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).

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.

Chapter One: Journeying Back to Self

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This blog is an attempt to make sense of what brought me into the world of psychiatry as a child and of where it...

Tim Murphy Mental Health Bill: More Expensive and Less Effective

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Here is a short review of the Tim Murphy mental health bill. I show the research that was left out when the bill was written, how advocates can approach the issue, and what the main problem with ignoring the research will be.

Living in an Age of Melancholy: When Society Becomes Depressed

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In a recent Ted Talk, “Depression is a Disease of Civilization.” professor Stephen Ilardi advances the thesis that depression is a disease of our modern lifestyle. As an example, Ilardi compares our modern culture to the Kaluli people — an indigenous tribe that lives in the highlands of New Guinea. When an anthopologist interviewed over 2,000 Kaluli, he found that only one person exhibited the symptoms of clinical depression, despite the fact the Kaluli are plagued by high rates of infant mortality, parasitic infection, and violent death. Yet, despite their harsh lives, the Kaluli do not experience depression as we know it.

Bipolarized and Crimes Against Nature

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Rethinking Psychiatry recently hosted a showing of the award-winning film 'Bipolarized.' The film criticizes both the mainstream mental health system and societal standards of masculinity. The author of this post draws parallels to the film and the one-man show "Crimes Against Nature," in which psychology professor Dr. Chris Kilmartin critiques traditional standards of masculinity as harmful and unrealistic.

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.

Volunteers for Psychotherapy Is A Finalist for International Award

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Volunteers for Psychotherapy, which is located in Hartford, Connecticut, and has for years run an innovative program that gets clients involved in community programs,...

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.
Sun glare through a thick forest of tall trees

Beyond Greenspaces and Mental Health: The Power of the Wild

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Tensions of sustainability, climate change, and global mental health: grassknots, greenspace, and climate psychology.

Call Me “The Doctor”

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I seem to have generated unexpected ire with my biographical information. This deserves more than just a few lines in the reply section. When...

Understanding Extreme States: An Interview with Stephen Harrod Buhner

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Finding myself intrigued by this man who'd never trained in psychiatry or psychology but who nevertheless worked effectively with people in severe distress using self-developed theories, I tracked Buhner down. I asked him to speak to me about these issues, and here is what resulted.

At the Door of the Sausage Factory

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Robert Whitaker’s book, Anatomy of an Epidemic, has provoked all manner of responses.  Some outraged, dismissive, but many supportive and relieved to hear the...

A Network Meeting in North America

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On a beautiful Vermont summer week-end, about 40 people – social workers, psychologists, psychiatrists, administrators, and people with lived experience among us – gathered together. Our purpose: To come together and model what many of us had experienced in Europe at the International Meetings for the Treatment of Psychosis.
Dark, vignetted black and white illustration: a lighthouse on an island. Below the water, the island becomes a skull.

Critical Psychiatry Textbook, Chapter 16: Is There Any Future for Psychiatry? (Part One)

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Peter Gøtzsche discusses the myths perpetuated by mainstream psychiatrists and the dishonest way they respond to critics.
peer workers support mentorship nyc

Building a Support Network for Peer Workers in NYC

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Peer Workers are actively organizing in New York City. This is significant because the mental health system is failing Peer Workers on so many fronts, and it’s long overdue that we start organizing support for ourselves. Peer work started from a social movement on the streets and has ended up a marginalized and co-opted role in a broken system.
Photo of a padlock chaining a set of document binders

“Beware, Scientology Related”: How ADHD Experts Silence Criticism

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We do not belong to the scientology movement, but this false accusation triggered an email correspondence that exposed the problematic happenings usually behind closed academic curtains.

The Biological Evidence for “Mental Illness”

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Partners' comment in response to my Carrie Fisher article essentially consists of unsubstantiated assertions, non sequiturs, and appeals to psychiatric authority. Because it comes from, and presumably represents the views of, an extremely large psychiatric practice, it warrants a close look.

Mental Health Survival Kit, Chapter 2: Is Psychiatry Evidence Based? (Part 2)

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“Psychiatry’s Starter Kit”: Many people start their psychiatric "careers" by consulting their family doctor with some problem many of us have from time to time and leave with a prescription for a depression pill.

Some Thoughts About Conferences

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Without judging the motivation of people presenting and speaking at conferences, I’d like to ask the question: can we achieve more with these conferences than generating knowledge and touching people's hearts? Are we preparing the ground for change or are we marking time?

Complexity

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The movement to radically reform the modern mental health system is rooted in a desire to offer people going through emotional distress a wider variety of options for care. As a society we have largely shifted to a model of care that is limited to a select few options that primarily advocates the use of strong psychotropic drugs and simplistic diagnostic labels for complex and widely varying narratives. The stigma of going on an antidepressant has been lessened to such a degree that one out of nine people in the US now takes this class of drug. In the context of this astronomical growth in drug-based therapy, reformers are rightly calling for a dramatic reappraisal of how we are treating emotional distress.

Difference is Not Disease: Scientific Integrity, Human Diversity, and the Potentially Bleak Future of...

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There has been a lot of talk lately about neuroscience and the future of the medical model of "mental illness." It was made clear, in NIMH director Thomas Insel’s statement, that the DSM is a system of identification and classification of what are deemed disorders within our human experience. This isn’t exactly news to the vast majority of people who have spent even a little bit of time thinking about whether or not psychiatric diagnosis makes sense.

New Video: Coming Off Psychiatric Drugs: A Harm Reduction Approach

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I want to thank Bob Whitaker for inviting me to join the bloggers at Mad In America. As an introduction to my work I...

The New York Times Magazine Article on Antidepressants

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In the Sunday New York Times Magazine, an article by Siddhartha Mukherjee entitled “Post-Prozac Nation” appeared. I eagerly read this article, wondering what position...

Justina Pelletier: The Debate Continues

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On April 1, 2014, Slate published an online article titled Mitochondrial Disease or Medical Child Abuse?  The article tries to explore the central question in Justina's case:  does she have mitochondrial disease or is she a victim of medical child abuse?

Recovery through Learning Creatura, a Language of Life

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There is a language underneath our familiar verbal language. Ordinarily it is called nonverbal communication. It is also called body language. I came to...