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I’ve heard countless horrific stories of abuse, neglect, trauma and most every form of torment that one human can inflict upon another. The sting of such stories never lessens. I’ve often marveled at the mind’s capacity to focus a sustained attention upon ever new ways to perpetuate and promote anguish. Sophia’s story, presented here, is tragically similar in regards to the abuse she suffered.

I believe that Dr. Jeffrey Lieberman, the past president of the American Psychiatric Association must judge some writers and commenters here on MIA as being “anti-science” and “anarchists.” He has now published at least two articles that, in essence, suggest that critics of the DSM-5 and psychiatry should be silenced.

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.

Everyone knows how muckraking is supposed to work.  An investigative reporter uncovers hidden wrongdoing; the public is outraged; and the authorities move quickly on...

This is a brief description of the project design and some reflections on “lessons being learned” at Second Story, a Peer Run Respite service in California. Second Story invites people to come before they are in crisis, to take personal responsibility and prevent spiraling into a crisis, which often results in an involuntary hospitalization. Former guests often stop by to talk, and visit with current guests. Sometimes they ask to volunteer, to give back to the community by running a group, gardening, cleaning, cooking, whatever they wish to offer. They are growing their own support community.

There used to be a wonderful cartoon series called 101 Uses for a Dead Cat, which led me 25 years ago to give a talk at a British Association for Psychopharmacology meeting entitled 101 Uses for a Dead Psychiatrist. That was back in the days when Psychopharmacology meetings were places of debate and the British Journal of Psychiatry was guaranteed to have something of real interest in every issue.

Peter Gøtzsche discusses how the textbooks barely mention the role of psychotherapy and therapists, instead focusing almost entirely on pharmacotherapy.

The psychiatric survivor movement (and our overall “movement,” some of whom don't identify as psych survivors) is about as diverse and varied as the world itself. We are becoming perhaps the largest social justice movement ever to exist. Almost all women and queer people have been categorized by DSM diagnoses for being women (PMS, postpartum depression) or queer (homosexual, gender identity disorder), not to mention all the other groups who have been affected. Everyone is a survivor of the effects of the psychopharmaceutical industry on our consciousness.

I woke up to the sound of steady rain. Outside, four inches of snow still lay on the ground from the previous weekend. The temperatures had remained just above freezing, and the rain that was scheduled to come would likely only be intensifying as the morning wore on. But I had committed to the long run, knowing that my training was as much about being prepared for anything as it was for preparing my body for the actual number of miles to come.

When Linda Sarage and Jake Powers first approached me about writing a section for the fantastic manual developed by the addictions community — From the Ground Up: How to Build Your own Peer-to-Peer Recovery Center — that would help connect this manual to the mental health community, I envisioned writing a section that would serve as some sort of translation tool that could connect two very different communities toward a common purpose.  After reading the manual, however, I quickly remembered how much the mental health community has in common with the substance abuse community and how little “translation” is actually needed.

On December 29, Nassir Ghaemi, MD, a psychiatrist and a professor at Tufts Medical Center, published on Medscape an article titled Psychiatry Prospects for 2015: Out With the Old, In With the New? In it, he writes that with the changes in health care "Clinicians can stop pretending that relationship and social problems have to be shoved into a biological-sounding DSM category (such as major depressive disorder or generalized anxiety disorder) and treated with the only thing insurance companies would reimburse long-term: drugs." So there it is, starkly stated: Clinicians, by which he clearly means psychiatrists, have been pretending.

Silent hours unfolded as I devoured the words, a symphonic consciousness crescendoing as door after door of new awareness opened inside of me.  It...

This article is about coercion in its various forms – that which is direct, unequivocal, almost thuggish, and that which is more subtle, usually masked as well-meaning, referred to by David Oaks as “velvet gloved.” The Tolstoy quote above, which was sent to me by a friend and colleague, Diana Gonzalez, aptly sums this up. This article is also about the upcoming struggle over New York’s involuntary outpatient commitment law, Kendra’s Law, and which of the principal stakeholders of New York’s public mental health system -- professionals, providers, family members, bureaucrats and politicians, peer/survivors and their advocates – will line up for, and which against.

The alleged “Prom day” killer, Christopher Plaskon, is a snap shot of the future result of Connecticut’s increased mental health services. The 17 year-old's defense apparently will be that his “mental health” caused his murderous actions – not the dangerous psychiatric drugs he obviously has been taking for some time.

The British Psychological Society's Division of Clinical Psychology has attracted a fair amount of attention in the past year or two by publicly expressing dissatisfaction with psychiatry's so-called diagnostic system. For almost a hundred years, psychologists who work in this field have gone along with the travesty of psychiatric diagnosis, even though the flaws of such a system are clear to anyone with even cursory training in psychology. What the DCP is saying, if I understand them correctly, is that they will no longer play along with this charade.

I was recently surfing the internet and came across an Etsy ad selling a lobotomy tool set - hammer and orbitoclast. I was tempted to make the purchase and indulge my penchant for this historical “apparatus” especially given its rise as heroic therapeutic intervention for three decades. It was a mere $168.00. Although I didn’t buy the historical torture device, that ad left me with one penetrating realization: psychiatry is here to stay.

Family therapists view violent young people in the context of the wider social systems of which they are a part. This typically means the youth’s parents, but it can also include grandparents, teachers, or even friends. Framing youth violence in terms of the social context or family system--rather than as a psychological problem of the individual-- is the most effective way of putting an end to the violent behavior.

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.

In reviewing the classes I took in graduate school, nowhere was I taught that mental disorders are an illness arising from a chemical imbalance which needs to be treated with medication. If my university professors did not teach it, then where did I learn it? The answer lies in working in the field itself and hearing it from supervisors and other colleagues. But where did they learn it? Why do we to continue to blindly go along without questioning whether or not any of this makes sense or is helpful? We need to do better.

In the 40 years since I was wrongly - and catastrophically - "diagnosed" and "treated," I've seen one after another announcement of supposed "progress" in the "science" of understanding and treating "mental illness" come and go — first trumpeted, then with nary a mention, failing to hold their ground and falling away to the mists of time along with the people and the lives they'd ruined. People will continue to suffer and die if the public do not wake up and have the courage to act as a caring community, and stop regarding human problems as "diseases" to be "cured," rather than as challenges that we share.

Street drug dealers and stimulant-peddling doctors both get clients high and addicted for profit. So there is really no difference between what they do except that doctors are more ‘successful’ at it, since they enjoy many advantages over illicit dealers and can get away with doing it legally.

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

Beginning in the 1990s, a number of pharmaceutical and biotechnology companies began to set up bioethics advisory boards, ostensibly to obtain guidance about controversial ethical issues. Over the years, the ties between industry and bioethics have gradually grown closer, with companies setting up endowed chairs and hiring bioethics consultants. Yet very little is known about how bioethics advisory boards work. What exactly is their purpose? Do they prevent ethical wrongdoing, or do they provide ethical cover?

A recent Medscape article by a prominent US psychiatrist sheds light on why there is inadequate attention to non-pharmacological treatments of mental distress.

Matthew Aldridge, a psychiatric nurse at London's Lambeth Hospital, just published a new article in the 2011 Journal of Psychiatric and Mental Health Nursing, "Addressing Non-Adherence to Antipsychotic Medication: A Harm-Reduction Approach." This is an extraordinarily well researched clinical discussion of professional medication practice.