“Post-Katrina Stress Disorder: Climate Change and Mental Health”

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Writing for Truth-Out, hurricane Katrina survivor G. Maris Jones writes: “To adapt to a changing climate, survivors of these catastrophes - especially those in marginalized, low-income communities - need long-term physical and mental health services.” She adds a concurrent call to “assume our responsibility to make positive change through action on climate change.”

What if ACEs (Adverse Childhood Events) Were the Basis of Mental Health Treatment? 

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What would happen if the mental health system fully recognized the pervasive and profound impacts of trauma on their clients? How might a deeper appreciation of the multi-faceted sequelae of childhood maltreatment and toxic stressors reshape mental health services? While the implementation of trauma-informed care in mental health programs has made significant inroads, the dominant bio-reductionist model continues to constrain and undermine progress.

Baltimore is Burning: Who Defines ‘Violence’?

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The person living on the streets with whom no one will make eye contact, or who the police hassle for requesting spare change from passersby. The individual who has learned to cut themselves to manage emotional pain, and so is punished by emergency room staff who sew them up without anesthetic (both physical and emotional pain disregarded), or confuse their efforts for suicide and contain them against their will. The person of color who some might cross the street to avoid, or who is arrested for lashing out when another is murdered at the hands of those employed to ‘serve and protect.’ Each is only looking for a way to survive, but instead finds themselves ignored or blamed.

Sounds of Silence from Inside the Jail

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I think about a healthy early infancy, about reaching out and being gently held and about the attachment bond that nourishes the mind, body and spirit as I watch the inmate sitting at the table in SuperMax, where the inmates are in isolation due to their high profile status or history of repeated violence inside the jail. I will not touch him and he will not reach out to me. He is a 3rd strike inmate, sentenced to 25 years to life, housed in SuperMax jail while he awaits his last appeal.

Alaskan Indigenous Peoples Experiencing High Rates of Trauma

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-Two reports found Alaskans of aboriginal descent experiencing very high rates of many different types of trauma.

Largest Survey of Antidepressants Finds High Rates of Adverse Emotional and Interpersonal Effects

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I thought I would make a small contribution to the discussion about how coverage of the recent airline tragedy focuses so much on the supposed ‘mental illness’ of the pilot and not so much on the possible role of antidepressants. Of course we will never know the answer to these questions but it is important, I think, to combat the simplistic nonsense wheeled out after most such tragedies, the nonsense that says the person had an illness that made them do awful things. So, just to confirm what many recipients of antidepressants, clinicians and researchers have been saying for a long time, here are some findings from our recent New Zealand survey of over 1,800 people taking anti-depressants, which we think is the largest survey to date.

The Dopamine Hypothesis of Schizophrenia – Version III

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The Division of Clinical Psychology of the British Psychological Society published a paper titled Understanding Psychosis and SchizophreniaThe central theme of the paper is that the condition known as psychosis is better understood as a response to adverse life events rather than as a symptom of neurological pathology. The paper was wide-ranging and insightful and, predictably, drew support from most of us on this side of the issue and criticism from psychiatry.  Section 12 of the paper is headed "Medication" and under the subheading "Key Points" you'll find this quote: "[Antipsychotic] drugs appear to have a general rather than a specific effect: there is little evidence that they are correcting an underlying biochemical abnormality."

Just Me: A Series of Reflections on Trauma, Motherhood, and Psychiatry

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It took coming off psychotropic drugs completely for me to become awake. I had the doctor I was seeing wean me off, though she didn’t want to (instead she suggested I take different drugs.) But here I am almost two years later and I am feeling all of my emotions and managing them well. I knew best what I needed, and I trusted myself. Life has shown me that I can endure many trials and tribulations without giving up, and I trust myself today to reach out for help if I need it.

My Mysterious Son

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In the autumn of 1996, my son was seventeen when he told me one day on the way home from school: “I don’t know what’s happening, I can’t find my old self again.” He’d had a seemingly marvelous summer staying with family in Mexico, fishing and learning to surf. He’d achieved nearly a full scholarship for his junior year at a Boston private school. However, one teacher had observed that, in class, he “sometimes seems to be out of touch and unable to focus his mind.”

Emotional Abuse Is Far Worse Than You Think

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Though attention tends to be drawn to physical forms of violence, it may actually be the more invisible forms of violence - abuse and...

Changing Society’s Whole Approach to ‘Psychosis’

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Fifteen years ago this month we were sitting together in the basement of Peter’s house. We had felt a sense of despair at the widespread misinformation and atrocious stereotypes that were dominating media coverage of mental health at the time. We felt that our profession had a responsibility to challenge these stereotypes, and that as psychologists we had something unique to contribute. That was the time when research into the psychology of psychosis was beginning to burgeon, and many of our findings challenged not only the stereotypes but – perhaps more significantly - much ‘accepted wisdom’ within mental health services as well.

Most Psychologists Still Believe In Recovered Memories

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Pacific Standard features a recent story of a man whose daughter accused him of abuse, but by the end of the court proceedings had...

Trauma and Schizophrenia: The Ultimate Political Battle

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This weekend I attended an international trauma studies conference in Miami, Florida, where some of the leading researchers and clinicians in the field of trauma gathered to share their innovative projects and findings. Although there were many worthwhile moments, overall I left feeling paradoxically hopeful, saddened, inspired, and a bit dumbfounded. One study after another was presented on "trauma-related disorders" and their associated treatments, yet there was not a single mention of schizophrenia or its related diagnoses. Four days of trauma discussion and the topic of psychosis was nowhere to be found.

Why I Am Willing to Die on the Governor’s Doorstep

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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.

You Call Me Crazy. I Call Myself a “9”

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"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.

Researchers Faked Data on Epigenetics of Bipolar Disorder

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The British Journal of Psychiatry has issued a retraction of an article purporting to have identified evidence of the epigenetic aspects of bipolar disorder,...

Hope for Everyone

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I am a very optimistic psychologist, but with reason. For 25 years I've been working with people who have had psychological problems in every conceivable area. Many psychologists have problems with burnout, especially early in their careers. For me, this has been very different. By using the treatment techniques that I do, I feel anti-burned out. It is so gratifying to see people get out of their serious problems, that I look forward to every day of clinical work.

Trauma, Psychosis, and Dissociation

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Recent years have seen an influx of numerous studies providing an undeniable link between childhood/ chronic trauma and psychotic states. Although many researchers (i.e., Richard Bentall, Anthony Morrison, John Read) have been publishing and speaking at events around the world discussing the implications of this link, they are still largely ignored by mainstream practitioners, researchers, and even those with lived experience. While this may be partially due to an understandable (but not necessarily defensible) tendency to deny the existence of trauma, in general, there are also certainly many political, ideological, and financial reasons for this as well.

Medicalizing Poverty

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In his Alternatives Conference 2012 Address, Will Hall called attention to the ongoing phenomena of “medicalizing poverty and calling it mental illness.” Mental health systems and practitioners often tend to perceive and identify the myriad ways that impoverished people cope and adapt to adverse environments (such as food and housing insecurity) as pathological indicators of mental illness. A poor child who does not pay attention to the day’s lessons at school may be diagnosed with ADHD, yet focuses intense attention on how he will return home safely, take care of his siblings and get a meal. A young woman may be labeled as Oppositional/Defiant who bravely copes with an erratic mother and her abusive boyfriend. Behaviors that can make sense in one context (home, neighborhood), are flagged as dysfunctional and impaired in another (school & work).

Healing from an Addiction to Patterned Ways of Thinking

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I had a soul-redemptive heart-to-heart reunion with a woman I had known from a distance but whom now (after our hours long coeur-a-coeur/heart-to-heart) I consider a close friend. I shared with her some very exciting and some challenging circumstances I have been experiencing of late. After I shared and shed a few tears she told me a story from her life that also poses, like my story, an invitation for profound change in our lives.

Childhood Residential Mobility Linked to Schizophrenia, Bipolar Disorder

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Noting that "childhood adversity is gaining increasing attention as a plausible etiological factor in the development of psychotic disorders," researchers from Johns Hopkins, Aarhus...

Final Lecture

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On May 16, 2014, I retired from a 35-year career as a professor of clinical psychology at Miami University. As a part of my retirement celebration, I gave a Final Lecture to my Department. These Final Lectures give retiring faculty members the opportunity to talk about anything they think is important for their colleagues and the attending students to hear. I focused on the changes I have witnessed in the profession of clinical psychology over my career; changes that were not for the better.

“A Revolutionary Approach to Treating PTSD”

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The New York Times Profiles Bessel van der Kolk, and the controversial approaches to working with trauma, such as yoga and "tapping," that he...

Deconstructing Psychiatric Diagnoses: An Attempt At Humor

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Based on my experience both as a therapist and client in the mental health field, I have learned that when therapists or psychiatrists give you the following diagnoses all too often here is what they really mean:

Childhood Social Functioning Predicts Adult Schizophrenia Spectrum Disorder. Or Does It?

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The authors of a recent study acknowledge that "social functioning deficits are a core component of schizophrenia spectrum disorders." [Emphasis added] With this in mind, it seems to me that the best and most parsimonious way to conceptualize the research finding is that children who have poor social skills will, in many cases, grow up to be adults with poor social skills. In particular, there seems to me no justification (other than psychiatric dogmatism) to conceptualize the matter in medical terms, and to impose a medical framework – "a marker of vulnerability" – on the data.