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At the end of my talk at the American Psychiatric Association Institute on Psychiatric Services , a psychiatrist in the crowded lecture room put his hand up and posed a surprising challenge: Why was I so concerned about reforming psychiatry and ending iatrogenic harm from medications, diagnosis, and forced treatment when there are so many other issues in society to worry about?

Most people on hearing that ADHD is a "neurodevelopmental disorder" would assume that a neurological pathology is implied. But all the DSM-5 requires is that the individual be functioning below par (for any reason) in one of several areas. It doesn't take a great deal of imagination to see how individuals who are distractible and impulsive have a higher mortality rate. But people who ride motorcycles routinely also have a higher than average accident-related mortality rate. Should we therefore conclude that riding motorcycles is a "valid" illness?

Jeffrey Lieberman, American Psychiatric Association through May 2014, recently called Robert Whitaker a “menace to society” because Whitaker had challenged the long-term effectiveness of psychiatric medication. But is it Whitaker or Lieberman who has been a menace to society? Lieberman, earlier in his career, conducted experiments in which patients diagnosed with schizophrenia were given a psychostimulant drug with Lieberman’s expectation that this drug would be “psychotogenic” (induce symptoms of psychosis), and this deterioration in fact occurred. How could the APA not feel guilt or shame about Lieberman and other psychiatrists conducting experiments that create psychotic symptoms and suffering? The answer to this question takes us to a very dark place.

In November of last year, Schizophrenia Bulletin published a research study that, on the face of it, would seem to upset the notion that neuroleptic drugs are toxic and that their use markedly reduces life expectancy. There are, however, some problems with the study that need to be considered.

Researchers believe that they have gained a clearer understanding of how cocaine, amphetamines and related psychostimulant drugs "disrupt the normal functioning of the dopamine transporter in the brain."

On May 18, I had the pleasure and privilege of chairing a workshop at the American Psychiatric Association's annual meeting in Toronto. The topic: Rethinking the Long-Term Use of Antipsychotics in Schizophrenia: For Everyone, No one or Some?

I just attended my first American Psychiatric Association (APA) meeting even though it has been going for 168 years. I was invited to join a symposium on vitamin-mineral combinations as primary treatment of psychiatric symptoms. There was one talk I decided to attend, not because I was particularly interested in the topic, but because it would give me an opportunity to ask Jeffrey Lieberman a question.

It is often not appreciated by the individuals receiving electrically induced convulsions that any gains they receive from the procedure will almost certainly be short-lived, and that the "treatment" will need to be repeated more or less indefinitely at intervals of about a month. Case studies can be helpful and informative, but they tell us little or nothing on the general questions of safety and efficacy.

It would be a shame if Andrew Scull’s Madness in Civilization did no more than draw well deserved applause for his authorship and historical expertise, and a prominent place in the bibliography of madness. My own copy of Madness in Civilization arrived last week, and it is great; comprehensive, brilliantly written, lots of colourful and many disturbing illustrations. Madness’ continuing story, “From the Bible to Freud, from the Madhouse to Modern Medicine” is told as never before, but there seems to be something missing...

The new Danish psychiatric law which has been under development for a while has just been passed by the government and is due to be implemented on 1^st June 2015. However the road to this new law, ostentatiously to improve the rights of the patients, has had an interesting history. Denmark was on its way to achieving the dubious title of European champion in the number of people subjected to physical restraints according to the European Committee for the Prevention of Torture.

Let’s be clear – I prefer to have no mental health legislation at all. The history and legacy of mental health legislation is anti-human rights, discriminatory, segregative, othering of people whose experiences of distress and states of consciousness are disapproved of by those who are able to fit more easily into social norms. Often too, “mental health legislation” is synonymous with “mental health acts” that are concerned with regulating involuntary commitment and compulsory treatment. It is with this in mind that I promoted the goal of “repealing mental health laws” and started the Campaign to Repeal Mental Health Laws.

I frequently get asked by people on the internet whether or not I think their therapist is good. For a variety of reasons, I usually do not feel comfortable answering them directly. However, I do feel comfortable writing about the subject here, as a sort of amalgamated response. As such, here are some questions I might ask such people, and here is how I might respond to their answers.

Big Pharma has done their job so well that they no longer need to bribe doctors with cash to get them to tout the party line. Their neurobiological belief system — that complex mental states can be meaningfully reduced to neurological structures and biochemical processes — is now so well entrenched in our culture it is becoming more and more difficult to find folks who doubt it, especially in medical schools and in departments of psychiatry.

Just once, I'd like to share my story at a conference (any conference) and have it truly be heard. I'd like to share how much I was hurt by psychiatric diagnosis and a 'mental illness' perspective, and how I regard my experience as being largely rooted in trauma, and have people not revert immediately back to referring to everyone as 'mentally ill.' Just once. It hasn't happened yet.

When you write a book, you usually do so in response to a prompt of some type, and in the process of researching and writing the book, you will come to see your subject in a new way. Psychiatry Under the Influence, a book I co-wrote with Lisa Cosgrove, provided that learning experience, and this is what I now know, with a much greater certainty than before: Our citizenry must develop a clear and cogent response to a medical specialty that, over the past 35 years, has displayed an “institutional corruption” that has done great injury to our society. In fact, I think this is one of the great political challenges of our times.

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.

As I wrote in Let’s All Support Stephen Sheller’s FDA Petition to Revoke the Pediatric Approval of Risperdal, Stephen Sheller's law firm, which represents hundreds of boys who were prescribed Risperdal and then grew breasts (gynecomastia) as a result, filed a petition with the Food and Drug Administration (FDA) to change the label and revoke its approval for use on children. During the course of discovery for litigation in its Risperdal cases, Sheller became privy to documents not provided to the FDA that showed Johnson & Johnson hid the problem. This is a very important case. If it is successful, it will give hope of forcing the FDA to follow its mandate to protect the public from harmful drugs.

On April 24, I had the pleasure of attending the conference “New Directions & New Hopes Call for New Practices in Clinical Psychiatry.” Jointly sponsored by the Yale Program for Recovery and Community Health, the Foundation for Excellence in Mental Health Care and the Connecticut Department of Mental Health and Addiction Services, this was a rich experience.

The person living on the streets with whom no one will make eye contact, or who the police hassle for requesting spare change from passersby. The individual who has learned to cut themselves to manage emotional pain, and so is punished by emergency room staff who sew them up without anesthetic (both physical and emotional pain disregarded), or confuse their efforts for suicide and contain them against their will. The person of color who some might cross the street to avoid, or who is arrested for lashing out when another is murdered at the hands of those employed to ‘serve and protect.’ Each is only looking for a way to survive, but instead finds themselves ignored or blamed.

An RCT is simply a research tool and, as a tool, it can be used in a variety of ways. Unfortunately, the idea of a hierarchy of evidence seems to be hypnotically seductive for many people and powerfully useful for the drug companies. In order to get a drug to market, regulators in the US such as the Food and Drug Administration (FDA) and also in Europe, only require the drug companies to produce two RCTs with statistically significant positive results. Perhaps this very low standard has contributed to the fact that RCTs can be much more useful as marketing tools for drug companies than for discovering new and useful ways for people to live healthy and meaningful lives.

In a well-researched, comprehensive article in today's Huffington Post Art Levine has brought to the attention of the mainstream media the government's complicity in the illegal psychiatric drugging of poor children, especially foster children, through Medicaid.  The article, Feds Pay for Drug Fraud: 92 Percent of Foster Care, Poor Kids Prescribed Antipsychotics Get Them for Unaccepted Uses is the only mainstream article I know about that has really pressed the federal government over its refusal to enforce Medicaid's coverage restrictions to "medically accepted indications."

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.

Daniel Kriegman, PhD, a psychologist and writer, was a founder of the Psychoanalytic Couple and Family Institute of New England and a faculty member at the Massachusetts...

The Hearing Voices Network is spreading in the United States… but not fast enough for my tastes. (The inactivity demanded by patience takes a ridiculous amount of energy to sustain.) In spite of being one of the more groundbreaking efforts to take hold in our country in the last several years, it’s still most often relegated to ‘balcony seating’ at public events and referenced only as an afterthought or honorable mention. (Never mind all the people in the mental health system who are left without options in the interim.)

The promotion of the chemical imbalance theory did occur, and continues to occur, and is a most shameful chapter in psychiatry's history.  It is arguably one of the most destructive, far-reaching, and profitable hoaxes in history. I could not begin to estimate the number of clients I've talked to over the years who told me that their psychiatrists had told them they had a chemical imbalance in their brains, and that they needed to take the pills for life to correct this imbalance. Even today, I regularly receive emails from readers contesting the assertions in my posts and telling me in no uncertain terms that they have chemical imbalances in their brains that cause their problems.