A Brave New World – Somatic Psychiatry in the Spotlight

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Historically, psychiatric diagnoses were never intended to signify literal brain diseases. They used to be a shorthand and a guide to point to the psychological issues that presented. This is how it still should be today. The way diagnosis is now used is a travesty. 
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Emotional Contagion Spreads Madness—What Can We Do About It?

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In my opinion, emotional contagion is the strongest power known to humankind. Emotions move and flow among people and groups. We absorb others’ emotions.

Study Finds SSRIs Associated with Increased Risk for Violent Crime

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Study finds an apparent connection between SSRIs, the most commonly prescribed type of antidepressant, and increased risk of violent crime.
domestic violence mental health

I Navigated the Mental Health System and Never Took Medications

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I kept thinking, why was I the one to be labeled when my husband was doing all this unhealthy, violent stuff? I sought out doctors through health food stores and communities that didn’t believe in medications for a social and family problem. That way no controlling, pill-pushing medical doctor had authority over me.

Overheated, then Overtreated: My 10-Day Involuntary Hold

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Had the hospital simply treated me for heatstroke, they would have made next to nothing. But 11 days in the hospital (10 on a locked ward) and a battery of tests and psych drugs? Well, I’ll let you do the math.

How to Promote Community Inclusion in Mental Health Practice

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Practitioners and public leaders identify methods and barriers for integrating those diagnosed with mental health issues into community life.

What’s Eating Oregon? Peer Respites, The Lund Report & Beyond

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Peer respites are a precious resource that deserve protection, and implementation that prioritizes the full vision of the model and prevents co-optation.
opioid epidemic pain pills

Anatomy of an Opioid Epidemic

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Long-term opioid prescribing has not only been shown to not be helpful for chronic pain; it in fact worsens pain by repeatedly causing tolerance and withdrawals (the main symptom of which is pain). This is analogous to how psychiatric drug use, though often helpful initially, ultimately can cause people to become chronically “mentally ill.”

Our Sexualized Culture and the Prejudiced Roots of Psychiatry

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The problem with the DSM is that it not only pathologizes asexuality, but also pathologizes the distress asexual people feel due to marginalization and prejudice. In attributing people’s distress to their lack of sexual attraction or interest, rather than their environment, psychiatry fails to recognize oppression.

Insane Medicine, Chapter 10: The Paradigm Shift Is Inevitable

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We must advocate for policies that create environments that are more nurturing for us all in a society that helps provide people with meaning, a sense of community, and a sense of civic duty.
A child playing with pills

Driving Our Children into Suicide with Escitalopram and Other Happy Pills

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The Lexapro study is marketing dressed up as science. It represents a flagrant abuse of ethics, deceiving readers at the cost of children's lives.

Explaining Depression Biologically Increases Prognostic Pessimism

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Psychoeducation that explains depression in biological terms increases prognostic pessimism, perceived stability of depression, and openness to psychiatric medication.
Close-up of a hand holding a tablet with a question mark on it. Below, scattered tablets with frowns or hearts.

Seriously Misleading Network Meta-analysis in Lancet of Acceptability of Depression Pills

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It is a futile exercise to rank depression pills based on flawed trial reports and—most importantly—when the patients prefer to be treated with a placebo.

Nassir Ghaemi and The Psychological Fallacy

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Rogue psychiatrists are straying from orthodoxy by expressing the belief that people who are burdened by excessive loss or difficulties are understandably depressed, and therefore not "diagnosable," but Dr. Ghaemi is bringing them back to the fold in the fine tradition of psychiatric pedagogy.

Deep Brain Stimulation and Depression

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A new paper is touted as showing that deep brain stimulation "provides a robust antidepressant effect." Among the 28 patients in the study, 56 serious adverse events were reported, including infection, hemorrhage of the cortex and post-operative seizure. Yet the authors conclude that the results "support the long-term safety and sustained efficacy" of DBS.
scholarship indigenous women

A Significant Indigenous Scholarship and Another Antipsychiatry Battle

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Why is this scholarship important? Because it will fund, create recognition for, and promote research into violence against Indigenous women. It includes not only what is conventionally seen as violence such as murder, rape, and battery, but also violence perpetrated by institutions, including psychiatry.
Covers of both issues of JHP

Compassion and Understanding Versus Drugs and Disease: Where Does Humanistic Psychology Stand Now?

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Authors with lived experience of extreme states present a humanistic contrast to psychiatry.
The School of Athens

What Do Psychiatrists Treat if Not the Soul (i.e., the Psyche)?

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The words psychiatrist and psychiatry, along with their counterparts in other languages, have come to mean something that is not reflected in their Greek origins. Would you allow a psychiatrist to treat an illness of the soul (in Greek, ψυχή [psychí]) if he or she couldn’t explain what part of the human person psychiatrists treat?
Close up photo of hands being held

Peer Respite: Why It Should be Everyone’s Concern

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My intent with this blog is to compare some lessons learned from my recent medical crisis response to a similar peer-run respite response.

Out of the Bubble: Now or Never?

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Never in human history did a powerful institution, no matter how harmful and corrupt, slide into self-inflicted irrelevancy. Institutions like the current psychiatric system can only be toppled by a powerful social movement.
school refusal

“I’m Not Going, You Can’t Make Me!”: A Community Approach to School Refusal

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Consider an imaginary child called Jack who has been avoiding school as much as possible for a month. Standard practice would be cognitive-behavioral therapy or psychoactive drugs to help Jack deal with his anxiety. But what if Jack's social network instead mobilized to help him regain the role of student?

Psychiatric Drugs may Reduce Social and Emotional Capacities

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Research finds that social cognition and emotional processing abilities can be disrupted by psychiatric drugs.
videogame

The Creation of an Illness: Video Games and Defining Addiction

Part of what we mean when we say something is socially constructed is that the existence of an entity, in this case a specific medical condition, partly or wholly depends on certain social attitudes, beliefs, or reactions towards that entity. In this particular case, a mental illness exists if and only if it causes certain types of distress that we get to define.

“It Is What It Is” — Learning From the Past Without Getting Stuck in...

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My first mental-ward stay would not be the last. At last count... I lost count. Fortunately for me, I've learned much from my experience and vicariously from my peers.

Mental Health Survival Kit, Chapter 2: Is Psychiatry Evidence Based? (Part 5)

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The psychiatrists have fought really hard to hide the terrible truth that depression pills double the risk of suicide, not only in children but also in adults.