Schizophrenia and Genetics: A Closer Look at the Evidence

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“The substantial hereditary component in schizophrenia,” a pair of researchers wrote in 1993, “is surely one of the two or three best-established facts in psychiatry.” But is it really? For mainstream psychiatry and psychiatric genetics, schizophrenia is “a severe mental disorder with a lifetime risk of about 1%, characterized by hallucinations, delusions and cognitive deficits, with heritability estimated at up to 80%,” or a “highly heritable neuropsychiatric disorder of complex genetic etiology.” Many commentators have challenged these claims, and some have challenged the concept of schizophrenia itself.

NICE Guidelines for Bipolar Disorder- a Missed Opportunity

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There are some things to applaud about the recently released update of the NICE bipolar guidelines, not least the recognition that the diagnosis has been inappropriately applied to children with behavioural problems. Hopefully this will help curtail the worrying trend of using toxic bipolar drugs in this age group. As usual, however, the Guidelines overlook glaring problems with the evidence base for drug treatment in general, and miss an opportunity to stem the diagnostic creep that has come to the UK and Europe via the United States.

Thoughts on the Meaning of Neuroscience

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For me there are at least four separate questions to be addressed. The first is whether neuroscience is capable of understanding human emotion and higher level cognitive experiences. The second is the extent to which that understanding - even if it is achievable - is critical to our being able to help people in distress. The third is whether is it is correct to assume, as many people seem to do, that if we come to some basic understanding of brain function as it pertains to core human emotion and suffering that this will automatically translate into treatments that are commonly thought of as "biological," such as drug treatment. The fourth relates to the limitations and relevance of studying the brain in isolation when we are constantly in interaction with our environment.

Purpose is Inherently Divorced From Consensual Reality

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Imagine being able to live harmoniously amongst others without fear. I cannot. Cannot imagine it even a little bit. What can be created for people in my camp? People who are sensitive and had so much trauma in childhood that life among others is highly stressful, scary and worrisome? I'm allowing myself sanctuary-time alone, quiet time, time to write… yet… will things ever be different? Will I ever find my niche in this world, where I feel safe and able, valued and worthwhile, loved, adored and comfortable? I have no idea.

Book Review:  Tales From The Madhouse, by Gary Sidley

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Earlier this year the British publisher PCCS Books published Tales From The Madhouse: An insider critique of psychiatric services, by Gary Sidley. Gary's criticisms of psychiatry are cogent and convincing. But in addition he has drawn on his extensive experience working in the system to describe in close detail psychiatry's devastating effects in the lives and hopes of real people. Through Gary's sensitively written anecdotes, psychiatry's "treatments" are exposed as the disempowering, hope-destroying tactics that they are.

Towards a New Psychiatry: Say ‘No’ to the Fiction of Brain Diseases

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During my lifetime I have witnessed the fall of Freudian psychiatry and the ascension of molecular psychiatry. Unfortunately, we have gone from the frying pan into the fire. I certainly do not subscribe to old-fashioned psychoanalytic ideas which had been beset by considerable problems throughout the years. Its practice suffered from dogmatic theories and miscast beliefs, which worked to the detriment of responsiveness to our patients. I love and value the work of psychiatry. Nothing is more gratifying than helping people heal from painful symptoms, and to fulfill their ability to love and recover their authenticity. I am proposing a new and different paradigm for psychiatry.

How Can We Spread the News?

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Ever since I read Mad in America and later Anatomy of an Epidemic by Robert Whitaker, I have been wondering how to spread this knowledge to the masses and how to do this in a way that will make a difference to as many people as possible.

MIA’s New Store & More

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As MIA readers may have noted, we recently opened a store on this site. You’ll find videos for sale there, as well as MIA merchandise. In the near future, we intend to begin selling ebooks as well.

Abbott’s Admissions of Criminality: Do They Accomplish Anything?

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The big fines paid by the drug companies are not effective, yet the government is ignoring the simple solution of enforcing Medicaid and Medicare's restrictions to drugs that are prescribed for medically accepted indications. It is hard to take seriously the government's stated commitment to rooting out fraud when this massive fraud is consciously allowed to continue. I know it is consciously allowing the fraud to continue because the government has been antagonistic to our whistleblower cases raising this point. Massive harm is not enough to cause government action. Massive fraud when the government is drowning in red ink is not enough either. What is it going to take?

Is it Better to Be a Life Coach or a Psychotherapist?

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I worked for ten-and-a-half years as a psychotherapist, nine of them licensed and one-and-a-half as a social work intern. For the last four years I have worked as a filmmaker. I have considered of late turning in my therapy license (an LCSW), and, if I were to return to the psychological helping profession, to do so as a life coach—unlicensed and outside the system. But is this wise?

Hiding the Evidence of Society’s Side Effects

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What better way to keep people who have been dehumanized due to repeated traumatic experiences, and marginalized and stigmatized due their emotional distress, quiet and invisible than to do it legally and medically? Is there no better place to hide people who, when visible, are proof of social and psychiatric failure than in locked institutions? I have worked with many such individuals in the LA County Jail, and the locked inpatient wards, and in each case the institution’s process — although in compliance with legal and medical protocols — seemed to conspire to keep the individual powerless, medicated, isolated and confused.

Providing Sanctuary, Part 3; Support, Perfectionism, Structure and Flexibility

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Sanctuary is a hot topic.  It is applicable outside of mental health.  I am learning that many, many, many people provide Sanctuary for a time in one way or another and for a number of different reasons.  So I keep thinking about it and asking people about it, and I want to share more of what I am hearing and learning.  The topics that seem to be "on top" for me right now are support, perfectionism, structure and flexibility.

Why I Am Willing to Die on the Governor’s Doorstep

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Whistle Blown. On October 5th, 2014, I began an indefinite duration Hunger Strike upon the State of Colorado. I'm doing this because I have hard evidence of a pattern of plea coercion and child abuse coverup at Boulder County Mental Health Center, Inc. in the form of a wire recording of one of their employees, Dan Shearer.

Retreat From the Social: a Review of Hegel’s Theory of Madness

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I read some Hegel in a reading group a few years ago and was bowled over by it. So I was excited to find a book that analyses Hegel’s ideas about the nature of madness, and wanted to review it even though it was written 20 years ago. Hegel may not have been the first to have made this point, but for me his writing brings home, more clearly than any other thinker, the intrinsically social nature of human thought and existence.

Reflections on a Beautiful Mind

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In the past 50 years, the story of John Nash, as told first in the book A Beautiful Mind and then in the film that starred Russell Crowe as the great mathematician, is perhaps the best-known story of a person diagnosed with schizophrenia who “recovered.” Today, with obits appearing in the newspaper following his death on Saturday in a car crash in New Jersey, it is worth remembering how the true story of his recovery was hijacked in the movie and turned into an ad for a second generation of psychiatric medications.

Regulatory Capture

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Around the world, drug regulatory agencies spend billions of dollars engaged in activities which purport to ensure the safety, efficacy and quality of legal drugs. If the goal of regulation is to protect public health and safety, there can be no argument that it has failed. Safe drugs are not associated with annual rises in mortality and morbidity, effective drugs are not associated with increased prevalence of the conditions they are designed to treat and with greater chronicity of those conditions, quality drugs are not discovered to be contaminated with solvents months after their manufacture and release to the market. Effective regulation does not see companies repeatedly breaching standards and shrugging off sanctions.

Depression: It’s Not Your Serotonin

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What if I told you that, in 6 decades of research, the serotonin (or norepinephrine, or dopamine) theory of depression and anxiety - the claim that “Depression is a serious medical condition that may be due to a chemical imbalance, and Zoloft works to correct this imbalance” - has not achieved scientific credibility? You’d want some supporting arguments for this shocking claim. So, here you go:

On the Link Between Psychiatric Drugs and Violence

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One of psychiatry's most obvious vulnerabilities is the fact that various so-called antidepressant drugs induce homicidal and suicidal feelings and actions in some people, especially late adolescents and young adults. This fact is not in dispute, but psychiatry routinely downplays the risk, and insists that the benefits of these drugs outweigh any risks of actual violence that might exist.

North Carolina Police Shoot and Kill “Mentally Ill” Kid

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On January 6th, 2014, a teenager with a diagnosis of schizophrenia died in North Carolina. He was shot and killed by the police that his parents called for help after he wanted to fight his mother. It is said that he was "having an episode."

Forced Treatment Ineffective: Advocacy Essential

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Most Americans would agree that we have problem with mental health in this country, but what many do not know when they consider that people who are in distress are not getting the help they need is that hospitals in this country are not giving people a choice when they are in the most need. This is based on laws that currently exist in 45 US States, which allow individuals to be petitioned into an inpatient psychiatric unit against their will if they are deemed to be a “danger to themselves or others.” I have worked for 3.5 years as a Peer Support Specialist within my local public mental health system, where I see this happen to the individuals I serve, on a regular basis. I myself have been forced.

War on Civilization: What Would Happen if Patients Radicalize?

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In Paris today we have a lot of people mouthing words that come easily: "Je Suis Charlie." For anyone who wants to be Charlie, who wants to get to know what modern politics is all about, by feeling it in your marrow, try reporting an adverse event on treatment to your doctor. Outside your doctor’s surgery/clinic/ consultation room you can believe you are operating in a democracy. Inside the room you may be treated with courtesy and apparent friendliness but you are being treated in an arrangement set in place to police addicts. This is not a domain in which ideals of Liberty, Equality or Fraternity are welcome.

To Honor or to Investigate?

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It is not often that you will find an issue on which the editors of The Lancet and Guinea Pig Zero agree, but the need to investigate the University of Minnesota is one of them. At this point, it still not clear who will prevail: those who want to honor the Department of Psychiatry, or those who want to have it investigated.

Regarding Representative Tim Murphy’s Helping Families In Mental Health Crisis Act

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Representative Murphy has released the second version of the Helping Families in Mental Health Crisis Act (H.R. 2646). Few can argue that the mental health system and the current approach towards helping individuals and families in crisis are abysmal. H.R. 2646 is an effort to create increased service provisions and to enhance interventions that many professionals, family members and service users alike believe to be effective. When people are desperate and suffering they do not wish to be told "Sorry, there's nothing we can do." And so, it is understandable and even laudable that so many support the proposals laid out in H.R. 2646. But the bill is based on distorted and faulty logic that misrepresents the research and evidence base. This is highly disconcerting. And so a collective of mental health professionals, mental health advocates, and persons with lived experience came together to produce the following documents in response to H.R. 2646.

Fighting for the RLCs Continued: Where’s the Evidence?

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The Western Mass Recovery Learning Community (along with the five other RLCs across the state of Massachusetts) remains in jeopardy of a 50% slash to our budget that would go into effect July 1, 2015 should it come to pass. As noted in my previous post (Peer Supports Under Siege), the proposed reduction was introduced by Governor Charlie Baker in early March. However, there are many hoops to jump through and so we’ll remain in budget limbo for some time to come while the House and Senate draw up their own recommendations and then everyone comes together to make a final call.

The ADHD Diagnosis is a War of Semantics, Waged on Children

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Since I am new on Mad in America, I will tell you; my mission is to debunk the ADHD diagnosis. My goal is to add common sense to a world where drugging kids for acting like kids is all the rage. When discussing ADHD with concerned adults I share how little is required to earn a diagnosis of ADHD. Learning just how non-scientific the diagnosis actually is, for many, is a shocking discovery.