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).

Snail’s Pace Race

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I live a slow paced life. I meditate every morning, refuse to get a smart phone (yet), and it takes me generous amounts of time to do things. This isn't because I am “stupid” or slow to get things. Sometimes I wonder how others get so much done each day - yet the quality and vibration of what I do is unique. It needs time. How does this relate with psychiatric drugs? Psych drugs are rooted in impatience, urgency, emergency.

Reflections on the New Mad in America Withdrawal Directory and the “Mental Health” Vanguard

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Earlier today, Matthew Cohen announced the launch of Mad in America’s directory of providers who support psychiatric drug withdrawal.  Many thanks to him for...

MIA’s New Directory of Providers For Psych Drug Withdrawal

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One of the first things I heard from Bob Whitaker when I joined Mad In America was this, "I get emails every single day from people asking if I know where they can get help coming off their medication, and I don't know what to tell them. We need to do something about this."Since then, I've received many messages with the same question myself, and rarely have I been able to offer concrete advice. Thankfully, that has changed! Today, we are pleased to announce the Mad In America directory of service providers featuring practitioners and programs who support withdrawal from psychiatric drugs, as well as other alternatives to the mainstream paradigm of care.

Conference at Vatican Holds Great Promise: You Can’t Always Get What You Want…

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I am just back from a conference - or what was called a study meeting - at the Vatican, entitled, “The Child as a Person and as a Patient: Therapeutic Approaches Compared.” Held under the auspices of the Pontifical Council for Health Care Workers, the two-day meeting on Friday June 14 and Saturday June 15 in the Vatican’s Pope Pius X Hall drew some 250 participants from 30 countries. This has been 6 years in the making, mainly representing the hard work and perseverance of Marcia Barbacki. I have also participated for the duration because I thought it was, perhaps, the best opportunity ever to spread the word about the risks of psychotropics for youth given that Catholic Health Care represents 26% of the world’s healthcare and the Church’s ability to disseminate information to all corners of the globe.

Antipsychotics and Brain Shrinkage: An Update

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Evidence that antipsychotics cause brain shrinkage has been accumulating over the last few years, but the psychiatric research establishment is finding its own results difficult to swallow. A new paper by a group of American researchers once again tries to ‘blame the disease,’ a time-honoured tactic for diverting attention from the nasty and dangerous effects of some psychiatric treatments. People need to know about this research because it indicates that antipsychotics are not the innocuous substances that they have frequently been portrayed as. We still have no conclusive evidence that the disorders labeled as schizophrenia or psychosis are associated with any underlying abnormalities of the brain, but we do have strong evidence that the drugs we use to treat these conditions cause brain changes.

The Vatican, Ritalin, and a Canadian Study of Long-term ADHD Outcomes

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The Vatican conference on “The Child as a Person and as a Patient: Therapeutic Approaches Compared,” which took place on June 14 and 15 in Rome, was not really focused—as I had thought it would be—on the merits of medicating children for psychiatric disorders. The two Americans who had tirelessly campaigned for this conference, Marcia Barbacki and Barry Duncan, had hoped that it would serve that purpose, but the Pontifical Council for Health Care Workers, as it invited speakers, decided on a broader, more diffuse agenda.

Tapering Off Medications When “Symptoms Have Remitted”: Does That Make Sense?

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While a 2-year outcome study by Wunderink, et al. has been cited as evidence that guided discontinuation of antipsychotics for people whose psychosis has remitted results in twice as much “relapse,” a not-yet-published followup of that study, extending it to 7 years using a naturalistic followup, finds that the guided discontinuation group had twice the recovery rates, and no greater overall relapse rate (with a trend toward the medication group having more relapse.)

Psychiatry’s Oppression of Young Anarchists — and the Underground Resistance

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My experience as a clinical psychologist for almost three decades is that many young people labeled with psychiatric diagnoses are essentially anarchists in spirit who are pained, anxious, depressed, and angered by coercion, unnecessary rules, and illegitimate authority. In American history, there have been several shameful periods where groups—including Native Americans, homosexuals, and assertive women—have been pathologized, dehumanized, and meted out oppressive treatments by mental health professionals in an attempt to alter their basic being. Today’s psychiatrists, psychologists, social workers, and counselors would do well to recognize that historians do not look kindly on those professionals who participated in institutional dehumanization and oppression.

What is Mental Illness Today? Five Hard Questions

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Subscribers to Mad in America might be interested in a Keynote Lecture given by Professor Nikolas Rose in Nottingham on May 15th 2013. In this lecture Professor Rose very thoughtfully challenges a number of the assumptions which underpin conventional and contemporary psychiatric practice. He asks five hard questions:
  • Is there (really) an epidemic of mental illness?
  • Does the path to understanding mental disorder lie through the brain?
  • What is the role of diagnosis and of diagnostic manuals?
  • Should we seek early identification of those at risk of future mental pathology?
  • What is the place of patients, users, survivors, & consumers of mental health systems?

Dispatches from a Reluctant Guide on the Path to Disability

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I graduated in 1987 with a Bachelor of Science in Psychology. The attitude of my professors in the Psych Department was that the science of Psychology was coming to an end. The mysteries of the mind had been unraveled through the new neuroscience, and all that was left was some mopping up. It all seemed very convincing, and I believed it myself for many years.

We Have a Dream: Getting Engaged to a Doctor

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Patient engagement is one of the mantras of current healthcare improvement efforts. Medical students and junior doctors likely think they are doing it better than their elders ever did. They are after all taught communication skills, where an earlier generation wasn’t. In fact, they are taught that they are being taught communication skills. They are taught how to communicate bad news. They are not taught how to hear awkward or bad news. The younger generation are almost certainly worse than former generations of doctors at listening for or actually hearing “the treatment you put me on, doctor, has made me worse.”

Avatar Therapy: A New Battle for the Tree of Life

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In the film Avatar, scientists are keen to exploit the moon planet Pandora which is inhabited by 10-foot-tall blue humanoids called Na'vi.  To do so they create Na'vi human hybrids called “Avatars” which are controlled from afar by genetically matched humans. When the scientists decide to destroy the eco-system of the planet to gain access to valuable minerals, war breaks out between the humans and the Na'vi. At this point the main character, Jake, who operates an Avatar, has to choose whose side he is on.  Eventually Jake's life is saved and transformed by the Tree of Souls, which the humans are trying to destroy. Why are Avatars in the news again? The latest innovation from psychiatric research is using computer-generated avatars to help people who hear aggressive voices.

See No Evil, Hear No Evil

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When you take a woman who has been eating processed food, taking The Pill, antibiotics, and maybe even a PPI, exposed to xenoestrogens, endocrine disruptors, and friendly-bacteria-slaughtering pesticides and you grow a baby in that womb, there is a good chance you have created a time-bomb. Throw in 70 doses of 16 neurotoxic and immunosuppressive vaccines by age 18, some formula, and genetically modified and processed baby food, 4 years of plastic diapers, and Johnson’s 1,4-dioxane babywash and… Houston, we have a problem.

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.

Can Psychosis be Treated With Nutrition?

We are immersed these days in the erroneous idea that only randomized placebo-controlled studies (RCTs) constitute scientific data. We will discuss the origins of the over-reliance on RCTs in a future column. For now, we shall simply assume that many of our readers understand that a well-documented case study can provide information relevant to many. And so, we would like to tell you about a Calgary-based child who we refer to as ‘Andrew’.

Talk Therapy Can Cause Harm, Too

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The Association for Psychological Science (APS) was founded twenty years ago by psychologists and neuroscientists who were dismayed by trends in the American Psychological Association (APA). The APA had lost its old single-minded focus on the search for empirically based answers to psychological questions. This may have followed from the fact that the APA’s membership encompassed an ever-larger percentage of practicing psychologists with many immediate, practical concerns. Yet it is these very clinicians who are in such dire need of empirically validated procedures. It might be time to summarize newer empirical literature that challenges the assumption that the mere expression of emotion is helpful.

Why the Fuss Over the DSM-5, When Did the DSM Start to Matter, &...

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Why all the fuss over DSM-5? Why did Robert Spitzer, the editor of DSM-III, begin to protest about the “secrecy” surrounding its production as early as 2007? Why did Allen Frances, editor of DSM-IV, begin in 2009 to challenge the American Psychiatric Association’s (APA) announced goal that when making DSM-5 “everything is on the table”? Why did he dispute the APA’s position that there had been enough progress in neuroscience to call for a “paradigm shift”, and why did Frances and others go on to protest repeatedly what they viewed as DSM-5’s “medicalization of normality?”

Critical Psychiatry Network Calls on Institute of Psychiatry to Cancel Charles Nemeroff

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The decision by the Institute of Psychiatry, Britain's leading centre for psychiatric research, to invite disgraced Professor Charles Nemeroff to speak at the inaugural lecture of the Institute's new Centre for Affective Disorders has caused a great deal of controversy, news that was recently featured on Mad in America. In the latest development members of the Critical Psychiatry Network in UK have written an open letter to Professor Pariantes, the Director of the new Centre for Affective Disorders, requesting that he cancel Nemeroff's invitation.

Madness and Play: Exploring the Boundary

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When children do things like recoil in fear from monsters and ghosts in their darkened bedroom at night, it’s easy to see the “out of touch with reality” aspect of their experience as being closely related to the faculty that gives them their ability to play – their imagination. We help children through such challenging experiences by being with them, and by playing together, doing things like creating scary images together and then figuring out how to cope with them or laugh at them. In the process we help them explore how to create a world view that works to at least some extent and has room for joy and originality - when their imagination helps them (and maybe others) see the world in new ways.

Failures of the Medical Model

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Saying we do not like the medical model will not make that model go away. I do not think we resolve these problems simply by declaring that emotional distress is not a medical concern.

Miscarried Life

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This is not just about pregnancy loss and motherhood. This is reflective of how we treat many people who have experienced pain and are expressing it in ways not immediately relatable to those around them. It is about how we as a society may contribute to some of the truly awful things that happen not by failing to properly screen and assess, but by quite successfully fostering fear and alienation.

Love It, Hate It … Write Your Own Review of the DSM-5 on Amazon

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Greetings, MIA readers. Would you like to write your own review of the DSM-5 (even if you haven’t read it, never mind bought it.) I’ve done neither, but I’ve read, talked, written enough about it to have an opinion. Write your own review of the DSM-5 on Amazon …Here's the link

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.

Thoughts on the Global and U.S. Movements

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I've just returned from a meeting of 17 activists self-identified as users or survivors of psychiatry, or people with psychosocial disabilities, from all over the world. Literally all over the world. An international gathering of human rights defenders that makes me proud to be among them. It was a meeting where I felt heard and acknowledged and able to fully give what I had to give - to offer it up along with everyone else's contributions for the common deliberation. I gave all and received all in return.

Open the Paradigm

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Less than six months ago I had the great fortune to start working with a small group of fellow producers who had spent a chunk of time traveling and shooting at various conferences. Interviews with notable figures in the movement. Survivor stories. A mixed bag of “Mad Media”. Immersing myself in the now 200+ hours of raw footage was like swimming in a sea of the subconscious. So I was swallowed whole by the white whale, consumed with the energy to put my still-developing abilities to the best use I could think of.

Open the Paradigm.