@paulhanke,
True, though Kuhn seems a bit more prescient to me. The problem with Popper's falsifiability standard is that it can be applied only to data and not to conclusions. Sure, the presence of these fossilized dinosaur bones in this layer of shale is falsifiable. But my contention that they assemble to form a velociraptor, or my contentions about the behavior of said dinosaur, are not.
And that's the thing with Freud. His data WERE falsifiable -- they were patient interviews. But from there he had to draw out themes, commonalities, etc.
To my knowledge Freud never posited the id, ego, and superego as "things". They were a way of categorizing simultaneous and conflicting processes that he observed in people's minds. That's not so hard to falsify. I mean if I want to examine everyone on earth for an id, all I need do is ask them questions about their appetite, sexual urges, and other impulses.
Fairbanks -- Freud isn't referenced much anymore, but then again neither is Darwin among evolutionary biologists. I'm an infectious diseases physician and I can tell you that no one references Koch anymore. It's not that they're irrelevant -- just that new science is many many generations removed from these foundational figures and our literature basis that we NEED to reference is a lot more recent. Even papers from the early 2000s are obsolete in many cases. Not that the science itself is obsolete, but those papers are no longer in a position to directly contribute to the state of the art.
Freudian psychoanalysis has disappeared, but analytic psychiatry in general has not. Jung, who was Freud's student, was a much greater influence on modern practice in the end. But you should read some of Irwin Yalom's writings. He's a professor of psychiatry at Stanford, and he's one of the major authorities on this subject. He wrote a phenomenal book called
Existential Psychotherapy, which is amazing to me -- to incorporate that bleakest of philosophies, i.e. that life is inherently meaningless, to something like psychotherapy that is meant to be (if nothing else) ego-supportive.
As for psychiatry and psychotropic medications, this is a common criticism levied against the specialty, but I don't entirely agree that it's a problem. There are MANY diseases for which we are not addressing the underlying problem, but we're treating the important aspect:
For example, in patients with hypertension we are not treating their underlying predisposition -- we're just lowering their blood pressure. But in-so-doing we lower their risk of coronary artery disease, stroke, renal failure, blindness, peripheral vascular disease, etc.
In patients with autoimmune diseases, like rheumatoid arthritis, we are not treating their underlying immune dysfunction, we're treating the inflammation that results from the immune dysfunction. But in doing so we decrease the amount of joint destruction.
And with depression, bipolar, schizophrenia, anxiety, etc, we thankfully have safe drugs that greatly abrogate symptoms. And thus we allow these patients to work, to maintain families, we prevent suicide, we prevent homicide, etc. It's actually miraculous. And psychiatry is a highly nuanced specialty where just making the appropriate diagnoses and choosing the correct treatment modality (drugs and/or therapy and/or substance abuse services etc) is very difficult. I spend half my time doing general inpatient medicine at a big teaching hospital, and we've had a lot of psychiatry patients lately -- a few suicide attempts, some drug overdoses, an eating disorder, some severe delirium or dementia patients -- and I don't think a single one was treated with drugs alone. In the delirium patient we took away medications, and the others were all referred for counselling in addition to drug therapy.
Just one aside note for Fairbanks -- I spent a month as a medical student back in 1999 working in the Alaska Native Tribal Health Consortium clinic in Juneau (actually the SEARHC clinic, which is part of ANTHC, which is part of the Indian Health Service), where I learned that the southeast Alaska natives have the highest rate of rheumatoid arthritis in the world. They also had exceptionally high rates of depression. Treating them with SSRIs for their depression and various antiinflammatories for their RA made an enormous difference to their lives!