Blogs

Essays by a diverse group of writers, in the United States and abroad, engaged in rethinking psychiatry. (The directory of personal stories can be found here, and initiatives here).

Psychoanalyst, Show Some Modesty

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Recently the American Psychoanalytic Association reaffirmed its members’ right to pronounce on the mental health of public figures—in particular, the controversial Donald Trump. Like the many objectors to the Goldwater Rule in the APA, our psychoanalysts act as if they’re above such a trivial restriction. They are not.

Michelle Carter: Did She Text Her Boyfriend to Death?

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Today a Massachusetts judge sentenced Michelle Carter for the crime of manslaughter in the suicide death of her boyfriend. I was the only psychiatric and medication expert on either side in this trial, and I testified on behalf of Michelle. Other than perhaps her lawyers, I probably know more about the true story than anyone else.

Adam Maier-Clayton: Assisted Suicide and Mental Illness

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If we describe “death with dignity” as a benefit, a good thing, a release and relief and a mercy for people with chronic unbearable and unmanageable pain, why do we also describe exclusions from assisted suicide for people with mental illness as a protection rather than discrimination?

Would Discovering the Biology of “Mental Illness” Explain its Cause?

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Researchers are constantly hunting for chemical variations in people with emotional problems. But even if chemical differences are someday found, why would we assume that these chemical processes cause abnormal behaviors or moods, as opposed to being mere correlates of them at the chemical level?

Senate Slated to Rubber-Stamp “Mental Health Czar” This Tuesday

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This new “Mental Health Czar,” as it is popularly known, will preside over a SAMHSA that is supposed to be far more friendly to the mental health industry. The approval ceremony is scheduled for streaming on the US Senate HELP (Health Education Labor Pensions) Committee website this Tuesday at 2:30 pm EST.

Voices in our Heads: The Prefrontal Cortex as Parasite

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As I considered the voice I heard talking to me in my own head, it occurred to me that what was happening was, more or less, a later development of the brain talking to a more basic and earlier level of consciousness, one which was not verbal itself and was, in fact, the actual seat and locus of my real awareness.

If You Don’t Have a Brain…

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When we force people to take psychiatric drugs, or lie to get them to take the drugs, we are not only harming the organ of their body called the brain—we are harming their capacity to think and to feel and to know themselves. We are limiting their personality and identity, and the expression of their soul.

Is Xanax Really the Bad Guy?

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While any effort to generate awareness and potentially curb the benzodiazepine epidemic is commendable, we have to ask ourselves, is Xanax just the scapegoat in this situation? Will legislative action and media attention for only one benzodiazepine out of so many make any difference?

Has Psychiatry Gone Uniquely Astray?

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Science is supposed to be evidence-respecting and thereby open-minded; psychiatry is presently not. But is psychiatry really unique in this respect? Is it the only field of medicine where dogmatically held theories contrary to evidence have held sway for long periods?

9 Questions the US Senate Should Ask Dr. McCance-Katz

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Mental health agencies are mainly asking about her positions regarding “recovery” and “peers,” but here are some tougher questions for President Trump's new "mental health czar": Do you support court-ordered psychiatric drugging? Do you endorse the use of federal money for it? Why aren’t non-drug alternatives offered to Americans?

Makers of Risperdal Sued for Breast Development in Boys

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Thousands of boys and young men are lined up in courthouses around the country to sue J&J for gynecomastia caused by taking Risperdal as young children. The condition is irreversible except by surgical removal. Collectively, they have become known as the Risperdal Boys.

People of Great Britain! Our Beast Descends Upon Your Children

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Scientific evidence indicates that antidepressants do not help children. In light of such high risks to the child’s wellbeing, these psychiatric chemicals are clearly doing more harm than good. What kind of society would permit this assault on its children?

Methylphenidate: How to Avoid Importing the American Disaster?

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Even though it is extremely unlikely that in France we would reach the kinds of percentages we see in the USA, where in some states nearly 10% of children are treated with methylphenidate or other psychostimulants not used in France, overprescription is highly probable. Why?

While Psychiatry Slept (Part II)

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The new wave of psychosocial treatments is encouraging, but does not go far enough in recognizing psychosis as an attempt by the psyche to heal itself. Until psychiatrists receive training in metaphor and symbol, we will continue gluing the pieces of Humpty-Dumpty back together again.

“Heartbeats of Hope: The Empowerment Way to Recover” – A Book Review

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We seldom have a chance to hear from someone who combines the perspective of a longtime psychiatric survivor and activist with that of being a psychiatrist. I disagreed with only one significant point — that a person does not have to be off all medications to show “complete recovery” from “mental illness.”

Hearing Voices in the USA

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The World Hearing Voices Congress will be landing in Boston, Massachusetts in August. The Hearing Voices movement is up against a lot in this culture where there's so little tolerance for uncertainty and exploration. This movement, this event, and so many people's lives depend on all of us to carry this perspective forward.

Why World Benzodiazepine Awareness Day?

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I am participating in World Benzodiazepine Awareness Day today, and you should too, because you know somebody right now who is taking a benzodiazepine and that person might just be dealing with chronic health problems, unaware that they are result of taking the medication as prescribed.

Three Suicides: Honoring Lives Lost to Benzodiazepines

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I am still trying to reconcile what these chemicals are capable of, how the urge can morph into an action, how we maybe just don’t understand suicide all that well. For me, the suffering was so intense it was too painful to stay alive. I understand how my friends felt in their last moments.

Tapering Strips for Benzodiazepines

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One size fits all does not work. It is not possible to use the same tapering schedule for all patients who wish to stop with a certain drug. Therefore we had to come up with a flexible solution that was both practical and allowed doctors and patients to make the choice they deemed appropriate.

“Benzo Blue”: a Song of Protest and a Search for Liberation

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In commemoration of World Benzodiazepine Awareness Day coming on July 11th, I am providing an early first time debut at Mad in America of a new song and music video titled “Benzo Blue,” along with a brief commentary on the evolution and significance of this song.

Senate Quietly Rubber-Stamps Trump’s “Mental Health Czar”

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This “Mental Health Czar” appointment is moving below the radar of many people. The US Senate should be asking some tough questions of Dr. McCance-Katz before deciding on her confirmation. Everyone should contact their Senators, now!

New Resources from the WHO’s QualityRights Initiative

The challenge to promote the rights of persons with psychosocial, intellectual and cognitive disabilities and to transform mental health services across the world is colossal. The QualityRights initiative seeks to provide actors everywhere with the tools that they need to become active agents for change.

Uniting Critical Voices: Where can we Collaborate?

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If we are to achieve the much-needed paradigm shift in the way we respond to human suffering, it is imperative that we unite. Given the powerful vested interests sustaining the dominant bio-medical model, a fragmented opposition will possess insufficient power to transform the system.

So You Say You Want a Revolution Part Two

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Establishing a comprehensive drug review map will make possible a complete assessment of the expenditures on psychiatric drugs. I predict that these expenditures are going to surprise and concern anyone responsible for managing these costs.

Landmark Victory against the “Oak Ridge Torturers” — Do We Cheer or Cry?

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With reports of the horrid abuse at Oak Ridge surfacing frequently over the years, how could this travesty have continued unabated for so long? What is wrong with the “therapeutic” community that what happened here was hailed as a major advance?