The Perils of Direct-to-Consumer Advertising
The job of educating the public on common medical conditions and the range, efficacy, benefits, and risks of potential treatment options should be undertaken by an independent and objective government health agency, not a for-profit, multi-billion dollar industry with a conflict of interest.
Tending Hearts and Minds: Changing the Mental Health Paradigm in Our Schools
Our school professionals are under constant pressure to help funnel children into the mental health system and ultimately—and tragically for many—toward psychotropic drugs. So we designed a professional development symposium to address alternatives.
Psychiatry and the Stupidification of America
There are three steps to modern psychiatry’s successful business formula: 1. Get people to think that they’re stupid even though they’re smart. 2. Train them to actually think stupidly. 3. Directly stupidify them with chemicals.
From FACT to POD: How a FACT Team Integrated Open Dialogue
Work with open dialogue always starts with a "network meeting" in which the person of concern is invited to talk with members of their social network (i.e., family, friends, co-workers) and at least two professionals from the care team. The main guideline was "nothing about you, without you."
National Boards of Health Are Unresponsive to Children Driven to Suicide by Depression Pills
Peter C. Gøtzsche reports what happened, or rather did not happen, when he contacted National Boards of Health in eight countries with his serious concern that the use of depression pills in children is increasing and leads to more suicides. The continued official denial that these drugs cause suicide and that something substantial needs to be done is appalling.
The Psychiatric Narrative & The Boston Globe: Violence, Force, & Derogatory Labels
The Boston Globe recently published an atrocious opinion piece, “Massachusetts law meant to protect people with mental illness may make them sicker.” Though framed as an attempt to shed light on a need for better mental health laws, the piece insults those of us of who have been labeled with mental health diagnoses.
A Book Review of “Acceptance: The Defining Voice of Validation”
This is no goody-goody book but one that compellingly draws our attention to what in our hurried, overburdened lives too easily gets lost, that is, the essential human need for acceptance and validation. Validation, the author says, "is a joining with the distressed person to reflect or give voice to that person’s feelings accurately."
Please Stop Saying Depression Is Like Diabetes
It seems more and more common for people who consider themselves mental health advocates to make the argument that “mental illness is like physical illness.” Have you heard this “depression is like diabetes” tactic? I have a hard time seeing how this is advocating for those in emotional distress.
How Radical Women Changed Psychiatry in the 1970s
Women’s issues and mental health were embedded in radical mental medicine fifty years ago. Feminism and sexual politics in the late 1960s and 1970s led to a reassessment of gender-based hierarchies in the mental health establishment, and transformative change was the result.
6 Ways Trauma Might Inform Your Current Life
The following are some ways in which trauma commonly impacts a trauma survivor’s life. Imagine, as you read, how different our society might be if systems of care and justice were as trauma-informed as your life might be.
UN Report: Involuntary Psychiatric Interventions “May Well Amount to Torture”
Such interventions, the report says, "generally involve highly discriminatory and coercive attempts at controlling or 'correcting' the victim’s personality, behaviour or choices and almost always inflict severe pain or suffering."
Psychiatry Needs a New Metaphor
The metaphor of “mental disease” is doing more harm than good. Rather than being a tool for communication, it has crossed the boundary from a metaphor to a theory that underpins much of what happens within public mental health services. This places psychiatrists in a position of dutiful compliance with what is essentially a fallacious model.
The Most Dangerous Thing You Will Ever Do
I am a psychiatrist and I have been watching my profession deteriorate for many decades. This is my most direct written statement about the dangers of stepping inside a modern psychiatrist’s office. My conclusions are the culmination of mountains of research authored by me and by an increasing number of other psychiatrists, scientists and journalists.
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 “Delusions”: 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 that’s still most challenging for me in doing therapy is resisting the impulse to come up with solutions to my clients’ problems. I find the role of “answer woman” very seductive. It’s 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 Perls’ and Moreno’s 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 doesn’t mention anything at all except medication, what are we teaching young therapists and doctors?
Exploding the “Separated-at-Birth” Twin Study Myth
Supporters of the nature (genetic) side of the “nature versus nurture” debate often cite studies of “reared-apart” or “separated” 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 “eating disorders”?
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 Won’t 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."
