Blogs

This week, MIA highlighted a recently published study of the four most commonly prescribed neurolpetics. As noted in the post, the major outcome was that these drugs were not found to be effective or safe. This important study, co-authored by Dilip Jeste the current president of the American Psychiatric Association, is worth reviewing in greater detail.

Reparations for forced psychiatry is conceivable and is actually required under international law. Recent developments at the UN make it easier to make this argument, as detailed below.

“Don’t look at me! Save yourself!” Andrew* was a 25 year old with an imposing build that was mollified only by his despair and terror. Andrew was losing his mind. I didn’t have to see Andrew and I somewhat wish I never did. I had received a call late at night from Andrew’s nurse. “You gotta give him something man, I mean, he’s freaking out and I feel really bad.”

In my recent Alternatives keynote I talked about mental health issues and our unjust prisons, including the shameful racism of the criminal justice system...

In "The Order of Things", Michel Foucault, the great French philosopher cites a ‘certain Chinese encyclopedia’ that notes ‘animals are divided into: (a) belonging to the Emperor, (b) embalmed, (c) tame, (d) suckling pigs, (e) sirens, (f) fabulous, (g) stray dogs, (h) included in the present classification, (i) frenzied, (j) innumerable, (k) drawn with a very fine camelhair brush, (l) et cetera, (m) having just broken the water pitcher, (n) that from a long way off look like flies’.

While Sylvia Plath and Ernest Hemingway received extensive medical treatment for depression but tragically committed suicide, other famously depressed people—including Abraham Lincoln, William James, Georgia O’Keeffe, Sigmund Freud, William Tecumseh Sherman, Franz Kafka, and the Buddha—have taken different paths. Did those luminaries who took alternative paths and recovered really have the symptoms of major depression, and did their antidotes really work?

There's a widespread belief in psychiatric and mental health circles that human experience can be reduced to the biology of brain chemistry -- the "medical model." But this is just the tip of the iceberg: our whole society is in the grips of a faddish pseudo-science of "neuromarketing," "neuropolitics" "neurotheology," and 'neuroeconomics."

My sabattical of last winter has spun off a second one. I remain uncertain of my role as a physician in a society which values pills over personal growth and change. Last summer, unplugging my life from the “American dream” seemed in order. It’s not easy to make changes with chains and weights in place. It’s not easy to think, decide and move with the financial shackles that are the bones of everyday life.

It's too bad, of course, that our state and federal regulators can't seem to muster the political will to require the marketing and prescribing of safer opiate painkillers. Indeed, the federal Department of Health and Human Services could ensure that Medicare and Medicaid include agonist-antagonist drugs in their drug formularies and save many lives in one bold sweep. But until the feds get their act together -- are you listening, President Obama? -- it's up to the families who have lost loves ones to prescription drug overdoses to sue the drug makers and force change.

I've figured out there are five types of mental health advocates. We need to respect all five types of motivations and viewpoints in order to support or combat their agendas. The question for us, is how can we each of us maximize our own impact to share awareness of this situation and then impact change? The answer is that each of us has to work from our own passions and interests and talents and skills and motivations.

The suicide of Dan Markingson at the University of Minnesota has brought notoriety to the CAFÉ study and its site investigators, Stephen Olson and Charles Schulz. But the “corrective action” recently issued by the Minnesota Board of Social Work against the CAFÉ study coordinator, Jean Kenney, has raised another disturbing question.

As I re-examine my creative journey it is impossible for me to distinguish the peculiarities of manic-depression from a more universal experience of the creative process. Not coincidentally the poets, and all the great artists, to whom I was most drawn were ones I later learned shared my "mind" (having depression or manic-depression)—and it was their truths that moved me and revealed most poignantly the secrets of life.

Ever since critics began asking questions about the death of Dan Markinson in a clinical trial at the University of Minnesota, the General Counsel for the university, Mark Rotenberg, has responded with a uniform message: the case has already been investigated many times, and no wrongdoing has ever been found. That's how Rotenberg responded to my article about the case in Mother Jones, and that's how he responded last week to the news that the Board of Social Work had issued a “corrective action” to the study coordinator for the clinical trial in which Markingson died.

The practice of medicine in our country is being swallowed whole by a snake. The snake started with the poor, the black, the brown; the already disenfranchised of the deep south and inner cities many years ago. It was an easy sell to the better-off taxpayers. Who wants to give up money to take care of poor people?

I wasn't sure how to judge mental health first aid. I kept asking friends taking the course but it's hard to get a good assessment if they don't understand the risks of labels and medication. People need to understand that in order to hear how sometimes things that are intended to help can actually harm.

The suicide of Dan Markingson at the University of Minnesota has brought notoriety to the CAFÉ study and its site investigators, Stephen Olson and Charles Schulz. But the “corrective action” recently issued by the Minnesota Board of Social Work against the CAFÉ study coordinator, Jean Kenney, has raised another disturbing question.

I want to keep urging people to move toward the entrepreneurial approaches, because I think they are very powerful and not well understood or trusted in our community. I have chosen to build a business because I think it's one of the best ways I can impact on our world. After looking at the results of different types of advocacy work, this is the pressure point I've found most likely to make a difference.

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.)

As a therapist, I was trained to the gills to believe that investigating the reasons “why” a fellow human being behaves the way he does would enable that person to understand himself, which would promote healing and health. We traditionally believe that knowing the reason for one’s behavior will release him from the root of the problem. It took me years to get out from under this philosophy and practice. Along the way, I met many brilliant therapists who admitted that discovering “why” never yielded them the results they were seeking either.

Out here in Minnesota, where the snow is gently falling, many of us are hunched over our computers, puzzling over a document just posted by the state Board of Social Work. It concerns the death of Dan Markingson (or as the document calls him, “Client #1”). Markingson, of course, was a young man under a commitment order who was coerced into a profitable Seroquel marketing study at the University of Minnesota over the objections of his mother, and whose condition spiraled downward until he committed suicide.

(August, 1985) My first academic article, entitled, “Dissociation and Psychotic Symptoms” is published in The American Journal of Psychiatry. It was a case report of a young girl who experienced visions and voices. We thought that she had dissociative symptoms and we had taught her how to control these experiences through self hypnosis. In the same month, an article was published in another academic journal. This was entitled, “Treatment of Bulimia and Rapid-Cycling Bipolar Disorder with Sodium Valproate: A case Report .” We were describing the same young girl. Our treatments were concurrent. How could this be?

I just got back from the Carter Center Mental Health Symposium on Social Inclusion. I guess this is a prestigious invite, and I was expecting to meet people on the cutting edge of mental health research. I got invited based on my work with the Poetry for Personal Power program where I've helped get together over 1800 young people to talk on stage or listen to each other talking about what they do to get through adversity.

I was never voluntary, no matter how much I convinced myself I was. Only now, my mind, body, and spirit fully free from the mental health system, am I coming to understand this. After desperately searching for answers to that once perplexing question of “Who am I?” I have found that I’m connecting with a true, authentic sense of my Self for the first time.

The phrase "medication tapering" is being used more and more as the preferred term for the psychiatric medication withdrawal or coming off process. Based on my years of work educating many people around coming off medications -- clients, support groups, and in workshops and trainings -- I think that term is misleading, and let me explain why.

She came to us like a breath of fresh air; cheerful, passionate, beautiful, and always looking out for others to her own detriment. We had conversations. "Be a little selfish" I said, "It's OK to look after yourself" - and this was before I knew of the pain in her past.