Enough with the Questions!May 21, 2013
For several decades, since the days when I was a patient, I have seen and heard how an obsession with questions damages psychiatry. Many of us have been asked the same questions day after day, year after year: ‘Do your thoughts seem faster than normal?’, ‘Do you ever have thoughts in your mind which are not your own?’, ‘Do you feel anxious?’, and so on. Hearing only what a patient says under questioning when frozen by paralysis, or subject to the hyper-arousal of anxiety, the professional misses the opportunity to hear the threads of something new, the possibility of weaving with the patient a narrative of hope and recovery.
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Hearing Voices Network Launches Debate on DSM-5 and Psychiatric DiagnosesMay 20, 2013
The recent furore surrounding publication of the new DSM has provided a much-needed opportunity to discuss and debate crucial issues about how we make sense of, and respond to, experiences of madness and distress. Many psychiatrists, psychologists and other mental health professionals have expressed their dismay about the dominance and inadequacy of a biomedical model of mental illness. Whilst we share these concerns, welcome these debates and support colleagues that are willing to take a stand, The Hearing Voices Network believes that people with lived experience of diagnosis must be at the heart of any discussions about alternatives to the current system.
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Categorized in: Blogs, DSM, Featured Blogs, Foreign Correspondents
UK Clinical Psychologists Call for the Abandonment of Psychiatric Diagnosis and the ‘Disease’ ModelMay 13, 2013
In a bold and unprecedented move for any professional body, the UK Division of Clinical Psychology, a sub-division of the British Psychological Society, issued a Position Statement today calling for the end of the unevidenced biomedical model implied by psychiatric diagnosis. In brief, the argument is that the so-called ‘functional’ diagnoses – schizophrenia, bipolar disorder, personality disorder, ADHD and so on – are not scientifically valid categories and are often damaging in practice.
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Delirium on top of DementiaMay 9, 2013
Nowadays, with our increasingly aged population, it is probable that the main cause of psychotic symptoms in the West is dementia. But what is less obvious is that most of the symptoms of demented patients may actually be due to delirium (that is, to acute confusional states).
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Categorized in: Adult, Blogs, Dementia, Disorders, Featured Blogs, Foreign Correspondents
Colonization or Postpsychiatry?May 9, 2013
I believe the video ‘Voices Matter’ has, quite apart from capturing the spirit of the Hearing Voices movement, filmed the first signs, the first moments of professional interest, hinting at the dangers that inevitably are present when a movement threatens the established order of things.
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Categorized in: Adult, Blogs, Disorders, Featured Blogs, Foreign Correspondents, Hearing Voices, Industry
Why Neuroscience May 7, 2013
The decision by the National Institute of Mental Health to part company with the APA’s forthcoming DSM-5 should not be taken as evidence that biological psychiatry is entering a terminal decline. Far from it, as the Director of NIMH Thomas Insel’s blog of 29th April 2013 makes clear, the reason NIMH has opted for its own Research Diagnostic Criteria (RDoC) is because they believe psychiatric patients deserve something better.
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Categorized in: Blogs, Disorders, Featured Blogs, Foreign Correspondents, Research, Rethinking Psychiatry/Medical Model | Tagged as: critical psychiatry, neuro-imaging, philosophy
Witty A: Report to the PresidentMay 7, 2013
Faced with questions about the $3 Billion fine imposed on GSK – is it just the cost of doing business? – Andrew Witty snapped back: “Although corporate malfeasance cases end up looking very big, they often have their origin in just… one or two people who didn’t quite do the right thing. It’s not about the big piece. The 100,000 people who work for GSK are just like you, right? I’m sure everybody who reads the BMJ has friends who work for drug companies. They’re normal people… Many of them are doctors.”
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The Inane Search for Magic Bullets to Treat Mental IllnessMay 7, 2013
Those of you following our posts on Nutrition and Mental Health know that we ended the last one, on ‘history’, by saying that the two of us are essentially devoting our research lives to re-inventing the wheel. It is old knowledge that good nutrition is essential for mental health, and it is really old knowledge that improving nutrition can improve mental health. We are going to spend the next few blogs outlining the science and rationale that supports the role played by nutrition in wellness as well as the expression of mental illness. This information will provide modern scientific validation for the conclusions drawn by some of our ancestors, described in the previous blogs.
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Truth is Like a Lion: May 7, 2013
The Hearing Voices movement is a beautiful thing, and last year it was 25 years old. What has happened in 25 years? A confidence has grown in a different approach to hearing voices, listening and embracing rather than trying to control and silence voices. Key to this has been Hearing Voices groups and conferences, where people who hear voices are listened to with openness and curiosity. It’s not about telling people who hear voices to throw away their pills if they are taking them, its about creating spaces to listen deeply to what is happening.
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Categorized in: Adult, Blogs, Disorders, Featured Blogs, Foreign Correspondents, Hearing Voices
Treating one Disease by Causing AnotherMay 4, 2013
Treating one disease by causing another is actually a pretty mainstream therapeutic strategy in medicine – and especially psychiatry. The idea is to use a milder or temporary disease to treat a more severe or permanent one. In a recent development neuroleptic/antipsychotic drugs are being given to tens/hundreds of thousands of over-active children (aka ‘bipolar’). Parkinson’s disease certainly puts a stop to hyperactivity!
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Categorized in: ADHD, Antipsychotics, Blogs, Children and Adolescents, Disorders, Featured Blogs, Foreign Correspondents, Psychiatric Drugs, Stimulants
The “Mental Illness” Paradigm: May 2, 2013
In the New York Times’ recent autobiographical account of a “bipolar” woman’s struggle the main message is that the current mental health care system has some real problems but that the general paradigm from which this treatment model has emerged is not to be questioned. Anyone who knows my work knows that I have a real problem with this paradigm, believing that it generally causes much more harm than benefit. So, what is it then about this story that grabbed me? I recognized that if we read Linda’s story while holding a different paradigm, then this story reveals what I believe are some of the most fundamental issues at the heart of this epidemic of “mental illness” that so pervades our society.
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Brand FascismApril 30, 2013
The norm in science is that there is free access to the data underpinning experiments. If free access is denied; it’s not science. In the case of branded pharmaceuticals, we do not even know what trials have been done. What is put in the public domain is not data. The selected highlights of a football game and the comments of the pundits afterwards don’t change the score. The selected highlights of pharma studies and the comments of pundits routinely change the score.
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Categorized in: Antidepressants, Blogs, Featured Blogs, Foreign Correspondents, Industry, Psychiatric Drugs, Research
The Empire of Humbug: Not So Bad PharmaApril 24, 2013
At the 50th American Psychosomatic Society meeting in New York, Michael Shepherd was speaking. His topic – The Placebo. When the lecture finished, Lou Lasagna said “this paper is now open for questions.” Nothing happened. Nobody said anything at all. Lasagna couldn’t refrain from commenting: “There are 3 possible explanations. First, you were all asleep and therefore you heard nothing. Secondly, it was so bad that since this speaker has come 3,000 miles you didn’t want to embarrass him. Third, it is genuinely so original and new that you don’t quite know what to make of it. I’ll leave you to decide which it was”.
What had Shepherd said?
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Categorized in: Antidepressants, Blogs, Featured Blogs, Foreign Correspondents, Psychiatric Drugs, Research
The World According to Top DogApril 19, 2013
What if we lived in a world where people who heard voices were respected? What if we lived in a world where if you said you heard voices people would be intrigued and asked if you did not mind sharing what the voice had to say? What if when you said you were troubled by voices, people offered to mediate between you and the voices? This peace-making approach is what we have learned in the Hearing Voices movement.
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Categorized in: Adult, Blogs, Disorders, Featured Blogs, Foreign Correspondents, Hearing Voices
Mad Flies and Bad ScienceApril 17, 2013
Tension mounts across the ideological divide as D-Day (DSM-5 Day) approaches. The APA has powerful allies on its side. President Obama has just launched Decade of the Brain 2 with the announcement two weeks ago that heralds the arrival of BRAIN ( Brain Research through Advances in Innovative Neurotechnologies). If that’s not enough, those who believe that science will ultimately explain madness can always rely on the media to fawn at their feet.
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Categorized in: Blogs, DSM, Featured Blogs, Foreign Correspondents, Genetics, Research | Tagged as: neuroscience
The Tragedy of Lou LasagnaApril 9, 2013
In 1956, Lou Lasagna was on his way to being the most famous doctor in the United States; an advocate for controlled clinical trials of both the safety and effectiveness of medication, as well as for a revision to the Hippocratic Oath to include a holistic and compassionate approach to medicine. Then, caught in the nexus of reason, regulation, and the pharmaceutical machine, his star fell.
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Living Mindfully with VoicesApril 9, 2013
I hope this will be of help to people who hear voices and their friends and supporters. I also hope it will be helpful to the voices which are parts of many people’s lives. Many voices I have come across and the people that hear them are convinced that their voices are spiritual in nature. I take an agnostic position on this, and therefore endeavour to respect different spiritual understandings. My intention is not to explain all voices psychologically but to help people make peace with their voices so they can get on with their lives.
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Categorized in: Blogs, Community, Featured Blogs, Foreign Correspondents, Mind/Body, Non-Drug Approaches, Recovery/Empowerment, Trauma/Distress
Crazy Utopia & the Dream it Should Be
April 2, 2013
In the upper north of Berlin one finds the so-called garden city Frohnau. Here the rich and prosperous of Germany’s capital can be found; it is a community that would personify perfection if it were solely up to its residents. Enter 1996: One ugly duckling sees the light of day right in between the villas; the Weglaufhaus is erected to fight against psychiatric conventions in mental health and help those that are labelled ‘mentally ill’.
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Not So Bad PharmaMarch 28, 2013
The invitation from the London Review of Books to review Ben Goldacre’s Bad Pharma™ reads: “We were unsure, at first, what a review could add that isn’t already in the book – scrappy summaries and bits of praise are not for us. The book is of sufficient importance that the main thing is to get someone who knows what they’re talking about to present the material confidently… frame the discussion”. My head said it was inconceivable that the LRB wouldn’t take a review, even if it was at odds with the invitation to praise Bad Pharma. But my gut told me the inconceivable was about to take flesh.
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The Segregation of Psychotics and Schizophrenics in Relation to RecoveryMarch 24, 2013
Speaking as someone whose whole family has been affected by psychoses and the subsequent psychiatric treatment I am fed up with the separation and segregation that continually is and has been our lot … The stigma and discrimination foisted upon us by a psychiatric opinion, non-medical, subjective, yet taken as gospel and written in the notes.
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Categorized in: Blogs, Featured Blogs, Foreign Correspondents | Tagged as: bipolar, Bipolar Disorder, brain surgery for mental illness, complete recovery, ECT, family history of, lifelong mental illness, mental health strategy Scotland, psychiatric system, psychiatry a religion, psychological therapies, Psychosis, Recovery, remission, resistance, Schizophrenia, severe and enduring mental illness, shock treatment, Social Control
Six Fired, One Dead, No AnswersMarch 21, 2013
This post was written by Alan Cassels and first appeared in Focus magazine online in early March. The full version is here. Alan was one of the creators of the Selling Sickness, or disease mongering idea. His recent book is …
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Categorized in: Foreign Correspondents
The Petition Against DSM-5March 20, 2013
The International DSM-5 Response Committee, sponsored by Division 32 of the American Psychological Association — the Society for Humanistic Psychology — now has an online petition against the DSM-5. This is a truly international effort. Please support the petition by signing it at http://dsm5response.com
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Stigma Begins and Ends With Psychiatry: Time to Stop Labeling and DisablingMarch 16, 2013
The problem with anti-stigma campaigns, to my mind, is that they are focusing on the wrong target, society, when the real issue is to do with psychiatric diagnoses, biomedical models of mental illness and lifelong psychiatric drug prescribing that can restrict and cause disability. Therefore there will never be an end to stigma until there is a turnaround in psychiatry so that patients become people and mental illness becomes life’s problems that can happen to any of us.
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Categorized in: Blogs, Featured Blogs, Foreign Correspondents | Tagged as: anti-stigma campaigns, brain surgery for mental illness, ECT, forced treatment, governements, human rights abuses, long term chronicity, mental distress, mental illness, problems of living, psychiatric drug prescribing, psychiatric labels, Recovery, reinforcing stigma, religion of psychiatry, Social Control, stigma, survivor activists
Left Hanging: Suicide in BridgendMarch 12, 2013
In recent years however in both the US and UK there has been a rise in the number of hangings so that this mode of death now accounts for 50% of cases. A website, AntiDepAware, was recently set up to track deaths by suicide or misadventure that are related to antidepressants. It has logged over 1600 UK suicides involving antidepressants.
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Genetic Testing for Suicide RiskMarch 9, 2013
A Colorado based company, Sundance Diagnostics, contacted me a few months ago to tell me about work they are doing to develop a genetic test to predict suicide risk when patients are prescribed antidepressant drugs. Their plan is to sequence the entire human genome of about 360 patients and controls to see if antidepressant drug risk can definitively be predicted.
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Categorized in: Antidepressants, Featured Blogs, Foreign Correspondents, Psychiatric Drugs, Suicide
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