Causation Theories

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.

In NPR’s health news Shots, Alix Spiegel discusses the secret funding funnelled by the tobacco industry into the earliest studies of the impacts of...

The search for animal analogues for mental illness continues to inadvertently show that much if not most of what is thought of as mental...

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

A month ago, I published a critique of specific terminology of DSM-5.  Like countless others, I have serious concerns about the overpathologizing of normal behaviors that appears to be occurring over the past few decades.  The potential consequences of this trend have been widely articulated in many circles, and have raised a serious question, “What is normal?” But while this has been occurring in both psychiatric and lay arenas, another movement has been gaining significant support.  It is the idea that mental illness (or disease) is a fabrication, and as Sera Davidow quoted E. Fuller Torrey in her recent moving article, “Mental illness does not exist, and neither does mental health.”

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.

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

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:

As we develop critical awareness about the mental health “treatments” that don’t work and that often make things much worse, the question inevitably comes up, what can those who want to be helpful be doing instead?

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.

Imagine that you got upset. Is it very remarkable that I can “diagnose” that you are upset? After all, you are clearly upset. What expert thing did I accomplish by agreeing with you that you were upset? Or imagine that you are angry. Is it very remarkable that I can “diagnose” that you are angry? After all, you are clearly angry. Have I added anything meaningful by saying “I diagnose that you are angry” instead of “You seem angry”? “You look upset” is the simple, truthful thing to say and “I diagnose that you look upset” is a piece of self-serving chicanery.

A soldier's story, in the New York Times, speaks for more than people in the military: "I feel an obligation to tell my story,...

My name is Leah Harris and I'm a survivor. I am a survivor of psychiatric abuse and trauma. My parents died largely as a result of terrible psychiatric practice. Psychiatric practice that took them when they were young adults and struggling with experiences they didn’t understand. Experiences that were labeled as schizophrenia. Bipolar disorder. My parents were turned from people into permanent patients. They suffered the indignities of forced treatment. Seclusion and restraint. Forced electroshock. Involuntary outpatient commitment. And a shocking amount of disabling heavy-duty psychiatric drugs. And they died young, from a combination of the toxic effects of overmedication, and broken spirits.

In 1993, the World Health Bank estimated that domestic violence, or intimate partner violence (IPV), was a greater cause of poor health than traffic accidents and malaria combined. It was believed that 5-20% of healthy years lost for women were attributed to IPV. By definition, violence is considered to be any physical, verbal, or sexual assault that significantly comprises a person’s body, trust, and sense of self. But it is not solely a female issue even as women are disproportionately perpetrated against in this way. Results from a study conducted in the United States found that 22.1 percent of women and 7.4 percent of men reported acts of IPV in their lifetime.

I recently joined BHbusiness Mastering Essential Business Operations as a convener.  The plan is to recruit 15-20 peer organizations to participate in a peer provider learning community.  I decided to create an all peer - or at least a 95 percent peer - learner community with meaningful programs, innovation, and plenty of ideas that may not necessarily be easy to implement. How can we disarm trauma in the midst of creating sustainable communities? We must love ourselves a little harder, love our peers just a little bit stronger and bring our adversaries closer to our hearts.

In England, childhood sexual abuse (CSA) has become big news. The increasing understanding of the level of childhood sexual abuse and how this produces mental anguish has of course reached the psychosis arena, and encouraged academic study. Whilst the majority of psychiatrists continue to privilege a biological explanation of psychosis, more and more workers recognise abuse as at least a trigger if not a cause of psychosis. It's important to develop thinking points for teams struggling with, or more generally avoiding, the CSA/psychosis link.

The U.K.'s Guardian newspaper concludes that "The government is right: children need love as much as they do vitamins – and a lack of...

Stanford-trained psychologist corrects the public record on recent research linking paternal age with increased risk of psychiatric disorders. Misinformation about the findings of “Paternal Age...

Representative Tim Murphy is a psychologist who proposes unsatisfactory solutions to our most pressing social problems. In a "shockingly regressive" piece of legislation known as the “Helping Families in Mental Health Crisis Act of 2013” (H.R. 3717), he proposes to expand the highly controversial practice of Involuntary Outpatient Committment (IOC) for persons with serious mental illnesses. But that approach is not the answer, as documented in a fact sheet authored by the National Coalition for Mental Health Recovery:

A study of 650 immigrant and racial & ethnic minority young adults in the United States finds that psychotic symptoms are significantly correlated with...

As I walked alone up the stairs to the Rayburn House Office Building this morning to attend the hearing of the Energy and Commerce Subcommittee on Health on H.R. 3717 - the Helping Families in Mental Health Crisis Act - I thought about how I wasn’t truly alone. In spirit with me were all the people who had experienced scary, coercive, and dehumanizing interventions in the name of help. In spirit with me was every mental health provider who went into the field hoping to really make a difference in their communities, but became cynical and discouraged in the face of so many broken systems and broken spirits.

Dear Senator Deeds: Hello from another fellow Virginian. First, I want to extend my deepest condolences for the horrific tragedy that befell your family last year, and for the loss of your precious son Gus. I think I know, at least in part, how agonizing it is when our loved ones cannot access helpful supports, and how it feels to watch in horror as they spiral downward into darkness and despair. We all agree that our mental health systems are broken. Those of us who have been down the hellish road of struggling with our mental health and have found recovery have developed a new vision that will take us forwards, not backwards. Please give us the opportunity to share that new vision with you.

A study published in the Journal of Psychiatric Research finds the strongest association between a history of childhood trauma and the risk of violence...

PsychCentral offers a take on noncompliance: "The moment we decide for others why they experience something as they do is the moment at which...

The first time I tried to kill myself, I was 14. I won’t go into the indignity of being involuntarily locked up, time after time, until I satisfactorily convinced the staff that I wouldn’t harm myself or attempt suicide again. (I was lying.) The system taught me to lie, to hide my suicidal feelings in order to escape yet another round of dehumanizing lock-ups and “treatments.”