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ProPublica is well known for creating interesting data bases that allow anyone hooked up to a computer to see by name whether a physician is accepting Big Pharma payments — from dinners to speaking engagements to consulting services. What may be lesser known is that occasionally ProPublica will publish other data that when carefully mined can reveal even more about the use of psychiatric drugs especially when there is a public funding source available.

Earlier this year, I was invited to speak at TEDMED 2014 and John Kazanjian and I worked hard to come up with a 13-ish minute version of my play Sick. The video of the talk/performance got released today on TEDMED.com and YouTube. It’s been a wild ride sharing the big play with small audiences around the country these last couple of years, and I am excited and humbled by the potential audience this abbreviated version can have online. I hope you have a chance to watch it.

I have spent a lot of time talking to politicians, media members and those working in the mental health system about the failings of the current method of viewing and treating emotional distress. I have come to the conversations armed with stats and outcomes about the bio-medical paradigm. I have found that the people I speak with do not doubt the facts conveyed. They seem to agree that the current state of affairs is not good. The difference is that I think the tragic outcomes demonstrate the failure of the current system. The folks I talk to tend to think things are so bad because “mental illness is just that serious.”

On December 1, Mad in America published an article titled When Homosexuality Came Out (of the DSM). The author is Vivek Datta, MD, MPH, a British physician. The article was also published the same day on Dr. Datta's blog site, Medicine and Society. The article focuses on the removal of homosexuality from the DSM, which occurred in 1973. Dr. Datta discusses this issue and various related themes, and he draws some conclusions that, in my opinion, are unwarranted and misleading.

Through the ISPS listserve, I read a blog this morning written by Thomas Insel, director of the NIMH. The way he described people I daily meet in work and in my own life created a rising pulse, so I decided to find out some more about his thoughts and practice. I am not saying that what I read on his blog is unknown to me, but still it made me wonder how on earth is it possible to invest so much money - and resources - in research which is so distant from practice, and so far away from humanistic and holistic ideas and theories.

Twin studies supply the most frequently cited evidence in favor of important genetic influences on human behavioral differences. In an extremely small yet influential handful of studies, twin pairs were said to have been reared apart in different families. Twin researchers and others view this occurrence as the ultimate test of the relative influences of nature (genes) and nurture (environment). According to this view all behavioral resemblance between reared-apart MZ twin pairs (known as “MZA” pairs) must be the result of their 100% genetic similarity, because such pairs share no environmental similarity. But, far from being separated at birth and reared apart in randomly selected homes representing the full range of potential behavior-influencing environments, and meeting each other for the first time when studied, most MZA pairs were only partially reared apart, and grew up in similar cultural and socioeconomic environments at the same time.

To this day I do not know how I found my way back. I think it might’ve had something to do with willpower, as I was NOT going to lose myself. I was NOT going to end up like those people who were living indefinitely in the hospital—those “chronic schizophrenics”, as they say. I was going to find my way back, back to myself.

Although psychiatric researchers have speculated that the rate of people within the (politically-derived, biologically-fictional) racial category of ‘American Indian’ who simultaneously fit into the DSM category of schizophrenia is no greater than the ‘general population,’ we should remember that there’s no word at all for being mentally ill or psychotic or schizophrenic in any traditional language among Native Americans. I feel confident in asserting that’s likely also true for traditional indigenous languages worldwide. This is likely so because visionary, dream-time experiences are not viewed as sickness.

How do we genuinely heal from the damage of racism and internalized racism, as well as mental health oppression, adultism and all form of oppression? We can change all the laws in the land – and we have changed many laws (civil rights laws, employment laws via the Equal Employment Opportunity Commission and the Americans with Disability Act laws) but that doesn’t change attitudes.

Bonnie remembers seeing an issue of the Harvard Mental Health Letter dated October 2008 entitled “Herbal and dietary supplements for depression” [www.health.harvard.edu) and thinking ‘at last, people are beginning to accept that nutrient treatment of psychiatric symptoms is possible.’ But the excitement turned to disappointment when the article revealed itself to be evaluating nutrients that could be used to “boost” the impact of psychiatric medications.

On November 28, Psychiatric Times published an article titled Psychiatric Diagnosis and Treatment of Somatizing Neuropsychiatric Disorders. It addresses the phenomenology, epidemiology, and developmental course of the so-called somatization disorders. Under the heading "Postulated pathogenic influences," the authors present working hypotheses from psychoanalytic theory, learning theory, behavior analysis, social-affective neuroscience, autoimmune sensitization, and theories of dissociation. But they advocate a discussion of the role of medications in "normalizing brain neurotransmitter function."

Depression during pregnancy is an important issue. Depression should not be ignored and depressed pregnant women deserve good treatment and care. Part of that good care, though, is providing them with full and correct information. I care for pregnant women taking antidepressants on a daily basis and too often they tell me that the only counseling they received about the medication was, “my doctor told me it’s safe in pregnancy.” This post will review the evidence in this area and address the counterarguments.

Editor's Note: After Allen Frances and Robert Whitaker spoke recently at the Society for Ethical Psychology and Psychiatry conference in Los Angeles, where they had a brief debate, Frances wrote to Whitaker suggesting that they should continue this debate in print. They do so here. Whitaker’s response follows Frances' post.

Fifteen years ago this month we were sitting together in the basement of Peter’s house. We had felt a sense of despair at the widespread misinformation and atrocious stereotypes that were dominating media coverage of mental health at the time. We felt that our profession had a responsibility to challenge these stereotypes, and that as psychologists we had something unique to contribute. That was the time when research into the psychology of psychosis was beginning to burgeon, and many of our findings challenged not only the stereotypes but – perhaps more significantly - much ‘accepted wisdom’ within mental health services as well.

In many respects it is difficult to fault the report Understanding Psychosis and Schizophrenia, recently published by the British Psychological Society (BPS) and the Division of Clinical Psychology (DCP)[i]; indeed, as recent posts on Mad in America have observed, there is much to admire in it. Whilst not overtly attacking biomedical interpretations of psychosis, it rightly draws attention to the limitations and problems of this model, and points instead to the importance of contexts of adversity, oppression and abuse in understanding psychosis. But the report makes only scant, fleeting references to the role of cultural differences and the complex relationships that are apparent between such differences and individual experiences of psychosis.

On August 11, Pediatrics, the official journal of the American Academy of Pediatrics, published an article that was based on data derived from a random selection of families concerning their health problems or concerns. Surprisingly, the incidence of disability due to physical conditions declined by 11.8%, while disability due to mental/neurodevelopmental conditions increased by 20.9%. The highest increases were among children under the age of 6, and children from more advantaged homes. At least part of the reason for this stems from the fact that while the prevalence of physical disability is limited by the prevalence of the particular pathology in question, no such limitation applies to "psychiatric disabilities."

The Mad in America Continuing Education Project is preparing for takeoff after months of planning. The project will provide on-line classes on the full range of psychiatric medications, and the ways in which they affect the neurology, physiology and outcomes for people taking them. The overarching goal is to change the standard of practice so that it becomes consistent with well-designed research.

This week we launch Mad In America Continuing Education. It is an enormous privilege to be a part of this project and to proudly announce that the first course offering is a series of lectures by me on neuroleptic drugs. I review the history of the development of these drugs as well as their short and long term effects. I discuss what conclusions I have drawn from the data; I recommend that we need to work harder to keep people off these drugs or – if we use them – to minimize the dose and stop them as soon as possible. But there remain other pressing concerns for those individuals who are currently taking these drugs.

I can feel both dance and music changing and healing my brain’s neurons. Seriously. We can change our brains and I’m doing it. Neuroplasticity. There is a multitude of ways to heal. My self-directed protocol involves many different things.

There are many similarities between mental health oppression (which is an umbrella terms for what this blog/web site is about) and racism. I invite readers to contemplate the similarities and differences in these pernicious forms of oppressions. Sera Davidow has begun a wonderful MIA blog-discussion on this. (Thank you, Sera.) In the mean time let me admit to my own racism. Here is what I wrote previously. I offer it as an invitation to racism 101.

It was the first time in my Klonopin journey it occurred to me the problem might not be inherent in me. The problem might actually be the Klonopin. Convinced my very life was at stake, I made the firm decision to get off the stuff once and for all.

We are an unlikely duo, sharing secrets only known to insiders, the inmates and staff of Bader 5, Boston Children's Hospital's adolescent psychiatric unit. I am the nurse who blew the whistle that no one heard in 2010, she is the teenager who was imprisoned on Bader 5 for nine months in 2013. We met for the first time on this past Thanksgiving Day at Yale New Haven Children's Hospital, where she has been a *medical* patient for the past nine weeks.

With a diagnosis of schizophrenia, if internalized, comes the erosion of personhood, lowered self-esteem, shattered dreams, and a sense of disenchantment. The psychiatrist Richard Warner has even suggested that those who reject the diagnosis of severe mental illness may have better outcomes as they retain the right to construct their own narrative of personhood and define what really matters for them. Despite public education campaigns (or perhaps because of them), the stigma of mental illness is as enduring as it was 50 years ago.

What would happen if a team of highly qualified psychologists joined up with a team of people who knew psychosis from the inside, from their own journey into madness and then recovery – and if they collaborated in writing a guide to understanding the difficult states that get names like “psychosis” and schizophrenia”?

I’ve been arguing against calling this movement that I’m a part of a ‘peer’ movement for a long time. What has happened with Michael Brown in Ferguson, Missouri has helped me to crystallize that point. If we do not see what happens to some of us in the psychiatric system as connected to what happens to others because they are black or because they are transgender or because they love someone else of the same expressed gender (or because they live in poverty, etc. etc.), then I’m not sure any of us really, fully understands what it is we are trying to accomplish at all.