Involuntary Treatment

In a MIA survey of people who had been patients in mental hospitals, nearly 500 respondents told of an experience that was often traumatic, and frequently characterized by a violation of their legal rights, forced treatment with drugs, and physical or sexual abuse. Only 17% said they were “satisfied” with the “quality of the psychiatric treatment” they received.

Changing the mental health and psychosocial support system in Germany requires public debate about the ways our society should help and support people in mental crisis and with chronic mental health problems. We believe the driving force behind all help and support should be humanitarianism and respect for inalienable human rights.

New analysis of post-discharge suicide rates finds estimates 6 times higher than recent studies.

At my job as an inpatient mental health counselor, I had to confront the reality of a hospitalization system with serious and devastating flaws. I felt immensely powerless and understood how my coworkers could end up so negligent, numb, and at times abusive. And I understood how patients could become violent or self-injurious after years in these dismal hospitals.

The media is now reporting details about the 18-year-old who shot and killed nine and wounded many others before killing himself on July 22 in Munich. My clinical and forensic experience leads to a distinction among people who murder under the influence of psychiatric drugs. Those who kill only one or two people, or close family members, often have little or no history of mental disturbance and violent tendencies. The drug itself seems like the sole cause of the violent outburst. On the other hand, most of those who commit mass violence while taking psychiatric drugs often have a long history of mental disturbance and sometimes violence. For these people, the mental health system seems to have provoked increasing violence without recognizing the danger.

Ten years after being fired for taking a mental health leave after the Virginia Tech massacre, I was diagnosed as "schizophrenic" and involuntarily committed to a hospital. Now I have a job and a life, but I'm still forced to take drugs and report to a social worker.

In the wake of deinstitutionalization, we no longer have the vast asylum system we once did. Instead, something more insidious has taken root — for-profit institutions that call themselves neurorehabilitation centers, group homes, and other official-sounding names.

There is indeed a crisis in the mental health business. The crisis derives from psychiatry's spurious and self-serving premise that all significant problems of thinking, feeling, and/or behaving are brain illnesses that are correctable by psychiatric drugs.

I am a survivor of forced psychiatry, and I bring this perspective with me as a human rights lawyer. People with disabilities have a right to be as we are and not to have our bodies and minds made over to suit other people. We alone have the right to decide whether a medical treatment will support who we are or detract from who we are, and that is why free and informed consent is the essential requirement.

In a new report, the United Nations Special Rapporteur on the right to health, Dr. Dainius Pūras, calls for a move away from the biomedical model and “excessive use of psychotropic medicines.”

Forced treatment in psychiatry cannot be defended, neither on ethical, legal or scientific grounds. It has never been shown that forced treatment does more good than harm, and it is highly likely that the opposite is true. We need to abolish our laws about this, in accordance with the United Na­tions Convention on the Rights of Persons with Disabilities, which virtually all countries have ratified.

At a recent conference on legal capacity, I was struck by the failure of another invited expert to adhere to the paradigm of supported decision-making as articulated by the CRPD Committee. We still need to work to ensure that this paradigm is well understood and appreciated, despite the progress made in national reforms.

Dinah Miller and Annette Hanson are psychiatrists who blog at Shrink Rap. On one topic we agree — the subject of involuntary care is the most contentious and troubling topic for psychiatry. To their credit, they have directed an enormous amount of attention to this subject in their latest book.

Garth Daniels, a 39-year-old Melbourne man, has been shackled for 110 days and forced to undergo ECT 94 times at three times a week against his will. Last year, his family asked me to provide a second opinion on Garth’s case. As predicted, my recommendations against continued ECT were quickly dismissed by the hospital. There are critically important issues at stake in this case.

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

In all countries, we need to work for ensuring that forced medication for psychiatric patients is forbidden by law. Virtually all countries, apart from the US, have ratified the UN Convention on the Rights of Persons with Disabilities, which prohibits forced drugging, but not a single country has done anything.

Long-term treatment with antipsychotic drugs is currently considered the standard treatment for patients diagnosed with ‘schizophrenia.’ A new study challenges this practice, however. The...

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

Although I left Ueckermünde without the ability to speak, heavily traumatized and barely able to move, I managed to reclaim life after more than a decade. Today I am one of the few witnesses who survived the Hell of Ueckermünde, who can tell the story of my companions and raise awareness of the injustice committed against us as well as demand answers.

The experience with the UN Working Group on Arbitrary Detention's visit to the US is a watershed for our work against forced psychiatry. Step by step, global and national advocacy support each other as part of a worldwide movement to abolish forced psychiatry using the UN human rights framework.

The FDA approved the prescribing and sale of a new hi-tech compliance-monitoring “antipsychotic” drug this week. A new chapter in human darkness has descended — one that is applauded by the alliance of control addicts that made it happen.

Members of the U.S. Food and Drug Administration’s Psychiatry Products division go on the defensive in a new article, responding to concerns about the agency’s approval of digital aripiprazole.

On World Mental Health Day, UN expert Dainius Pūras calls for a shift away from medical solutions toward a rights-based approach to make life “more liveable.” He calls for states to address societal determinants of mental health, promoting autonomy and resilience.

In 2004, the FDA added a black-box warning to SSRI antidepressants on the increased risk of suicide among children taking these drugs. A new study suggests that this warning has increased the proportion of children who begin an antidepressant on a low dose, but the majority are still receiving higher than recommended doses.

Do the effects of trauma matter more, or a person's ACE score? I think this is unusable data that harms people when you gather it. Here's why.