Psychosis and Dissociation, Part 2: On Diagnosis, and Beyond

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Recently I wrote an article on MIA entitled Trauma, Psychosis, and Dissociation. Several people responded privately with some very thought-provoking questions that I would like to explore and possibly answer to some extent here. Dedicated readers of the MIA website are all too familiar with the myriad problems that exist with diagnoses in general, the stereotypical (and often untrue) assumptions associated with these various categories, and their lack of scientific validity or reliability. First, though, I want to state that my area of experience and research is with trauma, psychosis, and dissociation . . .

Childhood Emotional Abuse Associated with Internal Eating Disorder Voice

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Many individuals diagnosed with eating disorders describe and internal ‘voice,’ which may be linked to experiences of childhood trauma and dissociation.

Reading the Bible Through Neuroscience

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In this interview for The Atlantic, James Kugel speculates on the minds and experiences of ancient prophets through a neuroscientific lens, exploring how biblical people's sense of...

Study Challenges Assumption that Schizophrenia Impairs Cognitive Ability

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Secondary factors may impair performance on cognitive tasks, making it difficult for individuals diagnosed with schizophrenia to perform to the best of their ability.

De-Othering “Schizophrenia” by Placing it in Socio-Historical Context

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Understanding schizophrenia as a non-enigmatic, understandable human experience goes against a history of institutional “othering” that has sustained psychiatric legitimacy and further marginalized service-users.

Avatar Therapy: A New Battle for the Tree of Life

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In the film Avatar, scientists are keen to exploit the moon planet Pandora which is inhabited by 10-foot-tall blue humanoids called Na'vi.  To do so they create Na'vi human hybrids called “Avatars” which are controlled from afar by genetically matched humans. When the scientists decide to destroy the eco-system of the planet to gain access to valuable minerals, war breaks out between the humans and the Na'vi. At this point the main character, Jake, who operates an Avatar, has to choose whose side he is on.  Eventually Jake's life is saved and transformed by the Tree of Souls, which the humans are trying to destroy. Why are Avatars in the news again? The latest innovation from psychiatric research is using computer-generated avatars to help people who hear aggressive voices.
hearing voices

Helping People to Constructively Engage with Voices

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When voices are engaged with creativity and compassion, the result can be a positive change in the relationship with voices, leading to much greater peace of mind. But how can people learn how to facilitate this? A new video series by Charlie Heriot-Maitland, Rufus May and Elisabeth Svanholmer offers some practical ideas.

Webinar Discussion – Rethinking Madness

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A free recording of last week's webinar anchored to Phil Borges' Crazywise, a documentary exploring alternative approaches to mental health, is now available. Over 4,000 people...

More Thinking about Alternatives to Psychiatric Diagnosis

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In my last post, I argued that the single most damaging effect of psychiatric diagnosis is loss of meaning. By ruthlessly divesting experiences of their personal, social and cultural significance, diagnosis turns ‘people with problems’ into ‘patients with illnesses.’ Horrifying stories of trauma, abuse, discrimination and deprivation are sealed off behind a pseudo-medical label as the individual is launched on what is often a lifelong journey of disability, exclusion and despair.

The Shamanic View of Mental Illness

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From UPLIFT: In the shamanic view, emotional distress and psychosis signal a spiritual awakening or emergence, not a pathology. Western cultures can learn a great...

Schizophrenia’s Tangled Roots

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From Sapiens: Researchers are increasingly recognizing the role that social and environmental factors, including childhood abuse, stressful events, and poverty, play in the development of...

The Politics of Mental Health

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In this piece for Revolutionary Socialism in the 21st Century, Hazel Croft argues for a more radical approach to mental health, exploring the impact of neoliberal...

“Healing Voices” Documentary Announces Grass Roots Non-Theatrical Release

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The producers of “Healing Voices” – a new social action documentary about mental health – have announced an innovative plan to release the film via community screening partners in a coordinated one-night global event. Written and Directed by PJ Moynihan of Digital Eyes Film, “Healing Voices” explores the experience commonly labeled as ‘psychosis’ through the stories of real-life individuals, and asks the question: What are we talking about when we talk about ‘mental illness’? The film follows three subjects – Oryx, Jen, Dan – over nearly five years, and features interviews with notable international experts including: Robert Whitaker, Dr. Bruce Levine, Celia Brown, Will Hall, Dr. Marius Romme, and others, on the history of psychiatry and the rise of the ‘medical model’ of mental illness.

“Hearing Voices: The People Who Say Talking Back is the Only Answer”

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Journalist Emma Reynolds profiles Amanda Waegeli, Ron Coleman, Nathan Grixli and Lyn Mahboub about their experiences coming to the Hearing Voices Network (HVN). HVN was established 10 years ago in Australia and provided a support group that encouraged people to listen to their voices rather than trying to block them out. The group now operates in 25 countries.

Lack of Sleep May be a Cause of Mental Health Conditions

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From Live Science: A new study published in The Lancet Psychiatry found that participants who completed an online cognitive behavioral therapy program specifically for insomnia experienced...

“I would not tell people when my voices were still very loud”

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Mae Harden is interviewed by Philly.com about her years of attempting to medicate away the voices she was hearing in her head, while hiding...

Voice Hearing as a Dissociative Rather Than Psychotic Phenomenon

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Researchers in England review in depth the evidence for voice hearing as dissociation, rather than psychosis, and suggest that voice hearing is a common...

Interventions that Promote Disclosure Among Voice-Hearers

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The perspectives of the voice-hearers featured in the research underscore that stigma and negative perceptions of voice hearing present significant obstacles within early intervention programs.

Truth is Like a Lion: The 25th Hearing Voices Conference

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The Hearing Voices movement is a beautiful thing, and last year it was 25 years old. What has happened in 25 years? A confidence has grown in a different approach to hearing voices, listening and embracing rather than trying to control and silence voices. Key to this has been Hearing Voices groups and conferences, where people who hear voices are listened to with openness and curiosity. It’s not about telling people who hear voices to throw away their pills if they are taking them, its about creating spaces to listen deeply to what is happening.

Exercise Intervention for Youth at Risk for Psychosis Shows Promise

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A new pilot study finds that an exercise intervention can lead to improvement in clinical, social, and cognitive domains for those deemed at risk for psychosis.

“Medicating a Prophet”

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In the New York Times Sunday Review, Irene Hurford, a psychiatrist, reflects on the ethics of forced treatment for psychosis. “As doctors,” she writes,...

How Can We Talk About Difficult Experiences Non-Violently?

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I really valued the massive Melbourne Hearing Voices conference last week. The theme of reconciliation between voice hearers and mental health workers was a powerful one. This emphasis on creating understanding conversations at the conference was encouraged with dialogues between people on specific subjects - medication, spirituality, psychological approaches to voices etc. - rather than keynotes. It seemed a move away from presentations of competing knowledges, toward a more dialogical conference; a respectful exchange of different viewpoints, feelings and values. When you have a range of views in a presentation it’s less easy to adopt a “good guys vs. bad guys” mentality; you start to see the complexities in more relief. The surprise for me was that I liked it.

Study Explores Correlates of Low-Level Physical Activity and Psychosis

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A study examines the variables correlated with low levels of physical activity in persons diagnosed with psychosis in low and middle-income countries

Mental Health Industry Should Embrace Choices Beyond Drugs

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In this video for NowThis, Yana Jacobs critiques the mental health industry standard of prescribing drugs as the first-line treatment for "mental illness." She emphasizes...

Social Recovery Therapy for First Episode Psychosis

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Social Recovery Therapy shows promising results for individuals who experience first-episode psychosis.