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I’ve just finished reading Michel Foucault’s book History of Madness.  It is a tour de force that is at times almost impossible to understand, but I find if I am patient the loose ends usually are brought back together.  It is also highly upsetting to read for me as someone who has been locked up as mad.  The layers of history that Foucault uncovers demonstrate conceptual as well as legal and social forms of exclusion that are with us to the present day, although some of them have become transformed over time.

As noted in Anatomy of an Epidemic, the prognosis for someone experiencing psychosis is far better in developing countries than in industrialized countries. Robert Whitaker and others posit that this is due to the treatment models used in the developing world, as well as to debility and chronicity caused by psychiatric drugs themselves. I think it's also important to explore traditional tribal and village based models of helping people experiencing psychosis and examine why they may be effective. Do these traditional societies know something we don't?

On November 12, 2013, Molecular Psychiatry published online Evidence That Duplications of 22q11.2 Protect Against Schizophrenia, by Rees et al. The print version was published last month – January 2014. The idea of a genetic mutation that would protect one from schizophrenia aroused a good deal of interest and enthusiasm. The paper has added some impetus to psychiatry's claim that the condition known as schizophrenia is a genetic disease. For this reason, I thought it might be helpful to take a closer look at the study.

Delegates attending the International Congress of the Royal College of Psychiatrists at London’s Barbican Centre in June this year will almost certainly not hear about the results of the seven-year outcome of the Dutch First Episode (FE) study widely discussed on Mad in America in recent months.

I competed in the 1996 Olympics in Judo. I also achieved complete mental health recovery from 12 psychiatric diagnoses and 29 psychiatric medication. I've also now mostly recovered from a traumatic brain injury, which probably was exacerbated by a lifetime of contact sports, ten years of psych meds before I learned about mental health recovery, and seven shock treatments, that are totally ineffective at promoting mental health recovery.

If you're on psychiatric drugs or you're a psychiatric survivor, chances are others told your story for you in their words. Like it or not (I hope you like it), you're going to have to retell your story in your own words, in your own way. If you choose to do this through blogging, social media, video or any other digital approaches, having your story read, seen and/or viewed by many could be very satisfying. You may not be ready to share it so publicly yet, but once you are, there are some tools to get your story out there to the masses.

The mission of Mad in America’s International Film Festival is rooted in a commitment to human rights and social justice, and our intention is to tell the evolving story of psychiatry over the past century, and to present films that question our current mental health system and highlight past and present-day alternatives.

Yale University has agreed to screen access - with Johnson & Johnson's input - to detailed clinical trial data on the pharmaceutical giant's products.  ...

On January 27 I posted a blog, Maternal Attachment in Infancy and Adult Mental Health, on my website Behaviorism and Mental Health. In this article I reviewed a longitudinal study by Fan et al.  The main finding of the study was: “Infants who experience unsupportive maternal behavior at 8 months have an increased risk for developing psychological sequelae later in life.”

A great American passed away the other day. Ordinarily, I never indulge in such chauvinism, but how else can you describe Pete Seeger? Who else has contributed as much to the country’s emotional and spiritual well-being?

The point of this post is to bring your attention to the writings of some fellow bloggers, particularly 1 Boring Old Man (1BOM). For the past 6 months , but particularly in the past month, he has brought attention to a conflict of interest with David Kupfer, the head of the APA's DSM-5 task force.

In 1972, prisoners at Holmesburg Prison in Philadelphia were paid $3 to have their eyes held open with clamps and hooks while Johnson & Johnson's baby shampoo was dropped into them. In 2011, mothers of newborns were arrested when their babies tested positive for exposure to cannabis, a false result caused by the use of Johnson & Johnson’s Head-to-Toe Foaming Baby Wash. Young men have undergone mastectomies to remove breasts grown as a result of Johnson & Johnson antipsychotics, which were used as a result of Johnson & Johnson's criminal promotion of its drugs for off-label purposes. And now, Johnson & Johnson has announced the removal of carcinogenic chemicals from their No More Tears baby shampoo.

In the last 30 years, acupuncture and Chinese medicine have become increasingly popular as a modality for helping people not only with health concerns but also with emotional distress and addictions issues.  Acupuncture has been especially helpful for people who are detoxing from drugs and alcohol as well as those who have experienced a high degree of trauma, such as returning military veterans.  One of the most innovative and wide spread ways of helping this population is through something known as the five needle protocol, or the NADA protocol.

Harvard University provides this primer on basic statistics; helpful for anyone trying to parse daunting research studies. Article →

A few days ago, I was sitting next to my wife on the couch reading Spark: The Revolutionary Science of Exercise and the Brain written by John Ratey, a professor of Psychiatry at Harvard University. As the title states, it goes well beyond the adage that exercise is good for you, and takes a much deeper, and more scientific look at how research in this area can be (and is in certain places) used to address all kinds of everyday needs. I found myself saying out loud, “Now this what psychiatry should be doing.”

On December 23, I wrote a post called DSM-5 - Dimensional Diagnoses - More Conflicts of Interest?  In the article I sketched out the role of David Kupfer, MD, in promoting the concept of dimensional assessment in DSM-5, and I speculated that at least part of his motivation in this regard might have stemmed from the fact that he is a major shareholder in a company that is developing a computerized assessment instrument. The article precipitated a fairly lengthy debate in the comments section. The discussion was wide ranging, and some of the issues addressed were fundamental to the entire psychiatric debate, in particular: whether or not psychiatry is based on valid science.

I’m not sure how I feel about horseback riding. Well, actually, I know that the act of horseback riding itself terrifies me, but really what I mean is: I’m not sure how I feel about the process of ‘breaking’ a horse to make it rideable. However, when I conducted some (admittedly superficial) research on the topic, I came up with an abundance of information.

Legal capacity is not the be-all and end-all of existence. Even in severely restricted circumstances the human spirit suffers, makes choices, and can even triumph. But most of us are not saints and prefer a bit more comfort in our circumstances – economic, legal, political and social – with greater opportunity to act and interact freely, make our own mistakes and cultivate lives that we value.

It's amazing how much life or death conversation and thinking psych drugs inspire. In a way this seems to miss the point since our lives are obviously about something far more profound than weird chemical combinations that we don't understand. Yet they are what our first-world society has in place to respond to the life or death existential (and holy) questions and crises people tackle.

Stephen Hawking believes there are an infinite number of universes and that alien life exists. Nobel Prize winning physicist Neils Bohr’s interpretation of quantum mechanics shows a cat can be alive and dead simultaneously until we fix it in one state through our observation of it. These are ideas that most people would struggle to see as credible science and yet recent literature reviews reveal that physicists are far more trusted than psychiatrists.

A fictitious, familiar, yet incomplete NIMH press release appears below. Choose one term from each parenthesis to fill in each blank. You may select answers that reflect positions of the NIMH and/or assumptions of the biomedical model (listed first in each parentheses), or alternative answers based on science and/or reality (listed second). It’s up to you!

GSK has recently announced that it will cease paying doctors for promoting its drugs and sponsoring them to attend conferences and sever the link between pay for its sales representatives and the numbers of prescriptions physicians write. My reading of GSK’s annual report leaves me in no doubt that they are changing their business model because it is likely to increase their profitability – not because they are being forced to. There is a niche in the market for a pharmaceutical company to become the leader in ethical practice. It is not necessary for GSK to be ethical in reality but to create the perception of being so.

Hey Mad in America Community! Happy New Year! I want to share an exciting project with you that's going on at The Icarus Project. Members of The Icarus project have been imagining maps and roads and labyrinths that would lead us in our journey and ground us in the moment. These have been called “wellness maps” or “mad maps” – reminder documents we create for ourselves and the people around us about our wellness goals, warning signs, strategies for health and who we trust to look out for our best interests when we’re not at our best. As I've been saying for years, “The act of figuring out what it means personally to be healthy is about learning to leave a trail back to how we want to be. The clearer we articulate it, the easier it is to get back there.”

Every year around this time, millions of people make their New Year’s resolutions. In many ways, our resolutions mirror the willful approach that is needed to overcome psychological conditions, even those of a severe nature. We must be cautious about agents which serve to dull us to our particular circumstances and state of mind, whether it be medications or otherwise.

I imagine if I were to get a lot of presents, I might want to return some of the stuff I'd received. Similarly, I like to return stuff of any kind that feels excessive or like it isn't useful to me, or isn't mine to have. I once had a unique experience with a young acupuncturist/Chinese medicine doctor in training. He asked me a question that in my 31 years no doctor had ever asked me before. Yet it was a simple question. “What do you think your health issues are about?” It instantly shook me out of my habitual thinking and “role” as a patient. In a sense he was “returning me my stuff.”