CinVA, I agree.
This reminds me a lot of the autism advocacy movement. There are good points, but also a lot of sound and fury and rhetoric that gets in the way of clear headed discussion.
I guess for me the line is, does your condition cause such a disruption in your faculties that you're incapable of functioning in the world? Without treatment, are you likely to suffer greatly, cause yourself harm, cause harm to others, or become a target for predators? If so, then treatment is needed. If not, then not.
I look at it this way...
I have Autism Spectrum Disorders (ASD) and ADHD. But I'm able to hold down a job, raise my family, manage my houshold, pay bills, and generally be a responsible citizen. So...no interventions are required. If I start to go off the rails and really start to struggle, then interventions are needed.
difficult child has Autism Spectrum Disorders (ASD) and bipolar. Last time he was left untreated, he went after his sister with a butcher knife, went on a local crime spree, had significant paranoia and mania. Right now, he cannot manage even basic self-care without significant medical intervention and 24 hour supervision. His psychiatrist predicts that, left to his own devices with no treatment, he would be homeless in a day, and dead in a ditch within a week or less. So...we have assisted living. We have a cocktail of medications. We have 24/7 supervision, an on-call crisis team, psychiatrist, therapist, therapists, sensory intervention, blah, blah, blah...because without them difficult child would not survive, let alone have anything remotely resembling a peaceful or happy life.
Now, if you asked difficult child, he'd tell you that he can live on his own, he doesn't need any of that stuff, he'd be just fine.
Some of those Icarus activists might say that I'm forcing treatment on difficult child against his will, and I should let him choose for himself how his care should be managed. But, if my son is not capable of tying his shoes without a checklist to remind him, is he really capable of making a sound rational decision about whether or not to agree to medical interventions?
Trinity