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I agree to an extent that "mental illness" is over diagnosed to the point that many who beleive they have some form of mental illness have simply been coerced by clever marketing and deceptive practices seeking monetary gain. But there are measures in imbalances of brain chemistry. These are essentially scientific measurements and variables of certain hormones and things like serotonin and dopamine are commonly known, as well as a handful of other things. It has also been documented that external stimulation to reduce or increase the natural levels have effects on mood and behavior.
So with that in mind, most extreme mental illnesses and the standard $$ scrip treatable ones are a result of our body being exposed to some kind of element or pollution that has an effect on our natural levels. What about people who have whatever natural levels of these hormones and brain chemicals, but are still violently psychotic? Can those people be considered mentally ill?
I was in juvenile detention for 21 days once, and in that time I met a larger but seemingly mild mannered kid. He enjoyed eating glass, and had to be in a room by himself for whatever reason for extra guard. He eventually smuggled a loose staple from an office evaluation back to his room. He tried to cut himself open with it in the shower and then retreated into is room completely exposed and started a game of try to break in with the guards. It took them a minute, he really was a big kid. He had shat all over and smeared it everywhere.
Honestly at the time I was a jerk and found it all amusing. In hindsight, I feel bad for the tortured soul, and wonder what drives someone to that level of behavior. Clearly if there is a clear cut case of someone being mentally ill, wouldn't that fit the bill??