Blogs

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

Illustration of a businessman being pulled out of a pill capsule

Fate of a Whistleblower: I Spoke Out About Abrupt Med Withdrawal

5
A rapid withdrawal can be very dangerous and even deadly. You do not solve the problem by firing those who point this out, but that happened to me.

A Square Peg in a Round Hole: The Construction of Depression as a Disease

36
This blog is a review of Gary Greenberg's book, Manufacturing Depression: The Secret History of a Modern Disease. I wrote it originally in 2010, but it was never published. By publishing the review now, I hope it will provide a useful reflection for those who have already read Manufacturing Depression, and an incitement to read the book for those who have not.
3D illustration of a green tree emerging from an unlocked prison-cell like door shaped like a head

Schizophrenia and Homosexuality: My Experience and Case Studies

40
During my confinement, I became convinced that the forced repression of my homosexuality was the true etiology of my schizophrenia.

The Evidence-Based Mind of Psychiatry on Display

153
The writings of Pies and his colleagues, I believe, provide a compelling case study of cognitive dissonance. Cognitive dissonance arises when people are presented with information that creates conflicted psychological states, challenging some belief they hold dear, and people typically resolve dissonant states by sifting through information in ways that protect their self-esteem and their financial interests. It is easy to see that process operating here.

Kristina

6
The hospital rep brought Kristina into the hearing room, a windowless cubicle so crowded there was barely room for them to get to the...

Clipping Care, Not Profit

6
Right now in Britain there is a controversy shaping up between the commercial and financial interests of big managed-care corporations and the need to care for vulnerable people in the community, people with conditions like dementia and long-term psychoses. Conflicts of interest are nothing new in the contested field of mental health, but this one threatens not only quality of care, but the well-being of low paid workers, mainly women, who are employed as support workers.

Chapter One: Journeying Back to Self

12
This blog is an attempt to make sense of what brought me into the world of psychiatry as a child and of where it...

Psych Drugs Kill vs Psych Drugs Save Lives. What if Both Are True?

46
Sometimes I happen upon folks talking about the work on Beyond Meds when I’m out and about on the internets. The other day for example I found a google group full of people who were largely inspired by the work on this blog. It was a lovely and surreal moment as I accidentally eaves dropped on their comments of gratitude about having found Beyond Meds. Today instead I stumbled upon a comment in which the person mused the opposite. She was not at all comfortable with my message . . .

Healing Voices Documentary Review in the Huffington Post

30
A little background for MIA readers on the recently published Huffington Post review about the documentary Healing Voices (see below), which I got published so as to help get the film gain publicity and screenings. I’ve been a Huffington Post blogger since 2007, but I’ve routinely had pieces that run counter to the psychiatry establishment censored. The current review was published within a few hours of my submitting it, and I can only speculate as to why. Perhaps it has to do with what department I submitted it to (which may have permitted it to avoid the Huffington Post medical review board); perhaps it was the references to the mainstream TED and the NIMH; or perhaps our movement is making so much progress that the Huffington Post is less reluctant to shut me up on pieces like this.

The Empire of Humbug: Not So Bad Pharma

0
At the 50th American Psychosomatic Society meeting in New York, Michael Shepherd was speaking. His topic - The Placebo. When the lecture finished, Lou Lasagna said "this paper is now open for questions." Nothing happened. Nobody said anything at all. Lasagna couldn't refrain from commenting: "There are 3 possible explanations. First, you were all asleep and therefore you heard nothing. Secondly, it was so bad that since this speaker has come 3,000 miles you didn't want to embarrass him. Third, it is genuinely so original and new that you don't quite know what to make of it. I'll leave you to decide which it was". What had Shepherd said?

The Latest News from Twin Research: The Genetic Influence on Political Voting Choices is...

7
There seems to be no end to illogical and even comical “findings” from MZ-DZ twin method comparisons, where the original twin researchers argue that the greater behavioral resemblance of reared-together MZ (monozygotic, identical) versus same-sex DZ (dizygotic, fraternal) twin pairs demonstrates the “heritability” of the behavioral characteristic in question. Among these we find a twin study whose authors concluded in favor of a genetic basis for being a “born again Christian” (65% heritability), another that found important genetic influences on tea and coffee drinking preferences, and still another that found that the heritability of “loneliness in adults” is 48%.

The Politics of Systems Change: Lessons Learned from the Launch of the DSM-5 Boycott

17
Machiavelli had it right. “There is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in its success than to take the lead in the introduction of a new order to things.” Ever since we launched our DSM-5 Boycott three weeks ago, we’ve received support from organizations and individuals but have become entangled in more wrangling than I ever would have anticipated.

Mickey Nardo: Tangled up in Life

9
Mickey Nardo died yesterday. Here is a brief account of his career, chiseled out of him for the Restoring Study 329 site. What strikes me most is his interest in the tangles people end up in. This certainly is a theme that ran through his blog.

November 4, 2010

0
Bob-- Today, I saw a healthy, strapping young man, 28 years old and an avid recreational softball player. He is a former college athlete and...

How to Parent a Dead Child

23
Being the parent of a dead child is hard. Being the parent of a child who died from suicide may be even harder. I love my son and am proud of him and work to make sure that his having lived makes the world a better place.

No, There is no Such Thing as ADHD

222
Somewhere along the line we have lost the understanding that kids come in all shapes and sizes. Some kids are active, some are quiet; some kids are dreamers, others are daring; some kids are dramatic, others are observers; some impulsive, others reserved; some leaders, others followers; some athletic, others thinkers. Where did we ever get the notion that kids should all be one way?

Fire In The Belly

8
What goes wrong for the 10-15% of women who feel like hiding under the covers instead of gazing blissfully into their newborns peaceful face? Is it expectations unmet? Is it hormones? Is it the brain? Having spent several years treating these women, I believe that what we are calling postpartum depression and anxiety is in fact postpartum immune dysfunction, and its attendant inflammation.

Should Children Have Consent Rights For Psychosurgery, ECT and Sterilization?

28
"Madness!" was the vehement one word response from my friend when I told her that the Mental Health Minister of Western Australia has proposed legislation to allow children as young as...
A child playing with pills

Driving Our Children into Suicide with Escitalopram and Other Happy Pills

5
The Lexapro study is marketing dressed up as science. It represents a flagrant abuse of ethics, deceiving readers at the cost of children's lives.

National Peer Certification

18
Health disparities between the seriously persistent mentally ill (SPMI) population and general population exist which are alarming (MHA, 2008).  A report issued by the...

The Right to Profit vs. The Right to Know

11
For years, drug companies have sought to boost sales by hyping the benefits of new drugs while downplaying their risks. A couple of years ago the European Medicines Agency (equivalent of the FDA) set up a program to grant public access to all clinical trial results used in the approval of new drugs. The program was hailed by activists and researchers around the world as a big step forward for patient safety. Now AbbVie, along with another U.S. drug firm called Intermune, has filed a lawsuit to stop the release of clinical trials on their drugs, effectively shutting the whole program down.

Expect Recovery….

3
Expect Recovery….seems like a tall order, especially for people that have: little hope; spent years cycling in and out of hospitals; spent years on...

Gradual Reduction is Best For Coming Off Meds: But In All Situations?

67
The phrase "medication tapering" is being used more and more as the preferred term for the psychiatric medication withdrawal or coming off process. Based on my years of work educating many people around coming off medications -- clients, support groups, and in workshops and trainings -- I think that term is misleading, and let me explain why.
A pill bottle on its side spills white tablets out (photo)

Critical Psychiatry Textbook, Chapter 8: Depression and Mania (Affective Disorders) (Part Three)

0
On the latest fad, ketamine, and how depression pills cause dependence and withdrawal.

Are DSM Psychiatric Disorders “Heritable”?

39
A key psychiatric genetic concept is heritability. The concept was originally developed as a tool to help predict the results of selective breeding programs of farm animals,1 but has been extended in the past few decades as an indicator of the strength or magnitude of genetic influences on various psychiatric disorders and behavioral characteristics. Numerical heritability estimates have been a mainstay of the field of behavioral genetics, but here I would like to focus on problems with the heritability concept in psychiatry, while keeping in mind that most of the points made here and by previous critics apply to the use of heritability estimates in all areas of human behavior.