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).
Why Did I Stay?
I was in psychiatric treatment for eighteen years. For eighteen years I didn’t get the help I needed. Why didn’t I leave psychiatry long before? What made me stay in something that couldn’t help me and on the contrary worsened my mental health? Why did it take so many years before I turned my back on psychiatry and looked after alternatives?
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.
“Sublime Madness”: Anarchists, Psychiatric Survivors, Emma Goldman & Harriet Tubman
When the state becomes chillingly evil—enacting a Fugitive Slave Act to criminalize those helping to free slaves, or financing prisons and wars for the benefit of sociopathic profiteers—and when dissent is impotent and defiance is required, we need the sublimely mad.
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."
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 “mental illness” 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
Gottstein’s 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 Rapporteur’s "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 “serious mental illness” 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 “therapeutic” approaches that “demedicalize” suicide and offer new ways to help people in crisis.
