Wednesday, June 16, 2021

Comments by Armadillo

Showing 12 of 12 comments.

  • I disagree with a few points.

    First the substance abuse of course induces brain changes, which create problems.
    However never underestimate human willpower.

    I am a bit perplexed that the greatest obstacle is that the addict identifies as an addict and has to drop this self-image.
    The very essence of addiction is the denial.
    In my experience the addict believes to the end that he has control.
    There lurks also a dangerous concept around by not calling the addict an addict, like in India apparently, they can come back to social drinking.
    This, as of the brain changes by the substance, is no longer possible. The very idea of continuing the use of a substance, which nearly ruined one’ life, is already an oxymoron.

    To blame the life circumstances is considered one of the classical games by the anonymous alcoholics.

    Principally in it’s severe and self destructive form, addiction has always a basis in a severe early disturbance. So the concept of “poisonous milk” and relationship to the dead object etc..
    This certainly needs to be dealt with after the addiction is discarded.

    I am a bit wondering what happens after the therapeutic community in the real world.

  • I agree 100% with the author.

    In my experience psychiatrists are not secretly plotting to blight people’s life. They really believe in their model, which makes them so dangerous salesman.
    However it takes two to tango.

    The entire basis of psychology is, that you can’t change the other person, you can only change yourself.
    So the abuser does, what he does, but the only option is to look at the own responsibility and to make changes.
    The path to radical freedom is to take radical responsibility.

    Thomas Szasz went so far as to question the entire existence of mental illnesses. He claimed that people are just faking it, to get disability allowances. His prime example was hysteria, in for secondary gain.
    I disagree with Szasz, but I can understand his exaspiration.

  • I think “E. Baden” would have a hard time establishing herself as a psychotherapist in the USA.

    There seems to me the prevailing opinion of this web-side that stopping the psychiatric drugs is all you need.
    Nothing about root causes and tackling the issues, which caused the breakdown.

    It is more easy to define oneself as the poor victim, who after childhood abuse has all the rights to avoid adult responsibilities in all future and behave like a child.

    I am a bit surprised to learn, that there seems to be a hierarchy of mental illnesses among those affected.
    Is bipolar illness and PTSB on the top and schizophrenia at the bottom?
    Quite a bit of projection going on around the “mentally ill” to say his next his lower than themself.
    The “normal person” would see all undesirable.

    For me it is perfectly fine, if somebody is so offended by calling their problem by it’s name, to call it “tra-la-la” instead to continue the conversation.

    Personally I think it is important to recognize, where the problem is, in order to do something about it.
    It is like with a poisoned well that it is important to find it’s origins.

    There are the most excellent descriptions for all the different dispositions in the literature way before biological psychiatry came on. Personally I think the most important was done in the 40es, but regarding personality disorders there is an exception, there have been brilliant workers since then.

    As Steve mentions the different manifestations of schizophrenia, I recommend an American author, who used to be the APA President in that time (sic!), times have changed.
    Silvano Arieti, “Interpretation of schizophrenia”.
    Alone from the title you can see he understood the problematic.

    There are of course other mechanisms, where an ego gets weakened, in order to become psychotic, but the manifestations are different, like by illness, fever, lack of sleep.
    I think therefore to daze the poor weakened ego, who is overwhelmed by it’s own unconscious, even more with “major tranquillizers” is basically contraindicated.
    Regarding the discussion about antidepressiv-withdrawal:Those people did voluntary line up to get a quick fix.
    This must be quite a betrayal to them to realize that this comes with a price.

    Principally everyone has to decide how much they want to dive in to this.
    I certainly did, after I realized that those, who should, really did’t know, what they were doing.

  • This is now an answer to “Daiphanous weeping”:
    Principally the problematic of the schizophrenic has been quite well described, I refer to R. D. Laing, “The divided self”, Harold Searles, Gaetano Benedetti, Theodore Lidz.
    This long before biological psychiatry came on.

    It is seen as a problem of boundaries.
    In the earliest time in life the baby does not experience much difference between the caretaker and her/him. A very dominant person, who does not accept the child as an individual and misinterprets all signs can cause harm.
    The mothers world is the only normal and the child own self is very weak. So it can get easily overwhelmed by the own unconscious.
    Searles and Benedetti therefore describe a period of blurring of boundaries for healing like with the twin-dreams of Benedetti.
    However it is more important thenafter, to see the other as different with different interesting views and to connect and seperate oneself each moment from second to second.
    You seem to see the therapist as the overwhelming mom.

    Please note I am not a therapist, I work in a completely field and happily so.
    I am neither schizophrenic, my problem is different.

    Addendum also: I am uttermost surprised to learn that the concept of a training analysis is new in the USA even for therapists.
    Things have changed a lot since times where psychoanalysis/ psychotherapy was more common.

  • What bothers me about the diskussion regarding orthomolecular therapy, homeopathy and the like is not only the complete lack of evidence but the attitude:
    No need to change anything in your life but again somebody is coming with a magic little pill and again-sim-se-la-bing: everything will be all right!
    Maybe with less side-effects, but the attitude bothers me.

    I am quite shocked to learn, who does psychotherapy in the USA, it explains a lot.

    Here one studies psychology for six years and does the training for psychotherapy afterwards, which takes further three years. To become a specialist physician in psychotherapy it takes five years with masses of lectures and supervised own therapy in quite different settings. There is also a requirement to do one’s own psychotherapy in the field one later wants to practice in. Hopefully this helps with some of the counter-transference or egoistic issues.

    The two disciplins split in the 90es, before also psychotherapy was part of the education for psychiatrists. This is quite sad, as this used to be the expectation, but this was because of the advent of biological psychiatry.

    There is more to psychotherapy than just being supportive. That is rather used for crisis intervention.
    Some blundering of professional bounderies is hoped for by people with a schizophrenic condition, but it is more important to help someone towards independance.

  • To the author:
    I am really sorry for your situation.
    In my experience health care in each country develops as an interchange of patients expectations and those providing the service.
    Unless you are truely masochistic it would be a good idea to specialize in psychotherapy and help the people who really want to change something, instead of focussing on those who don’t.
    However also psychotherapy requires training, which is at least three years. Bad psychotherapists you seem to have encountered enough.
    I am not so familiar with the american regulations, in my country these are two different pathways for specialist recognition as a physician, with the psychiatry option only doing a brief stint in behavioral therapy and the other being a specialist physician in psychotherapy.
    We also have public funds for psychotherapy, as they also realize, that this is cheaper than paying disability pensions.
    However biologistic psychiatry is also dominating the field.
    So first check out how to become a psychotherapist in the USA, there are also patients who prefer this.

  • What makes matters regarding ADHD even more complicated, is, that stats show, that at least a third of these drugs are actually not consumed by the kids but their parents (e.g. mothers little helpers).
    Biological psychiatrists explain this easy: As ADHD is an inherited brain disease, mom also has adult ADHD und needs the pills as well.
    I once was told off, as I prescribed a related slimming-pill on special request, but this woman was at least honest!
    At another rehab facility for this problem both mom and kids were admitted, while mom was recovering from her amphetamine addiction was she personally handing these drugs every day out to her kids.
    However even Freud had a oft spot for cocaine and R.D. Laing, being Scottish, issues with alcohol.

  • I once worked in a methadon program as a professional, which was also a family practice.
    The psychiatrist of the program believed in the existence of “adult ADHD”. Friends of the general practitioner showed up with questionaires, where they were found, that they had this problem and got treated accordingly. None of them appeared to me abnormal.
    Basically also in the methadon program the physician in now the dealer. None of these people ever tapered off or got drug-free. The option was of course there. This is however better for society, as there are less drug related crimes like theft and robbery and less transmittable diseases.
    Things are never easy.

  • I don’t think this is a fair comment.
    In my experience the greatest obstacle are the users themselves, who prefer a parentlike figure waving a magic wand or giving a portion, so all problems are solved.
    There is a minority, who want to face their issues and work them through.
    For them this website and above book provide enough information to realize that pills are not a solution.
    What I am missing in this website and discussion is however the insight, that just stopping the drugs neither solves anything.
    The only option is to tackle the issues causing the crisis and find one’s own way.

  • That’s shocking!
    Same thing happened to me, although a bit cheaper. I got a 4500 Dollar bill for a 10 day involuntary hospitalization. That was for a nervous breakdown as of a bullying situation at work and sleepless nights of stress and worry.
    I never paid that bill, but left the country. (It was in Australia and my visa depended on my employer anyhow.)
    Needless to say, the stay was traumatizing. Nobody talked to me, they did not believe me etc.
    That’s 14 years ago, I am fine since.

  • The bible is also full of stories of ghosts, demons, possession and Jesus exorcising them, by example driving these evil spirits into pigs.
    I had a christian friend, who explained her psychosis as having been possessed by a ghost and continues to believe in them.
    Psychologically I find this concept problematic.
    Instead of accepting these phantasies as the own unconcious, they get externalised, which is also the mechanism of paranoid psychosis.
    It certainly will bring relief, but might worsen prognosis and the way back.