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).

Dr. Pies and Dr. Frances Make a Compelling Case that Their Profession is Doing...

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Over the past two months, Ronald Pies and Allen Frances, in response to a post I had written, wrote several blogs that were meant to serve as an “evidence-based” defense of the long-term use of antipsychotics. As I read their pieces, I initially focused on that core argument they were presenting, but second time through, the aha moment arrived for me. Their blogs, when carefully parsed, make a compelling case that their profession, in their use of antipsychotics as a treatment for multiple psychotic disorders, has done great harm, and continues to do so today.
A male doctor appears to scream in frustration. His glasses catch the light

Are Psychiatrists More Mad Than Their Patients?

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Misconceptions among psychiatric leaders are at variance with the scientific evidence. They suffer from a serious, collective delusion.

Finding One’s Way Through Withdrawal

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Prescribers are taught to prescribe psychiatric medication, but they are often not well-educated about the effects on patients of discontinuing these medications.

The Boy in the Closet — How I Lost my Best Friend to a...

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Lables such as schizophrenia mask all of the strengths, feelings and talents that individuals possess, The labels can make people's behavior appear aggressive, when in fact they are terrified. On the other hand, people in extreme states respond as all humans do to an approach that is calm, supportive, and allows them the space that they need at critical times. Individuals who have been abused, neglected, or suffered from traumatic experiences communicate these fears to those who have the patience and willingness to listen to them.

Black Movement Leaders: Lost & Found

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As some of us get caught up in lamenting the whiteness of our movement, we are actively losing the stories of Black leaders.
A wooden hand touches post it notes of smiling and sad faces on wooden figures

Family Traditions and the Inheritance of “Madness”

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Families are not merely a source of comfort and support but also a breeding ground for dysfunction, unhealed trauma, and emotional neglect.

Carrie Fisher, Dead at Age 60

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First they sell you the "illness" that they've invented. Then they sell you the drugs to "treat" the "illness." Then they sell you more drugs to counteract the adverse effects. Then they sell you electric shocks to the brain. Then you die prematurely. Then they wring their hands in mock anguish, and say what a terrible illness this is, and that without their "safe and effective treatments", you would have died a lot sooner.

Carina Håkansson: Family Care Foundation

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Carina Håkansson, co-founder of the Family Care Foundation in Sweden, discusses her work with family care homes, psychotherapy and family therapy absent from psychiatric diagnoses and manuals.

Antidepressants & The Undead

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Several of us involved in RxISK.org monitor other groups setting up to offer information on medicines. Some of these, like eHealthMe, offer useful information. As ever, though, pharmaceutical companies are in there early. The Brintellix website is a masterclass in how to appear patient-centered, and patient-friendly. How to move with the times and make the new way of doing things yours.
autism

The Scientism of Autism

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Autism is now simply assumed to represent a real, tangible, identifiable ‘thing.’ But no one is asking the obvious question: On what evidential basis can you conclude that autism represents a natural category that can be differentiated from other natural categories? According to the real science, autism should be seen as a fact of culture, not a fact of nature.

#ADA25 Birthday, Mental Health, Justin Dart and My Crazy Hashtags

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This weekend I am celebrating the twenty-fifth anniversary of the Americans with Disabilities Act. Let us get a little bit crazy now! I am introducing a new segment where I boycott so-called normality. Our choice, our only choice, and we always have a choice, is what kind of madness we want.

Revising the History of the Serotonin Theory of Depression?

Did scientists recently discover that the Serotonin Theory of Depression is false? Or has this been known for decades? We investigate.

Becoming a Hearing Voices Facilitator

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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.
businessman with tape on mouth

Our Movement Has a Cover-up Problem Too

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Our movement, by not effectively addressing misconduct and corruption, is creating the same toxic dynamics we see so often in families, in schools, in a society that silences people and drives them into distress and madness.

Goodbye Psychiatry

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I will visit the shrink who prescribed for me today. It’s been many years since I’ve seen him. I wrote this as a status update on Facebook a few minutes ago and decided to post it here, too. It will be part one I guess. Part two will come after the visit.
Photo of a magnifying glass sitting on an open textbook

Critical Psychiatry Textbook, Chapter 1: Why a Critical Textbook of Psychiatry?

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The discrepancy between opinion and science is prevalent in psychiatric textbooks. The coming generations of healthcare professionals will learn a lot during their studies that is incorrect.

“Open Access” for the Activist Community

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As many MiA readers are aware, a substantial percentage of mental health-related research reports — hundreds of thousands of articles, including many of direct relevance to community-based activists, advocates and clinicians — are currently held behind paywalls. While there are now a growing number of initiatives intended to promote (free) “open access,” many important publications remain inaccessible. Many activists and scholars believe open access is a significant social justice issue. We have put together a shareable Dropbox folder with thematically grouped research articles, measures and evaluation resources.

What Is the Emergency?

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Secret court proceedings against someone certainly justifies the feeling that people are out to get them. Expressing this sentiment is characterized as paranoia. If people felt they had a fair legal process they are likely to be less upset.

He Who Pays the Piper

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A physician I know forwarded a pharmaceutical-funded article that states “psychiatric values” are “derived largely from the liberal-democratic tradition, borne of the 18th century European Enlightenment.” I cannot use the term “enlightenment" when it comes to prescribing drugs with serious medical side-effects and efficacy in the range of an enhanced placebo effect.

Evidence, Bias, and Anecdote

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I suspect that many people who come to this website are not fans of psychiatry.  Although I am also critical of various aspects of...
Marianne Williamson

We Must Hear Marianne Williamson’s Message About the Overuse of Antidepressants

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Although some of Marianne Williamson's rhetoric on the subject of the overuse of prescription medications may be over the top, the topic deserves much more public attention and debate, since it is a crisis as real as the opioid epidemic.

What You Can Do TODAY About Managed Care

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Some other bloggers have been talking about managed care, and I wanted to share some action points for all of us. There are many...

September 15, 2011

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Dear Bob-- As I share with patients my new perspectives on the ineffectiveness and potential harm of psychotropic drugs, I have found that many, even...

World Health Organization Publishes Blog About My 40 Years in The Mad Movement

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The World Health Organization (WHO), based in Switzerland, has a project Mental Health Innovation Network that is publishing brief online blog entries to promote “dignity” of mental health system users and psychiatric survivors. This is the blog by me that MHIN distributed, in which I looked back on four decades in The Mad Movement ...
Charles Spencer (left); cover of "A Very Private School" (right)

Charles Spencer’s Story of Boarding School Abuse Is Haunting

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But parents are still sending children away to board, and it’s still dangerous.