Schizophrenia and Psychosis

The story of the Genain quadruplets has long been cited as evidence proving something about the supposed hereditary nature of schizophrenia. But who wouldn’t fall apart after surviving a childhood like theirs? The doctors attributed their problems to menstrual difficulties or excessive masturbation — anything except abuse.

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.

New analysis of post-discharge suicide rates finds estimates 6 times higher than recent studies.

Peter Lehmann reviews the contribution of antipsychotics to suicide and depression in schizophrenia in the current International Journal of Psychotherapy.  Publications about the intrinsic effects of...

Of course one wishes for an easy answer, but the things that conspire to drive a person over the edge are too numerous and varied ever to point and say, it was this one; one can never really be so certain. No one can say it wasn’t that one, or that it wasn’t really all of those together, or that, when it came my own turn for “insanity,” I wasn’t standing halfway over the edge already, waiting for gravity to kick in and for me to fall.

As the schizophrenia/psychosis recovery research continues to emerge, we discover increasing evidence that psychosis is not caused by a disease of the brain, but...

Acknowledging the role of trauma inflicted by a given individual’s mother is not the same as laying all blame for “mental illness” at the feet of motherhood. Meanwhile, a mountain of evidence has accumulated linking schizophrenia to sexual, physical, and emotional abuse and many other categories of adverse childhood experiences.

Hearing Voices Network self-help groups are an important resource for coping with voice hearing, study finds.

My experience is that living in a psychosis forces your brain to "stretch" — you develop extra capacity to handle things. I was pretty much living a normal life, even working some of the time, while having all of my psychotic problems. After the psychoses faded away, I no longer needed to fight monsters, but I still had that extra capacity left. After 11 periods of psychosis, my brain has never worked as well as it does now.

Since psychosis does not occur instantaneously and suddenly, but is often preceded by a gradual change in the appraisal of one’s cognitions and social environment, empowering metacognitive competence may act prophylactically to prevent or hinder a psychotic breakdown.

After a few weeks it became clear to me the complete lack of comprehension that I faced as a person claiming to have been cured of psychosis. Being a schizophrenic claiming to no longer suffer from schizophrenia only made me seem more schizophrenic due to the current culture of psychiatry.

As a psychiatric survivor who has personally experienced severe psychosis, my criticisms focus on the relative lack of attention to what psychiatric drugs actually are, and on the uncertain, contested nature of the supposed target of these drugs: “schizophrenia.” I will elaborate on each of these points with references, as well as highlighting alternative approaches to helping psychotic people.

A very gifted and compassionate friend recently said that she feels enslaved to Abilify - that she has tried to taper off it several times but always ends up slipping into an extreme state, no matter how slow she tapers. She said this repeated experience makes her feel like a slave, because she has to go back on the drug to stop the very intense extreme state induced whenever she tries to stop taking it.

A new study explores how “psychosis” and “schizophrenia” are viewed within the Māori community in New Zealand.

In the wake of the new study by Dutch researcher Lex Wunderink, it is time for psychiatry to do the right thing and acknowledge that, if it wants to do best by its patients, it must change its protocols for using antipsychotics. The current standard of care, which—in practice—involves continual use of antipsychotics for all patients diagnosed with a psychotic disorder, clearly reduces the opportunity for long-term functional recovery.

Jeffrey LIeberman and colleagues have published a paper in the American Journal of Psychiatry stating that there is no evidence that psychiatric drugs cause long-term harm, and that the evidence shows that these drugs provide a great benefit to patients. A close examination of their review reveals that it is a classic example of institutional corruption, which was meant to protect guild interests.

When former NIMH chief Dr. Thomas Insel speaks, people listen. Dr. Insel famously criticized the DSM a couple of years ago for its lack of reliability. He notably broke ranks with the APA by saying there were no bio-markers, blood tests, genetic tests or imaging tests that could verify or establish a DSM diagnosis of schizophrenia, bipolar or schizoaffective disorder. However in a new article he announces research that claims to have found bona-fide physiological markers that identify specific "biotypes" of psychosis. This system could, purportedly, identify a person as possessing a specific biotype of psychosis, instead of a DSM-category diagnosis.

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.

I’m deeply impressed with the people who made this documentary — I’ve never seen such a creative and well constructed piece of film about non-Western views of psychosis. It skillfully turns the biomedical model of mental illness on its head and shows so many different ways of looking at what we call madness.

In a systematic literature review, researchers from Canada and Japan found that the antipsychotic aripiprazole (Abilify) was significantly and causally related to increased increased...

For five years, I and others worked to create a residential healing community in Brookline, Vermont, where people could recover from debilitating and traumatic life experiences, which often lead to addiction and mental health challenges, without the use of psychotropic medications. We welcomed our first six seekers to a yearlong, therapeutic and farm-based, day program last September, and we now can report on what we have learned during this time.

Hallucinations and other psychotic symptoms have been reported after methylphenidate (Ritalin) treatment for ADHD.

Akansha Vaswani interviews Dr. John Read about the influences on his work and his research on madness, psychosis, and the mental health industry.

Throughout the ages, convulsions, contortions of the body and face, including the tongue, super-human strength, catatonic periods, long periods of wakefulness or sleep, insensitivity to pain, speaking in tongues, and a predilection for self-injurious behaviours have all been offered as physical evidence of possession. The modern day interpretation, however, comes with a plot twist befitting a media spectacle. There is growing consensus in the medical community that many prior accounts of “demonic possession” may have represented original accounts of what is now broadly known as autoimmune encephalitis.

A recent RCT showed that vitamin B6 is as effective as propranolol for the treatment of akathisia.