Blogs

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

May Your Psychache be Minimal

20
Suicide needs to come 'out of the closet' as a public health issue. But this in turn requires a broad, ongoing community conversation rather than the current status quo of 'experts' talking about us without us. We also need to move beyond the excessive medicalisation of suicide that blames it on some notional 'mental illness'. This is my first post where I introduce myself, telling you a little of how I came to do a PhD in Suicidology. And an invitation to join me in a radically different conversation about suicide, here at Mad in America.
A photo of a woman holding her bandaged wrist

Why Do People Self-Harm, and How Can We Stop It?

30
The psychiatric treatments I underwent did nothing to help me come to terms with my troubled past. Self-harm did not serve me well either. We must re-learn what to expect from ourselves.
Medical Stethoscope and Pills on Dollars

Much of U.S. Healthcare Is Broken: How to Fix It (Preface)

19
Medical practitioners base their practice on clinical experience, rather than the sound published health research, which they distrust.

Robert Whitaker Refutes Jeffrey Lieberman; But Is Psychiatry Reformable?

112
When theĀ neuroleptics-are-necessary-to-treat-schizophreniaĀ myth falls, psychiatry is finished.Ā And that is why the Goff et al paper was produced: a desperate attempt to maintain its position by a profession that is truly on the ropes. For psychiatry this is a death-struggle.

What Is Biological Psychiatry? Part 2: Anatomy of Power and Control

25
The evolution of psychiatry in the recent era has to be carefully examined in connection to its strong links to the U.S. economy, especially the meteoric rise in the pharmaceutical industry, as well as other geo-political developments in the world, including increased governmental control and forms of repression in post 9/11 America.

Psychiatric Drugs are False Prophets with Big Profits. Psychiatry Has Been Hijacked

55
Once again, I just finished another consultation with someone from out of state who was desperate to find a therapist who he could talk to. He didn’t want to be pigeon-holed into some DSM-5 reductionistic diagnosis. He didn’t want psychiatric drugs. He was desperate to find a psychiatrist who would understand him, who he could relate to, and could treat him with real psychotherapy. There should never have been a reason for me to consult with anyone from out of state. Unfortunately, the cynical and fraudulent takeover of psychiatry is all but complete. How many real psychiatrists are left?

“They Need to be Held Accountable”

3
Psychiatrists at the University of Minnesota forced a young man into a profitable study of antipsychotic drugs over the objections of his mother, who desperately warned that his condition was deteriorating and that he was in danger of killing himself. On May 8, 2004, Mary Weiss' only son, Dan Markingson, committed suicide. A petition to the governor of Minnesota now asks for an investigation.

Turning Distress into Joy, Part III:Ā  Helping Others

10
Research on volunteering has long found that those who help others have better physical health and psychological adjustment. And it’s not just that healthy individuals seek out ways to help others more; it is that in helping others that we reap the benefits of better well-being, too. Not only do we feel better but, for youth especially, there is a decrease in risk-taking behaviors, and more prosocial actions, especially with those outside of their family. But why is this the case?

Why Is There An Anti-psychiatry Movement?

73
On February 18, the eminent psychiatrist Jeffrey Lieberman, MD, former President of the APA, published a video and transcript on Medscape.Ā  The article was titled What Does the New York Times Have Against Psychiatry?, and was essentially a fatuous diatribe against Tanya Lurhmann, PhD, a Stanford anthropologist, who had written for the New York Times an op-ed article that was mildly critical of psychiatry.Ā  The essence of Dr. Lieberman's rebuttal was that an anthropologist had no business expressing any criticism of psychiatry, and he extended his denunciation to the editors of the NY Times.

Traditional Healing and Psychosis vs. the Promises of Modern Science

29
As noted in Anatomy of an Epidemic, the prognosis for someone experiencing psychosis is far better in developing countries than in industrialized countries. Robert Whitaker and others posit that this is due to the treatment models used in the developing world, as well as to debility and chronicity caused by psychiatric drugs themselves. I think it's also important to explore traditional tribal and village based models of helping people experiencing psychosis and examine why they may be effective. Do these traditional societies know something we don't?

Understanding the Limits of the Beneficial Effect of Antidepressants Reported in the Meta-analysis by...

0
Stone, M. B., Yaseen, Z. S., Miller, B. J., Richardville, K., Kalaria, S. N., & Kirsch, I. (2022). Response to acute monotherapy for major...

Becoming a Hearing Voices Facilitator

0
For three days in December, I was fortunate enough to attend the Hearing Voices Facilitator Training held in Portland, OR. This training expanded my understanding of the voice hearing experience and equipped me with a number of tools to use in facilitating hearing voices support groups. Grounded in a feeling of community, the training was dynamic, emotionally therapeutic, and educational all at the same time – a crystal clear example of how support groups themselves might manifest in the lives of their members.

The U.N. Asks the U.S. to Defend its Use of Forced Psychiatric Drugging

12
The United Nations Human Rights Committee has asked the U.S. government to clarify how the possibilities for nonconsensual medication in psychiatric institutions comply with their obligations under Article 7 of the International Covenant on Civil and Political Rights - i.e. the obligation to ensure that no one is subjected to torture and ill-treatment. This is the fruit of successful advocacy by Maxima Kalitventsev and myself; we went to Geneva last month to meet with members of the Human Rights Committee and urge them to ask questions related to forced psychiatry and psychiatric profiling as violations of our human rights.

Open Letter about BBC Coverage of Mental Health

34
Following Richard Bentall’s inspiredĀ Open LetterĀ to Stephen Fry, we – a group of people who have (and still do) use mental health services, who work in mental health, or who work as academics... or fall into more than one of those categories – have decided to write a parallel Open Letter to the BBC and other media organizations about their coverage of mental health issues. We need as many signatures as possible!

New Rat Study: SSRIs Markedly Deplete Brain Serotonin

0
Dutch investigators will soon publish an article in Neurochemistry International that sheds light on how SSRI antidepressants affect the serotonergic system over the longer...

Q&A: How Can We See ADHD From Another Angle, and What Can We Do...

18
We all want to help our kids or our students, and sometimes finding the right key to unlock a child’s gifts is a matter of time, patience, trial, and error.

Towards a Hermeneutic Shift in Psychiatry

50
I know that this might sound odd coming from a critical psychiatrist, but I believe that psychiatry has a future. Furthermore, I maintain that a good deal of psychiatry as practised now is helpful and that many psychiatrists manage to play a positive and therapeutic role in the lives of their patients. However, I also believe that we are at our most helpful when we depart from the current biomedical ideology that has come to dominate in our profession. As a first step, we need to get beyond the reductionism that currently guides most psychiatric research and education.
Zyprexa Papers

Big Pharma Meets Big Diagnosis, Big Courts, and Big Psychiatric Hospitals

92
Gottstein’s book is The Pentagon Papers of the traditional mental health system, because he exposes a mind-blowing number and variety of cold-blooded, calculating actions on the part of Eli Lilly in trying to hide what it knew to be the devastating effects of its hugely profitable Zyprexa.

Emotional Pain and the Possibility of Finding Hope

30
The human need to not be left alone when we are suffering is very great. During such times our very basic human needs for being valued, seen, heard and cared about arise as we are at our most vulnerable and are dependent on the goodwill of others.

To Honor or to Investigate?

5
It is not often that you will find an issue on which the editors of The Lancet and Guinea Pig Zero agree, but the need to investigate the University of Minnesota is one of them. At this point, it still not clear who will prevail: those who want to honor the Department of Psychiatry, or those who want to have it investigated.

Love Note for Valentine’s Day: Beware of Those Peddling ADHD Drugs

3
A recent New York Times front-page story about ADHD care gone awry concluded with disturbing quotes from a an information session that was held in Norfolk, VA last October. ā€œADD and Loving It?!ā€ was sponsored by Children and Adults with Attention Deficit Disorder (CHADD)—the leading advocacy group for ADHD. The story raises questions our country’s love affair with ADHD by detailing the tragic death of an aspiring medical student from the Norfolk-Virginia Beach area who became addicted to ADHD drugs.

Dreams: Still the Royal Road to the Unconscious

40
As a Jungian, and a bloggerĀ on Mad In America, I've been feeling the need to weigh in a bit from a depth psychology perspective. I rarely read aboutĀ dreams, or the functionĀ of the personal or collective unconscious here. So here goes my attempt to communicate whatĀ my friend and mentor John Weir PerryĀ shared with me, from a teaching on understanding dreams that Carl Jung had personally revealed to John in the 1940's.

A Soiled Phoenix Rises

27
It has been a good time to bury controversy. With all eyes on Washington and the fallout from the publication of DSM-5, over here in England the Institute of Psychiatry has been discretely sending out invitations to a lecture. This is not a public lecture; it is by invitation only. And who is the esteemed guest? None other than Professor Charles Nemeroff M.D., Ph.D.

Guilty

11
A little over a year ago, there was consternation in psychiatric circles as a French psychiatrist, Daniele Canarelli was found guilty after her patient hacked a man to death. She had not recogized the hazard he posed. Doctors didn’t like the implications they saw. In a series of lectures I have raised the question as to how long it might be before doctors would be found guilty for a suicide or homicide linked to an antidepressant, given that we have known that these drugs can cause suicide or homicide for over 50 years.

Who is Delusional? The Answer Is: We All Are

30
Within the mental health profession, clinicians and researchers who value a system of categorical illnesses and individual defects too often proclaim that the major feature delineating "real psychosis" from other "disorders" is the presence of delusions. Two recent articles in the New York Times exemplified for me how skewed this assertion is. It also led to a greater awareness, more specifically, of how problematic it is to view so-called delusions as meaningless indicators of disease . . . for we all experience delusion. How one experiences the self, the world, and relationships (usually based on our relationships with our caregivers) determines the level with which one must cling to seemingly irrational ideas in order to maintain a sense of order and meaning in the world. Let me explain . . .