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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Bob Johnson
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DOI:10.17265/2159-5313/2026.05.003
Greater Manchester University, Bolton, UK
DOCTORS MATTER—especially when we’re ill. So when they make grievous mistakes, as they did in 1980, and before that, in 1896—the damage is extensive, enduring and markedly resistant to cure. We humans are complex enough, even when healthy—which makes medical practice challenging at the best of times. When people are fearful and stressed, there is an understandable tendency to stick together, to cling to the familiar, and to shun those who advocate reform.
The irony is that if the earlier error had been corrected, the later calamity would never have seen the light of day. Only when these two glaring clinical anomalies are healed, can a “Fresh Manifesto for Psychiatry” emerge, as is explored here.
This paper steps outside conventional medical ranks. It seeks to explain—(1) where these two grievous medical flaws came from. (2) How a better grasp of philosophy in medical practice would have avoided them. And (3), in return, how a wider understanding of the philosophical basis on which medical practice actually currently runs, can enhance non-medical philosophy, including global governance.
“Aetiology” is here re-envisaged as—“innumerable causative factors”, and “psychosis” as “blocked logic, or thinking”. These two remarkable medical insights are then discussed and explored until they both become irresistibly clear, and thereby irrefutably applicable in everyday philosophy, especially in politics, “science”, and AI (Artificial Intelligence). Building on this base, the paper concludes with A FRESH MANIFESTO for PSYCHIATRY, in 100 words.
The paper has 7 sections—(1) Will I get better, doctor? (2) “Clinic” is Greek for “bed”. (3) Aetiology rescues Agency. (4) Psychosis sabotages Agency. (5) Listen to the patient, s/he’s telling you the diagnosis. (6) Listen to the patient, s/he’s NOT telling you the diagnosis. (7) A FRESH MANIFESTO for PSYCHIATRY. Appendix—“Nora’s” story.psychopathy, psychosis, war, A Fresh Manifesto for Psychiatry, Aetiology, consciousness, Agency, Science, verbal illusion, self-responding-ability
Bob Johnson. (2026). A Fresh Manifesto for Psychiatry Based on the Twin Crown Jewels of Clinical Medicine—Aetiology and Psychosis. Philosophy Study, Sept.-Oct. 2026, Vol. 16, No. 5, 504-521.
Please note—this paper refers principally to its two immediately preceding papers—i.e. “DNA doesn’t start our psychoses, psychopathy or wars—we do”, and “Measuring morals, scientifically”—listed below as 2026c and 2026b respectively. The other references to my publications included below, indicate further implementation of this approach, more generally, including videos, as indicated more broadly in the paper.
Advices and Queries. (1995). The Yearly Meeting of the Religious Society of Friends (Quakers) in Britain. ISBN: 0852452640
DSM-III. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington DC: American Psychiatric Association.
DSM-IV. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington DC: American Psychiatric Association. Retrieved from https://img3.reoveme.com/m/2ab8dabd068b16a5.pdf
Freud, S. (1896). The aetiology of hysteria
(Über die Ätiologie der Hysterie). Retrieved from http://lutecium.org/ftp/Freud/doc/
1896_the_aetiology_of_hysteria.doc
Freud, S. (1939). Moses and monotheism (K. Jones, Trans.). UK: The Hogarth Press.
Gøtzsche, P. (2026). Psychiatry is not a
biomedical but a psychosocial discipline. Retrieved
from https://pgtzsche1.substack.com/p/
psychiatry-is-not-a-biomedical-but
Harrow, M., Jobe, T. H., & Faull, R. N. (2014). Does treatment of schizophrenia with antipsychotic medications eliminate or reduce psychosis? A 20-year multi-follow-up study. Psychological Medicine, 44(14), 3007-3016.
Johnson, B. (1988). Dallas Texas Conference with videos from 1988. Retrieved from https://drbobjohnson.substack.com/p/dallas-texas-conference-with-videos.
Johnson, B. (2018). How verbal physiotherapy works. Trust Consent Publishing. ISBN: 0-9551985-5-0 / ISBN-13: 978-0-9551985-5-7
Johnson, B. (2023). Friendless childhoods explain war. UK: Waterside Press. ISBN-13: 978-1914603396
Johnson, B. (2025a). A rationale for irrationality, based on Breuer’s “Momentous Discovery”. Open Journal of Philosophy, 15(1), 206-216. Retrieved from https://www.scirp.org/journal/paperinformation?paperid=140596
Johnson, B. (2025b). Is FEMICIDE optional?—Breuer’s “Momentous Discovery” explains all. Open Journal of Philosophy, 15(3), 640-657. Retrieved from https://www.scirp.org/journal/paperinformation?paperid=144618
Johnson, B. (2026a). Let’s cure violence—Using willpower to control our electrons. Philosophy Study, 16(1), 86-99. Retrieved from https://www.davidpublisher.com/Public/uploads/Contribute/69a1193b3effb.pdf
Johnson, B. (2026b). Measuring morals, scientifically. Philosophy Study, 16(3), 345-365. Retrieved from https://www.davidpublisher.com/Public/uploads/Contribute/6a3de0e96fdf2.pdf
Johnson, B. (2026c). DNA doesn’t start our psychoses, psychopathy or wars—we do. Philosophy Study, 16(4), 471-485. Retrieved from https://www.davidpublisher.com/Public/uploads/Contribute/6a87f87f61fdf.pdf
Johnson, S. (2023). The prison psychiatrist’s wife. Retrieved from https://www.watersidepress.co.uk/books/the-prison-psychiatrists-wife/
Rovelli, C. (2015). Seven Brief Lessons on Physics. UK: Penguin Books.