Tuesday, June 2, 2020

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).

In Praise of Families

This anecdote is offered as a story in praise of families and a recognition of their importance to the process of recovery.

Poverty & Serious Mental illness: Connecting the Dots

Judging from the responses of several readers, certainly not all, to my previous post of March 7, “Poverty & Mental Illness: You Can't Have...

Empowerment is Vital to Dialogical Recovery

In my previous blog, I used a new term, Dialogical Recovery to describe the importance of dialogue to recovery. I and others in the...

My Own Journey Through the Mental Health Quagmire

Through my undergraduate and graduate studies, I cannot recall once encountering a critical voice. The academic world was steeped in bio-psychiatric conceptions and the...

Therapy works? So . . . ?

When we pretend that outcome studies “scientifically validate” therapy, we confuse a product that can be used to specific ends with knowledge of how the world works. That’s a pretty serious confusion.

Poverty & Mental Illness: You Can’t Have One Without the Other

If you’ve spent any time in the public mental health system, you know that folks diagnosed or labeled as having serious mental illnesses are...

Generative Narratives and the Counterculture Psychiatrists

For outsiders like me who are really critical of mainstream psychiatry, the first thing to understand is that "community psychiatry" is a counterculture within the larger culture of biomedical psychiatry. When I say "counterculture" I don't mean these people had flowers in their hair or face piercings.

Eyewitness to the Ruination of a Public Mental Health System

This blog entry is another chapter in the story of my personal odyssey as a radical therapist and human rights activist with lived experience of madness that I have been sharing on the Mad in America site. I hope it provides a meaningful look at a piece of our reform movement's history from a ground-level perspective.

Why I Prescribe

This is about neuroleptics. It is about psychosis or madness or whatever term one prefers. It is about people 18 years and older. I take...

Thinking Holistically – attempting to change the Status Quo

In our experience, using anger or name-calling isn’t usually very effective when trying to fight the “establishment” or status quo. Something we teach all...

How can parents help kids who don’t want help?

Let's not keep missing the main point of the SAMHSA stakeholder discussion We have to LISTEN to people that have opposite points of view...

The George Costanza Excuse for Medical Ghostwriting

Several months ago, two professors at the University of Pennsylvania were accused of ghostwriting. The university has now announced the results of their investigation, which is partially based on work by the great moral philosopher, George Constanza...

Autistic Acceptance and Understanding: Forging Emotional Connections

I met with a 5 year old autistic boy who was non-verbal. He came into the office and began banging his hands on the...

We are for truly informed choice; not anti-medications

I have had quite a few discussions with people who have not heard of the research on this site. Very often as soon as...

A Pharmaceutical Company That Agrees With Irving Kirsch? Wellbutrin Advertised as 10% More Effective...

Irving Kirsch (the psychologist who has argued that antidepressants offer a marginal advantage over placebos) has agreement from an unlikely source- advertisements from a pharmaceutical company, which agree completely...

Better Broadband

So many treatment colleagues have shared that prior to finding an approach that really works to turn a child’s intensity to greatness, they felt no recourse other that to look for ways to moderate the accelerating poor choices that children they worked with were making. Most relevant here is, that in retrospect, they felt that it boiled down to simply being faithful to their training, which it turns out so often is a set up to fail with difficult children.

Thinking Holistically

I am a board certified psychiatrist and a Distinguished Fellow of the American Psychiatric Association. I mention these things only to indicate that I...

Vote NOW for solutions to emotional distress!

If you want solutions for emotional distress, vote NOW! Vote for the distress model and vote for Aunt Bertha. 1) Vote now for the distress...

The Shame Game of “Patient Responsibility”

On one hand the use of prescription drugs in mental health treatment has been compared to insulin for the diabetic. You never hear about...

Why Anti-Authoritarians are Diagnosed as Mentally Ill

(Note: Read Bruce Levine's latest post: Anti-Authoritarians and Schizophrenia: Do Rebels Who Defy Treatment Do Better? In my career as a psychologist, I have talked with...

The Emperor’s Antipsychotic Drugs

I avoid drug reps but I can not stop them from finding me through the mail. Over the past few months, I have received reprints of an article from The American Journal of Psychiatry (1), reporting on a randomized, double-blind, placebo-controlled study of lurasidone from the company that makes this drug. Since I had it in my hands, I read it. What I found was surprising. Rather than leaving me impressed by lurasidone, it left me wondering what happened with olanzapine (Zyprexa).

Chapter Twenty-Four: Off the Meds and Out of My Mind

During my first few days on the locked psychiatric unit of the hospital on the hill in early December 2008, I counted the passing...

So This Is Texas 2

Allow me to introduce myself to you... I'm a California transplant and now live and work in the Dallas Fort Worth Metroplex where I...

The American Psychiatric Association’s Response to 60 Minutes: Where is the Science?

The American Psychiatric Association (APA) has posted a response to the 60 minutes segment on Irving Kirsch and the placebo effect in antidepressant research. But is their response based on scientific data?

Interpreting Harrow’s 20-Year Results: Are the Drugs to Blame?

Martin Harrow has just published his 20-year outcomes data for schizophrenia and other psychotic disorders. Those who took antipsychotics regularly experienced more psychosis, more anxiety, cognitive impairment, and markedly fewer periods of "sustained recovery." Harrow asks: "Is very long-term treatment with antipsychotic medications undesirable?"

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