CAFĂ Study: Real Science or Marketing Exercise?
I received the following question from a reader regarding the controversial CAFĂ â Comparisons of Atypicals in First Episode of Psychosis - study. (This was the study in which Dan Markingson committed suicide.) "It appears that there was no head-to-head with a control group taking a placebo pill. Nor was there a control group featuring 'old' types of 'antipsychotic'. If that was the case then it is very poor study . . . what on earth can you hope to show from the data?" I started to write a response, but the subject is complex, and my response became the following article.
Family Oriented, Home-Based Treatment Best for Youth with Symptoms of Psychosis
A pathbreaking new study out of Finland suggests that early intervention programs for youth experiencing psychotic-like symptoms may see the greatest improvement when treatment works within the home rather than in a hospital setting. The research, to be published in next monthâs issue of Psychiatry Research, found greater improvement in functioning, depression, and hopelessness among teens in a new need-adapted Family and Community oriented Integrative Treatment Model (FCTM) program.
Psychologists Push For New Approaches to Psychosis: Part 1
Psychologists and people with experience of psychotic symptoms publish a report on new ways of understanding psychosis.
Emotional Numbing Links Trauma and Callousness
A sample of 276 youth recruited from 2 juvenile detention centers found that the association between trauma exposure and callous-unemotional traits was mediated by...
Half of First-Episode Patients Respond to Antipsychotics
No placebo controlled trials provide evidence of antipsychotics in first-episode psychosis.
Large German Anti-Stigma Campaign Shows Little Effect on Attitudes
âOverall, this study showed that the information and awareness campaign had almost no significant effects on the general public's attitudes toward people affected by either schizophrenia or depression,â the researchers, led by German medical sociologist Anna Makowski, wrote. âOne could assume that deeply rooted convictions cannot be modified by rather time-limited and general activities targeted at the public.â
Antipsychotics Aren’t Helpful to Children
Researchers from London, writing in European Psychiatry, reviewed "all RCTs involving children and young people with a diagnosis of childhood onset schizophrenia comparing any...
Study Examines US Mortality Rates for First-Episode Psychosis
At 12 months, rates of mortality for those diagnosed with first-episode psychosis are 24 times higher than the general population.
Study Finds Improved Functioning for âSchizophreniaâ Without Antipsychotics
Long-term treatment with antipsychotic drugs is currently considered the standard treatment for patients diagnosed with âschizophrenia.â A new study challenges this practice, however. The...
Study Suggests Mania More Common in Psychosis When Antidepressants Used
A prospective cohort study of those labeled high risk for psychosis finds a higher prevalence of antidepressant use among those who develop manic symptoms.
New Research on Patient-Centered Deprescribing for Antipsychotics
Researchers review the risks and benefits of deprescribing from antipsychotic drugs and advocate for a patient-centered approach to tapering.
How Come the Word “Antipsychiatry” is so Challenging?
So here we go again; another meeting with another young person who describes how he is in an acute crisis - you may call it - and is diagnosed and prescribed neuroleptics. He is told by the doctor that he suffers from a life-long illness and he will from now on be dependent on his âmedication.â As long as people are met this way I see no alternative than showing that there are alternatives. If that means being "antipsychiatry," then I am more than happy to define myself and our work in that way.
Open Letter to Senator Creigh Deeds
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.
Valuing Posttraumatic Growth in Psychosis
Individuals who experience psychosis can also experience posttraumatic growth, which can be a central component of the recovery paradigm.
Mental Health Documentary “Healing Voices” Premiers Across 130 Communities in 8 Countries
The producers of âHealing Voicesâ Ââ a new social action documentary about mental health Ââ are releasing the film via community screening partners in...
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...
$1 Billion J&J Settlement Rejected as Insufficient
Federal prosecutors have rejected as insufficient the $1 billion settlement reached two months ago between Johnson & Johnson and prosecutors in Philadelphia to resolve...
Leading Researchers Critique Current Paradigm for Studying ‘Schizophrenia’ Risk
Re-conceptualizing the Clinical-High-Risk/Ultra-High-Risk Paradigm: A critique and reappraisal
âDiagnostic Dissentâ: Experiences of Individuals Who Disagreed With Their Diagnosis
Researchers investigate the first-person experiences of people who disagreed with their psychiatric diagnosis of psychosis.
Canadian Study Links Cannabis and Psychosis in Youth
The Cannabis and Psychosis Awareness Project, a four-year study from Canada that was released on Tuesday, finds that smoking marijuana - particularly heavy use in...
Study Explores Cognitive Effects of Antipsychotics
Reduced usage of antipsychotics in first-episode psychosis was associated with improved executive functioning.
Psych Patients Who Resist Stigma Do Better
A new study in press in the Journal of Schizophrenia Research finds that patients who actively resist the negative stigma associated with mental health...
Childhood Adversity Influences Levels of Distress in Voice Hearers
Research finds that hearing negative voices explains how childhood adversity is related to distress.
Guiding Voices, Trauma-Induced Voices
I have facilitated support groups and worked one-on-one with those who hear voices for nearly 10 years.. The insights I've come to from my own experience have often facilitated understanding for others. Here is what I have learned from my experience of hearing voices.
Stigmatizing Effects of the Psychosis-Risk Label
Study examines the effects on participants of being told they are at risk of developing psychosis.