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).

Are We Losing Our Parenting Will?

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Some time ago, a pediatrician that I respect greatly stopped by my office to chat.  In the midst of the conversation, he smiled, and spontaneously mentioned that he had seen a rash of a particular condition lately.  When I inquired what it was, he stated Helpless Parent Syndrome.

Help Create a Real Stigma Reduction Campaign

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The last four years I've been running Poetry for Personal Power, a stigma reduction campaign funded by SAMHSA. Poetry for Personal Power has been going to Missouri Universities and asking students what they do to get through hard times and we now have about 400 incredible videos on You-Tube, with youth wellness tools.

A Journey Into Madness and Back Again: Part 3

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The idea of spending more time as a bureaucrat in the US Embassy in Iceland did not appeal to me. I longed for the freedom that academics have. While pursuing that dream I stumbled into the world of international media, “chemical imbalance”, book publishing and a greedy professor of psychiatry which was a prelude to my second annus horribilis.

Governments Delivering Customers to Big Pharma

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What distinguishes the pharmaceutical industry from the producers of other potentially harmful products, is the fact that, governments have passed legislation allowing detention of potential customers and forced administration of its product to consumers who do not wish to purchase it. Imagine if goverments passed laws allowing other industries to detain potential customers and force them to use their products.

BBC Interview with Lucy Johnstone from British Psychological Society

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Lucy Johnstone from the British Psychological Society on the influential BBC radio news programme, Today (13th May 2013), a great room 101 on changing...

Our Backs Are Against the Wall, so There’s no Way to Go But Forward

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As Frederick Douglass said 150 years ago, “Power concedes nothing without a struggle. It never did and it never will.” As we look at our situation now and try to figure out how to respond to it, we should keep those words in mind. People with psychiatric labels, like me, are now being systematically attacked as less than human, as “walking time bombs” who might kill someone at any moment, as not-quite-human creatures who should not be allowed the rights of all other citizens.

Suffering: Who Needs It?

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Depression and anxiety can be symptoms that are like a throbbing toe. Did you just drop a hammer on it? Is there a string wrapped tightly around it? Is the toenail infected? There’s pain, but what from? What might it mean? If you ask why, psychiatry has a well-rehearsed answer for you: it’s your broken brain and your misfiring chemistry! Despite efforts to focus on the danger of our emotional experiences, the finger is now being pointed back at psychiatry to explain why violence and self-harm are documented effects of treatment.

Future of Mental Health Interview Series: Interview with Joanna Moncrieff on The Myth of...

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The Future of Mental Health interview series continued this past week with many interesting interviews: Claudia Gold on The Silenced Child; Bill D. on Alcoholics Anonymous; Jackee Holder on Life Coaching and Emotional Health; Rorie Hutter on Innisfree Village; Lori Sylvester on residential treatment for adolescent girls; Joanna Moncrieff on The Myth of the Chemical Cure; and Rosie Kuhn on Transformation Coaching. Below is the Joanna Moncrieff interview. Below that are links to the other interviews and a link to a roster of the whole series.

“Do We Have to Wait Until He Kills Himself or Someone Else Before Anyone...

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In the "agreement for corrective action" against CAFE study coordinator Jean Kenney last week, the Board of Social Work cited Kenney's failure to respond to "alarming voicemail messages" from family members of Dan Markingson. Presumably, the Board is referring to a message left by his mother, Mary Weiss, which warned, "Do we have to wait until he kills himself or someone else before anyone else does anything?" The failure of Kenney and Stephen Olson to take the warnings of Mary Weiss seriously has been one of the most disturbing aspects of this case. In a deposition for the lawsuit filed by Weiss, Kenney was questioned about her response. Here is an excerpt. (The initial questions come from Gale Pearson, an attorney for Mary Weiss.)

Female Peer Specialists Paid Less than Males, Study Finds

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In a recent national study by The College for Behavioral Health Leadership, female peer specialists made an average of $2 less than their male counterparts at $14.70 per hour compared to $16.76, respectively. For those of us who don’t live in New York, the gender pay gap is something that affects our lives whether or not we realize it.

Part 1: The Development of WRAP

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I am deeply concerned that so many people reach out for help with mental health challenges and end up getting harsh treatment that is less than helpful and often harmful. I wish more of them knew about WRAP. And I wish that WRAP was a starting place for people on the journey to wellness, something they would be introduced to when they first reach out for help, rather than something they discover after they have experienced a lot of hardship and pain. In this article I have described the development process that we used to develop the Wellness Recovery Action Plan. In Part 2 I will describe the Values and eThics that have evolved around WRAP.

New Video and Campaign Calls for REAL Change in Mental Health Policy 

The problems that we face in America today are many and they are grave. Mass gun violence grips our communities on a regular basis. A wave of protest against unfair policing policies and police violence directed against people of color and people with mental health and other disabilities. “Zero tolerance” policies in schools that lead to the school-to-prison pipeline. We incarcerate more people than any country in the world, generally for nonviolent offenses. Suicide rates are on the rise in America for the 10th year in a row. These pressing social issues are deeply interconnected and are rooted in trauma, the breakdown of community support, and socioeconomic inequality. We need reform that sees the intersections and addresses the public’s health and well-being across the lifespan.

Second Generation Neuroleptics and Acute Kidney Injury in Older Adults

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There is this enormous reluctance among psychiatrists, even those who clearly have begun to see the light, to take a clear, unambiguous stand against harmful interventions. So often, they settle for the old face-saving caveat – "use caution." But how can one use caution in prescribing a drug for an age group in which it has been shown to lack effectiveness and has a very high incidence of serious adverse effects? Surely the cautious approach would be not to use these drugs at all, especially since it's virtually impossible to predict which individuals will suffer adverse outcomes, including death.

New Research Project to be Funded by the Foundation for Excellence in Mental Health...

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Over the last 30 years Dr. Martin Harrow, Ph.D., has collected data from over 1000 interviews with people who have lived experience with mental illness. His research has been the basis for a number of papers delineating the effect of medications on those he interviewed. Further analysis of the data will answer several questions that provide the basis for a better understand of the long term effects of anti-psychotics on the treatment of schizophrenia.

Mad In America Forums and Other Updates

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Today we are launching discussion forums on Mad in America. We intend for these forums to serve three broad purposes. 1) Furthering discussion of the issues raised here. 2) Sharing personal experiences with psychiatric drugs, and 3) Providing a platform for personal networking and activism.

Postpartum Depression Screening: Prevention or Problem?

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What does screening mean, in the ever more prevalent field of Psychiatry? Psychiatric screening is not a biological metric that can be assumed to predict the future in a linear manner. It’s a series of subjective questions. It is, in short, a survey.

Day of Action to Stop Psychiatric Profiling: January 21, 2013

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As politicians, media, and pro-gun and anti-gun lobbies all converge to agree on one thing, that those of us labeled mentally ill are fair game for dumping blame on and restricting of our civil liberties and constitutional rights, despite the fact that there is no rational evidence for such profiling - our community is responding with grief and anger.

Get Off Prescription Drugs: Arriving at the Work

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I sat in my office in the middle of Provo, Utah (home of BYU) on a scorching hot Wasatch mountain day. I was taking a brief professional hiatus...

Turning Distress Into Joy, Part I:  Forgiveness

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The human condition is both incredibly unique and yet so much the same. Our experiences are as vast as the oceans and as similar as the atoms that comprise them. Our calls range from the most secluded of hermits to the most exposed of world leaders. But we are all faced with betrayal and disappointment. We are all faced with each other.

Where There is No Word for “Alone”

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I learned a lot about the meaning of community in Senegal, West Africa where I lived for a few years. One day while I was still learning to speak Mandinka, the language of my village, I asked “How do I say, I am going running (alone, by myself)?” It was explained to me that there was no word for "alone" in Mandinka.

I Wonder if There is Some Axis II Going on Here? Further Thoughts on...

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This blog was prompted by an invitation to do a guest post on the site of one of my favorite bloggers, 1 Boring Old Man. This is my response to the notion that there are certain conditions - Schizophrenia among them - that correspond more directly to biomedical conditions

Say What?  Understanding That What We Say—and How We Say It—Changes Lives

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Years ago, a psychiatrist by the name of Theodore Lidz published a book entitled Schizophrenia and the Family.  Unlike many others of his time, he believed that schizophrenic symptoms were not necessarily the result of an underlying disease, but could be caused by dysfunctional parental behavior.  He noted that significant conflict and high levels of tension were not necessarily the cause of symptoms; in certain families, a pattern of “skewed” communication existed in which odd, often unhealthy patterns of interaction and behaviors were allowed and even supported by one spouse, which resulted in a confusing, distorted environment for the children.

ï»żSAMHSA, Alternatives, and A Psychiatrist’s Despair over the State of American Science

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In my last post on my Psychology Today blog, which I also publish here, I told of my experience speaking at the Alternatives conference...

The Power of the Written Word

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Since the invention of the printing press, community-controlled publications have enabled the voices of those with little power in society to be heard. Gandhi said that without a journal, a community could not be united. Asylum magazine is a printed magazine, in existence since 1986, which provides a place where alternative voices in mental health can be heard.

Generative Narratives and the Counterculture Psychiatrists

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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.