Blogs

Essays by a diverse group of writers, in the United States and abroad, engaged in rethinking psychiatry. (The directory of personal stories can be found here, and initiatives here).

Antidepressant Anarchy in the UK

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In this blog, I want to give some personal reflections on the events of the last few weeks in relation to the Lancet antidepressant meta-analysis and the lodging of a formal complaint with the UK Royal College of Psychiatrists. The issue of antidepressant withdrawal has been brought into the public eye in the UK like never before. What happens next will be very interesting.
royal college of psychiatrists

Whose Interests Does the Royal College of Psychiatrists Really Serve?

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When you consult the Royal College of Psychiatrists' website it proclaims that one of its primary aims is to "improve the mental health of individuals, their families and communities" — thus, to act in the public interest. Recent events at the Royal College concerning its public position on the Cipriani et al. antidepressants study put that proclamation in serious doubt.
revolution

How Would We Know If We Overthrew the Mental Health System?

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What would it take to go about abolishing psychiatry? If we truly eliminated all the horrid practices that are currently committed by the mental health system, what would the world look like? What follows are 15 ways our society would need to change before we could be confident that we are free from the tyranny of the mental health system.
workhouse inmates

So What is Mental Disorder? Part 2: The Social Problem

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The English Workhouse was designed to deter people from seeking state assistance, and Victorian asylums were designed to care for poor people whose behaviour was disruptive to Workhouse routines. Madness, previously viewed as an interesting, if inconvenient, manifestation of humanity, came to be seen as a social problem in need of correction.

Stop the Shocks: Torture in Massachusetts

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For 7 hours, Andre McCollins was strapped to a 4-point restraint board and shocked 31 times while he screamed and begged and apologized. What happened to him is still legal. It wouldn’t be legal for anyone else — not convicted terrorists, not captured enemy combatants, not anybody. And it shouldn’t be: torture should not be legal. But it happens every day to disabled people.
mental illness

Creating “Mental Illness” – An Interview with Christopher Lane

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The story behind how the ICD and the DSM came to include certain mental disorder descriptions is a fascinating one. Christopher Lane, a 2005 Guggenheim Fellow, wrote about these seminal events in Shyness: How Normal Behavior Became a Sickness. We discuss what led him to write this book a decade ago, and why the questions he posed are still relevant today.
clinical trials

Rewarding the Companies That Cheated the Most in Antidepressant Trials

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When I first saw this Lancet 2018 network meta-analysis of antidepressant trials, my thought was that the authors had rewarded those companies that had cheated the most with their trials. My suspicion was strengthened when I looked at the results in their abstract and the three drugs they claimed were more effective and better tolerated.
israel mental health

A Personal Perspective on the Development of the Survivors’ Movement in Israel

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In order for there to be a real chance for significant positive changes, a strong and independent advocacy organization of our people must be established. There is no such body right now in Israel. Our deep hope is that the younger generation will establish an advocacy organization that will act on policy issues and promote rights.
electroshock

“Aha” Moments: In the World of Electroshock

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A fictional shock survivor was the narrator of my novel, but her memory loss was such that she did not know huge sections of the story she was trying to tell. In finding solutions to such problems, I came to take in not only the extent of the injury but the sheer ingenuity of the daily work that shock survivors have to do to manage and inject meaning back into their lives.
stigma of suicide

Suicidal Tendencies, Part II: The Real ‘Stigma’ of Suicide

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The true ‘stigma’ happens when someone is unable to confess the magnitude of their pain without facing the consequence of involuntary incarceration (aka hospitalization) — when someone wants to die because of how powerless and trapped they feel in this world, and the system’s response is to hastily grab their last remaining drops of power away.
integrative mental health

8 Years of Mental Health Research Distilled to 4 Infographics

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Pictures are worth a thousand words. So I’ve chosen pictures to distill the mountain of mental health research I’ve examined over the last eight years. Three infographics summarize research on psychiatric drugs, and one asserts why I think Integrative Mental Health is the best path available for mental health recovery.
Cruz school shooting

Psychiatrist Says: More Psychiatry Means More Shootings

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Psychiatry not only increases the risk of violence by giving violence-inducing drugs, it lulls patients, families, professionals, schools and the public into an unrealistic and even disastrous sense of security. It's an irony of tragic proportions: Cruz was left unsupervised and free to buy a gun because he was faithfully taking psychiatric drugs that can cause violence.
healing after psychosis

Promoting Healing After Psychosis

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It makes sense to be cautious about any kind of exploratory practice that might send someone who has been "psychotic" into another period of being lost and confused. But we should also beware the risk of trying to be too stable and "normal" after psychosis — the risk of avoiding the transformative work that might need to happen for that person.
new antidepressants

Challenging the New Hype About Antidepressants

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The extraordinary media hype over the latest meta-analysis of antidepressants puts the discussion of these drugs back years. Despite the fact that rates of prescribing have doubled over the last decade, the authors of the analysis are calling for yet more prescribing. But this latest meta-analysis simply repeats the errors of previous analyses.
medical model

Dr. Pies Defending Psychiatry’s Position on Auditory Hallucinations

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On September 4, 2017, psychiatrist Ronald Pies published an article titled: "Hearing Voices and Psychiatry’s (Real) Medical Model." Let's take a look at the six fundamental assumptions that the eminent and scholarly Dr. Pies assures us "underlie the model most psychiatrists actually use in their clinical work."
drug companies money

Taking Big Pharma to Court: Why Lawsuits Have Little Effect on Drug Companies

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2018 has already brought particular attention to the pharmaceutical industry’s “profit over patient” mentality, as drug manufacturers and distributors continue to be hit with civil cases throughout the country for their involvement in the opioid epidemic. But the sad fact is that these lawsuits are nothing new.
Marci Webber

A Mother’s Worst Nightmare Continues

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Marci Webber is a single mom who experienced a medication-induced psychotic episode, during which she killed her daughter, believing it would "save" her, and then tried to kill herself. For over seven years now, Marci and I have been trying unsuccessfully to get the mental health system and judicial system to acknowledge the true cause of her crime and let her go.
ADHD

The Scientism of Attention Deficit Hyperactivity Disorder (ADHD)

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Calling ADHD a diagnosis, i.e., something with the capacity to explain the behaviours that it describes, is like saying the headache is causing the pain in my head or the inattention is caused by inattention. Scientism has turned ADHD from a vague, difficult to pin down concept into a fact of culture masquerading as a fact of nature.
DIY lobotomy

Psychiatry’s War on Free Will

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Psychiatry’s main role was always to forcibly negate the free will of society’s outliers. Its methods included forced removal, confinement, and electrical, surgical, and chemical lobotomy. But then it sought to lure non-outliers into willingly allowing psychiatry to negate their free will, too. So it devised ways to trick people into "lobotomizing" themselves.
question

I Used to Be Psychotic and Then I Heard a Voice Again

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When I heard a voice speak to me last week, I was experiencing a response to significant events — the voice was a way for my mind to intentionally contain a confusing personal event or experience. As a professional, I am grateful for the powerful reminder that hearing voices is something to embrace and support, which includes putting aside my own prejudices.

Why Should Suicide (Or Voluntary Death) Be a Civil Right?

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Regardless of what one's moral stance is on the value of life, or the meaning of death, it is time to recognize that there are people whose views differ from ours, and that we do not have the right to force them to live (and die) the way we want to. We all die; it's the journey that matters, not the destination.

Confirmed: Las Vegas Shooter on Benzos

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A Las Vegas newspaper has released the autopsy blood toxicology report for Stephen Paddock. Three metabolites (breakdown products) of Valium were found in his blood: nordiazepam, oxazepam, and temazepam. Paddock’s autopsy report confirms he was a regular user of Valium, at least in the days leading up to the shootings.
peer support

Who Gets to Define “Peer Support?”

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The definition of “peer support” should be straightforward. But over the years, “peer support” seems to have morphed into “peer specialist” — or, to put it more bluntly, psychiatric survivors’ experiential knowledge has been co-opted by the system. How does peer-developed peer support differ from the peer staff model? And what can we do about this?
sad boy

Reflections on the Torture Parents and the Pedophile Olympic Doctor

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Parents should be very cautious about entrusting their children to any institution — private boarding schools, ballet schools, training facilities away from home. We are all best off raising our adolescents subject to our oversight, rather than entrusting them to others. Those who should protect us from trauma are harming our children.
health care

What Would a Truly Integrated System of Care Look Like?

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Imagine that you were the director of a health insurance company and you had just agreed to provide health coverage to several hundred thousand people and you will have to fund health care including mental health and alcohol/drug care too. The purpose of this blog is to show the kind of system you would have to design.