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).

Fire In The Belly

8
What goes wrong for the 10-15% of women who feel like hiding under the covers instead of gazing blissfully into their newborns peaceful face? Is it expectations unmet? Is it hormones? Is it the brain? Having spent several years treating these women, I believe that what we are calling postpartum depression and anxiety is in fact postpartum immune dysfunction, and its attendant inflammation.

Six Lessons on Open Dialogue From the Collaborative Pathway Experiment

27
The Collaborative Pathway is a replication and adaptation of Open Dialogue at Advocates, Inc., a human services agency in Framingham, Massachusetts where I serve as Medical Director. Last week, our team published an article in the Best Practices column of the journal Psychiatric Services, describing the program and our results from the first cohort of young people and families experiencing a psychotic crisis. This is the first published adaptation of Open Dialogue in the U.S. and represents the culmination of several years of planning, training, and direct service.
fake medicine fake disease

Real Doctors Are Peddling Fake Diseases: Here’s How to Spot Them

67
We’re bombarded with ads for newly discovered diseases. Are they all legitimate, or are some sham illnesses that were created to sell more drugs? Here are four ways to logically test whether or not something really is a classic (physically-based, symptom-causing) disease.

Do Psychiatrists Harm their Patients out of Stupidity?

306
I think it is fair to say that many psychiatrists display an enormous lack of good sense and judgment. Psychiatrists are in the firm grip of a collective force field of an almost fundamentalist belief system that blinds them to the harm they unwittingly do and the human rights abuses they commit.

Current Anti-Stigma Campaigns Hinder Withdrawal from Psychotropic Medication

15
Anti-stigma campaigns reinforce a belief that people with mental health issues must have treatment and thus, push discussion of withdrawal and negative aspects of psychiatric drugs into anonymous spaces.

Psychosis and Dissociation, Part 2: On Diagnosis, and Beyond

17
Recently I wrote an article on MIA entitled Trauma, Psychosis, and Dissociation. Several people responded privately with some very thought-provoking questions that I would like to explore and possibly answer to some extent here. Dedicated readers of the MIA website are all too familiar with the myriad problems that exist with diagnoses in general, the stereotypical (and often untrue) assumptions associated with these various categories, and their lack of scientific validity or reliability. First, though, I want to state that my area of experience and research is with trauma, psychosis, and dissociation . . .
babydoll quadruplets

Hereditary Madness? The Genain Sisters’ Tragic Story

14
The story of the Genain quadruplets has long been cited as evidence proving something about the supposed hereditary nature of schizophrenia. But who wouldn’t fall apart after surviving a childhood like theirs? The doctors attributed their problems to menstrual difficulties or excessive masturbation — anything except abuse.

Post-Acute Withdrawal Syndrome (PAWS): How the Last Step to Recovery Became the Final Step...

26
How persistent, unbearable suffering, due to prolonged withdrawal from antipsychotics prescribed as a sleeping medication, led to euthanasia.

Confessions of a Trespasser

166
In a recently published commentary in Psychiatric Times, Ronald Pies and Joseph Pierre made this assertion: Only clinicians, with an expertise in assessing the research literature, should be weighing in on the topic of the efficacy of psychiatric drugs. They wrote their commentary shortly after I had published on madinamerica “The Case Against Antipsychotics,” and it was clear they had me in their crosshairs.

Insane Medicine, Chapter 9: The Worried Parent (Part 2)

6
Once you have managed to shift the relational dance for a while, you will start to get on with your new life; hopefully you have got far enough forward to establish a new “script”; a new family relational dance.
Business man protecting with umbrella against wind of papers concept

How Peer Reviewers and Editors Protected a Failed Paradigm for Psychiatric Drug Testing

10
My recent article was so threatening to the whole edifice of psychiatry that the peer reviewers and editors did what they could to kill it.

Mad Poetry Slam!

0
Poets with lived experience with mental distress are invited to perform their poetry live at MIA's Mad Poetry Slam on Zoom on May 7th, 12PM EST.

Dialogical Recovery from Monological Medicine

16
Open Dialogue* has created a great stir since its public introduction to the United States two years ago through Robert Whitaker's book, Anatomy of...

Current Research on Outpatient Commitment Laws (“Laura’s Law” in California)‎

27
Outpatient commitment laws, passed by a number of states, permit forced commitment to ‎treatment of those whom a psychiatrist, psychologist, or mental ‎health official deems in need of treatment. The majority of this “treatment,” while not ‎specifically written in the law, results in coercive tactics to pressure agreement to take ‎pharmaceutical preparations of limited-to-no effectiveness but - as shown in early research - with ‎massive effects on cognitive functions and subsequent decision-making ability, not to ‎mention a long-term or lifelong diminished quality of life and ability to function as a productive ‎member of society.

Pioneering New Zealand Antipsychotic Medication Study Focuses on Patient Experiences

17
Miriam Larsen-Barr's study is the largest to date on the subjective experiences of antipsychotic withdrawal, and the first to explore how people who have successfully stopped antipsychotics are able to maintain their well-being.
antidepressants and suicide

Antidepressants and the National Suicide Epidemic

33
We encourage young people to see themselves as fragile creatures whose brains can go haywire for any reason, or no reason at all. Then we tell them they have the “disease” of depression and ply them with drugs with a known link to worsening depression and suicidality going back for decades. How many more will have to die before this changes?

Study 329: Transparency in Limbo at the British Medical Journal

3
While making money from the publication of pharmaceutical company trials, and in the face of a complete failure by industry to adhere to basic scientific norms and make data available, BMJ and other journals — although BMJ in particular — have run a series of articles on supposed Academic Fraud. These articles feature instances of fraud sometimes as bizarre as researcher claiming he cannot show the data as it was eaten by termites. The universal feature is that these are academic studies, and academic fraud is an issue in academia.

Tom Paine, Christianity, and Modern Psychiatry

36
Early in The Age of Reason, Thomas Paine attacks the hypocrisy of religious professionals. If alive today, Paine may well have been even rougher on psychiatrists. He revered science, and he would have been enraged by professionals who make pseudoscientific proclamations.

Our Collective Stories Have Power

9
Now is the time to harness our individual stories, our collective stories, to counter the negative and hateful stories painted about us in the media. We need to push back with stories of our own. Stories that give people hope. We will be filming, for the Obama administration's campaign to encourage discussion of mental health issues, as many people as possible telling their stories of how they built a life of meaning and purpose; what helped, what hurt, and what they see as promising policy directions.

Healing from Psychiatry: A Community Art Book

7
I began reaching out to other psychiatric survivors, asking whether they would like to have their art featured in a book, and the response I received was amazing. People openly shared not only their art but their personal stories, their feelings, and their painful journeys into, through, and out of psychiatry.
rebranding psychiatry

Rebranding Psychiatry

86
In November of 2017, the British Journal of Psychiatry published a guest editorial titled "Shrink rethink: rebranding psychiatry." The central themes are that psychiatry can be sold to potential recruits and customers using the same tawdry methods found in ad campaigns for soft drinks and shampoo; and that every psychiatrist needs to embrace this perspective wholeheartedly.

Mad in America’s 10 Most Popular Articles in 2022

6
A roundup of Mad in America's most read blogs and personal stories of 2022 as chosen by our readers.

New York Attorney General’s Office Should Take a Bow For GlaxoSmithKline’s Record Breaking Fine

18
I was glad to see that the New York Times' reporters covering GlaxoSmithKline's $3 billion settlement tipped their hat to former New York Attorney...

CIAD & Community-Based Housing for Adult Home Residents in New York City: The Struggle...

2
Sixteen million dollars are sitting in Albany, waiting to be converted into fifteen hundred apartments for adult home residents presumed to have serious mental...

Reared-Apart Twin Study Mythology: The Latest Contribution (Part Two) 

4
In Part One, we saw that the “Minnesota Study of Twins Reared Apart” (MISTRA) of Thomas J. Bouchard, Jr. and colleagues was a behavioral...