters if you are labeled
an aggravated felon.
Nora Demleitner, Professor of Law, St. Marys University
School of Law, speaking as part of the School of Laws Thrower
Symposium on Immigration Law, February 21, 2002