Coercion

I am a psychiatrist who believes that involuntary treatment is rarely effective in the long run but I am also a psychiatrist who sometimes forces people into hospitals against their will.

On June 13, 2014, United States District Court Judge Carol E. Jackson issued a Memorandum and Order decision holding that a former psychiatric inmate was allowed to bring federal civil rights claims under 42 U.S.C. §1983 against hospital personnel when the hospital continued to hold her against her will after authorization had expired. In her Memorandum and Order decision, Judge Jackson took Ms. Pierce's rights seriously and, reading through it, one gets a sense that the court was offended by the cavalier attitude of hospital personnel towards their patients' rights. It is clear that if the Court's ruling is upheld, it can result in dramatic improvement in the way people are treated in Missouri psychiatric hospitals.

Dear Colin Powell: You shared that your wife was diagnosed by a psychiatrist as having a ‘chemical imbalance.’ You said she was, as a result, put on psychotropics and found success after doing so. I’m not going to attempt to take that away from her, but whereas so many issues encompass shades of gray, the chemical imbalance theory does not. The chemical imbalance theory is not just unproven; It is debunked. But you need not take my word for it.

A discussion of the role of epistemic injustice in the experiences of patients diagnosed with psychiatric disorders.

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.

I lived through forced ECT from 2005-2006 at the Institute of Living in Hartford, Connecticut. My experience with ECT was the impetus for me to become involved in the antipsychiatry and Mad Pride movements, although I am not entirely opposed to voluntary mental health treatment. The following is the comment I submitted to the FDA on its proposal to down-classify the ECT shock device.

Until recently the history of psychiatry was a neglected backwater whose murky depths were explored largely by psychiatrist. The impression conveyed by books such as Tuke’s Chapters in the History of the Insane in the British Isles, Macalpine and Hunter's Three Hundred Years of Psychiatry: 1535 - 1860, Berrios and Freemen's 150 Years of British Psychiatry 1841 - 1991, or Fuller Torrey and Miller's The Invisible Plague, is one that sees psychiatry and modern systems of mental health care as the inevitable outcome of progress through scientific thought, a (white European male-led) narrative from darkness and ignorance to enlightenment and knowledge.

A bottom-up approach to understanding the history of asylums allows us to learn from past successes and failures in the mental health system.

I am quarantined in Stabilization. In front of me an old woman with cherry lipstick and a clipboard asks questions about sexual abuse, but my mind is through the square window on the door behind her. In that room I see a steel bed surrounded by emptiness. On top of it lay leather straps that are uneven in width where they’re wearing thin. Each strap has a set of holes to fasten the buckles tight, and I can see quite clearly that the ones nearest the end are circles while the ones furthest away have stretched into ovals. Tonight will be a Haldol night.

One of the most amazing activist campaigns I have been involved in during my 40 years of protest for human rights in the mental health system, was the effort to stop the involuntary electroshock of Ray Sandford of Minnesota. Ray reached MindFreedom in the Fall of 2008, and an international human rights campaign began for him.

Mahatma Gandhi said, “First they ignore you, then they laugh at you, then they fight you, then you win.” With Pennsylvania Republican Representative Tim Murphy currently trying to push his Murphy Bill (HR 3717) through Congress, the battle is clearly on. And now, we are in the fight of our lives.

As I walked alone up the stairs to the Rayburn House Office Building this morning to attend the hearing of the Energy and Commerce Subcommittee on Health on H.R. 3717 - the Helping Families in Mental Health Crisis Act - I thought about how I wasn’t truly alone. In spirit with me were all the people who had experienced scary, coercive, and dehumanizing interventions in the name of help. In spirit with me was every mental health provider who went into the field hoping to really make a difference in their communities, but became cynical and discouraged in the face of so many broken systems and broken spirits.

Sometimes I get so sick of the lies of biological psychiatry that I must speak out. At these moments I find silence to be a kind of emotional death: a death of my spirit, a death of my critical faculties, a death of my courage. I speak out because I am alive and I wish to align with life.

As a former practicing clinical psychologist, I find Congressman and psychologist Tim Murphy's actions deplorable, a disgrace to the profession, a violation of the ethical principles that guide psychologists in their duties, and an attempt to use his credentials as a psychologist to manipulate the public and Congress to believe obviously false statements. As a result of becoming increasingly concerned about Congressman Tim Murphy's false, public statements conflating mental illness with violence, I contacted the Pennsylvania Psychology Licensing Board and formally requested the implementation of a State ethics investigation of Representative Tim Murphy, Ph.D. I invite you to do the same by emailing the PA board at [email protected]

Refugees and first-generation immigrants of African descent are at greater risk of experiencing medical coercion when compared to immigrants of other visible minority communities in Canada.

A new review finds that dehumanizing language, including self-dehumanization, is connected to anxiety, depression, and disordered eating.

New study links involuntary hospitalization with psychotic diagnosis, previous involuntary hospitalization, and economic deprivation.

Audit of ECT usage, demographics, and adherence to guidelines and legislation raises concern over its continued use.

If you haven't been labeled mentally ill by the American Psychiatric Association, you have to ask yourself what's wrong. Perhaps you were ahead of the game: you knew not to reveal yourself to them, you knew how to avoid them, you found other social support, and if so, a big congratulations. If not, what's wrong? Why have you conformed?

When I lived in Massachusetts I taught yoga and led writing groups for alternative mental health communities. While the organizations I worked for were alternative, many of the students and participants were heavily drugged with psychiatric pharmaceuticals. There was one skinny teenager I'd never have forgotten who listed the drugs he was on for me once in the yoga room after class: a long list of stimulants, neuroleptics, moods stabilizers; far too many drugs and classes of drugs to remember. I was at the housewarming party of an old friend, and who should walk in but that boy who used to come to my yoga classes and writing groups religiously. And he was no longer a boy; he was now a young man. “I'm thinking yoga teacher,” he said. I nodded. Did he remember where? “I'm not stupid,” he said, as if reading my mind. “I'm not on drugs anymore. I'm not stupid anymore.”

Drug profitability requires three parties to work together – drug companies to make the drugs, psychiatrists to prescribe them and consumers to take them. Too often, though, patients have failed to play nicely and do their bit. They have banged on about tiresome things like adverse reactions and alternative treatments, they have expressed foolish opposition to the very concept of pharmacotherapy and questioned its efficacy. They have become medication non-compliant and undermined the profits of the pharmaceutical industry and the authority of psychiatry. They have been bad and landed themselves on a lot of people’s naughty lists and made the World Health Organization very sad and worried.

After 25 years of chronic emergency, 22 mental hospitalizations, a stint at a “community mental health center,” 13 years in a "board & care," repeated withdrawals from addictions to legal drugs, and a 12-year marriage, I plan to live every last breath out as a survivor, an advocate, and an artist.

I do not understand how we can continue to avoid the conversation about psychiatric medications and their role in the violence that is affecting far too many of our children, whether Seung-Hui Cho, Eric Harris, Kip Kinkel, or Jeff Weise (all of whom were either taking or withdrawing from psychotropic medications) or the scores of children and adults they have killed and harmed. It is not clear what role medications played in the Newtown tragedy, though news reports are now suggesting there is one.

A review of the literature demonstrates that coercive practices lack empirical support and violate human rights.

From The Independent: The notion of choice is increasingly being used to discourage suicidal people from seeking help. Many people's suicidal thoughts and actions are...