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On December 25, 2015, renowned psychiatrist Robert Spitzer died. Spitzer was a giant in world psychiatry, best known as the architect of the third edition of the psychiatry’s diagnostic bible — The Diagnostic and Statistical Manual of Mental Disorders (DSM-III) — the edition that effected a turnaround and became the template for how psychiatric diagnosing has proceeded ever after. As such, this death has hardly gone unnoticed, with stories about him proliferating. Most of what is written is highly laudatory. What concerns me is how to understand his “psychiatric contribution” to society.

The beginning of a New Year is always an occasion for looking back at past accomplishments (and failures), and to look ahead too, at what the New Year may bring. And as 2016 opens, it’s clear that MIA has reached a crossroads moment. We can look back and see many accomplishments, and we can look ahead and see many exciting opportunities. But we also have to confront a challenge: we need to figure out how to sustain our operations.

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.

I have made the point many times that the DSM definition of a mental disorder can be accurately paraphrased as: any significant problem of thinking, feeling, and/or behaving. It is important to note that the APA's definition of a mental disorder/illness is entirely arbitrary, in that there is no objective reality to which it must conform. A mental disorder is what the APA says it is, and there is no way to argue that a particular problem is not a mental disorder, because there is no reality against which this kind of labeling can be checked.

Public perception of mental health stigma does not entirely reflect a reality that exists. Many of you reading this that have experienced truly negative reactions from others (due to mental health concerns and/or treatment) may be angered or offended by this proposition. However, no one (especially myself) is saying that stigma is not a serious concern that doesn’t need to be addressed. It is. Although in some ways I do feel that people can seek out treatment with less apprehension today than decades ago, there is no doubt that many still experience negative reactions (intentionally or unintentionally) from what others perceive in them.

We now have only 89 days to respond to Docket No. FDA-2014-N-1210. Tell the FDA no to the down-classification of shock devices. Tell the FDA exactly how subjective and damaging the terms “treatment-resistant” and “require rapid response” are, and how they fail as legitimate medical concepts. The known risks of electroshock should not be ignored because one has been psychiatrically labeled.

When I wrote Anatomy of an Epidemic, one of my foremost hopes was that it would prompt mainstream researchers to revisit the scientific literature. Was there evidence that any class of psychiatric medications—antipsychotics, antidepressants, stimulants, benzodiazepines, and so forth—provided a long-term benefit? Now epidemiologists at Columbia University and City College of New York have reported that they have done such an investigation about antipsychotics, and their bottom-line finding can be summed up in this way: Psychiatry’s “evidence base” for long-term use of these drugs does not exist.

We are profoundly social beings living not as isolated individuals but as integral members of interdependent social systems—our nuclear family system, and the broader social systems of extended family, peers, our community and the broader society. Therefore, psychosis and other forms of human distress often deemed “mental illness” are best seen not so much as something intrinsically “wrong” or “diseased” within the particular individual who is most exhibiting that distress, but rather as systemic problems that are merely being channeled through this individual.

In October of 2013, I wrote a blog on the Foundation for Excellence website (‘The Story of My Perfectly Wonderful Children and the Change WE Need to Make in the World to Save Them’) shortly after finding out that my son’s guidance counselor suggested he (then 10) consider ‘distraction meds’ to aid in his school performance. If I could sit every member of this school system down right now and ask them all my most burning questions, they would be: Do you want to be a tool of the system? The one who knows all the rules and holds all the lines? That says 'no, we can't do that', just because that's the way it is? Or do you want to be a guide through all that mess?

September 11^th 2015 was my last day working as a counselor/therapist in the U.S. community mental health system. After 22 years working within that system I resigned out of protest having waged a concerted effort (2½ years) to challenge potentially dangerous psychiatric drug prescribing patterns at my workplace. In late April of this year these challenges led to the filing of a major complaint with the Massachusetts Dept. of Mental Health and eventually the Dept. of Public Health. I never expected to discover just HOW unprepared, dysfunctional, and totally oblivious the entire state bureaucracy is when it involves any serious complaints detailing possible abuses and harm being done to its citizens by a branch of medicine called Psychiatry. Just how broken is "Broken"?

For those of you who follow me, there have been some changes in my life and circumstances that are relevant to some things going on in the movement and the world, and also some new documents coming out of the UN that I haven't reported yet to the survivor community and our allies. I will try to wrap up everything in a kind of end-of-year update, and hope to also make myself available for a phone/internet dialogue at some point.

It used to be that the times when Santa Claus would show up were times when I was worrying about whether or not I had the right kind of medicine. I know when I see him that he is the medicine, and that he is showing me how to live.

Experiencing emotional pain is a necessary part of life. Emotional pain often contains valuable lessons to help us on our journeys. We need to make sure we are not numbing our hearts to those that are hurting. We need to de-stigmatize the struggles, joys and pains that come with being human. We need to not just mindlessly pursue happiness - though we might think of that as an inalienable right - and avoid pain. We need to do the only thing that brings true joy: embrace all of life and each other, as we experience together all that makes us human.

This week another study was published showing that SSRI antidepressant use during pregnancy is associated with increased rates of autism in the children.  By my count, this is now the tenth study on this topic and it follows on the heels of previous studies – all of which found links between SSRI antidepressant use in pregnancy and autism in the offspring.  Most of these studies were recently reviewed by Man, et al, who also concluded that SSRI antidepressant use during pregnancy is associated with autism in the children. So we now have numerous studies in different human populations all showing a link between SSRI use in pregnancy and autism in the children. Yet, much of the news and blogosphere focus on casting doubts about these findings. What is going on here?

In Part One of this article series, we reviewed the contemporary research into the links between psychosis, problematic family dynamics, and other forms of childhood trauma. After reviewing this research, we find that a very interesting and important question emerges: What do all of these have in common? In other words, is there some common denominator that all of these types of trauma and patterns of problematic family dynamics share, a single underlying factor that makes someone particularly vulnerable to experiencing a psychotic crisis? Indeed, I believe that there is.

This is a very important, well-written book which should become essential reading for anyone involved in the healing arts, since suffering is - or should be - at the heart of our endeavors. Suffering tells us what’s really important to us, and our approach to it tells us what we’re really made of.

I came up with a tie for my "Enough is Enough" series, so I will address two articles. “Researchers identify key biological markers for psychotic disorders,” in Medical Xpress. The whole enterprise is a house of cards built on the ‘belief’ in a group of medical brain diseases, for which we haven’t found the specific proof yet. 'We are on the verge,' psychiatry says, so the belief is close enough. And if you repeat a belief often enough, it is taken as true. This is what has happened. There is no real science behind it, and at some point in the process a mistaken belief transforms into a lie.

A little background for MIA readers on the recently published Huffington Post review about the documentary Healing Voices (see below), which I got published so as to help get the film gain publicity and screenings. I’ve been a Huffington Post blogger since 2007, but I’ve routinely had pieces that run counter to the psychiatry establishment censored. The current review was published within a few hours of my submitting it, and I can only speculate as to why. Perhaps it has to do with what department I submitted it to (which may have permitted it to avoid the Huffington Post medical review board); perhaps it was the references to the mainstream TED and the NIMH; or perhaps our movement is making so much progress that the Huffington Post is less reluctant to shut me up on pieces like this.

A former pharma executive has broken ranks with the industry in a new book by reporting how multiple psychiatrists, schools, and his desperate hopes pressed him to allow higher and higher doses of antipsychotic medications. The result: his 15-year-old son's death from Seroquel.

Several of us involved in RxISK.org monitor other groups setting up to offer information on medicines. Some of these, like eHealthMe, offer useful information. As ever, though, pharmaceutical companies are in there early. The Brintellix website is a masterclass in how to appear patient-centered, and patient-friendly. How to move with the times and make the new way of doing things yours.

In New Zealand, the government is passing legislation called the Natural Health and Supplementary Products Bill that will limit access to minerals and vitamins. While safety and efficacy are important, this Bill will ban for sale many NHPs that New Zealanders rely on for their health. In so doing, it will ban all of the formulas for which there is scientific evidence of benefit for mental health. We have some evidence that the result could be tragic.

There are very few things considered more taboo in the world of mental health than the suggestion that problematic family dynamics can lead to a child developing a psychotic disorder. And yet, when we look honestly at the history and research of psychosis and the broader concept of “mental illness,” it becomes apparent that there are few subjects in the mental health field that are more important. I’d like to invite you, then, to join me on a journey into this taboo territory, dividing our trip into three legs. In the first leg (Part One), we’ll go back in time to explore how such a crucial topic has become so vilified, and then embark upon a flight for an aerial view of some of the most essential findings of the last 60 plus years of research that look at the links between problematic family dynamics and psychosis.

Throughout California, the nation, and the world, peer specialists provide services to individuals with mental health challenges. In California, over 6,000 peer specialists are employed. In 2007, the Centers for Medicare & Medicaid Services guided states to create peer certifications. Since then, more than 30 states have created statewide peer certifications, and if Senator Leno’s Senate Bill 614 goes through, so will California

In our field, there is a significant “missing heritability” between rates of “schizophrenia” in monozygotic twins and the combined reduced influence of genetic variants identified in genome-wide association studies (GWAS). The 80% figure often given as a heritability factor is somewhat misleading for students in our field who do not know how the H2 statistic is derived and various ways of deriving it. Through extensive molecular biological research of the most recent studies on monozygotic twins I have derived a theory which will make a much stronger case for socioenvironmental influences on what was previously though of in classically genetic terms.

In our nation's history, in the face of fear, we have often risen to achieve noble goals. Other times we have behaved tragically — for instance, interning and seizing property from Japanese Americans during World War II. Certainly, there were spies among us then. Only in hindsight did we recognize that our treatment of the larger group — who were not — was gravely mistaken. We are on the verge of witnessing such an event in our own time.