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).

The Foundation for Excellence in Mental Health: Finding Our Way in a World of...

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Every day we read, on the one hand, another compelling headline touting "news" of a “scientific breakthrough” that claims to have discovered the “cause” of “mental illness,” while another headline tells of researchers uncovering egregious falsification in the clinical trials of the pharmaceutical industry. The list goes on and on. Though many people report that they find medications helpful when they are in an extreme state (mostly to help them sleep ), given that there is as yet no scientific evidence confirming a specific disease/illness process underlying "mental illness,” and evidence that most if not all of the perceived effect is comparable to placebo, the fact remains that any positive effect of these meds are based on theory, while their harms are well-established.

My Journey of Recovery

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I was never anti-recovery. I will admit, however, that when the recovery movement first came to my attention in the 1990s, I was not drawn in. In recent years, this is another area in which I have needed to re-examine my assumptions.

Antidepressants and Pregnancy: The Risks and Potential Harm to Normal Fetal Development

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For the past several months, MIA Continuing Education has been working with a small online education company to remake our CME/CEU lectures into full-bodied courses. Our first such course is on the risks that antidepressant use in pregnancy pose to the developing fetus. We think it covers a subject of utmost importance to our society.

Service Dogs, Allergies and Trauma: Making Spaces Inclusive

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Obstacles to accessibility are increasing in mental health settings, as well as settings designed to be alternatives to psychiatry, which ideally should be accessible to people with disabilities — including disabling allergies.

How FDA Avoided Finding Adult Antidepressant Suicidality

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The studies that the FDA relied upon for adults over age 24 were dismally flawed and untrustworthy compared to the ones used for children. The child studies showed that antidepressants can cause suicidality — the adult studies showed nothing other than FDA collusion with drug companies.

December 6, 2010

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Bob- I saw a sixteen-year old girl for a sports physical today. She plays softball for the local high school and also is on the...

The GlaxoSmithKline Ghostwriting Documents, Part Two

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On Tuesday, the New York Times reported on how SmithKline Beecham paid a marketing company, Scientific Therapeutics Information (STI), to ghostwrite a medical textbook...
discrimination

The Psychiatric Narrative & The Boston Globe: Violence, Force, & Derogatory Labels  

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The Boston Globe recently published an atrocious opinion piece, “Massachusetts law meant to protect people with mental illness may make them sicker.” Though framed as an attempt to shed light on a need for better mental health laws, the piece insults those of us of who have been labeled with mental health diagnoses.

Medication and Spirituality

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In 2007 I returned to school to pursue a bachelor’s degree in psychology. I remember being confused by the over-emphasis on biological treatments for suffering which seemed to me much more spiritual and relational in nature. A few years earlier, my misgivings had been stirred as I sat on a California beach listening to a friend tell me about what it was like to be on Prozac. She told me that she couldn’t really cry anymore, or connect to her deeper feelings. She couldn’t orgasm. I recall my throat closing up, my thoughts running panicky and confused. I was so disturbed by the power of this drug to rob her of her tears and climaxes, experiences I associated with the more private, sacred parts of being human.

Does NIMH Follow the Rules of Science? A Startling Study

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Just as the American Psychiatric Association's (APA) long-delayed DSM5 was about to launch, the director of NIMH, Dr Thomas Insel, provoked a flurry of acrimony when he mentioned in his blog that his organisation intended to move away from the ideas behind DSM: “Patients with mental disorders deserve better... NIMH will be re-orienting its research away from DSM categories... we will be supporting research projects that look across current categories – or sub-divide current categories – to begin to develop a better system”. It now seems Insel's comments had more to do with NIMH funding needs than points of principle.

How Can We Talk About Difficult Experiences Non-Violently?

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I really valued the massive Melbourne Hearing Voices conference last week. The theme of reconciliation between voice hearers and mental health workers was a powerful one. This emphasis on creating understanding conversations at the conference was encouraged with dialogues between people on specific subjects - medication, spirituality, psychological approaches to voices etc. - rather than keynotes. It seemed a move away from presentations of competing knowledges, toward a more dialogical conference; a respectful exchange of different viewpoints, feelings and values. When you have a range of views in a presentation it’s less easy to adopt a “good guys vs. bad guys” mentality; you start to see the complexities in more relief. The surprise for me was that I liked it.

The Logic of the ADHD Diagnosis

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When constructing the ADHD diagnosis, progenitors essentially say, "Let's study a group of people who do particular hyperactive, impulsive, and distracted behaviors that are associated with chronic and pervasive problems in school, social life, and work. If the person is an adult, the problems must be present in childhood and show consistency throughout development. We will call this group "ADHD" and study correlated biological characteristics and other associated difficulties. We will continue to tweak the criteria so that the diagnostic net falls on the people with the correlated dysfunctions and patterns of biology that we find in our research.

Pharma-funded Research

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Racism refers to prejudice or discrimination against another person, or group, based solely on race or skin color.  But medical journals that insist on independent statistical analyses of pharma-conducted research are basing this policy decision on the fact that, in a compellingly large proportion of cases in the past, the statistical analyses of pharma-funded research was flawed.  And, by an extraordinary coincidence, was always flawed in a direction favorable to the company.

Racism 102:  It Is Not About Colorblindness

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How do we genuinely heal from the damage of racism and internalized racism, as well as mental health oppression, adultism and all form of oppression? We can change all the laws in the land – and we have changed many laws (civil rights laws, employment laws via the Equal Employment Opportunity Commission and the Americans with Disability Act laws) but that doesn’t change attitudes.

Cracked Open

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This is the first of a series of excerpts from Cracked Open, a book whose unintentional beginning came after I became addicted to Ativan in 2010. After a year of following my doctor’s orders for daily use to treat insomnia, my body began to fall apart. My story is much like the stories I’ve read on MIA.

“Doing” Antipsychiatry on all Cylinders: Possibilities, Enigmas, Challenges

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On several occasions I have written about the complexities of antipsychiatry politics, exploring more specifically, how to “do our politics” in a way that moves society squarely in the direction of the abolitionist goal. In this article, I am once again theorizing the “how” of activism—for understanding this territory is critical to maximizing effectiveness. However, this time round, I am approaching it from an angle at once more general and more practical. That is, I am investigating the tools or approaches at our disposal as activists.

Compassion and the Voice of the Tormentor

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I'd like to share some personal thoughts on the nature of the Hearing Voices group method, and the insights that this kind of support generates. Through these groups, a tradition of mutual healing is being created that honors subjective experiences, and sharing our stories with each other in this way propels this exciting movement forward.

Into the Woods: A Path Through Anxiety

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As individuals, psychiatrists are undoubtedly well-intentioned. But the Prozac paradigm undermines the path of acceptance by its very agenda to “get rid of” or “fix” anxiety. It is by its nature a resistance — and what you resist, tends to persist.

Senate Slated to Rubber-Stamp “Mental Health Czar” This Tuesday

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This new “Mental Health Czar,” as it is popularly known, will preside over a SAMHSA that is supposed to be far more friendly to the mental health industry. The approval ceremony is scheduled for streaming on the US Senate HELP (Health Education Labor Pensions) Committee website this Tuesday at 2:30 pm EST.
wilted flower

Language of Mental Illness “Others” People: It’s a Human Rights Violation

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When separation and microaggressions are legitimized and put into public policy and discourse, we become second class citizens and subhumans. This is oppression and bigotry systemically supported and then denied by almost everyone, including those most seriously affected. We come to believe these lies.
electricity

Ending ECT: From a Lawsuit to a Novel – The Moment is Now!

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In the midst of flagrant professional misrepresentation of ECT, this is a call to arms. Quite simply, the time has come for a frontal assault on the ECT industry and on the professionals associated with it. The time has come to rid society of this barbaric “treatment” altogether.

Shanghai’d in Recovery

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I am honored to share the story of one family that has learned about the power of language, hope and letting go with love so that every family member can grab on to a life worth living.

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.

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.
house of cards of poorly conducted informed consent

The House of Cards with Informed Consent Standards

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I recently submitted a recommendation to Oregon’s mental health officials as they consider revising their clinical standards. If adopted, my proposal will open the door to a much wider recognition of the role that poorly conducted informed consent plays in the excessive use of psychiatric medications.