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).

The Use of Neuroleptic Drugs As Chemical Restraints in Nursing Homes

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There's an interesting article in the July-August 2014 issue of the AARP Bulletin.  It's called Drug Abuse: Antipsychotics in Nursing Homes, and was written by Jan Goodwin.  AARP is the American Association of Retired Persons.   Jan Goodwin is an investigative journalist whose career, according to Wikipedia, ". . . has been committed to focusing attention on social justice and human rights…" The article is essentially a condemnation of the widespread and long-standing practice of using neuroleptic drugs to suppress "difficult" behavior in nursing home residents.

What Is Biological Psychiatry? Pt. 3: Thoughts on Hastening Its Demise

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In Part 1 of this blog I attempted to summarize and define the evolution of psychiatry into its present day incarnation of Biological Psychiatry. In Part 2, I focused on analyzing the anatomy of its enormous power and control within our present day society. Given the difficult circumstances we now face in confronting such powerful institutions, I still believe there are many opportunities to expand our struggle and grow our movement. History has taught us that “where there is oppression there will always be resistance.” With each person and family abused by this system, combined with every lie the system tells us, there is a constant regeneration of favorable conditions to expose them and gather allies.

Doctor Munchausen, I Presume!

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In 2000 when I gave a lecture on "Psychopharmacology and the Government of the Self" at the invitation of the University of Toronto, I ran into a problem.  In the public domain our shared difficulties were because of this lecture.  In fact, the difficulties stemmed from a member of the Establishment – Charlie Nemeroff – who put the frighteners on the U of T about hiring Healy. 'The psychopharmacology establishment in the face of adverse effects from drugs' is the same as 'the medical establishment in the face of treatment-related adverse effects' is the same as 'the British establishment in the face of allegations of paedophilia and child abuse' is the same as 'the Vatican in the face of allegations of abuse.' It’s about power.  We have it – you don’t.  Get lost.

Some Thoughts on Insanity Defense

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I am not comfortable with an all-or-nothing insanity defense that is both legally and socially stigmatizing because it sets the person apart as someone who is legally determined to be incapable of being treated as a moral agent. This stigma spills over onto all people who are psychiatrized, and it is part of the conception of madness that also ends up serving as a justification for civil commitment, since we are perceived (incorrectly) as outside the reach of ordinary law.

On Fighting Institutional Psychiatry With the “Attrition Model”

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In a recently released article I provided an overview of antipsychiatry, teasing out its features and both its overlaps with and differences from related movements and constituencies (Burstow, 2014). Necessarily, the commitment to psychiatry abolition emerged as definitional as well as pivotal. In this article, I will be attempting to shed further light by clarifying and probing a particular model of psychiatry abolition. The question being addressed here is: Okay, so you know what you want—but just how do you go about figuring out what to do? A question that has been plaguing the movement for some time.

SELF: Sharing Experience Lived Firsthand

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Service users and survivors who work in a behavioral health settings are faced with important questions about whether or not to share their lived experience and when. We may ask ourselves: Am I ready? What about the risks and politics of disclosure? How do I address an associated expectation or barrier, or deal with the possibility of discrimination? What kind of support is available to me in the process? I’m pleased to announce Sharing Experience Lived Firsthand (SELF).

Connecticut State in Mental Health Denial

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The recent July 9th Ct. Mirror article, Children Stuck in Crisis, accomplishes the intended purpose of deceptively convincing the people of Connecticut that there’s a severe mental health services crisis in the state. On the surface, the article’s author provides a compelling scenario of the state’s youth failing to get the needed mental health care and forced to rely on emergency room services. The problem with the presentation is the failure to address a key piece of information in the reported mental-health-crisis-puzzle – the increased psychiatric drugging of Connecticut’s children.

ADHD: A Return to Psychology

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Attention Deficit Hyperactivity Disorder (ADHD) has become the province of geneticists, neuropsychologists, and physicians. The prevailing view is that ADHD behaviors are caused by a neurobiological delay and that treatment must include medication and stringent management. While this general attitude may continue to prosper, there is increasing concern that we are proposing the existence of a medical problem when there are no biological markers or dysfunctions that reliably correspond with the behavioral criteria. It is vital that we more closely examine traditional beliefs about ADHD and review the shortcomings of commonly used treatments.

Avoid the Hexperts

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My search for peace of mind has taken me from giving up much control of my well-being to bio-psychiatry, to exploring unhealthy behaviors, to ultimately finding peace amidst fellow seekers in the holistic healing world. I found peace on my yoga mat, by eating healthy food, by quieting my mind through meditation, and by surrounding myself with people that nourish my soul. My wife, Carrie, has been by my side as we’ve collaboratively explored ways to enrich our lives and optimize our human experience. Recently, our search has intensified. My beautiful wife was diagnosed with advanced breast cancer.

Thoughts on Psychiatric Incarceration When Not Guilty by Reason of Insanity

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We are, more and more, as individuals with “mental health diagnoses,” living in a reality of senselessness, absurdity and and arbitrary outcomes. While I often believe that our movement simply calls itself a movement, but does not really move at all, it is in fact possible today to say that we are part of a post-Justina movement. The attention to her case highlights both the senselessness and the absurdity, but perhaps not the arbitrary nature of how the system functions for those it impacts.

Please Don’t Empower Me Anymore

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Do you know the locations of all the best bathrooms? Do you often take a seat near the exit, just in case? Do you excuse yourself often to use the bathroom? Do you ever skip meals, or avoid certain foods, to avoid multiple bathroom trips? Do you know the locations of all the best bathrooms? Do you often take a seat near the exit, just in case? Do you excuse yourself often to use the bathroom? Do you ever skip meals, or avoid certain foods, to avoid multiple bathroom trips? Those are questions from the Crohn’s Workaround Quiz, developed by AbbVie to promote its blockbuster biologic drug, Humira, for Crohn’s Disease.  I took the quiz online, and passed with flying colors.

Suicidal Behavior After FDA Warnings

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On June 18, the British Medical Journal published an article by Christine Lu, et al., titled Changes in antidepressant use by young people and suicidal behavior after FDA warnings and media coverage: quasi-experimental study. < /em>Here's the conclusion paragraph from the abstract: "Safety warnings about antidepressants and widespread media coverage decreased antidepressant use, and there were simultaneous increases in suicide attempts among young people. It is essential to monitor and reduce possible unintended consequences of FDA warnings and media reporting." Note the slightly rebuking tone directed against the FDA and the media.

The Meeting Was Sponsored by Merchants of Death

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Would you accept money "with no strings attached" from a robber who, in the act of stealing, happened to kill some of his victims? Would you accept money that has been stolen? Would you accept sponsorships from tobacco companies for a meeting about lung diseases? Few doctors would. Why is it then that most doctors willingly accept sponsorships from drug companies that have earned much of their money illegally while being fully aware that their criminal activities have killed thousands of patients, the very people whose interests doctors are supposed to take care of?

Response to “The End of Rethinking Psychiatry?”

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In his Mad in America blog post “The End of Rethinking Psychiatry?” Jonathan Keyes writes about the support group Rethinking Psychiatry and how Portland’s First Unitarian Church has withdrawn its assistance and asked the group to leave the church. Jon wasn’t told the full story by his colleagues at Rethinking Psychiatry, and he didn’t ask the church about it. Turns out First Unitarian wasn’t the first organization to cease support for Rethinking Psychiatry; my organization did as well - and here’s some background about our decision.

Jon Stewart’s Gaywatch

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In his Daily Show, political satirist Jon Stewart spoke recently about various LGBT issues, including current efforts of Texas Republicans to endorse the practice of reparative therapy − or, as it's also sometimes called, "pray away the gay" therapy. In an effort to qualify some of the techniques used by reparative therapists, Stewart quoted an Op-Ed that I wrote in 2012 for the magazine The Advocate about my own experiences undergoing a form of reparative therapy with a psychiatrist in Canada.

Independence From the Therapeutic State

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Can you imagine a world in which there were no psychiatrists, no psychiatric hospitals, no DSM diagnoses, no psychologists, no psychotherapists, no psychiatric drugs, no psychiatric patients, no counselors, no self-help groups, no life coaches, spiritual advisors, school social workers, employee assistance counsellors, trauma experts, PTSD specialists, child guidance clinics, drug treatment centers, pastoral counselling, university mental health services, outplacement services for terminated employees, burn-out specialists etc., etc., etc.?

Why I Became a Critical Psychiatrist

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The talk explains my own evolution as a psychiatrist and addresses the development of the Critical Psychiatry Network.  I focus on three main areas: psychiatric diagnosis, the influence of the commercial forces of the pharmaceutical industry on medicine in general and psychiatry in particular, and the evolution of the use of neuroleptic drugs (in that order).

Who Decides Which People are Mentally Ill . . . Who Gets That Control?

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The Ct.Post.com website ran an article yesterday titled, Sandy Hook Study Dragging, which on its face is one of the most biased and misinformed articles of “news” this writer has seen in some time. As is so typical of the reporting in Connecticut, the Ct.Post.com uses the Sandy Hook shooting as an excuse to attack the gun lobby and cheerlead for increased mental health services in the state. The problem with this self-serving reporting is that there is absolutely no proof that Sandy Hook shooter, Adam Lanza, lacked good mental health services. In fact, according to the records that have been made available, Lanza received abundant mental health care throughout his life.

What Is Biological Psychiatry? Part 2: Anatomy of Power and Control

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The evolution of psychiatry in the recent era has to be carefully examined in connection to its strong links to the U.S. economy, especially the meteoric rise in the pharmaceutical industry, as well as other geo-political developments in the world, including increased governmental control and forms of repression in post 9/11 America.

It Gets Better!

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A little more than 10 years ago, when I was 29 and 2 weeks away from turning 30, I was a patient in the psychiatric system here in Copenhagen. I am a pharmacist and I specialized in neurochemistry and psychotropics throughout my studies. While I was working in the labs at The Royal Danish School of Pharmacy I was intent on getting a job as a medicinal chemist at Lundbeck – the Danish pharmaceutical company behind Celexa and Lexapro and in their own words the only company specializing solely in developing drugs for the treatment of neurological and psychiatric disorders. We were taught that psychiatric disorders were diseases just like diabetes and hypotension.

News on Creative Maladjustment

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For years, MindFreedom has been working to create more choice for persons who want help with emotional distress, life crises, overwhelm, spiritual emergencies, extreme states and difficult dilemmas. When co-founder David Oaks was asked if MindFreedom approved of the use of psychotropic drugs, his stock answer was something like: “We are all about choice and information. If people have good information and choose to use drugs, we are supportive. But forced treatment of all kinds is a violation of human rights. And we are opposed to the hegemony and bullying of mainstream psychiatry and it’s drug-based approach which squeezes out more safe, humane and life-enhancing approaches.”

The Media Missed the Story: Civil Rights and the Helping Families in Mental Health...

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There’s a fierce debate brewing on Capitol Hill over two competing bills that seek to overhaul our nation’s mental health system. Rep. Ron Barber (D-AZ), a survivor of Jared Loughner’s 2011 mass shooting, has proposed the Strengthening Mental Health in Our Communities Act of 2014, a bill that would provide additional funding for the Substance Abuse and Mental Health Administration (SAMHSA). Barber’s legislation specifically targets at-risk populations who may be underserved − young people, seniors, veterans, and Native American communities − and seeks to provide patient-driven treatment before the illness becomes unmanageable.

Continuing the Antidepressant Debate: the Clinical Relevance of Drug-Placebo Differences

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German psychiatrist Stefan Leucht and colleagues have produced another really important paper. The results indicate that the small differences usually found between antidepressants and placebo are far below the sort of differences that would be clinically detectable or meaningful. Leucht et al. have conducted the first thorough, systematic attempt to provide some empirical evidence about what constitutes a clinically meaningful difference in scores on depression rating scales, although the study did not set out to explore antidepressant effects.

Talking About Psychosis, Part 1: Why Do It?

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I was taught in medical school and psychiatric residency not to talk to people about their voices and their delusions: “It will only feed into them and make them worse.” Nor was I supposed to argue with people with paranoia because they’ll just get agitated and won’t change their mind anyway. We were taught that the psychoanalysts had wasted a lot of time trying to connect people with psychosis by trying to find meaning in their psychosis. I was taught that there is no meaning. All we needed to know about their psychosis was enough to prescribe medications and assess if the meds worked.

Psychocracy and Community

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In response to the widespread tragedy of pathologizing and psychiatrizing people dealing with emotional and mental distress, and in view of the chronic abuse of those in extreme states by our “mental health” system and their powerful allies, I delivered this sermon June 29, 2014 at the Unitarian Church of Vancouver (Canada).