What Can We Learn From the Asylum?
My historical study of the Essex asylum, just outside London, finds that those who were admitted showed significant disturbances of behaviour or evidence of organic disease. Almost two-thirds of those who had psychological, as opposed to organic, disorders were discharged recovered or improved (mostly recovered).
Rethinking âDelusionsâ: Envisioning a Humanistic Approach to Troublesome Beliefs
A skilled approach to working with beliefs involves both toleration of differences in perspective and an awareness of a variety of possible things that can be tried when a belief is causing problems that do not seem to be tolerable, either to the person or to others with whom they must interact.
What Does the Therapist Know? And Why Does It Matter?
One of the things thatâs still most challenging for me in doing therapy is resisting the impulse to come up with solutions to my clientsâ problems. I find the role of âanswer womanâ very seductive. Itâs not only because the people who come to me for help usually assume, at least at first, that help means solutions.
Working With the Four Dialogues: Using Chairwork in Clinical Practice
In 2001, I discovered the astonishing power and beauty of Gestalt Chairwork. Building on Perlsâ and Morenoâs seminal work, I have developed a therapeutic model based on four orienting principles and four core dialogical stances.
Observations From an Open Circle
Incorporating philosophical debate into psychiatric care forces us to confront the assumptions of therapy. Many "progressive" psychiatric institutions may have been built on solid foundations revolutionary for their time, yet they run the risk of coming to a standstill without continuous and vehement debate.
Our Movement Has a Cover-up Problem Too
Our movement, by not effectively addressing misconduct and corruption, is creating the same toxic dynamics we see so often in families, in schools, in a society that silences people and drives them into distress and madness.
Turning the Corner: How Are We Educating Psychiatrists in Medical Schools?
In response to critics of psychiatry, doctors sometimes argue that medication is just a part of care, not everything. But if a grand rounds presentation intended to educate the profession doesnât mention anything at all except medication, what are we teaching young therapists and doctors?
Exploding the âSeparated-at-Birthâ Twin Study Myth
Supporters of the nature (genetic) side of the ânature versus nurtureâ debate often cite studies of âreared-apartâ or âseparatedâ MZ twin pairs (identical, monozygotic) in support of their positions. In this article I present evidence that, in fact, most studied pairs of this type do not qualify as reared-apart or separated twins.
Why Must People Pathologize Eating Problems?
Why is it that so many people, even some astute critics of the traditional mental health system who are happy to challenge the pathologizing of emotional distress generally, cling uncritically to the term and concept of âeating disordersâ?
Spiritual Emergency: Crisis or Transformation?
A spiritual emergency is a crisis during which experiences are so intense that they temporarily disrupt the sense of self. Mislabeling them as pathological symptoms may be damaging to further spiritual development as well as to the individual's psychological and physiological well-being.
The Chemical Imbalance Theory of Depression: Where Is It Going?
The spurious chemical imbalance theory of depression is arguably the most destructive thing that psychiatry has ever done. Worldwide, millions of individuals are taking antidepressants, often with a cocktail of other drugs, because they have been told the blatant falsehood that they need the pills to combat a brain illness.
The Review on Antidepressant Withdrawal That Cochrane Wonât Publish
Peter Gøtzsche and Anders Sørensen on trying to get a review of methods for safe antidepressant withdrawal published in Cochrane: "They sent us on a mission that was impossible to accomplish" to "protect the psychiatric guild."
A Kirist Response to Psychiatry
Eric Maisel offers a new philosophy of life called kirism, answering questions about purpose, meaning, and how to live.
NY Times to Bonnie Burstow: May You Not Rest in Peace
In its obituary of Bonnie Burstow, the New York Times published a comment from historian Edward Shorter that was both vile and slanderous. Burstow, if she had been alive, could easily have set the record straight.
Psychiatry, Capitalism, and the Recuperation of Psychedelics
For a psychiatrist trained to conceptualize within the medical model, psychedelics will at worst be a novel pharmacotherapy altering broken neural pathways, and at best remain an intervention targeting a multidimensional âmental illnessâ rather than a communion with the magical yet essential dimension of the human experience.
Big Pharma Meets Big Diagnosis, Big Courts, and Big Psychiatric Hospitals
Gottsteinâs book is The Pentagon Papers of the traditional mental health system, because he exposes a mind-blowing number and variety of cold-blooded, calculating actions on the part of Eli Lilly in trying to hide what it knew to be the devastating effects of its hugely profitable Zyprexa.
Reimagining Healthcare
The conventional Western classification systems of health conditions are based on flawed science shaped by reductionist, hierarchical, and profit-driven ideologies. THEN wants to create a new paradigm built upon principles drawn from systems science, the life course perspective, developmental neurobiology, and other evidence-informed studies.
Where Are the Results of These Five Clinical Trials of Antidepressant Drugs?
The results of five large-scale clinical trials of antidepressants have never been made accessible to the public, a data set compiled by an international team of researchers shows. Their discovery highlights the incompleteness of available data on the safety and efficacy of antidepressant drugs.
Ready, Fire, Aim: Mainstream Psychiatry Reacts to the UN Special Rapporteur
In a commissioned commentary, two psychiatrists assailed the Special Rapporteurâs "anti-psychiatry bias." Their commentary reads as a crude ad hominem attack on the Rapporteur himself in order to divert attention from his well-founded conclusions about mainstream psychiatry.
How President Trump and Dr. Drew Got It Wrong on Deinstitutionalization
Compounding the lack of participation of former and current patients, a major theme of the summit was that Americans diagnosed with âserious mental illnessâ should not be able to make their own treatment decisions.
MIACE 2020: New Approaches to Working With People Who Are Suicidal
In March, MIA Continuing Education is launching an 11-seminar course that will provide new insights into understanding the factors driving the increase in suicide, and tell of âtherapeuticâ approaches that âdemedicalizeâ suicide and offer new ways to help people in crisis.
Stalked by Stress, Abandoned to Predation: The Appeal of Suicide in a Modern World
It's not just weapons and fangs that kill me. Being stalked by industry, bureaucracy and social sentiment is deadly too. Mammalian bodies are not wired to endure chronic, pervasive threat and vulnerability. Yet this stuff is ubiquitous and embedded into mainstream culture.
Making Peer Counseling Radically Accessible
I imagined a world in which anyone can hit a button on their phone and be connected with a compassionate and empathetic listener, 24/7. So in 2019, I founded Peer Collective. Today, there are 30 peer counselors on the platform offering 30-minute counseling sessions for just $14.
The Day I Became Schizophrenic
Schizophrenia, to me, is nothing more than a word. All it really means is that you experience psychosis on a regular enough basis that itâs a factor in your life. And that you actually do, as the word âschizophreniaâ indicates, have a mind that you share with some sort of outside presence.
Power Means Never Having to Say Youâre Sorry
I wonder how this system would be changed if, tomorrow, every provider (past and present) woke up and made it their mission to find someone whoâs been through their services in one way or another, and told them they were genuinely sorry for something specific that had happened during that time.