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When people call someone in their family “mentally ill,” what does it mean? The term mental illness has gotten out of control vague. There is no way to prove someone does or doesn't have a mental illness in the way it is referred to, so why don't we hear people say, “There's someone in my family who's extremely challenging for me (and others perhaps)”? Why don't we hear descriptions of the behavior, how people feel in response to it, and what concerns it brings up in an honest way where the speaker owns their own experience?

Is it possible to create a “Rainbow Coalition” with a common agenda of (1) reforming prisons, (2) providing affordable housing, (3) limiting the use of psychotropic medications, and (4) providing community-based mental health and psychosocial support? Prominent psychiatrist Allen Frances asked us at the Mad in America Film Festival to join such a coalition. Rather than rejecting Frances’ agenda outright — as I appeared to do in a recent Mad in America blog — we should give his proposal a fair hearing. As always, the devil is in the detail.

Study 329 is probably the most famous clinical trial ever. It is one of the few to attract a Fraud action and is certainly the only one with a $3 Billion fine linked to it. The study began recruiting adolescents to Paxil, imipramine or placebo in 1994 and finished up in 1998. Later in 1998, SmithKline Beecham, the marketers of Paxil (they hadn’t discovered it), acknowledged in an internal document that the study had shown that Paxil didn’t work for Children. This lack of benefit was something they were not inclined to share with the outside world. Instead they decided then they would pick the good bits out of the study and publish these.

In graduate school at UT Austin, while engaging in electroconvulsive treatment, my academic advisor would refer to my resiliency. That I suited up, showed up. Graduate school gave me something to hang onto and to busy myself with intellectually; something that was rooted firmly, concretely, in time and space. But most of all it allowed structure back into my world. Conversely, while ECT was a last-breath attempt to abate all further SI (self-injury) attempts, it was intensive and invasive, affecting my cognitive abilities. I struggled with draft after draft for multiple coursework papers.

You may think I’m slow on the uptake when I say this. And maybe I am. But I recently came to the realization that products or lifestyles that are vigorously marketed and promoted are bad for you.

On January 27 I posted a blog, Maternal Attachment in Infancy and Adult Mental Health, on my website Behaviorism and Mental Health. In this article I reviewed a longitudinal study by Fan et al.  The main finding of the study was: “Infants who experience unsupportive maternal behavior at 8 months have an increased risk for developing psychological sequelae later in life.”

Here’s a rundown of a hodgepodge of studies that I’ve come across recently that relate to themes I wrote about in Anatomy of an...

Faced with questions about the $3 Billion fine imposed on GSK – is it just the cost of doing business? - Andrew Witty snapped back: “Although corporate malfeasance cases end up looking very big, they often have their origin in just… one or two people who didn’t quite do the right thing. It’s not about the big piece. The 100,000 people who work for GSK are just like you, right? I’m sure everybody who reads the BMJ has friends who work for drug companies. They’re normal people… Many of them are doctors."

As I look back on the civil rights movement and all that my ancestors marched for, I sometimes feel as if the civil rights movement has been a dream deferred. We have come far but still have a long road ahead. The intersection of civil rights, poverty and the psychiatric survivors movement has played out now for four generations. Now the psychiatric movement faces its biggest hurdle. We are asking our allies, representatives and members of our community to stand up. We urge you not to endorse the Murphy Bill.

In 1993, the World Health Bank estimated that domestic violence, or intimate partner violence (IPV), was a greater cause of poor health than traffic accidents and malaria combined. It was believed that 5-20% of healthy years lost for women were attributed to IPV. By definition, violence is considered to be any physical, verbal, or sexual assault that significantly comprises a person’s body, trust, and sense of self. But it is not solely a female issue even as women are disproportionately perpetrated against in this way. Results from a study conducted in the United States found that 22.1 percent of women and 7.4 percent of men reported acts of IPV in their lifetime.

I have recently read this book, and I think it would be extremely helpful for parents, teachers, and counselors who work with children in...

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.

Dutch peer support education has changed dramatically over time since its inception. Peer support education has evolved over time from empowered and independent peer support education to institutionalized peer support education. In effect the (future) peer support workers in the Netherlands could become clinician-friendly peer support workers who merely represent peer support work in name but not in practice.

In our nation's history, in the face of fear, we have often risen to achieve noble goals. Other times we have behaved tragically — for instance, interning and seizing property from Japanese Americans during World War II. Certainly, there were spies among us then. Only in hindsight did we recognize that our treatment of the larger group — who were not — was gravely mistaken. We are on the verge of witnessing such an event in our own time.

Every day we read, on the one hand, another compelling headline touting "news" of a “scientific breakthrough” that claims to have discovered the “cause” of “mental illness,” while another headline tells of researchers uncovering egregious falsification in the clinical trials of the pharmaceutical industry. The list goes on and on. Though many people report that they find medications helpful when they are in an extreme state (mostly to help them sleep ), given that there is as yet no scientific evidence confirming a specific disease/illness process underlying "mental illness,” and evidence that most if not all of the perceived effect is comparable to placebo, the fact remains that any positive effect of these meds are based on theory, while their harms are well-established.

It has been indeed an honor to have my story fea­tured on the front pages of the New York Times. It is rare that peo­ple with...

My public writing has brought my mother and I closer together than we’ve been in decades. There have been disagreements. But now, my almost ninety-year-old mother tells me she reads everything I write. She recently told me that she’s glad I see things so clearly.

Doctors in the 1950s and 1960s made psychiatric diagnoses on orphaned children that led to treatment with antipsychotic drugs, and one of the drivers of this seemed to be that the Church got more money from the State as a result. The doctors, of course, also got paid. This feels like a seriously corrupt nexus operating with near impunity on the basis that no one is going to be bothered to investigate the fate of some orphans.

One of the amazing things about my new life and new career is the people I have met. I have become part of a movement that is filled with heretics. I am constantly inspired by the people that have the courage to write in this and other forums. I am inspired by the people that protest and refuse to accept a broken paradigm.

At the recent annual meeting of the Society for Neuroscience, which was held in San Diego from November 13-17, four poster presentations told of...

It would be a shame if Andrew Scull’s Madness in Civilization did no more than draw well deserved applause for his authorship and historical expertise, and a prominent place in the bibliography of madness. My own copy of Madness in Civilization arrived last week, and it is great; comprehensive, brilliantly written, lots of colourful and many disturbing illustrations. Madness’ continuing story, “From the Bible to Freud, from the Madhouse to Modern Medicine” is told as never before, but there seems to be something missing...

I’ve given the “the speech” hundreds of times to skeptical young people, to frightened families and to many homeless men and women. I’ve assured them all that “mental illness is like diabetes and your medications are like insulin.” I delivered this speech with all good intentions and unquestioned certainty of its veracity and helpfulness. I really bought the whole chemical imbalance narrative — hook, line and Seroquel.

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.

Facing a sexual abuse lawsuit, the archdiocese of St Paul and Minneapolis made a big deal of putting an independent panel in place to investigate. They put the Reverend Reginald Whitt in charge of appointing the panel and receiving its reports on behalf of the archdiocese. Rev. Whitt told priests and deacons that the task force may review specific files to determine whether the policies of the archdiocese concerning clergy sexual misconduct were properly followed. But, he wrote, “Access to these files will be within my control, and limited only to what is necessary for the task force.” This sounds terribly like the approach Sir Andrew Witty is attempting to put in place for GSK, AbbVie and the rest of the branded pharmaceutical industry vis-a-vis abuses, including child abuse committed in their name. They are asserting their right to spin their version of what it is you put in your body even though this clashes fundamentally with your right to know what you are putting in your body.

What can we say about the DSM that hasn’t already been said? Quite a lot, actually. The manual (full title: the Diagnostic and Statistical Manual of Mental Disorders), produced by the American Psychiatric Association, is incredibly powerful. It shapes research agendas, clinical practices, social care, economic decision-making and individual experiences internationally. As Rachel Cooper notes in her excellent new book, Diagnosing the Diagnostic and Statistical Manual of Mental Disorders, changes to it impact ‘the lives of as many people as changes in the policies of most countries’ (p. 2). The DSM needs to be talked about.