A psychiatrically "created" field
Mr. Wilson Hulley, Executive Staff Member of the President's Committee on the Employment of People With Disabilities, is a brain injury survivor who said the field of rehab has been created by psychologists and psychiatrists. "It's easier for them to justify a person's rehab because they can do it from a 'creative' standpoint, as opposed to a medical standpoint."
Dr. Taylor said the kind of treatment given to brain- injured patients in institutions makes patients worse, not better.
"Now what happens when you put someone into an institution, is that the institution exacerbates any of those problems and creates a lot of those problems," says Taylor. "Within the institutional environment people are expected to be compliant. It goes back to 'One Flew Over The Cuckoo's Nest' and [Jack] Nicholson. It's that kind of thing. If the person doesn't conform to the rigid block treatment on the ward or unit, the response -- and this is where institutions are especially dangerous -- the response is to drug people up so that they become compliant."
Brain injury rehab is still big business. According to official estimates, there are at least 2,500 people who are severely brain injured in Ontario alone and each will cost at least $110,000 per year for their "treatment." This translates to an incredible $274 million in new business every 12 months. All of which could be summed up as a lot of money to invest with very little returns.
Brain injury is not a new problem. What is new is that the field has been taken over by profiteers, acting under the guise of medicine. According to Mike Boyd, a brain injury survivor from California who testified before a 1992 Congressional hearing on the brain injury rehab field, the psychiatric community "is running amok" and has taken over the field of brain injury, which has been completely subverted by psychiatric vested interests whose primary purpose is profit, not patient care.
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