The seemingly unstoppable political alliance made up of NAMI, the American Psychiatric Association (which represents 24,000 psychiatrists), the financial lobbying power of the corporate drug industry, and a chorus of fear-mongering politicians, achieved a great political victory this week when president Obama signed the Medicaid DocFix legislation into law.
Federal law now sanctions -and now will provide $60 million dollars to help fund – the forced community psychiatric treatment that is legally carried out in 45 states.
This week the House will have hearings on the Murphy legislation, that in part aims to purge SAMSHA, will also reflect the political agenda of the same NAMI-led alliance that I identified above.
Despite the valiant decades-long daily efforts to stop forced treatment by the National Empowerment Center, MindFreedom, the Bazelon Center for Mental Health Law, PsychRights, the ACLU, and countless dedicated consumer/survivor/peer human rights activists plus the efforts of the National Coalition For Mental Health Recovery, and a recent position by the UN equating forced treatment with torture, we are still now seeing this legislation supporting forced treatment as part of the national political landscape.
To me this disaster confirms my long-held belief that the mental health reform movement, often voiced here on MIA, needs a more robust political ground game. One that can compete with the NAMI-led coalition in ways not frequently done before.
Based on almost 35 years opposing the NAMI-led political machine operating in California, I believe there is a need for an enhanced strategy that can challenge, and in time defeat the brilliantly orchestrated political alliance that has systematically lobbied for and succeeded in passing forced treatment laws at the state level and secured this week’s national legislative victory.
I wanted to share a specific idea here about forming strong mental health coalitions that could help tip the scales politically. I hope this blog essay contributes to a discussion where more ideas about needed political strategy will emerge.
I would start by saying that In every town, city, county and state there needs to exist a level of comparable grass roots, industrial-strength political presence that relentlessly lobbies every city council member, every mayor, every county-elected supervisor, every local health service and mental health administrator, every Faith-based organization, state legislator, state senator, governor, US Congressperson US Senator and media outlet.
Why?
Because that’s exactly the ground game NAMI and the coalition it leads has executed every day of every year for decades.
They consistently win the political power struggle over forced treatment because they go to where every lever of political power resides and they pull the levers. They never stop pushing their agenda.
Their demonstrated immense political power is built on the solid foundation of an incrementally grown grass roots political base that radiates up through every level of the political hierarchy. The mental health reform movement painfully lacks such a grass-roots based foundation of comprehensive political power in my opinion.
But it is possible to organize and form political coalitions from the grass roots up, to develop reform oriented coalitions that can compete with the NAMI led juggernaut, that can begin to make serious inroads on the political turf they now so clearly own.
My years serving as a therapist/activist/peer with lived experience in a public mental health system, was spent trying to do just that. Creating and sustaining viable coalitions does require a long term commitment to tirelessly work to organize allies and secure political support, while at the same time often struggling against overwhelming opposition and odds.
Ironically, the NAMI led coalition has also practiced – and have perfected – what is actually a Marxist strategy called “The long march through the institutions.”
That labor-intensive, long-term strategy seeks out the so-called switch points of social power. No stone is left unturned. No elected official is left out. If you are a first-time candidate for city council, for instance, you are going to be contacted by NAMI requesting a meeting with you. You are going to be told you will share responsibility for the lack of mental health services in your area if you are elected. You will be told how many NAMI-registered voters reside in your city! You will be told that involuntary outpatient commitment saves lives.
An almost evangelical revolutionary zeal is clearly at work. Many mental health system psychiatrists publicly endorse the NAMI political work. This overt psychiatric backing adds great credibility to the political agenda NAMI works towards.
This laborious grass roots political process aims at transforming a social institution like the mental health system both from the inside-out and from the outside-in.
I witnessed how every public and private person with any bit of political influence or power that could be a useful ally, or be convinced, cajoled, or pressured to support the national and local NAMI coalition’s agenda, was identified and personally engaged for their support over and over again.
The broad-based stakeholder coalition I led doggedly tried to do the same thing. Part of our political power base was the mental health workers’ independent labor union that had also mastered the long march through the institutions. As a result we often were successful in building the necessary political network that was effective in preserving and creating more humane, peer-led and -staffed services. We walked precincts for politicians at every level of government for example and contributed money to their campaigns. Our mental health coalition’s strength was in our diversity and the common ground we all had a vested interest in preserving – that is what kept us united.
The same pragmatic political principles that dictate the winners and losers in any political contest are at work in the struggle over which vision of mental health care will take place in the United States.
I hope this tragic, federally-funded forced treatment victory and the Murphy legislation that threatens to destroy SAMHSA, may prompt us to examine additional and new political strategies. Lives and much avoidable human suffering is at stake. I believe it is possible to reverse the political gains made by the daunting alliance of NAMI, psychiatry, pharma and fear-mongering or apathetic politicians.
Hi, Michael,
Thank you for another thoughtful and good post. My one tiny quibble is your equating NAMI with “grassroots.” I would wager that the people who really are grassroots aren’t in NAMI. They /we are making noises here on MIA and in the countless groups that MIA people support. Noise is only heard it seems, if it comes with plenty of money backing it NAMI may have been grassroots when it got started in California in the 1970s, but it quickly tied itself to pharma. Astroturfing and sockpuppets are two techniques I would associate with just about any successful organization like NAMI.
If we can’t beat them by being an authentically grassroots coalition of survivors, relatives, health care workers, where will the money come from to make us at least “look” authentically grassroots? I note in passing that this week the US Supreme Court has struck down overall contribution limits for individual political donors (McCutcheon vs FEC).
Cheers,
Rossa
Report comment
I know what you are saying Rossa, can any political movement claim to be grassroots if it is bankrolled by enormous corporate interests? The huge number of local NAMI members I know are selfless political activists that never get a cent from pharma. They tirelessly go to lobby every tier of the political and mental health administrative infrastructure in their towns and counties and states. That has been the genius of their political ground game. I guess I see those local NAMI members as grass roots activists because of them making up the rock solid base of an almost unstoppable political alliance.
Yes, with that new Supreme court decision even more money will be pumped into our already corrupt political process.
Thanks for your comment Rossa,
Michael
Report comment
Thanks for your vision, Michael. We can’t let our well-founded cynicism about Big Pharma make everyone in NAMI the enemy. We spend too much time demonizing NAMI people when those are the very folks we should be reaching out to. I am not talking the rabid fundamentalists like Torrey et al, but rather the everyday people who haven’t been exposed to an alternative viewpoint. Not all of them are abusive monsters. Many of them genuinely love and want to see their family members live a good life.
We don’t have a chapter representing our values in their city. NAMI does. So we lose.
Yes, NAMI is a grassroots network and we should be taking notes on their model so we can be more effective on the local, state, and national level.
Report comment
I agree Leah,
NAMI is not the enemy, but it seems fair to say we are political opponents when it comes to forced treatment given the National NAMI campaign agenda on forced treatment.
There are many NAMI members waiting for the good news about choice and alternatives that we need to reach out to- like you did at the hearing yesterday. At one point one of our strongest allies here in the bay area was a local NAMI chapter president who supported a Soteria House proposal that Jay Mahler and I and our coalition got funding for. NAMI can be an invaluable political ally when common ground is shared- and we can learn allot from their political ground game playbook.
Great thanks for your service and Dan, Oryx and all at NEC!
Michael
Report comment
I think there’s a lot of mis information around about ‘Mental Illness’. People do honestly believe in a ‘Mental Illness’ disease idea, like Alzheimer’s disease. This is because its a medical view, and people believe doctors.
How mainstream is the idea of Recovery from ‘Schizophrenia’ without drugs – worldwide this is how most people recover.
Report comment
Thank you Fiachra, the widespread sharing of truthful information about recovery is greatly needed to inform the public about what is possible.
Michael
Report comment
Thanks for this excellent, informative, no-nonsense article, Michael. As for thoughts on NAMI, I’ll add my two cents as i just did earlier today in response to Leah’s article: Despite deep concerns about their “unholy alliance” with mainstream psychiatry and Big Pharma, I have re-engaged with the NAMI chapter in my area. The reason for this is at least threefold: (1) I was greatly encouraged and saw it as at least a “glimmer of hope” that Keris Myrick was elected as the national board president, and even more encouraged when Robert Whitaker was invited by her to present at last year’s national convention; (2) This is the organization that virtually ALL people/families in emotional/mental crisis get sent to in my area; (3) I want to be a “different voice” to the struggling and desperate family members who come there. On this last issue, i think i have had a modest, positive impact. I sense that families are very open to information when it comes from someone else who has experienced similar things.
Having said this, however, i must say i continue to have considerable internal dissonance about the issue. I certainly wish there were a grassroots organization such as the one you envision here in our area…i would surely join it! More than that, i would help establish it. Admittedly, i haven’t done much yet in that regard but i hope to work toward that goal.
Report comment
The subject has already been broached elsewhere of NAMI membership being significantly different than the leadership. Whether the latter is “the enemy” or an organizational front for the enemy is largely semantics, but we know they’re not friends. The greater membership should be given the benefit of the doubt as being desperate misled people grabbing at straws, thus potentially reachable. But this doesn’t mean that many of them aren’t inflicting real harm on their relatives, and they ultimately must take responsibility for this as well, regardless of their good intentions. Lots of contradictions here, but nothing that can’t be sorted out.
Report comment
It’s great what you are doing Russerford! You are bringing a message of hope to counter the usual one of no hope, and helping people who are in real need who are searching for answers. Your presence in NAMI I believe acts as a leaven that helps transform the organization, just like Keris is doing. I wish you would write an op-ed here on MIA to describe your service and activism.
Thank you for your comment.
Best wishes,
Michael
Report comment
Regarding making alliances with NAMI members, I agree with Leah that it can be done, and I have seen it happen.
But before we can make any alliances, we have to have numbers of our own. There are tens of millions of people in this country who have been inmates of psych wards. Why aren’t they in our movement?
I have a few tentative answers, but they would take up many pages. Just the same, I think we should start thinking about this. We have a very large potential constituency. Why aren’t we recruiting them?
Report comment
Yes Ted, we need to recruit more people from the millions who have experienced forced treatment, and also their family members like the county supervisor in Oakland you witnessed, who dramatically voted against forced treatment because a loved one had been through it.
Best wishes, Michael
Report comment
We not only need numbers, but a unified position on what we want.
As for the questions about the “movement,” I refer people to your 2012 article on the hstory of the “mental patients'” movement before it was squandered to opportunism:
http://www.madinamerica.com/2012/08/the-history-and-future-of-our-psychiatric-survivor-movement/
I also suggest that we work on reaffirming the principles espoused in a document which in my opinion reflects the high point to date in terms of movement consciousness: the statement of principles from the 1982 Conference On Human Rights And psychiatric Oppression:
http://www.mindfreedom.org/kb/act/movement-history/1982-principles
Report comment
Thank you oldhead for your very valuable contributions to this discussion, and the must read links to Ted’s essay on movement history, and the historic 1982 statement of principles on Mindfreedom.org.
Best wishes,
Michael
Report comment
There is an easy and sad answer to that: a lot of people who went through that experience are traumatised, made to believe they are defective, isolated, fearful of stigma. It’s much easier for the relatives to organise and devote time, even if they indeed experience hardships through the problems in the family than for the person who’s been through the experience. Victimised people often either still suffer results of what happened to them (trauma, economic hardships, loss of relationships, physical effects of meds and other “treatments”) or they’re trying to escape the past, forget and move on and don’t want to be associated with the demonised “mentally ill”. If you’re member of the family who sacrifices for your loved one that’s heroic and admirable. If you’re a psychiatric survivour you’re treated with suspicion (is he really recovered? is what he’s saying is true or maybe it’s just some delusions? etc.). No wonder many people who managed to escape the system have no interest in coming back to fight it. That’s why it’s so important to incorporate more of the outside allies from both the professional community, legal community and families.
Report comment
I agree B, that coming back to fight the system that has traumatized one can itself be re-traumatizing. That is another good reason why mutual support is so important for those of us engaged in this struggle.
Thanks for your comment,
Michael.
Report comment
It can be re-traumatising but it can also be healing. I think there is no better way to combat the feelings of anger and helplessness that come with such experiences than to get involved in the movement for change. People have an intrinsic need for justice and I think that getting involved in the movement is in itself therapeutic. The problem is many people don’t see it as such, they are afraid and isolated or even worse they were made to believe that their feelings and experiences are invalid and their feeling of trauma is unjustified. I think that’s the most hideous crime of this system. If you become a victim of street violence you can have at least some expectation of sympathy, understanding and you can at least hope for the justice to be served. If you were victimised by the system, you’re not seen as a victim, you’re expected to be grateful for the violence. The only question is how do you get to these people, how do you find them and convince them that they should break out of their shell?
Report comment
NAMI recruits by offering a service. Support groups especially. People need support groups and they will come to one if it is offered.
Report comment
Absolutely HH! We need recovery oriented, hope based locally available support groups in equal numbers to those provided by NAMI.
Thanks for your comment.
Michael
Report comment
I think that’s an excellent point. One thing that NAMI is not likely to provide (for reasons obvious to most MIA readers) is support for people coming off psych drugs. There is a huge demand for that, and it’s growing all the time. In fact, such support is desperately needed, as it is almost never provided by the “mental health” establishment. I’m aware of a couple groups like this, but they really should be everywhere. Widespread in-real-life mutual aid for people coming off psych drugs would not only ease the suffering of a massive number of people, but also raise awareness of the dangers of psych drugs and generally undercut everything that is dreadfully wrong with NAMI.
Report comment
By the way, I’ve experienced some of what NAMI has to offer in terms of “peer support.” It was surreal and disturbing.
“Don’t be afraid to go inpatient.”
“Don’t give up trying to find the right combination of meds.”
“You should always tell your doctor if you’re feeling suicidal.”
“A lot of people find ECT to be effective.”
And on and on…
And this, as I was suffering severe withdrawal from an SSRI and had already been laughed at, yelled at, toyed with, and dismissed by doctor after doctor, counselor after counselor.
The really heartbreaking thing is that the facilitator – the person saying these things, and basically reading from a pre-printed NAMI script – obviously believed every word of it. And it was clearly evident that the very “treatments” he was advocating were most likely the causes of many of his own health problems. But I could see it in his eyes; I could see that he thought he was doing the right thing. It’s just so sad. He is probably still there, facilitating those awful meetings because he genuinely believes he is helping others – because that’s what NAMI told him – and blaming himself for not getting better despite all the “treatments” – again, because NAMI told him so. I hate everything that NAMI stands for with a deep and abiding passion. That man is my brother.
Report comment
Yes uprising,
Support for people coming off psych drugs is an enormous unmet need. I get contacted very often by people asking for help finding resources for coming off meds.
One in five people are prescribed psych meds but support for people who want to come off them is almost non-existent.
Thanks for your comment,
Michael
Report comment
You say uprising, and I nod sitting here while I read it, but I also know that I couldn’t participate. I want to, but even though it’s been twenty years, I”m afraid of being noticed or speaking too loudly. It’s been that long, and sometimes, somewhere between sleep and wakefulness, I think I’m back in the institution again and dreaming I’m in my own bed. All that time, and when that happens, those first fifteen seconds or so, I feel like an animal that has been caught in a trap..hysterical. I think they count on people who feel like i do. I know the high court questioned if our general disuse of the court system showed that a lack of access to the courts existed for the mentally ill in 94 when the APA was conceived. The truth of it is, we are enacting mental health courts to provide commitment options for those in prison, but the insanity defense is only argued successfuly in 0.1 of the proposed cases. In fact, a claim of insanity is liable to bias the jury against you in a criminal trial. I guess I’m crazy enough to be heard by a mental health court (where the ruling can always be biased by my diagnosis) but not crazy enough to not be found guilty. I have a similar argument with the APA. I was crazy enough to have five years of my life stolen without ever seeing a courtroom, but I’m not crazy enough to be considered disabled. And my psychiatrist who knows that, in order to work, I have to go back to my 6-8 mg of attivan plus another six or seven random prescriptions a day, but the same prescriptions I would have to take resulted in a chemically induced brain trauma last time. In short, it’s funny to me how my quality of life seems to be determined most frequently by the additional benefits it may provide to others, than by the actual quality of my life.
Report comment
Well, the long-standing problem in psychiatry is that, in contrast to the rest of medicine, they are not so much interested in helping a patient but to help everyone else by controlling the patient’s behaviour. This is in strict conflict with the oath (“I will prescribe regimens for the good of my patients according to my ability and my judgment and never do harm to anyone.”) but I have never heard anyone point that out. To me it feels that psychiatry should be classified not under medicine but under law enforcement. Instead, they occupy this shadowy place in between where they have more powers than the normal legal system and less of concern for the well-being of the patient than the general medicine.
I have a friend who is a judge and she says that they sometimes avoid calling in the psychiatrists to access the person even if they feel like this person has some obvious problems because they are well aware that this approach is damaging in the long-term. I’ve seen that also with police who are all too well aware of what is going on and are often reluctant to bring people to these institutions.
Report comment
Thank you for your moving and revealing comment acidpop5. I hope everyone reads it to see how the mistreatment you received still effects you and your quality of life 20 years later. How many countless people have a very similar, wrongly inflicted burden to bear? I believe you are speaking for them too.
Michael
Report comment
Michael,
Thanks for an excellent post. We do, indeed, have to become as adept as they are.
Report comment
Thank you Phillip. Your invaluable writings help us move in that direction.
Michael
Report comment
I am completely opposed to forced medication under any circumstances and support forced treatment only when there is extreme danger to an individual or to others. I am appalled by Murphy’s proposals. What can I do to help fight this man’s proposed legislation and to become more politically active?
Report comment
Right now, as the Murphy legislation is being considered Marielutz, I would urge everyone to go ahead and contact their elected representatives in congress, and if possible go and be heard in person when your reps are back home in town. If there are activist groups in your community you could check them out. Psychrights is a national organization that you could support, and the National Empowerment Center and Mindfreedom and the Icarus Project are awesome too. My fledgling website michaelcornwall.com has some links. Supporting Mad in America is a great political opportunity too!
Best wishes, Michael
Report comment
Michael
What MOST importantly is missing in all that you discuss is a radical vanguard organization of survivors and other dissidents from the mental health system targeting Biological Psychiatry where ever they go and what ever they do. That is, the modern equivalent of Black Panther Party translated into a type of radical mental health liberation movement.
Think about what actually created the most favorable conditions for civil rights legislation and for Martin Luther King to be now viewed as acceptable to almost every one. Was it not the Malcolm X’s, The Black Panther Party and other more radical dissidents combined with the major urban rebellions in multiple cities that shook this system to its core and forced the arms of government to begrudgingly accept change they so vehemently opposed a few years prior.
Vanguard organizations always create space for others to act in ways indicating that they (in this case) may not be yet quite ready for the radical dismantling of the current mental health system. There will always be people who will do more mainstream actions pressuring politicians and seeking political reform, but it is the more vanguard groups who eventually capture the imagination and involvement of the masses that ultimately provides the historical engine and conditions for a movement to advance a particular cause.
Is there not a danger of taking all the radical sentiments and creative energy of many of the activists who participate at MIA and burning them out in the dead end activities and mind numbing game of Pin the Tail on the Donkey or the Elephant. There is nothing more demoralizing than spending precious time trying to lobby all the corrupt and money bought politicians to become something they never will be; that is, true representatives of the people. This type of burning out process and cooptation of activists was one of the things that derailed the movement in the 60’s.
Should we not aspire to become something more than the radical lobbying equivalent of NAMI with just a different agenda?
Does getting bogged down fighting for reform ultimately lead to revolution OR does fighting for revolution more often lead to reforms and perhaps, in the right historical conditions, to something much higher and more profound of a political change?
Don’t misunderstand me. I know that the people who do this type of reform work are very dedicated and have high aspirations, and I admire their hard work, it is just that our movement is currently lacking the vanguard elements at this time. I believe some of us should be focusing our efforts in this direction or we will never have the kind of movement that will go far enough to truly liberate the oppressed.
Richard
Report comment
http://www.youtube.com/watch?v=UvC4xq32AX8
It Isn’t Nice
Notes: words and music by Malvina Reynolds; copyright 1964 Schroder Music Company, renewed 1993. This original version of the song was banned from the radio in Japan–in Japanese, but not in English!
It isn’t nice to block the doorway,
It isn’t nice to go to jail,
There are nicer ways to do it,
But the nice ways always fail.
It isn’t nice, it isn’t nice,
You told us once, you told us twice,
But if that is Freedom’s price,
We don’t mind.
It isn’t nice to carry banners
Or to sit in on the floor,
Or to shout our cry of Freedom
At the hotel and the store.
It isn’t nice, it isn’t nice,
You told us once, you told us twice,
But if that is Freedom’s price,
We don’t mind.
We have tried negotiations
And the three-man picket line,1
Mr. Charlie2 didn’t see us
And he might as well be blind.
Now our new ways aren’t nice
When we deal with men of ice,
But if that is Freedom’s price,
We don’t mind.
How about those years of lynchings
And the shot in Evers’ back?
Did you say it wasn’t proper,
Did you stand upon the track?
You were quiet just like mice,
Now you say we aren’t nice,
And if that is Freedom’s price,
We don’t mind.
It isn’t nice to block the doorway,
It isn’t nice to go to jail,
There are nicer ways to do it
But the nice ways always fail.
It isn’t nice, it isn’t nice,
But thanks for your advice,
Cause if that is Freedom’s price,
We don’t mind.
Report comment
Thanks for sharing that human rights, civil disobedience song Subvet416.
Michael
Report comment
Great questions Richard, and a valuable challenge to those of us who have spent decades in the belly of the beast of public mental health systems competing with the NAMI led alliance I described- and since I am urging people here to do even more of that!
I remember from the 60’s the debate of peaceful civil disobedience, and electoral politics vs the Malcom X, Stokeley Carmichael, Black Panther call to revolution- “by any means necessary.”
I recently met with some people discussing how we could be part of the underground railroad that helps people move across legal jurisdictions who are under court ordered in-home treatment. I said- remembering my days as a Viet Nam war protester, “Isn’t it time that a bunch of us activists are filmed getting arrested and handcuffed for helping people get free of forced treatment?”
Because I agree with you, that a hard core vanguard group can inspire public conscience in a way that the grind of lobbying politicians can’t.
But don’t we need both to be happening?
I guess that underground railroad action still would be civil disobedience ala King and many Viet Nam resisters that went to jail for defying the draft.
The Occupy movement did a more intense version lately as they took over various public and private locations.
What do you envision needs to happen now Richard, to create the kind of vanguard presence you believe we need? I feel you may have a manifesto and more at your fingertips.
With respect, Michael
Report comment
Michael
Thanks for your thoughtful response and the overall work you do.
I believe in the current era of our movement (one in which I am a little later to the table compared to others who have been fighting a longer period of time) we tend to underestimate what impact well targeted radical action could have in the current political environment.
Yes, Biological Psychiatry, with all its interconnections and support from other institutions representing the status quo, is more powerful than ever. The community mental health clinic where I work now has 11 prescribers of psychiatric drugs; 20 yrs ago it had one. Children are kidnapped and draconian laws are being passed without significant opposition..
However, at the same time, the scientific and philosophical foundation of Biological Psychiatry has major cracks in its foundation. There are millions of people and their families who either have been and/or are currently being victimized by this criminal system. People are beginning to raise their heads and ask questions and seek answers. In the clinic where I work some of us are beginning to challenge their prescribing patterns of psychotropic drugs; heads are just beginning to turn.
The truth is on our side, as Copycat said earlier. In a debate we can defeat them if we can find the forms of struggle to wrangle out these issues in front of the masses. Are we actively searching for all the forums where we can make this happen?
We clearly have enough science at our fingertips and a significant enough number of educated activists to start some important targeted actions challenging Biological Psychiatry. MIA is both a reflection, as well as a catalyst for this stage of a movement that is now at the cusp of a major growth spurt.
It would be a shame if the more advance elements in our movement at this critical period were to lower their sights and focus on being a pressure group on the Democratic Party or become some other type of lobbying organization. In the 60’s there was an organizing approach that said “unite the advanced to win over the intermediate and neutralize the backward” (neutralize, meaning isolate them and render them ineffective). And of course the “advanced” should be organized around an “advanced” political agenda that represents the highest aspirations of the masses, not the lowest or midlevel common denominator.
What we currently lack is the collective political will to create such a vanguard organization to seize upon the openings and opportunities that this oppressive system offers up to us everyday. “Where there is oppression there will inevitably be resistance.” We need to be poised to fan the flames of that resistance and take it to a higher level.
Yes Michael, we need a manifesto and a set of radical demands that calls for a complete dismantling of the so-called mental health system, And we need an organization that will be unrelentingly in its exposure of Biological Psychiatry where ever they are, and disrupt their “business as usual” in well planned targeted actions. All this carried out with a goal of educating more and more people about the true oppressive nature of this system with an eye toward major systemic change. Yes, all this is both necessary and possible at this time; “Dare to struggle, Dare to Win.”
Richard
Report comment
Look at ADAPT. They do direct action and meet with their legislators. We need both, ideally with a unified message so we actually can have an impact.
Report comment
The place of direct action is to get the issue into the news and get people thinking about the issue. That makes it easier for the sort of lobbying Micheal is talking about to take place and be effective.
Underneath both of these there needs to be effective organisation – and that takes work: stalls, websites, leaflets, training and all the stuff of effective political organizing.
But I agree, this movement needs more effective campaigning of many sorts
Report comment
Thank you John- I agree that all the ingredients necessary for an effective political ground game to reform the mental health system are really like what we see in any successful political campaign.
best wishes, Michael
Report comment
Well, when it comes to capturing public attention: there is a nation-wide famous case of the Pelletiers’ daughter playing on right now which has huge following and has galvanised people. Why isn’t that being captured by the movement and being incorporated into a bigger picture? Why are the psychiatric survivours organisations not getting involved and raising their voice while the case is in front of the cameras? The big pharma lobby jumps onto every mass shooting to incorporate their narrative – why are we not doing the same? Why don’t we turn this case into a nation-wide discussion about powers of psychiatry over people’s right to self-determination and parental rights?
Report comment
I have to ask: where is the vision beyond dismantling the mental health system? Our movement is great at pointing out the problem, but lacks the ability to articulate a clear vision beyond pointing to a few cool survivor run programs that don’t exist for 99% of people on this planet.
We need a vision. MLK Jr had a vision about what society would and should look like “I have a dream…” THIS is what I am saying, what MLK Jr said:
“The marvelous new militancy which has engulfed the Negro community must not lead us to a distrust of all white people, for many of our white brothers, as evidenced by their presence here today, have come to realize that their destiny is tied up with our destiny. And they have come to realize that their freedom is inextricably bound to our freedom.
We cannot walk alone.”
What I am suggesting is reaching across the aisle so that we aren’t so alone and isolated in this fight.
Report comment
Richard, sooner or later you’re going to say something I disagree with — but it hasn’t happened yet.
My only response to this post is “What he said”! I’m not spending my time writing to too many congresspeople, not that there’s anything wrong with that. But I’d rather spend my energy trying to create the sort of public climate that forces politicians to take notice.
I saw Gloria Steinem talking on PBS about how women’s activists used to naively think that all women needed to do was show men how reasonable and intelligent their arguments and positions were and the battle would be won. Missing was the understanding of power, which as Frederick Douglas famously said, cedes nothing without a demand.
We need to become more demanding, and fast!
Report comment
Wow, this discussion really speaks to me. I will just add my simple thoughts as I am moved to.
I have seen the issues we are concerned with as paralleling those of the civil rights movement, and many other movements of people pushing back against oppressive power. My inner conflict involves an almost lifelong sense of hopelessness (I was born soon after MLK – and so many others – were murdered), and a powerful unwillingness to give up in spite of that hopelessness.
While we need a unified message and voice, it is also true that we can make room for more radical and more conservative voices to co-exist under one umbrella. MLK was not a black panther, for instance, but really, all those diverse forces were moving in the same direction. Nothing happens without a strong consensus and that is what we need, as I interpret Richard’s words to be saying.
Sadly, the civil rights movement, though achieving what looked like a win (perhaps in large part due to our government’s need to not look like such hypocrites as we preached “freedom” to Russia), we see now another form of enslavement – the incarceration of, what is it? 1 in 3 black men? (!!!!!)
For those of you who have seen it, The big Lebowski yells at the dude, “the bums will always lose…” and a part of me believes that – because history has shown this to be true – he with the larger weapon wins, right? But a stronger part of me knows I will never stop speaking truth to power because I live here on this earth, too, and I can’t stand by and watch in silence as another human being is transformed, in the short space of a year, into a zombie.
We know of more flexible solutions to problems. And we can disperse our knowledge far and wide – winning hearts and minds is the key. And we can do that. Human rights issues touch every other human. Sadly, it IS about marketing – big pharma knows this very well. And we need to become equally sophisticated.
How we use language is important – Leah makes this excellent point below. We need to be aware of the cultural discourse and the fact that our voices can easily be dismissed based on assumptions about “anti-psychiatry” and what that is.
Again, as I may have mentioned before – I am really thankful for the amazing voices in this forum.
Report comment
Thank you kris10joleen, for your eloquent comment that adds to this discussion. Hearing your commitment to speaking truth to power helps to bolster mine.
Best wishes, Michael
Report comment
Thank you, Michael! I am enjoying your interview with Dr. Breggin today and sharing it with others.
Kristen
Report comment
“The whole problem with the world is that fools and fanatics are always so certain of themselves and wiser people so full of doubts.” B. Russell
Report comment
Great quote B! I remember Bertrand Russell was one of the very first prominent people to come out against the Viet Nam war, and was roundly attacked by many. He opened the war crimes tribunal on Viet Nam in 1967 by saying- “We are not judges. We are witnesses. Our task is to make mankind bear witness to these terrible crimes and to unite humanity on the side of justice in Viet Nam.”
I have seen 4 year old little children so medicated with anti-psychotic drugs that they drool and slur their words and stumble when they walk.
We are more than witnesses. We are the ones who will fight to stop forced treatment of our innocent children and everyone else
who isn’t given a choice to say no.
Michael
Report comment
Michael, thanks for this. I visited the Martin Luther King, Jr Memorial today and feel a renewed urgency for community organizing around this issue.
Report comment
Please count me as your dedicated ally in the days and months and perhaps years ahead Leah.
I’m glad you got to be at the MLK memorial today. That is one place I would like to be at someday. He surely would have stood with us and deeply recognized what human rights are at stake for us and so many people we care about.
Report comment
Inspiring article, Michael. The elephant in the room here is CCHR. The smear campaign against CCHR has been so effective that we are willing to discriminate against people, people who not only share our valid concerns but who are willing to put their money where their mouths are. And the bottom line is that Psychiatry is all about discrimination. Building broad coalitions is the way movements succeed. I’m working on the Justina Pelletier case right now. There are 30 thousand people reading the families’ “Miracle For Justina” facebook page.The Lyme’s Disease community is activated. As I was contacting people to provide resources for the Pelletiers, one person I contacted did not want anything to do with it because Liberty Counsel has gotten involved. This, IMO, is a moment for us all to examine our own personal bigotries and GET OVER THEM. Either we are against the thought police or we are not. If we are against the thought police than we have to defend perspectives that don’t jive with our own. Broaden our coalitions, make it local, WE CAN DO THIS. The Justina case is the perfect way to introduce the issues because every single person who reads about this case understands that what is happening to Justina could happen to anyone. People are getting it.
Report comment
Excuse me, now it’s 36.000 people reading the Justina facebook page.
Report comment
I don’t get the sense that the root causes and source of the problem have been identified on the “Miracle for Justina” page– and there is so much animosity directed at Boston Children’s Hospital, our governor, legislators– judge Johnston.– the whole state of Massachusetts (for crying out loud!)
A growing- in numbers- angry mob– with no clear insight or direction. I attribute the derailment of their message to the ‘take over’ by right winged “spokes people” and “patient rights” advocates. Will be a formidable challenge to re- focus this large group on the true target–
Report comment
CCHR is cool, maybe someone should post a link to The Marketing of Madness on that facebook page ? it is the definitive documentary on the psychiatric drugging industry. The real story of the high income partnership between psychiatry and drug companies that has created an $80 billion psychotropic drug profit centre.
http://topdocumentaryfilms.com/marketing-of-madness-are-we-all-insane/
Report comment
CCHR has been associated with Scientology and if you talk to anyone mentioning them they will not take you seriously. It’s guilt by association but it unfortunately works…
Report comment
I hear you Nancy. What is happening with Justina has mobilized people to the degree that a Justina’s law should be in the realm of possibility. You are doing great work there.
We all have the right to choose who we are morally willing to cast our fate with in this struggle, who we will embrace as allies.
I don’t know enough about some controversial potential allies like the CCHRR or the Liberty counsel to join forces with them today, but I agree that having the broadest coalition possible is what it is going to take to reverse the forced treatment laws.
Thank you for your important comment.
Michael
Report comment
Biological Psychiatry, CCHR (Scientology), and other organized religions are all competing for the same public attention and all chasing the same dollars.
These who fight for freedom, justice, peace and genuine healing don’t need that power or those rewards. Fighting for the health, justice and freedom of others is its own reward.
Bobby Darin simple Song of Freedom
http://www.youtube.com/watch?v=UZ1ohsissjE
Report comment
What exactly would a Justina Law provide or prohibit? I can’t imagine legislating medical practice– thought it was off limits.
Report comment
A very good question Sinead, thank you. I am imagining laws being passed that prohibit forced community treatment in each state that has forced community treatment laws- or those force laws being found unconstitutional. I’m not sure what variety or scope of a law would have prevented Justina from being in the situation she is in, but the outcry about what has happened to her has a similar level of public outrage that was present in Laura’s law being passed in New York.
Maybe a Justina’s law could be a historic marker of the tide turning in the struggle to stop forced psychiatric treatment in many of it’s forms. This all is happening now against the backdrop of the UN equating forced treatment with torture.
Best wishes, Michael
Report comment
Justina’s commitment to Bader 5 was actually a violation of federal law. She did not meet criteria for a valid legal status on a locked psychiatric unit.
My vision is criminal indictments for this violation of federal law and for “fraudulent” diagnosis/treatment that causes harm.
This is my idea of ‘radical’– getting to the root of the problem/issue. A little would go a long way toward creating the change we want to see 🙂
Report comment
I agree with what you are saying Sinead. When people are harmed by injurious treatment, there needs to be legal consequences.
Michael
Report comment
Great points, Nancy! I have also thought that Justina’s case could be very instrumental in giving us some needed traction because of the very thing you mention: it’s appeal to the common sense and heart of every person who realizes they or their loved one could also
fall victim to the draconian triumvirate of biopsychiatry, government agencies and the courts! Perhaps this will lead to a “Justina’s Law” to bring some real oversight (with teeth!) to this out-of-control 3-headed beast!
Report comment
“Justina’s Law” , that is brilliant.
Report comment
How hard can it be to compete with NAMI when the TRUTH is on our side ?
Hey everyone, don’t forget to call NAMI and tell them how you feel !
1 (800) 950-NAMI (6264), Monday through Friday, 10 a.m.- 6 p.m., EST. Business callers, including those seeking particular NAMI staff members, should call 1 (703)524-7600.
Report comment
Thanks copy_Cat for sharing those phone numbers.
Michael
Report comment
Unfortunately, many people in Congress don’t think the truth is on our side. Same for all the state legislatures that passed involuntary commitment legislation.
Somehow, we need to mobilize and come up with a focused pointed message to make our case. I don’t have a clue how to do that but that is why I am posting.
Regarding contacting NAMI, do we have any proof that doing so is having an effect? I would think it would just be easy for them to simply blow us off as anti psychiatry kooks.
But perhaps I am missing something.
Report comment
We have to be sophisticated in our messaging. Going on and on about the evils of “psychiatry” and “drugging” is exactly the kind language that will get us nowhere in terms of reaching hearts and minds. This is so much bigger than psychiatry or drugs. I say end the “drug hypocrisy” and let people have their drugs. Harm reduction and informed consent for licit and illicit drugs.
In my opinion we need to focus around forced treatment and say that it has no place in health care. Otherwise it just feeds into Murphy’s arguments that we are a bunch of “anti psychiatry” fringe people who don’t care about human suffering and don’t want people to access support in a crisis. We have to be smart and sophisticated if we want to impact the debate.
Report comment
I have stopped using the term “big pharma” and try to say things like “the marketing departments of the large pharmaceutical companies” instead, that easy but I still like to use the word rape to describe “involuntary pharmaceutical interventions”.
I agree we do need to to distance ourselves from the “war on drugs” that is very unpopular with many many people.
Anyway the old saying goes “give them enough rope and they will hang themselves” might apply here as these forced treatment laws are going to create even more activists.
INVOLUNTARY COMMITMENT An unconstitutional and horrifyingly abused legal process by which– in the absence of any destructive activity, and on nothing more than the word of a single mental health worker people are stripped of civil/human rights and imprisoned in a psychiatric facility, with no form of recourse whatsoever. An often terrifying and destructive ordeal whose only positive effect is to inspire activism against the abuses of psychiatry.
Report comment
OK what are you saying here? “Going on about the evils of psychiatry and drugging” is our job, isn’t it? Are you suggesting that we water down our basic principles to make the supposedly confused, misled public more sympathetic? I’m seriously asking, because i don’t believe that’s what you mean, but if being anti-psychiatry is a “fringe” position it means to me that we haven’t done our educational work well enough. Should we be like women who preface boldly assertive statements with “I’m not a feminist but…”? If people react to false stereotypes of what it means to be anti-psychiatry we need to educate them, not hem and haw and say “I’m not anti-psychiatry but…” I for one AM 100% anti-psychiatry and believe that we all should be, though I have no oposition to coalitions where unity around particular issues can be achieved without sacrificing our integrity.
So I guess what we all need at some point asap is a friendly collective discussion/debate around such matters, since we should not be pretending to be united when there are significant divisions around philosophy & tactics. This is not an awful thing, but if we seriously want to attempt to defeat some very dangerous legislation we need to define where we stand ourselves or we will lose.
I hope Ted C. doesn’t mind me citing his articles over & over but in this case I recommend his 2013 MIA article on this very issue:
http://www.madinamerica.com/2013/10/course-im-anti-psychiatry-arent/
Report comment
Oldhead, it’s not about what is “correct” factually. It’s about who is winning the hearts and minds of the American people? It’s Torrey, et al. And until we get our s–t together and communicate in a way that people can actually sympathize with and understand and care about, we will lose the war. The Murphys of the world will win America’s heart and influence public opinion and law ever more towards the shit we DON’T want.
Please spare me the sanctimonious lecture me about “watering down a message.” Psychiatry killed my parents, and it almost killed me. I am no fan of psychiatry. But going on about the “evils of biological psychiatry,” while 100% scientifically correct, will not win this battle of public opinion. Psychiatry is here. Mental health systems are here. You have to find a place you can begin to work from. That place for me is force — not psychiatry or the medical model as a whole. Call me a sellout, I call it reaching people’s hearts and minds.
I would like to see some real social change. That is my goal. I’m attempting to use language that everyday human beings – the people not connected with our movement – and politicians can understand. I want offer real alternative solutions, not just bitch about the problem. I want to be able to influence the local and national conversations that go on without me to adopt trauma informed approaches and stop hurting people in the name of treatment.
Let me break down for you in PR terms. If folks want to be 100% “radical” they will be 100% “right,” but they come off as a smug, holier than though a$$holes. Also, generally offering no real world solutions other than shutting down “biological psychiatry?” It’s super easy for the Murphys and Torreys of the world to dismiss and ignore this rhetoric.
We have to ask ourselves: do care more about being 100% right on every point than we are on actually influencing social change? How much of a dent has it made in the public discourse? How much influence will we have in actually trying to change the current reality?
I am for ending forced treatment forever and ensuring no one’s human and civil rights are ever violated again in the name of help. Murphy has given us the opportunity to attack force. Let’s be smart about it and move beyond just slinging our own brand of propaganda.
Report comment
OK thanks for giving a thoughtful articulation of your position. I’d like to respond point by point & hope others join, but it’s late Saturday night and this is too important for me to just start throwing sound bites off the top of my head. I’m sure our commonalities outweigh our differences and that on some points we probably agree but are trying to say the same thing in different ways.
BTW I wouldn’t have the presumptive arrogance to call you a “sellout” or anything close for having a different take than me (I know nothing about you but what you write) & am sorry you took my comment as a “lecture,” cuz if you check I expressed it as a question. I’m sincerely sorry to hear of you & your family’s experiences at the hands of this system. The reason I’m raising this stuff is because I don’t want this fight to be lost any more than you do.
Report comment
O yeah, I meant to emphasize that I WILL post a comprehensive response very shortly, not just tonight. I’m not just blowing this off to go party or something. 🙂
Report comment
Everyone is entitled to their own way of doing things which might involve collective action or it may individual resistance. People will know what their strengths are and I think we need to respect their choices.
As sure as anyone says I should be doing this or that then I will do the opposite, being non-conformist and a psychiatric survivor activist. I survived psychiatric treatment which was a bigger trauma than anything else life threw at me.
Report comment
I would never say this is the right way or the only strategy. It’s the strategy that makes sense for me. I think we are not reaching people, and that makes me sad because we have an important message.
I am all about people fighting oppression in whatever way makes sense to them. The more the merrier.
Report comment
You’re totally right. The way I see it is there has to be more pressure on presenting the science. I’ve listened to a lot of different hearings and testimonies and my impression is: while it’s all nice and well to bring in some people to tell their heart wrenching stories and even better yet to bring in some who recovered from serious “mental illness” by alternative methods that’s not enough. There are numerous scientific peer reviewed studies (many reported and reviewed on this site) on the problems of drugs and their inefficacy – the articles on antidepressants and placebo, WHO study and others on antipsychotics and long-term recovery, studies on ADHD drug impact etc. And yet I have not seen anyone going in front of a committee and listing them the facts and giving out a printout of cited literature. Show them we’re not a bunch of anti-scientific crybabies with a tendency for conspiracy theories. There is enough data to use, just prepare yourself for like an evening before and answer their claims about being anti-psychiatry with saying you’re pro-science and the science is as follows. Most people don’t even know that ADHD drugs contain amphetamine and meth – you have to tell them that, but not by saying “it’s a kiddy cocaine” but in a calm scientific way, read them a label of the actual drug and the chemical name of it. The information is really easy to find, it’s just waiting to be used.
Report comment
So Leah, the thing I don’t get is the notion that there is a contradiction between being correct and being part of the grassroots consciousness. Having experienced the gulag, we are by definition in a better position than most to lead the struggle to overcome it; however, there’s nothing that complicated about what we want, and if we can achieve some working unity within our own circles we’ll be in a better position to effectively educate others. But first we need some consensus on what constitutes “education,” or at least, again, a conscious working unity between differing perspectves within the movement.
I would never pose working within the system against working without; people need to do what they do best, at all levels. But we do need to have some unapologetic unified demands and the backbone to stand up to paper bullies like this Tim Murphy (who is undoubtedly a figurehead) and his cronies. We have to lose the illusion that they can be swayed by reasonable arguments, even if we present them anyway for the record or for the benefit of exposing the official hypocrisy. In the end these people
do not answer to us, but to those who support their careers.
Whenever I hear about hearts & minds I unavoidably think of the crude and sexist quote alternately attributed to FDR, LBJ, John Wayne, etc: “When you’ve got them by the balls their hearts and minds will follow.” While we may eschew the neanderthal phrasing, the same principle applies to Torrey, etc.: They currently have us up against the wall, shall we say, because they control the information flow; not because they have more reasonable sounding ideas than us, but because they can. If we had a fraction of their media saturation; funds for hi-tech 24-7 commercials on TV on the fraud being perpetrated in the name of compassion; our publications being required reading for high school and college students, etc. etc. we could defeat this juggernaut.
I don’t actually know what Richard means by “biological psychiatry”; to me all psychiatry is biological since a medical degree is a prerequisite for being a psychiatrist. That aside, I don’t think the recognition that there can not be such a thing as mental illness even if we wanted there to be, is too much to communicate: that diseases happen to physical bodies, which are composed of matter, not to abstract non-physical conceptions such as “mind”; that the mind is not the brain; that “mental illness” is a figure of speech, i.e. a metaphor; that metaphors are abstractions and cannot have diseases; hence there can be no “mental illness.” This is actually something a linguist has more critical expertise on than does a physician, since it involves the blatant misuse of language.
Of course this can be explained better in some ways to this audience, in others to that. But I just don’t think it’s a stretch to hope for the so-called mainstream to come our way, as many people do have an instictual distrust of psychiatry and just need to have their suspicions confirmed with credible information.
Lest I come across as pontificating to Leah, these thoughts are addressed to folks at large; Leah has my appreciation for coherently voicing sentiments that I know others share as well.
Before sgning off I want to comment on the frequent use of the word “radical” in an almost perjorative way, with connotations of ridiculously extreme, unrealistically utopian, even violent beliefs. But most people who identify their approach as “radical” relate it to the latin radic, or “root,” as in going to the root of the problem. It is the corporate media mentality that keeps people dumbed down with stereotypes of “crazy radicals,” just as it does with images of “violent psychotics.” A radical analysis of any problem is one that goes to the core of that problem, which sounds like a reasonable approach to me.
Report comment
oldhead, I like you. And I wish I could have gone back and edited and toned down my earlier comment. I didn’t mean to be so snarky and angry, I was just tired after a long day, and got all prickly at the suggestion that I am advocating watering down our position. Note to self: no commenting while exhausted.
I think you’re right, we do agree on most things.
I love radicals. I’d like to think I still am one. My roots in this movement started out giving workshops on psychiatric oppression to young anarchist activists at the National Conference on Organized Resistance in DC. And at heart, I still resonate with the beautiful ideals of that movement.
What I get frustrated with is how people don’t know about us. Most of us who discovered this movement, did it by accident, not because it is know that there is an alternative to the medical model. I don’t want us to be so underground anymore.
How can we work together, folks who are working inside and outside of systems, to be heard and to effect the kinds of change we’d like to see?
Report comment
To the point on the media: I think that with the use of the internet the role of traditional mass media outlets is declining. Maybe one could try to target some of the popular internet media platforms, which have huge youth following? One good example is the youtube news channel the Young Turks. They often conduct interviews (check up TYT interviews) on political and social issues. One could try to contact them and ask if they want to do an interview with someone from the movement. They cover stories on veterans, mass shootings and abuse of mentally ill by police and prison system, they may accept the opportunity for someone, maybe a book author;), to come on a programme and give some background about these issues. These guys have a huge online audience, one should use it. I’d also contact Democracy Now!, they also cover stories on human and civil rights issues, that’s pretty much their mission and they have recently addressed the problem of drugging of veterans. They are very open to doing interviews with grassroots organisations and do really good, in-depth reporting.
Report comment
B, those are great ideas about Democracy Now and Youtube channels like Young Turks being media outlets where our movement’s advocacy could be heard and seen.
Thank you,
Michael
Report comment
Let me sneak in one last comment 0r two before this thread fades away as they tend to do…
Leah, I’m glad you’re not pissed off at me, but please don’t waste too much energy trying not to offend me or whatever. If you wait till you’re in the perfect mood (whatever that might be) to say something important you might never say it. (I sometimes feel the only objectively appropriate mood is to be in a constant state of outrage.)
Anyway I completely share your frustration about our lack of visibility and it is encouraging to see a lot of people participating in this conversation. And I believe we can find answers in time to have an effect, but time is running out on being able to stop this Murphy thing.
Btw i concede that it’s easier for me to do this discussion since I am not currently trying to do hands-on organizing (tho i have in the past), and thus am participating here on a mostly theoretical level. On one hand i think this allows me to be more objective in some ways On the other I recognize that practice generally trumps theory. So in no way do I consider myself a “purist” of any sort.
When we talk about in or outside the system it’s relative; strictly speaking anyone who votes, pays taxes, sends their kids to school, applies for a marriage license, etc. is part of the system; and those who work “inside” the system frequently have no effective decision-making power within their institutions and organizations.
Maybe there’s some way for MIA to keep this action-oriented discussion alive when this particular NAMI-focused discussion dissipates or slips off the board.
Report comment
To B — It’s necessary to get the left conscious about psychiatric oppression, but don’t be shocked when otherwise progressive circles react with obliviousness, and even when covering a psych-related issue do it from an essentially clueless perspective. The left is heavily invested in the notion of rationalism and they see psychiatry as an enlightened approach to emotional suffering, if anything in need of more funding for more “research.” It is a blind spot which will hold back progress since understanding psychiatric repression is key to understanding people’s collective tendency to restrain themselves politically when circumstances are ripe and objectively there is no need to do so.
Report comment
“The left is heavily invested in the notion of rationalism and they see psychiatry as an enlightened approach to emotional suffering”
That’s why it’s our job to show them that’s wrong. There is plenty of good independent yet peer-reviewed research around to point to and if people are just willing to get beyond the label of anti-psychiatry (and possible connection to Scientology that often turns people away by the sheer association) I think we have a good chance.
I think if you explain to people that we’re not so much ANTI-psychiatry but pro-ALTERNATIVE psychiatry (much the anti-globalisation movement relabelled itself to alter-globalism, which is much more in line with their goals) they may be willing to give you a chance to explain.
Also: progressives are usually very conscious about the human rights issues and that is aligned with our interests. The problems of veterans, gun regulation and money in politics influencing legislation are very important to them and each and everyone of these issues is also our issue and touches on the key problems with psychiatry: side effects of drugs, lack of sensible alternative treatment and social support of traumatised people, stigmatising of mentally ill, influence of big farma on policy making etc. If you start from these issues and show with real data how they are connected to the pathology of the psychiatric system any reasonable progressive is going to be on your side.
I think it’s just a matter of strategy: I think you have to talk differently to different people. Some people respond better to real life stories and empathise, some people won’t listen unless you give them a review of literature. There is nothing wrong with that, and we could and should do both.
Report comment
Guys, I’ve mentioned contacting alternative media. Democracy Now! has actually a contact site that allows you to suggest stories you want to see covered:
http://www.democracynow.org/contact?to=1
I don’t know how well that works but I guess if multiple people ask about a discussion of the Murphy’s bill and suggest some representatives from our side (any volunteers?) to be invited on the show we may have a chance. Is anyone with me?
Report comment
Democracy Now! had TAC’s recent report in one of their headlines recently. I called and pitched a story on their pitch line, and they never responded. I also contact them via Twitter, and no response.
It would be great if more people would reach out to them and explain that this is a civil rights and social justice issue they need to hear from us on. Suggest some specific guests, and why they would be good guests.
Report comment
B I am with you!! I could recommend many good guests who could speak about the issues associated with this bill.
Report comment
I’ll try thought their recommend topic site I’ve linked. I think it may need a certain volume to reach their ears but I think it’s worth a try.
Report comment
After you post the story suggestion they have a disclaimer saying that due to the large number of posts they are not answering most individual messages. That’s to be expected. There needs to be a bigger number of people contacting them about the problem for them to think it’s worth to address. That’s why it’s important we do that together. Anyone has idea whom we could also target?
Report comment
I have thought about pitching a blog to the Huffington Post. As Jaffe is on there… we need some opposing voices.
If you scroll down on this page, there are instructions. This is on my list to do today.
http://www.huffingtonpost.com/contact/
Report comment
Thanks again B and Leah for opening up this thread with good ideas about media resources. I wonder if local progressive stations across the country like KPFA in the bay area, would be more likely to carry our story than the big shows like Democracy Now? Peter Breggin blogs on Huff Post, maybe he could do a piece on the Murphy legislation to counter Jaffe’s propaganda- I will ask Peter about doing it.
Report comment
“I wonder if local progressive stations across the country like KPFA in the bay area” I think we should contact everyone: it really does not take a lot of time to send an email, tweet or even call. If anyone has any specific contact data to media outlets please let everybody know.
Report comment
You are definitely correct. A place for the diplomats. I am afraid I lack that talent myself. It would be interesting to know what lies in Murphy’s heart. Or is it his pocket book that cries out for sustenance? These politicians generally are bottom feeders and have few scruples and few morals. But they can kiss a baby and sound the sentimental note when circumstance requires it. Personally I am afraid we have as a society sunk so low that it may take hitting the bottom before any upward movement is possible. I knew a lady who was forced to take an anti-psychotic–Resperdol. She was given no information about the drug and might have drown. I looked up the side effects and read them to her. Quite irresponsible. I have known a number of psychiatrists. A few were decent enough but only one was looking for alternatives and trying something with success called True Hope Empower Plus–a micro nutrient formula. Many are fairly low minded and part of a spinning wheel. Going along, getting along, charging a good fee for a few minutes of observation then writing out a prescription with little idea of what the drug will do. There is no way to tell in advance: suicide, murder, bank robbery, sexual assault, no effect at all, a seeming good effect . . . seizures, brain damage. You place yourself on the wheel and no one knows where it will stop.
We must consult the Shadow that knows what lurks in the hearts of men (of women too).
Report comment
Aye but the drugs are the tools by which we are forced. If psychiatry is hand in hand with big pharma then it’s harder to challenge the biological model of psychiatry, based as it is on brain chemical stuff, genetics, “family history of” etc.
Report comment
It’s not just the drugs though, so focusing on that misses the many ways we are coerced. Seclusion, shock, having to behave to get access to fresh air, having to go to your appointments on time, and follow your treatment plan (which you had no part in choosing). I am focusing on all of force which for sure includes forced medication.
Report comment
Well it was the drugs they injected in to me by force that I remember. The pulling my pants down, some of them holding me down, men included, so as to make me take the chlorpromazine. This happened until I took the syrup then the pills. The force is linked to the drugs in my mind. Symbiotic twins.
These drugs invade your personhood, take away your personality, decision-making abilities, sense of humour (for me) and I wasn’t even able to sing which I do all the time. Taking away my voice. My freedom.
For me it’s all about the drugs. The paradox of the powers that be forcing psych drugs on us but criminalising the folk who take recreational drugs. It’s all about money, profit, and keeping us under control. Let’s be clear about this. It’s not democratic, never was. More like a totalitarian state of mind. We really do all need to wake up and smell the coffee.
Report comment
Comment removed in accordance with MIA posting guidelines.
Report comment
Hi Leah,
You make some good points but here is my concern.
Forced drugging sounds good to Murphy and his supporters because it can be quickly implemented. If we claim it has no place, what do we offer in its place that sounds feasible to these folks?
Isn’t the whole reason for the Murphy legislation due to feeling what is available right now isn’t working even though we think it works great? I am not trying to give you hard time but simply am trying to understand what is going on so we are in a position to fight smartly.
Report comment
Whats going on is they are making these laws to get people in crisis or with undesirable behaviors chemically lobotomized with things like these nueroleptic “depot injections”.
We are witnessing a major expansion of the chemical prison industry (assisted outpatient treatment). They use all kinds of “studies” that prove apathetic chemically lobotomized people on forced nueroleptics have less arrests, hospitalizations and are less of a burden on society.
The call what they are doing “treatment” for “illness” to sell the idea to the public as medical care.
Report comment
Great and so what? I can tell you that the general public does not care as long as they get rid of them problem. Most people don’t see themselves as potential victims before it happens to them personally and truly believe that the doctors know what they’re doing and the force is used only in most dire circumstances. Let’s get these crazy disruptive individuals somewhere out of sight when they will for sure get the needed and compassionate care.
What you have to do is not only to show that these methods are inhumane but to stress that a) they can be applied to anyone even for a minor transgression (get the people to empathise with you) b) show the actual studies proving they’re ineffective. Show the link to INCREASE in antisocial an violent behaviour. I have not seen one person during any hearing bringing these things up. It’s all about “coercive psychiatry is bad because it hurt me”. It may be a valid point but not the one which is going to convince the public. Tell them about increases suicidality, bring up the connection to mass shootings, the WHO study on the anti-psychotic. I feel like the movement is concentrating too much on civil and human rights and not enough on hard science. Right now people are left with the picture: “psychiatry isn’t perfect but it can help to keep these self-harming and potentially dangerous mentally ill people under control by drugs which help them”. Well, you have to take each and every claim in this sentence and show the evidence to the contrary: not opinions, not personal testimony (though they can be supportive) but actual studies. And don’t talk about diagnosis – you won’t at this point convince anyone who has seen someone with a psychotic episode it’s not an illness. That’s a long and complicated discussion you want to avoid because in a short time people usually have to present their views you’ll look like you’re denying reality before they get your point.
Report comment
B, I couldn’t agree more. What do you think would be the best studies to cite in this regard? These are some of the ones we have pulled together here. http://www.ncmhr.org/downloads/NCMHR-Fact-Sheet-on-Involuntary-Outpatient-Commitment-4.3.14.pdf
Report comment
Wow, that’s great job you did, I have not seen it before. I think that is exactly the approach we need:). I’ll have a look later and see if I can add anything but that’s already great work.
Report comment
Perhaps then we might find ourselves in the not so distant future chaining the mad to walls. Forcing these extremely dangerous drugs on people is worse though it has a nice genteel appearance. It is hard for me to believe the sponsors of this sort of treatment should have anything to do with “mentally ill”. When you force something on someone you load a spring which at some future time will spring outward. Hence, the meaning behind the word impassioned.
What we need is listen therapy. People capable of deep listening and loving speech. There is fine anecdote of Dr. Milton Erikson when he was interning in a mental hospital. He sat for long periods of a time with man who was unintelligible and uncommunicative and began imitating the man’s behavior. Finally one day the man said: Why are you doing that? Dr. Erickson had “listened” into the man’s reality.
But Americans believe profoundly in the rewards of violence. They always have. And since crazy people are scary they merit some firm even violent treatment to shock them back into the shape we desire! Primitive? Yes, of course. Ignorance seeks to destroy what it can not grasp. And, hey, there is campaign money to be gotten by fattening the drug companies. And they seem to be rather psychopathic strangers to the human.
Fallujah is the perfect monument to the fruit of violence. Now the most contaminated place on the earth and creating a multitude of deformed babies!
Report comment
Yes AGniYoga, I agree that a huge unmet need is for more and more people to be able to spend time with another person who lovingly listens and cares about their suffering and their needs. It’s pretty simple. Maybe too simple in this age of psychiatry becoming applied neuroscience.
If I am really terrified, hearing voices, seeing things and haven’t slept for a long time as I was in my madness days, would I really go to a doctor and ask-“Please, may I have some applied neuroscience, please help me, I can’t take this anymore.”
Where is the love and comfort in applied neuroscience?
In 1966 my loving, aged grandmother would be sitting in her chair- and when the voices and terror in me would be unbearable I would go sit at her feet as I did as a little boy and ask her- “Grandma, will you put your hand on my head again please?” And she always would put her hand on my head and sometimes say, “I’m sorry you are sick Michael. you must have the flu dear.” But I didn’t have the flu- or schizophrenia or bipolar. I had a broken heart and an almost broken spirit.
That kind of loving care she saved me with is what I want in my hours of need and what I want to give others in theirs.
When all is said and done about politics and ways to make it better for people, we know how much pain we here in this discussion have endured and why we want to help it be relieved for others.
Michael
Report comment
Interestingly I used to spend time with my grandmother in those years. They were bad times. 1965 seems to have been the end of the modern era and the beginning of another nameless one that is currently devouring everything human. I guess the demons were released by a series of misadventures of a national sort. The Vietnam War. The indiscriminate use of LSD. In all likelihood a president that was complicit in the assassination of JFK. What a time! I am not sure how all this gets changed. Any movement is soon taken over by a hidden billionaire. What we need, and perhaps this is it here, is a quieter one that proceeds by understanding the “enemy” and slowly coaxes him into a transformation.
In terms of dealing with the local government I have finally succeeded in getting a council member to take seriously the dangers of putting fluoride in the water. It took several years of being ignored. Reading Plato’s Laws is useful. A state which places money in the position of honor he says is both unholy and unpatriotic. The Laws is quite a wonderful dialogue. We would all like Plato if he were around.
Though we live in a scientific age people really are not very scientific. For example there is little to nothing to support scientifically the drugs. I am sure that psychiatrists and politicians are capable of reading a few books, of noticing how often these irrational mass shootings are carried out by people on drugs. The recent Ft. Hood shooter was on Ambien and several other drugs. The counter indications for many of these drugs mention suicide, violent outburst, etc. Not very careful are those giving them out to soldiers who may have PTSD. So the whole operation is closer to the dictionary’s idea of witchcraft! Witch doctors.
Best of luck.
jn
Report comment
The “slowly coaxes him into a transformation” in regards to pharma ,bio psychiatry,medico billionaires,or any billionaires of the ruling elite is surely to result in , unless you’ve been through the fire yourself,you finding no entry, being ignored, accepting a pay off, spending time in a gulag ,or worse for most everyone.
We need to make unified demands and If they are not met by the oppressors reply with steadily increasing numbers of people ready to do civil disobedience plus a massive online presence like a Ghandi, Internet ,Wiki Leaks ,Rev. King,and Malcolm X combo strategy. We could sell decals of a picture of the Statue of Liberty wearing a sign around her neck saying ,Welcome to the Totalitarian Therapeutic State of Medical Freedom , to the Right Psychiatric Evaluations, to the Left Injections of Putrefactions . We could sell the decals or T-shirts or bumper stickers etc. to fund the movement. First we could ask Michael Cornwall, Leah Harris and Cindy Fisher to together request a meeting with Michelle Obama and try to free Justina Pelletier.
Report comment
I think the wiser course of action is to provide better alternatives. Demonstrations do not work very well these days. They get sabotaged one way or another. Since the profits of large corporations are at stake the enemy is powerful. Another worth while tactic is bring suits. The pharmaceuticals generally prefer to make settlements and the experts get a look through discovery at the products and clinical trials. If hundreds of these are brought it makes for very bad publicity. There is no good science behind the whole adventure. Their greatest strength is in buying scientists to lie and having vast sums for advertising. It is a truly criminal and rotten business and must eventually implode. But the gov sees a way to benefit from drugging people so is on their side for now.
Report comment
Well, if that was only neuroscience. I happen to have a PhD in that particular field and know pretty well that no one knows shit what the drugs do and how the brain works. The actual neuroscience is in it’s newborn years and in some cases it has not yet been born.
Another important think to stress: the fact that something is biological does not make it a disease. We are biological creatures, our brains are biological organs and our behaviours are biological. But the fact that my behaviour and my brain activity is different from your does not make me sick. I would give an example of a red haired person: they are clearly biologically different from the rest of the population, they difference is biological and even lo, and behold! genetic. Does that mean that there is a red-hair disorder? I can say even more: red-hair is associated with light skin and this gives you a bigger chance of getting a sunburn and even skin cancer. So your biological makeup makes you predisposed to a suffer under certain environmental circumstances. Does that mean we should treat red-haired people? That they are somehow diseased? Why don’t we make them wear burkas and ban them from beaches to protect their delicate skin? I believe there are biological and genetic differences in human personalities, their sensitivity and preferred mode of response to environmental stressors and it’s all OK to study and try to understand those. But none of it makes it automatically a disease.
Report comment
Brilliantly stated!
Report comment
G-d Bless You Michael ! And us All !
Fred
Report comment
Thank you Fred!
Report comment
You make some good points especially “to provide better alternatives” but here’s the catch 22 that is most always discussed in one liners. Most anyone that has come out the other end of the comprehensive psych-gulog has had to think on their feet and has had to draw on everything within themselves to survive. They’ve seen others better then themselves fall by the wayside, been able to help others, been lucky or ran into miracles,at times given up and attempted to end there own lives and gotten help from friends and strangers from outside the gulag along the way and sometimes had to invent survival techniques and modalities themselves never seen before by anyone else. I know I have. Now where and how in the world can these be presented to their fellow human beings so full of educations, vested interests,Belief in Double blind multimillion dollar trials monopolized and designed by our enemies,brainwashings,and even our would be peers building barriers to even listening to new discoveries by fellow so called peers ,barriers ,out of words out of context like, everybody’s different, we gotta go by” best practices”, where’s your credentials I’m in academia,It may work but I don’t see how we can make any money out of this, I’m glad it works for you. Catch 22 on alternatives originating from individual peers.They are there but they are not there ?
Report comment
I also like the idea of bring many suits,
Report comment
And ten years from now, I will be stunned by the shock claimed by the government and the general public when we watch another Geraldo expose. Of course, that was 1972 (at Willowbrooks, and even though it was reminiscent to watching America’s own Holocaust on the evening news, it must not have been that shocking. You see, that was the end result of what they called a “moral imperative” promising access to the best possible help too. I wonder how many empty pairs of shoes those facilities would account for if we really sat down and ran the numbers. Though it won’t be a popular consideration, I sometimes think how the (roughly estimated) 12 mass shootings since the 1970’s seem to capture the public’s disgust when compared to the 100’s of thousands that died in the “care” of institutions, the 100,000 of forced lobotomies, the over 60,000 that were forcibly sterilized… I know that loss is loss, regardless of the number of casualties… but there’s never been a knee jerk legislation by congress in response to those numbers.
Report comment
Well, psychiatry as we know it would have to be entirely demolished. It’s not effective, its extremely biased, morally repugnant, and their refusal to expand their options for treatment to anything that doesn’t give huge kick back to them along the way has made them more than greedy and dangerous, I would say they have set back possible options for people with mental illness fifty years. Psychology, while heavily dependent on some of the same schools of thought lacks the bias and is considerably more willing to branch out their studies. While I would still encourage therapy and certain medications of the mentally ill, I would say it was also important to embrace a stand that if the disorder is not a problem in your or other’s lives, the options of choosing to like yourself and do everything that everyone else does would be a A PLUS. Another important step I think we could consider is a very public campaign making people aware of dishonesty regarding mental illness in politics and the media, and work towards being established as a suspect class which we should’ve been years ago instead of allowing more power through the establishment of the ADA. If you remember, Adam Lanza was repeatedly called autistic in the media at the beginning, but a brief discussion with representation for a group of representatives for one of the autism volunteer groups, shut that up immediately. The same could and should have been done for mental illness ages ago.
Report comment
Given that the APA has had such a great victory in expanding their powers perhaps we should send all their members a gift. Maybe a small death head badge to remind them of the glorious days when psychiatrists had real power. How restrained they must feel in this genetically corrupted society we live in that could be cleansed if only the politicians would unshackle them from these humanitarian chains.
Oh well, you work with what your given eh? (/sarcasm)
Thank you for your article Dr Cornwall. I agree that their is a need for a multi faceted approach to combat these people. One area is certainly their historical roots. Volpes pilum mutat non mores (the wolf can change its fur, but not its nature). It’s the same brutality, in a different package.
Report comment
oldhead, for some reason I can’t respond to your comment directly. I’d be interested to think of what you think of my newest piece, which outlines a new vision and focus for organizing as complemented by Michael’s piece here. http://www.madinamerica.com/2014/04/trauma-truly-address-roots-violence-suffering-society/
Report comment
I don’t think the board lets you reply to a reply to a reply or something. I saw your article but have only scanned it so far so will respond later.
Btw the way I crammed that last post in was by making it a reply to one of my own previous posts.
Report comment
Great article. I just want to comment that this can be confusing (especially when you’ve been regaled in the Russian language):
“Part of our political power base was the mental health workers’ independent labor union that had also mastered the long march through the institutions. ”
“Through the institutions” is a lot like, if you would have said: “by means of the institutions,” which is exactly the opposite that you wanted to say.
It’s just a bit like “With the institutions,” as if it’s by means of them. I’m just mentioning this because I DID see this happen. A lady was inspired by me to go to a Mind Freedom convention, and she expected the people on the board of where she was getting the money to have read what it was about, which wasn’t the case (even though there’s online easily accessible info). So they were there already, by means of the very institution which the get together was meant to be against.
It’s like: let’s say one has the most beautiful 3/4 sized violin in existence; but you HATE the people that rate these things, sell them; and all the like:
Do you:
1) Never play on it consequently.
2) Have it in your heart that you wanted it to be appraised by who you HATE, and thus resent that only you know it’s worth; which causes extreme stress, and converts you into an old Troll when you wanted to be a Millionaire and sell the instrument.
3) Try to make a time machine for when you didn’t have the instrument.
4) Become amazed that what you thought you never had was there the whole time, along with the amazing fact that there never was any need for you to feel guilty that you were unaware of it’s existence. And play and play and play and play and play like the world would never end.
Report comment
Hi,
Lots of great points made here. I wanted to pose the question of what is being done to protect peoples’ current legal rights in the psychiatric system?
I am a “psychiatric survivor” of more than 20 involuntary hospitalizations, all starting when I had a manic reaction to being prescribed an antidepressant. When I was first hospitalized, I was shocked at how little access I had to true due process under law. How could it be legal to treat me this way?
When I got out, I did a lot of research to try to figure out what the laws were, whether my “treatment” had been legal under those laws, and if there was a way to safeguard my rights should I find myself in a similar situation in the future. The most promising thing I came across was the concept of a Psychiatric Advance Directive. In theory if I state in a legal document, while of sound mind, that I do not give my consent to receive forced drugging or other forms of treatment, I should be legally protected from having this administered to me should I be put under coercive psychiatric care in the future. Of course, enforcement of this at the time would depend on my having an agent willing to insist upon it, as anyone who has experienced psychiatric hospitalization can attest that once inside that system, your credibility and ability to access resources is minimal.
It seems to me that this is a lever to force some possible change in how people are treated in these coercive situations. Is anyone aware of situations where a Psychiatric Advance Directive has been in place, and how it has affected a course of “treatment”?
I am also interested in getting involved in reform efforts. What is a good way to find out what is currently going on and find out about groups I might like to join? There is much talk of having a grassroots movement, what is actually involved in doing this? How can I find a local grassroots movement? What can the “mental health rights” movement learn from analogous movements in our country’s recent history, such as the Civil Rights and gay rights movements?
Report comment
Hi Rebekah,
I was thinking about what you said about an advanced directive, and the difficulty of having it enforced. I wonder if a medic alert bracelet would cover this issue of communicating ones wishes.
http://www.medicalert.org/
They would act as your willing agent.
Report comment
NAMI is “lobbying power of the corporate drug industry”. I’ve just went to their website our of curiosity and after reading several pages of corporate speech means drug ads I decided to check out their funding. Here you go:
https://www.nami.org/Template.cfm?Section=Major_Foundation_and_Corporate_Support
For example in the last quarter of 2013 NAMI got several contributions from companies like Eli Lilly, Pfizer, Genentech and Johnson & Johnson. If you look up the other quarters the picture looks similar. I wonder why they would be pro-drug. It’s a sham organisation really and while the people at the so-called grassroots may be real and buy to what they’re trying to sell others the funding speaks for itself. It’s not even hidden as dark money, it’s in plain sight.
Report comment
B, I remember years ago when it was revealed that NAMI had a team of full time professional political strategists advising them that was salaried by pharma. As I said earlier, the local NAMI members don’t get a cent personally from pharma, but imagine how full time, world class political strategists have worked in every area of designing the NAMI grass roots ground game and national political campaign.
That political strategy so far is victorious in getting forced treatment laws passed in 45 states, plus the docfix bill Obama recently signed, and that professionally crafted political strategy now threatens to get Murphy’s legislation passed.
The pharmaceutical industry has carried out the most successful business plan in corporate American history since Henry Ford. Their amazingly successful drug distribution business model must be the envy of the kingpins who head up the illegal
drug cartels.
Thanks for the great NAMI links B!
Best wishes, Michael
Report comment
That’s not only pharma, it’s all the corporations. They just buy the legislation they want and finance “grassroots” to pretend there is any legitimacy to their claims. Here is another link I think some people may find interesting:
http://www.wolf-pac.com/
These are guys who are trying to get a constitutional amendment which would prevent the corporate funding of politics (e.g. get rid of Citizens United). They already had some victories and it looks like a serious movement. It would not solve all our problems but at least some of them… Anyway, check them out and decide for yourself but I guess at least signing a petition can’t hurt.
Report comment
yes, this is the logic of modern capitalism.
http://www.corporatewatch.org/
http://www.corporatewatch.org/company-profiles/pharmaceutical-industry
Report comment
As someone in my family once told me: “There are three worst kinds of criminals in the world: bankers, pharmaceutical companies and serial killers. In that order.”
Report comment
In my forthcoming book Liberty & Mental Health – You Can’t Have One Without the Other – I make three recommendations 1. – The Koran algorithm (Many mental health programs are not staffed with physicians practiced in medical diagnosis and thus are unprepared to detect a large proportion of physical diseases in their patients. As described elsewhere, California’s state mental health programs fail to detect many diseases that could be causing or exacerbating psychiatric disorders”- A Medical Algorithm for Detecting Physical Disease in Psychiatric Patients, Hospital and Community Psychiatry Vol. 40 No. 12 Dec 1989 )should be used regularly at emergency rooms when people are brought in for evaluations, as well as before anyone is committed to a psychiatric hospital, or is sent to prison. Ideally the Koran algorithm should be performed by general practitioners every three to five years beginning around puberty and continuing to middle age when initial onset of mental health problems begins to wane.
2. Screening for trauma (the symptoms of which are nearly identical to those in the DSM series) should be done prior to labeling anyone as mentally ill. Trauma screening should be done before anyone, particularly our youth, are sent to correctional institutions, as well as by general practitioners. The various non-drug trauma treatment methods need to be integrated into the mental health system.
3. Checking magnesium levels (Magnesium is essential in regulating central nervous system excitability thus magnesium deficiency may cause aggressive behavior, depression, or suicide. Magnesium calms the brain and people do not need to become severely deficient in magnesium for the brain to become hyperactive.. a marginal magnesium intake overexcites the brain’s neurons and results in less coherence – creating cacophony rather than symphony – according to electroencephalogram (EEG) measurements. …Transdermal Magnesium Therapy ©2007 by Mark Sircus, Ac., O.M.D pg. 5) should become routine in the mental health system, as well as in prisons and youth correctional facilities. Ideally they should also be done by general physicians.
I also present various other useful information, such as Reality Therapy & Choice Theory – .. people exhibiting maladjustment were not to be considered as mentally ill, but examples of ways people choose to behave when they feel thwarted in the attempt to satisfy any of the five basic needs. What others consider to be mental illness, he saw as ways in which huge numbers of people choose to deal with the pain of loneliness or disconnection in order to avoid even greater pain. Choosing intense symptoms such as depression and anxiety keeps angering under control, and enables people to avoid what they are afraid of doing.
Report comment
You’re making good points here. In fact if you account for the environment and physical health you’ll find out that all “mental illnesses” are either natural psychological responses or illnesses which should be tackled by neurologists, dieticians (I’d add iron deficiency, often borderline, as another factor known to cause depression-like symptoms) etc.
Could you give more information on the Koran algorithm? I’ve never heard about it…
Report comment
Send me an email I can send an attachment to and I’ll send you a copy of the article – a few excerpts – The Koran screening algorithm has several appealing characteristics:
1. It is limited to those findings that best predicted the presence of physical disease in a sample of patients cared for within the California public mental health system.
2. It saves the effort and expense of gathering data that may not help in detecting physical disease.
3. The data used in the algorithm can be obtained by mental health staff and do not require a physician, nurse or physician’s assistant.
The Koran medical algorithm requires 10 items of medical history, measurement of blood pressure, and 16 laboratory tests (13 blood tests and 3 urine tests). These data were the only strong predictors of physical disease in the Koran patients.
A Medical Algorithm for Detecting Physical Disease in Psychiatric Patients, Hospital and Community Psychiatry Vol. 40 No. 12 Dec 1989, Pg. 1270 by Harold C. Sox, Jr., M.D., Lorrin M. Koran, M.D., Carol H. Sox, M.S. , Keith I. Marton, M.D., Fred Dugger, P.A., Teruko Smith, R. N.
A version of it can be found at: (http://www.alternativementalhealth.com/articles/fieldmanual.htm)
or http://goo.gl/kXIuS). The original can be found at
[email protected]
http://ps.psychiatryonline.org/article.aspx?articleID=73842&resultClick=1
but I believe there is a small cost to see it at that site.
Report comment
Thanks for the links.
Report comment
Hi, Michael,
I find the tactics of punk culture, anti-art, and psychiatric survivor communities to be helpful. For new poetic and peer activist strategies see Rich Cronshey’s work :
http://cronsheyprocess.blogspot.com/2016/05/talking-points.html?m=1
Report comment