Re-conceptualizing the Clinical-High-Risk/Ultra-High-Risk Paradigm: A critique and reappraisal
A common practice when antipsychotics are found to be ineffective for schizophrenia is to prescribe a second, additional psychoactive medication. Now, a new study suggests that this practice is not supported by the research.
From The Conversation: Many researchers are beginning to acknowledge that the concept of "schizophrenia" as a discrete, hopeless, and deteriorating brain disease does not exist. In...
Professor John Read talks about his research interests and in particular, the science and evidence base for Electroconvulsive Therapy (Electroshock).
From Critical Psychiatry: The International Society of Psychological and Social Approaches to Psychosis (ISPS) has produced a 'Liverpool Declaration' stating that psychosis needs to be...
Psychiatrist Jim van Os is Chairman of the Department of Psychiatry and Psychology at Maastricht University Medical Centre, Maastricht, The Netherlands. He challenges current diagnostic conceptions of schizophrenia and other mental disorders, and offers a vision for creating a new paradigm of mental health care.
A prospective cohort study of those labeled high risk for psychosis finds a higher prevalence of antidepressant use among those who develop manic symptoms.
Kermit Cole tells of his experiences of supporting those in extreme states and his thoughts on Open Dialogue and dialogical approaches in general.
The new wave of psychosocial treatments is encouraging, but does not go far enough in recognizing psychosis as an attempt by the psyche to heal itself. Until psychiatrists receive training in metaphor and symbol, we will continue gluing the pieces of Humpty-Dumpty back together again.
Will is a mental health advocate, counsellor, writer, and teacher. Will advocates the recovery approach to mental illness and is recognised internationally as an innovator in the treatment and social response to psychosis.
We seldom have a chance to hear from someone who combines the perspective of a longtime psychiatric survivor and activist with that of being a psychiatrist. I disagreed with only one significant point — that a person does not have to be off all medications to show “complete recovery” from “mental illness.”
After a few weeks it became clear to me the complete lack of comprehension that I faced as a person claiming to have been cured of psychosis. Being a schizophrenic claiming to no longer suffer from schizophrenia only made me seem more schizophrenic due to the current culture of psychiatry.
A study examines the variables correlated with low levels of physical activity in persons diagnosed with psychosis in low and middle-income countries
Individuals with lived experience and clinicians share about barriers and facilitators to guided self-help CBT for voice hearing.
A recent study published in Schizophrenia Research examines the incidence individuals deemed “Ultra High-Risk” (UHR) for psychosis and their neighborhood of residence
A good relationship can begin to puncture a hole through the wall of disconnection. The goal is to help a person break out of the isolation and private world that trauma has created and re-engage with a public world—culturally, emotionally and in a way that has personal meaning.
You might ask, “But why are dreams so crucial to psychiatry?” I would tell you that they are the forgotten language of the psyche, composed of metaphor and symbol, simile and synecdoche. All who enter the world of non-consensus reality long for a physician trained to hear the patois of image.
Is madness good for something? If there is something positive about psychosis, then perhaps what we really need is a balanced view, somewhere between “romanticizing” it as being all good and “awfulizing” it as being all bad.
Jeffrey LIeberman and colleagues have published a paper in the American Journal of Psychiatry stating that there is no evidence that psychiatric drugs cause long-term harm, and that the evidence shows that these drugs provide a great benefit to patients. A close examination of their review reveals that it is a classic example of institutional corruption, which was meant to protect guild interests.
Higher levels of sedentary behavior are associated with poorer cognitive functioning in patients diagnosed with schizophrenia.