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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.

Over the last decade, people have commonly made statements to me of the ilk — “What bugs me about antipsychiatry people is they only care about tearing down; there is no commitment to actually helping people” — Which suggests that there is a serious dearth of awareness about antipsychiatry.

One of the main arguments for continuing drug treatment for depression, psychosis and bipolar disorder is that you will get worse from stopping the drugs, especially if they are stopped abruptly. These are findings from mainstream psychiatry. However, if we combine this information with the methodology of the randomized controlled trial, we may see that these drug trials do not show efficacy of drugs, and may not be usable to show safety. The positive side to this is that the trials may actually demonstrate the healing power of our own minds.

Coercive situations like the one depicted in this blog subtly replicate older times when colonizers dominated Indian people using guns and ammo. In the contemporary times, oppressive mental health systems of colonizers use pills and labels to force-feed ‘civilizing’ principles. This intergenerational comparison might seem more intriguing if you consider that the psychiatric nurse in question was a Commissioned Corps officer in full uniform blues while meeting with this girl in the bunker-like Indian Health Service (IHS) clinic located along “Fort Road.” If you drive straight out along that road for 23 miles, you’ll end up on the park grounds of the actual historic fort where this girl’s ancestors were once bull-whipped for non-compliance.

The new Social Security Act, an Obamacare-inspired, Open Payments report came out September 30th. As part of the new healthcare reform policy, this federal report requires pharmaceutical and medical device companies to annually share documentation of direct payments they provided to entities such as medical practices and teaching hospitals. But before anyone gets excited and thinks there is finally a reliable and valid monitoring method to document that such payments are minimal as well as on the up and up, please note that 40% of the payment records (considered for inclusion in the 2013 Open Payments report) were not included in the $3.5 billion due to “unresolved questions” being cited.

To help my non-recovery oriented colleagues understand the stigma/resentment associated with ‘borderline personality disorder,’ I simply mention this: “Let’s say I call you and say, ‘Hey, I’ve got a referral for you. She’s been diagnosed with borderline personality disorder . . .’” I need to go no further; without fail, my colleague will smile or laugh. We both know that such a referral is a no-no, so much so that it doesn’t even have to be mentioned; it is a given.

Allen Frances recently wrote a Huffington Post blog that made some good points about advocate compromise, but used some very insulting language and therefore made an inaccurate assessment of the problem. He is asking the mental health advocates to end a "civil war." I am making the point instead, that it's not a civil war.  Dr. Frances is trying to get two ends of the bell curve together instead of addressing issues in the middle of the bell curve. In the middle, it's people who know the science trying to educate people who don't know the science.

Both Michel Foucault and Thomas Szasz dated the beginnings of a distinct Western institutional response to madness to the late 1500s-early 1600s. But while for Foucault it started in France with the creation of the public “hôpital général” for the poor insane, for Szasz it began in England with the appearance of for-profit madhouses where upper class families shut away inconvenient relatives. Regardless of their different ideas on the beginnings of anything resembling a mental health system, both authors agree that it was characterized by the coercive incarceration of a specially labeled group.

You may watch a little eight-minute video message, below, that I sent this past Sunday, October 12, 2014, especially created to be shown during the gala dinner for the Mad In America International Film Festival. The festival brought together many movies that challenge the mental health industry. I wish I could have been there physically because this certainly was one of the main Mad Culture events of the season and many activists, film makers, and other creative folks were in attendance.

In my previous blog, “Back in the Dark House Again: The Recurrent Nature of Clinical Depression,” I reported on my recent relapse into depression that began this summer. As I have comtemplated the seriousness of my episode, the question has arisen, “Am I having a nervous breakdown?” Although I couldn't see it, there was a reason for hope — for a breakdown can be a precursor to a breakthrough.

One of the largest public mental health service agencies in my local area asks the question, "What is mental illness?" on their website. In answer they state, "Mental illness is a biologically based disease, much like diabetes or cancer," and "most researchers agree it involves a chemical imbalance in certain parts of the brain." Frequently when we encounter a declarative statement made by a perceived authority, we accept it and integrate that information into our way of thinking about things. But is this statement accurate? What is its basis, and what is the evidence behind the statement? We are told that "most researchers" agree - is that true?

This is an important issue. According to Centers for Disease Control and Prevention (CDC), the percentage of children with an ADHD diagnosis continues to increase, from 7.8% in 2003 to 9.5% in 2007 and to 11.0% in 2011. The CDC also notes that the base rates for ADHD varies substantially by state ranging from a low of 4.2% in Nevada to a high of 14.8% in Kentucky.

In the early hours of September 19 – about 3 AM, someone estimated – Gloria X. was awoken from her sleep at Trenton Psychiatric Hospital, the New Jersey State hospital. Her new (about 3 weeks) roommate, Florence, whom she had trusted, was on top of her punching her in the eyes. Florence pounded her eyes over and over and over – taking out 50 years of rage on Gloria. Why Gloria? No one knows. Or those who know ain’t talking.

A growing body of evidence indicates that forced “treatment” in today’s mental health system, including all forms of forced hospitalization and forced drugging, may actually cause FAR more harm than good. Recent published studies and articles point towards evidence of physical and psychological harm that, in some cases, may contribute to more suicidality and patient deaths, as well as overall worse outcomes in a person’s state of recovery.

If a person in mid-life is feeling anxious, or depressed, or can't sleep? No problem. No need to figure out the source of these concerns. No need to work towards solutions in the old time-honored way of our ancestors. Today, psychiatrists have pills. Pop a benzo! And by the way, you'll have a 40% increased risk of Alzheimer's Disease in your late sixties.

Before entering the field of psychology in the 1970s, I worked as a psychiatric nurse, gravitating to the community mental health movement, and then to anti-psychiatry politics. As a nurse at a psychiatric hospital in Santa Monica, also involved in union organizing and direct action politics with a feminist health collective, I was drawn to the radical wing of community mental health. Decades later, in producing a documentary film on the stories of people who entered the state psychiatric hospital in Oregon under the insanity plea, I had the chance to look back on that era through the lens of a fiction film that had made this hospital so famous.

When my son was born six years ago, the word “disabled” was suddenly all around me. It came from everywhere – the nurses, the doctors, the physical and occupational therapists, friends and family. I remember looking into his ice blue eyes and so marveling at the lines of white that extended so symmetrically from his irises that I began calling him Star Boy. I felt a new mother’s sense of protection. The label surrounding my Star Boy was a smoke so thick I felt I could barely breathe.

For all who suffer, meaning must first come through survival.  But at some point, a question emerges about whether distress and misery mean more than the pain one feels.  An inquiry of transcendence appears.  In one study of those affected by severe childhood trauma, those who survive are able to find a way through each day that comes, but past trauma still exerts significant control over their life.  But with those who transcend, there is a sense of rising above the ordinary physical and psychological state.  Although traumatic experiences themselves may remain as definitive and directive circumstances in a person’s life, transcendence provides an escape to a more meaningful, and often joyful existence.

I was honored to both attend and participate in the recent Mad In America Film Festival. I was asked to join a panel of psychiatrists who were asked to respond to the themes and questions explored in the festival. What follows are a lightly edited version of my remarks.

Eighteen years ago, in the fall of 1996, I plunged into a major depression that almost killed me. Over the next eighteen years I took what I had learned in my healing and put together a mental health recovery program which I taught through my books, support groups and long distance telephone coaching. In the process, I counseled many people who were in the same desperate straights that I had been in. I shared with them what I had learned through my ordeal---that if you set the intention to heal, reach out for support, and use a combination of mutually supportive therapies to treat your symptoms, you will make it through this. And in the cases where people used these strategies and hung there, they eventually were able, like myself, to emerge from the hell of depression.

What should the relational and emotional stance of the therapist be? Just who exactly is the therapist in relationship to the person coming to see the therapist? What is the therapist's job, exactly? What should the therapist's disposition be toward the person sitting across from them? What kinds of assumptions or presumed power come with the label therapist and are those assumptions harmful or helpful?

Electric shock "treatment" is no more effective than sham ECT, in which the client is prepared and anaesthetized, but not actually shocked. When one considers the pains to which real doctors go to protect their patients from seizures, I suggest that the deliberate induction of grand mal seizures, often involuntarily, constitutes neither "a remarkable discovery" nor a "remarkable medical advance," but rather aggravated assault by a person in a position of trust.

Whistle Blown. On October 5th, 2014, I began an indefinite duration Hunger Strike upon the State of Colorado. I'm doing this because I have hard evidence of a pattern of plea coercion and child abuse coverup at Boulder County Mental Health Center, Inc. in the form of a wire recording of one of their employees, Dan Shearer.

I spent 15 years slowly preparing for a trip into the unfaceable, in large part by observing an American human rights advocate and coalition builder (who has German heritage) do gut-wrenching emotional healing work particularly related to her internalized anti-Semitism and her internalized white racism. She inspired me with her intelligence, tenacity and determination to be free from the damaging effects of these forms of oppressions. Many of her family members supported the Nazies.

"What is Wrong With You?" is the question many of us are faced with when we seek understanding or assistance while navigating life’s challenges. But it is known that survival skills learned in our youth - often in order to weather difficult situations we have faced - often do not transfer in a healthy way into adulthood. In many cases these previously adaptive behaviors become problematic, then end up pathologized and diagnosed. "What Happened to You?" is a documentary film that explores the proven fact that events experienced while growing up have a cause & effect relationship on our later lives.