Blogs

Many mental health advocates promote ending a perceived stigma surrounding treatment. I wonder if a Mental Health Awareness Month campaign in 1940 would have led to greater humanization of mentally ill people, or if it would have just paved the way for more lobotomies?

Part 1 of this series examined how the disease model of addiction intersects with the genetically based “mental illness” theory and practice of Biological Psychiatry. Part 2 analyzed the serious limitations and sometimes harmful effects of the domination of addiction treatment by the Twelve Step (disease model), and how Biological Psychiatry has both seized upon and expanded the culture of addiction in this country. What follows will be a presentation of some alternative methods for overcoming addiction problems.

Here’s a newsflash – the hope for a molecular-biochemical explanation for psychiatry is a false hope. Most of my field has come to expect and believe that we are on the verge of a new paradigm. This paradigm is based on the illusion that the workings of the brain on the molecular level has anything to do with psychiatric conditions. The proponents believe we are on the verge of proving that psychiatry is a brain disease no different from cancer or diabetes. But all that the research has come up with is - nothing.

TMS not only has not improved my mental health, but also has robbed me of some of the most important things in life. There has been little to no research on or awareness around the negative side effects that TMS can inflict. This must change.

In Part 1 of this blog I attempted to summarize and define the evolution of psychiatry into its present day incarnation of Biological Psychiatry. In Part 2, I focused on analyzing the anatomy of its enormous power and control within our present day society. Given the difficult circumstances we now face in confronting such powerful institutions, I still believe there are many opportunities to expand our struggle and grow our movement. History has taught us that “where there is oppression there will always be resistance.” With each person and family abused by this system, combined with every lie the system tells us, there is a constant regeneration of favorable conditions to expose them and gather allies.

A group of dedicated clinicians in Vermont have developed a training program that incorporates the values and principles of need adapted approaches including Open Dialogue and reflecting therapies. They are hoping this will allow them to embed these practices into the community mental health system in their state.

In Anatomy of an Epidemic, Robert Whitaker posits that long-term exposure to neuroleptics does more harm than good. I will discuss how I have wrestled with this in my practice.

Stephen Fry’s exploration of manic depression (in the current BBC series on mental health, ‘In the Mind‘) has drawn both praise (because of his attempts to destigmatize mental illness) and criticism (because he appears to have a very narrow biomedical understanding of mental illness).  I have sent an open letter to the actor which challenges some of his assumptions about mental illness, and offers a very different understanding to that promoted in his recent television programme.

Editor's Note: At the Mad in America film festival, Allen Frances, M.D., who was the chairman of the DSM IV task force, participated on a panel of psychiatrists who were asked to respond to the themes explored at the festival and to offer their own critiques of psychiatry. After the festival, he wrote a blog for the Huffington Post, which was partially inspired by his participation at the festival, and he then offered to re-publish it on MIA. It appears below. Also at the festival, Justin Brown sought to hand out a leaflet criticizing Dr. Frances’ writings, as well as his critique of those who criticize psychiatry. We asked him to submit a post for MIA instead, which is published below.

What does the new DSM-5 have in common with an Alfred Hitchcock mystery?  They both use a plot device, a “MacGuffin,” to drive the story. Hitchcock explained a MacGuffin as on the one hand “ridiculous”, “non-existent”, “empty” and inherently without meaning, and at the same time the central point around which the entire story turns.  Which narratives, and whose, are served by the "diagnosis MacGuffin”? Are there more socially desirable alternatives to replace this particular plot vehicle? 

Very few public opinion polls on mental health issues have been conducted, and those that do exist are "forced choice" and presuppose an illness model. We at the East Side Institute wanted people to get the opportunity to reflect on and socialize their thoughts about the medical-mental illness-diagnostic model and its impact on their lives. And that is what they did!

“Unfortunately, the ethical considerations of incorporating these tools are rarely acknowledged in published prediction articles,” the researchers write.

What if we took individuals who are experiencing emotional crises called 'psychosis' and offered them safe spaces of respite? Similar to the psychedelic trip, environment, supportive relationships, and interpretation of experience appear key to whether the experience of psychosis is transformative or destructive.

My tipping point came last week after learning about the killing of 3 police officers in New Orleans, which had followed very shortly after the murder of five police officers in Dallas. I felt a deep and ancient fear and anxiety rumbling within. I wondered if others felt this tremblement de terre - this inner earthquake. My heart aches from the pain inflicted on others, as well as experienced by the individuals who acted out their fear in a murderous rampage.

People have been wondering on this site lately if there is still a role for psychiatrists. The short answer is maybe, if they can...

If it wasn’t evident before, these newer regulations make it crystal clear that prescription drugs have a monopoly over the terms “medicine” and “therapeutic benefit,” and that it is very difficult for anything that isn’t a Big Pharma drug to make a therapeutic claim.

Bob-- Yet another challenging day. I had two more patients today whose trajectories would relate perfectly to Anatomy of an Epidemic. The first was an 61...

It is the capacity of mad studies to advance the idea that mad is not necessarily bad. Acute Religious Experiences are always phenomenally mad, but not necessarily pathological.

The problems related to the use of antidepressants cannot be solved by an oversimplified psychiatry brainwashed by the pharmaceutical industry.

On Monday, August 1, over 140 people arrived on the Globe's door step asking for change. They came as a part of a Vigil entitled, ‘The People’s Spotlight.’ The event was in direct response to your ‘Spotlight on Mental Health’ series (still, painfully) called ‘The Desperate and the Dead’ (in case you didn’t catch the play on titles yourself). The demands were relatively simple.

As individuals, psychiatrists are undoubtedly well-intentioned. But the Prozac paradigm undermines the path of acceptance by its very agenda to “get rid of” or “fix” anxiety. It is by its nature a resistance — and what you resist, tends to persist.

Not all people who have letters after their names are actually "gods" or even people who have any special powers to know things about us more than we can learn about ourselves, about our own bodies, and our own minds. Blindly following what someone says we need to be doing for our own health (mental or physical) and well-being just because they have a white jacket on (so to speak) is usually not in our best interests.

To Readers: I've decided to sway, briefly, from my traditional story-telling style on this blog in order to post my short speech from this...

Dear Howard Stern: What may come as a surprise to you is that the quality of talk therapy that was available to you—time-intensive, in-depth sharing of feelings, exploring childhood traumas, examining and changing difficult personality traits—is steadily becoming unavailable to the average American.

Twenty years ago, I was invited to watch a young monk named Thupten Ngodrup go into a trance and ‘channel’ the State Oracle of Tibet (The Nechung Oracle). It took place in a small monastery next to the Dalai Lama’s residence in the little Himalayan town of Dharamsala, India. As the monks began to chant and beat their drums, Thupten’s eyes rolled back, his face flushed and he began to speak in a high-pitched voice. A few monks gathered around him and began writing down everything he said. After a few minutes, he collapsed and had to be carried from the room. At the time, I didn’t know what to think of what I had seen. Was this a dramatization?