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).

Paradigms Lost

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The fundamental stance of bio-medical psychiatry remains unchanged since my grandfather’s time – “mentally ill” people managed like stock portfolios, reduced to diseased brains and bundles of genes and biochemicals that can be quantified, manipulated and cured “scientifically” by bio-tech and surgical interventions. Magic bullets as magical thinking.

November 9, 2010

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Bob-- Today, I saw a very friendly, highly intelligent (she has a PhD in economics) and overweight 34 year old woman for a refill of...

You Are What You Eat – Part 2

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There has been much attention in this site to the role of psychiatry and psychiatrists for people who are experiencing mental or emotional distress. One area that I have chosen to focus on with my patients is food since it is a place where I believe I can have a positive impact on their lives.

NARPA Reflections: The Necessity of Disability

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I think it is time to reclaim the word disability. Disability needs to be appreciated. To the extent we value community over isolation, anything anyone cannot do, or needs help with, builds community. There are infinite examples in every career and walk of life of how necessary “disability” (since we're calling it that) is for connection, service and meaning in life. Without it we'd have absolutely no need for each other. And the fastest way to despair is to feel unnecessary.

Reclaiming Humanity

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Now that biological psychiatry has been discredited, I am championing a pro-suffering cultural shift. It is time to stop pretending that, with the assistance of hoped-for medical "miracles," we can eliminate everything we are afraid of. It is time that we get over ourselves and appreciate that a full existence as humans is fleeting and full of pain, suffering . . . and beauty.

September 27, 2010

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Bob-- I would guess that as I am typing this, you are in the midst of a spirited defense of your book at the conference....

Can a Profession Be any More Confused?

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Yesterday I attended psychiatry grand rounds, where Andy Miller presented his latest research. Andy has been a pioneer in the field of psychoneuroimmunology and an exponent for the view that major depression reflects systemic inflammation. (I have published a review of this literature recently in Frontiers in Psychology which is available for download).

Open the Paradigm

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Less than six months ago I had the great fortune to start working with a small group of fellow producers who had spent a chunk of time traveling and shooting at various conferences. Interviews with notable figures in the movement. Survivor stories. A mixed bag of “Mad Media”. Immersing myself in the now 200+ hours of raw footage was like swimming in a sea of the subconscious. So I was swallowed whole by the white whale, consumed with the energy to put my still-developing abilities to the best use I could think of.

Open the Paradigm.

Calling for Rep. McCann’s resignation while there is still time to run a different...

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I am writing to suggest you run a different democrat in House District 8, Rep. McCann's district, because she has made herself unelectable and I would prefer that the seat remain in democratic hands. The reason for this is simple: Her sponsorship of HB1253 which represents an attempt to take the right to jury trial away from one million Coloradans. Please, Rep. McCann, do the party a favor and retire from public life to contemplate what in the world made you think going after the jury trial was a good idea in the first place.

A Confession, and a Dilemma

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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.

Going On or Off Psych Drugs: One Reason or Many?

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Many people report having one reason to go off psychiatric drugs—feeling that they just know they need to, sensing they will die if they don’t come off, etc. It is far less common to hear of someone going on psych drugs because they know they must.

Chapter Nineteen: Playing the Part

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In the months following my five-year high school reunion in the summer of 2006, I drifted about in a sea of indistinguishable days. Amidst...

What Does Santa Think About ADHD Drugs?

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NEWS FLASH (North Pole, Somewherereallycold)-- According to sources at the North Pole, Santa is not happy about the growing use of ADHD drugs. As you know, long ago, he had made his list and checked it twice. But with more than 4.5 million kids in the USA alone doing ADHD drugs every day, he has had to redo his list infinitum.

Human Beings Are More Than a Combination of Letters, or; Why We Needed a...

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We are among an increasing number of people around the world who know the importance of holding on to a humanistic idea, and of keeping in mind that people need—first and foremost—other people. People who are willing to take part, to share with us the horror and confusion, to invite the telling of a narrative, and to keep the hope alive.

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.
supreme court

Supreme Court Decides Case on Insanity Defense

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The debate between the majority and dissent shows how distorted and destructive the stereotypes of madness are as they have passed down through the law. But there are also winds of change coming from tensions inherent in the insanity defense itself, and we should take this opportunity to develop some sensible policies.

When “Recovery” Feels Like a Trap

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People in roles of power in the mental health system often don’t realize how much complicity they have in actually creating the symptoms they claim are biologically-based in individuals with psychiatric labels.

Conference at Vatican Holds Great Promise: You Can’t Always Get What You Want…

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I am just back from a conference - or what was called a study meeting - at the Vatican, entitled, “The Child as a Person and as a Patient: Therapeutic Approaches Compared.” Held under the auspices of the Pontifical Council for Health Care Workers, the two-day meeting on Friday June 14 and Saturday June 15 in the Vatican’s Pope Pius X Hall drew some 250 participants from 30 countries. This has been 6 years in the making, mainly representing the hard work and perseverance of Marcia Barbacki. I have also participated for the duration because I thought it was, perhaps, the best opportunity ever to spread the word about the risks of psychotropics for youth given that Catholic Health Care represents 26% of the world’s healthcare and the Church’s ability to disseminate information to all corners of the globe.

RAISE-ing Some Questions

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All the media hubbub surrounding the recent publication of the RAISE study has been somewhat confusing. A sampler of headlines includes; Game Changer? (HuffPo); New Approach Advised to Treat Schizophrenia (New York Times); New York Times Issues Correction on RAISE Study Report; Landmark Study Recommends More Therapy, etc… What is one to make of all the fanfare and conflicting commentary?
MIACE withdrawal course

The Continuing Education Course on Withdrawal from Psychiatric Drugs is Here!

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A full picture of the seven webinars that comprise our upcoming psychiatric withdrawal course, with presenters including Sandra Steingard, Peter Breggin, Kelly Brogan, Carina Hakansson, Will Hall and a panel of survivors. The course begins on October 24th and slots are filling fast!

Economic Determinism and Medicaid

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Ok, I’ll admit to trying an academic title to talk about bureaucratic history. What a combination! But I think it adds up to something. We...

Finding the Inner Wild

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Modern “civilized” cultures do not have a good relationship with the wild. It seems we are always doing everything possible to shut it out of our lives, or to kill or tame it to the point where it is unrecognizable. Yet that which is wild is always still lurking, somewhere over the edge of our boundaries and frontiers, and also inside people, both inside the “others” we might approach warily on the street, and even inside our family members and ourselves.

The Hallucination in the Room

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I recently read Rachel Waddingham’s excellent post (Me & the Meds: The Story of a Dysfunctional Relationship) on how she eventually managed to get off meds and take control of her hallucinations. This particular piece struck home with me because it illustrates that the biggest problem with the direction psychiatry has taken in the past fifty years is not the meds (acknowledging that meds are a big problem) but the refusal to deal with the obvious: Hallucinations.

Wake Up and Smell the Coffee!

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"I want to change the way we think about mental health care so that any child, whether they have a mental illness or simply need support through a difficult time, can get the right help at the right time." This was said by Care Minister Norman Lamb and quoted by the BBC on March 17th 2015. Mr. Lamb is known to have a son who has suffered mental health difficulties and it may well have come from the heart as much as it did from the election fever which is beginning to infect British politicians. However it says something worth picking up upon. I want to change the way we think about mental health care… and … simply need support through a difficult time. These are important shifts of language, and doubly important when they come from a government health minister.
nonsense

On Making Non Sense

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I have lost interest in making sense. Insofar as anti-stigma entails a reassertion of my apparently forgotten humanity via the retelling of some personal narrative in which I generalize my unique experiences toward some universal wisdom, I have lost interest in the reduction of stigma. I would much prefer it if you didn’t need me to be comprehensible.