Anne Harrington

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In 2013 the NIMH's then-director, Thomas Insel, called the field out in the starkest of terms. Thirty years after the biological psychiatrists declared victory, he noted, all of psychiatry's diagnostic categories were still based, not on any biological markers of disease, but merely "on a consensus about clusters of clinical symptoms." In the rest of medicine, he said scathingly, this would be "equivalent to creating diagnostic systems based on the nature of chest pain or the quality of fever."
There were a number of theories of evolution -not just Darwin's- competing for the allegiance of late nineteenth-century European scientists and intellectuals. And in ways that we largely no longer accept, virtually all of these theories taught that the overall thrust of evolution was a progressive one, in which life ascended from more primitive forms to more complex ones.
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