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First: You can blame the rigid philosophy of psychiatry and their dependence and blind faith in the idea that every mental disorder can either be cured or controlled with a pill.
Uh... They don't think that.
Well yes sir, with respect they do. It's a common critizism. This is opposite of psychology which depends much less on medication and more on therapy. Psychiatry's entire basis is on the idea that medication can fix these issues. Both are legitamate disciplines but politicians and program planners prefer spending a little on medication instead of a lot for years and years of therapy. They also LOVE the idea that they wont have to pay for these people to be institutionalized.
From wiki:
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While the medical specialty of psychiatry utilizes research in the field of neuroscience, psychology, medicine, biology, biochemistry, and pharmacology,[4] it has generally been considered a middle ground between neurology and psychology
...
Psychiatrists also differ from psychologists in that they are physicians and the entirety of their post-graduate training is revolved around the field of medicine.
Further:
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“ In a time of economic constraint, a "pill and an appointment" has dominated treatment. ”
—APA president Steven S. Sharfstein, Big Pharma and American Psychiatry: The Good, the Bad, and the Ugly[18]
http://en.wikipedia.org/wiki/Biopsychiatry_controversy(scroll to "Economic influences on psychiatric practice")
In terms of blame, as I pointed out Li was already institutionalized for 4 days and the psychiatists there figured once he's on his meds he's good to go. This is a
very common scenario.
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Did he know at the time? Could he even control himself at the time?
He stated so, both at his arrest and his first court appearence. Remember 'crazy' alone doesn't buy you out of prison. Unable to tell that what you did was wrong will get you out of prison.
Cheers
Akh