The Moving Basis of Mental Health Diagnosis
In this opinion piece for The Chronicle Herald, Dr. A.J. discusses the subjective nature of psychiatric diagnosis and the DSM. Citing research by Paula Kaplan,...
Fighting for the Meaning of Madness: An Interview with Dr. John Read
Akansha Vaswani interviews Dr. John Read about the influences on his work and his research on madness, psychosis, and the mental health industry.
Arkansas’ $1.25 Billion Risperdal Trial Starts Today
Arkansas' lawsuit against Johnson & Johnson for false and misleading claims regarding Risperdal is set to begin today, the fourth time J&J has a...
Antipsychotics do not Result in Neurocognitive Improvement
Researchers in London and Spain, in a prospective, randomized, study of long-term (3 year) effects of first- and second-generation antipsychotics on neurocognition in 79...
Trump’s Pick for Mental Health ‘Czar’ Highlights Rift
From The New York Times: President Trump's nominee to direct SAMHSA, Dr. Elinore McCance-Katz, who is a strong proponent of the medical model of psychiatry,...
Psychosis and Dissociation, Part 2: On Diagnosis, and Beyond
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 . . .
“Forensic Psychiatric Patients and Staff View the Effects of ‘Mental Illness’ Differently”
“Offenders sentenced to forensic psychiatric care do not consider their mental illness to be the main reason for their crime. Instead, they point to abuse, poverty or anger toward a particular person.”
Childhood Bullying Linked to Psychosis
Research from the U.K. shows that involvement in bullying between the ages of 8 and 11, whether as victim or perpetrator, is linked to...
Risk of Suicide After Hospitalization Even Higher Than Previously Estimated
New analysis of post-discharge suicide rates finds estimates 6 times higher than recent studies.
Psychiatrist Asks Field to Drop Schizophrenia Classification
Dutch psychiatrist and epidemiologist, Jim van Os, has renewed his call to drop schizophrenia as a disease classification. “Several recent papers by different authors...
Trauma and Schizophrenia: The Ultimate Political Battle
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.
PTSD Mediates the Relationship Between Trauma and Mental Health
In a sample of 175 persons with severe mental illness, researchers at the University of Hawaii found that rates of trauma exposure and PTSD...
Non-Distressed Psychosis-Like Experiences Not Linked to Serious Mental Illness
Research from the University of Maryland finds that "Although 'psychosis-like experiences' (PLEs) may reflect elevated risk for onset of serious mental illness," further examination...
Mindfulness-Based Therapy for Psychosis
Researchers in Amsterdam investigated the use of a mindfulness-based therapy for 16 people recovering from a recent experience of first-episode psychosis. 13 completed the...
What is Contributory Injustice in Psychiatry?
An article on contributory injustice describes the clinical and ethical imperative that clinicians listen to service users experiences.
Healing From Schizophrenia
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.
Curing Schizophrenia via Intensive Psychotherapy
I believe that an Intensive Psychotherapy can lead to healing and, often, a cure of psychotic states. By cure I mean the cessation of delusions and hallucinations, and a gradual titration off of antipsychotic medication, with the cure lasting—even without continuing psychotherapy.
When Switching Antipsychotics, No Difference Between Immediate and Gradual Discontinuation
Review study compares outcomes of gradual vs. immediate antipsychotic discontinuation when switching from one drug to another.
Not So Rare But Rarely Diagnosed: From Demonic Possession to Anti-NMDA Receptor Encephalitis
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.
Review of the Evidence: Childhood Adversity High in Schizophrenia and Other Disorders
Researchers from Australia and the UK found that people with a schizophrenia diagnosis almost four times more likely than controls to have a history of...
Schizophrenia; the Tragedy of a Promise Unfulfilled
When I was a psychiatric resident in 1971, the treatment for schizophrenia and manic-depression seemed to be very promising. The hopeful period of deinstitutionalization had just begun. It seemed like we were turning the corner. We were emptying out the state hospitals. And let me tell you, they really were snake pits. And the promise was that patients would return to the community. There they would have individual and family therapy; housing; assistance with working; and help with activities of daily living, when necessary. Finally, an enlightened age... finally.
NARPA Reflections: The Necessity of Disability
I think it is time to reclaim the word disability. Disability needs to be appreciated. To the extent we value community over isolation, anything anyone cannot do, or needs help with, builds community. There are infinite examples in every career and walk of life of how necessary “disability” (since we're calling it that) is for connection, service and meaning in life. Without it we'd have absolutely no need for each other. And the fastest way to despair is to feel unnecessary.
The Role of Racial Bias in the Overdiagnosis of Schizophrenia
Researchers detect disparity between white and African American patients diagnosed with schizophrenia when symptoms of a mood disorder are present.
Popular Drug Reveals the Issue of “Off-Label” Use
From The Washington Post: Despite major lawsuits and detailed reports pertaining to severe health risks associated with the antipsychotic Seroquel, the drug remains one of...
Symptom Remission Does Not Equal Recovery
Researchers in the Netherlands and the U.K. explored the relationship between symptom reduction in schizophrenia (according to Andreason's 2005 criteria for remission) and social...