Varieties of social constructionism and the problem of progress in psychiatry
Chapter 11 discusses how the debates over the relationship between social factors and progress in psychiatry have been muddied by confusion over how the term “social construction” has been, and should be, used. It covers how one option is to move away from the language of social construction, like many in the literature have done since the 1990s. But this move risks obscuring the continued importance of attending to the role of the social in psychiatric progress. This chapter aims to clarify the different positions taken by social constructionists about psychiatric disorders and to advocate for what it calls “inclusionary social constructionism.” Through a comparison between the history of HIV/AIDS and the present state of schizophrenia in research and medical settings, the chapter illustrates and evaluates the space of possible characterizations of social construction by psychiatrists and philosophers of psychiatry.