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).

To Honor or to Investigate?

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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.

Want Our Message Nationwide? Join the National Dialogue NOW

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Do you think youth prevention programs, sports, arts programs, or spiritual approaches can help people through emotional distress? We've been calling for this dialogue for years and now it's time to get out in your city and participate in it. In four days in Kansas City we'll have the first ever large scale public forum that includes information about medical harm and the full range of entrepreneurial solutions.

Open Letter Re: This Morning‘s Feature on Depression

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Recently, This Morning featured a story on depression, in which Dr. Chris Steele advised participants that their depression was due to a 'chemical imbalance' (despite obvious environmental explanations) and that antidepressants - possibly for life - were the solution. However both the 'chemical imbalance' notion and the medical solutions it implies, for which there has never been any evidence, are outdated and now known to be harmful. Our letter asks Dr. Steele to refrain from using information that cannot be scientifically substantiated, as doing so has serious implications for the health and well-being of the viewing audience - which may be in violation of broadcasting legislation.

Managing Spiritual Emergency: In Spiritist Psychiatric Hospitals and Community Centers In Brazil

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One of the most unusual ways of looking at mental health crises is that they are all “spiritual emergencies.” After volunteering within the Spiritual Emergency Network for 7 years, and dedicating much of my lifework as a therapist to facilitating a safe spiritual emergence process, I also spent six months of each year, from 2001-2012, in Brazil researching Spiritism and participating in the work of Spiritist community centers. I like the way the Spiritists step back from the focus on symptoms of mental disease as issues to be stopped; and prefer to first perceive upsets as steps on the path of evolution which require that the person be nurtured. It’s a change in perspective that has radical consequences for mental healthcare practices.

Winning Friends and Influencing People

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Some readers of Mad in America may be aware that Scientific American published a short blog by me on 17th November 2014 - Why We Need to Abandon the Disease-Model of Mental Health Care. This blog was rather wonderfully (and slightly embarrassingly) described by Phil Hickey on his website, Behaviorism and Mental Health, as “an important milestone.” My blog attempts to summarise many of the key points of a perspective widely shared on Mad in America: 

From Independent to Institutionalized

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Dutch peer support education has changed dramatically over time since its inception. Peer support education has evolved over time from empowered and independent peer support education to institutionalized peer support education. In effect the (future) peer support workers in the Netherlands could become clinician-friendly peer support workers who merely represent peer support work in name but not in practice.

Rethinking Public Safety – The Case for 100% Voluntary

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It is time to create an entirely voluntary psychiatric system. International conscience is clear. The singling out of people with psychosocial disabilities is not worthy of a free society. There are better, safer ways to address legitimate public needs.
workhouse inmates

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

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

Uncomfortable Relations: Reflections on Learning From Psychiatric Survivors

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I increasingly think we can only reach greater understanding by working through our own experiences first, and then, if we can, alongside survivors. That will help us become more open to survivor knowledge. For example, we may need to work through our own need for control and understanding. It’s helpful to consider our own reactions to distress or madness — in ourselves and others.
Photo of a young White boy with glasses looking at a giant sheet of brain imaging results, with a Black man smiling happily behind him

Critical Psychiatry Textbook, Chapter 3: Are Psychiatric Disorders Detectable in a Brain Scan?

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Peter Gøtzsche discusses how textbooks portray brain imaging data for psychiatric diagnoses and the flaws with that body of research.

A Soiled Phoenix Rises

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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.

eCPR: A Health Promotion Approach

eCPR is a public health education program designed to teach people to assist others through emotional crisis through three steps: C = connecting, P = emPowering, and R = revitalizing. eCPR recognizes that the experiences of trauma, emotional crisis, and emotional distress are universal; they can happen to anyone, at anytime, anywhere.

Justina Pelletier: The Case Continues

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On March 25, Joseph Johnston, Juvenile Court Justice in Boston, Massachusetts, issued a disposition order in the case: Care and protection of Justina Pelletier. The background to the case is well-known. Justina is 15 years old. Judge Johnston did not return Justina to the care of her parents, but instead granted permanent custody to the Massachusetts Department of Children and Families (DCF), with a right to review in June. The disposition order is somewhat terse and sparing in its tone, but reading between the lines, it seems clear that the court has determined that Justina either does not have mitochondrial disease or that, even if she does have mitochondrial disease, her concern about this matter is inappropriate and excessive.

Getting Back to Dialogue – The Core of Healing!

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When people are “mad,” they are often insisting that certain things are so, and frequently seem unwilling or incapable of appreciating or learning from other perspectives. Yet when the supposedly “sane” mental health system approaches those who are mad, it typically does the same thing – it insists that its own view of what’s going on is correct, and seems incapable of appreciating or learning from others, whether they be the patient, the family, former users of services, or anyone who understands madness in a different way.
dead end

Our Movement Has Failed (So Far) – Here’s How To Change That

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The leadership of our mental health advocacy groups agree that money has corrupted democracy in the US and this has resulted in blocking potential for real reform. But they aren’t willing to act on connecting their small single-issue efforts with the larger movement against corruption. Why?
depression

In Defense of Healthy Depression

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With the increasing medicalization of depression, and as more and more physicians see the treatment of depression as falling under their purview, it is imperative to distinguish between actual clinical depression and "healthy depression" — the adaptive and expectable responses to distressing life events that signal a need for rethinking one's life and recalibrating one's self-perceptions and emotions.

Just Me: A Series of Reflections on Trauma, Motherhood, and Psychiatry

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It took coming off psychotropic drugs completely for me to become awake. I had the doctor I was seeing wean me off, though she didn’t want to (instead she suggested I take different drugs.) But here I am almost two years later and I am feeling all of my emotions and managing them well. I knew best what I needed, and I trusted myself. Life has shown me that I can endure many trials and tribulations without giving up, and I trust myself today to reach out for help if I need it.

Sanity, Friendship, Community

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In the early 1970s I became acquainted with the work of R. D. Laing and in 1973 I decided to relocate from California to London to work with him. I thought I would stay there a year and then return to my graduate studies in San Francisco. Instead I stayed there for seven years; seven years that changed my life completely.

Please Join Groundbreaking Research on Psychiatric Medications

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Psychiatric medications such as antipsychotics and antidepressants account for a huge number of published research studies. This existing research, however, is almost exclusively constrained within a medical model approach, purporting to evaluate medications as treatment for biological brain disorders, and designing studies accordingly. The disease, and how medications presumably affect it, is at the center — with pharmaceutical company financial interests not far behind. That paradigm is starting to change.

Chapter Eight: “Forget Happiness . . . I’ve Got Control”

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At no moment in my childhood-- whether in those weekday hours after school spent exploring the woods with my dog, or on the early...

Happy New Year From The Icarus Project!

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I want to begin by thanking Bob Whitaker for the invitation to blog on this site. I am honored to find myself amidst this...

Hearing Voices Network Launches Debate on DSM-5 and Psychiatric Diagnoses

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The recent furore surrounding publication of the new DSM has provided a much-needed opportunity to discuss and debate crucial issues about how we make sense of, and respond to, experiences of madness and distress. Many psychiatrists, psychologists and other mental health professionals have expressed their dismay about the dominance and inadequacy of a biomedical model of mental illness. Whilst we share these concerns, welcome these debates and support colleagues that are willing to take a stand, The Hearing Voices Network believes that people with lived experience of diagnosis must be at the heart of any discussions about alternatives to the current system.

Towards a New Understanding of Psychosis – ISPS 2015

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Sometimes I read things on various websites or hear speakers from abroad make statements to the effect of "Change has become apparent." There is, evidently, some indication that society, families, and even mental health professionals are beginning to understand that people suffer in unique and varied ways, and they suffer for a reason. But, every time I see this stated somewhere or hear someone utter some such words, I can't help but wonder if they are delusional (pun intended).

Psychiatry: The Hoax Exposed

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It's no secret that at the present time, psychiatry is reeling under a barrage of scrutiny and criticism. Their long-standing contention that all significant problems of thinking, feeling, and/or behaving are brain illnesses "just like diabetes," which need to be "treated" with drugs and high-voltage electric shocks to the brain, has been thoroughly discredited. And yet they go on peddling their spurious, self-serving ideology and the products of their pharma partners. The great mystery in all of this is why has the mainstream media been so slow to pick up the story.

Picking Our Battles in the War on Prejudice and Discrimination

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At Destination Dignity on World Mental Health Day, we marched, several hundred strong, from the Capitol Reflecting Pool to the Washington Monument — right down the middle of iconic Pennsylvania Avenue! As we marched, I heard the chant “Feel the reign of dignity—it feels like freedom!” and joined in.