Living in One of R. D. Laing’s Post-Kingsley Hall Households

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Kingsley Hall was the first of Laing’s household communities that served as a place where you could live through madness until you could get it together and live independently. It was conceived as an “asylum” from forms of treatment — psychiatric or otherwise — that many were convinced were not helpful, and even contributed to their difficulties. By the time I arrived in London in 1973 to study with Laing there were four or five such places. Getting in wasn’t easy.

“Dr. Lieberman and ’60 Minutes’”

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Phil Hickey of Behaviorism and Mental Health picks apart 60 Minutes' segment interviewing E. Fuller Torrey (Untreated mental illness an imminent danger?), and APA...

I Wonder if There is Some Axis II Going on Here? Further Thoughts on...

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This blog was prompted by an invitation to do a guest post on the site of one of my favorite bloggers, 1 Boring Old Man. This is my response to the notion that there are certain conditions - Schizophrenia among them - that correspond more directly to biomedical conditions

Higher Genetic Risk for Schizophrenia Linked to Lower Risk of Psychotic Experiences

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Research from the universities of Cardiff, Cambridge and Bristol finds no evidence of a link between genetic associations with schizophrenia and adolescent psychotic experiences....

Mood Instability Linked to Psychosis

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Research drawing on the British national survey finds that, despite the fact that psychotic conditions and mood disorders have historically been approached as separate...

“Suicide Begs Question: Time to Retire a Diagnosis?”

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The death of Master Chef contestant Josh Marks, who committed suicide within 24 hours of receiving a schizophrenia diagnosis, inspires PsychCentral writer Patrick Tracey...

Schizophrenia as Stress-Induced Dopamine Supersensitivity

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Researchers from the University of Toronto departments of Psychiatry and Pharmacology, publishing in Progress in Neuro-Psychopharmacology and Biological Psychiatry, propose that various forms of stress,...

“Why Wunderink Matters”

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Sandra Steingard writes in Community Psychiatrist about Lex Wunderink's study, published in the August JAMA Psychiatry, which found that people who discontinued medication have...

Schizophrenia Neurotoxicity Redux

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Researchers in Spain and the U.K. find a similar pattern of brain volume changes in a group 76 controls and 109 patients with schizophrenia...

Mental Illness, Right & Wrong, Drugs, and Violence

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The recent incident in the grounds of Washington Capitol, involving a young educated woman, brought shock to many people. It was another opportunity to blame a victim of mental illness and demand further restraint and medical attention for such individuals. Yes, we are lacking dignified, caring, discerning and attentive treatment for those whose spirits are broken. But we certainly don’t suffer from a lack of medical treatment for such individuals. It is time for policy-holders, and our scientific community to ask the 'heretical' question; “Could the drugs be the culprit behind the violence?”

“Limited Progress Made in Schizophrenia Understanding and Treatment”

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Psychiatric Times chronicles the peripatetic progress of "schizophrenia" research, from schizophrenogenic mothers to unspecified genetic lesions and back again via second-trimester embryonic insults, to...

NARPA Reflections: The Necessity of Disability

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I think it is time to reclaim the word disability. Disability needs to be appreciated. To the extent we value community over isolation, anything anyone cannot do, or needs help with, builds community. There are infinite examples in every career and walk of life of how necessary “disability” (since we're calling it that) is for connection, service and meaning in life. Without it we'd have absolutely no need for each other. And the fastest way to despair is to feel unnecessary.

“Learned Helplessness as a Correlate of Psychosis”

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Brainblogger considers the possibility that the primary characteristics of schizophrenia - deficits in affective, social, physical and intellectual functioning - may actually reflect the...

Of FEP’s, DUP’s and BS

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First episode psychosis (FEP) and duration of untreated psychosis (DUP) remain the foci of great numbers of early intervention programs in Western countries. “Untreated” in DUP-anese is synonymous with unmedicated, which often creates a sense of urgency and a myopic fixation on getting these youth started on anti-psychotics and keeping them on. What is the impact of this medical model and its accompanying chemical imbalance narrative on these emerging adults? How often does it set them on a course of regained functioning and restored hope, or does it serve as a gateway into a lifetime of disability and discouragement?

Acceptance and Commitment Therapy for Psychosis: A Valuable Contribution Despite Major Flaws

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The core of Acceptance and Commitment Therapy, or ACT, is the idea of simply accepting, rather than trying to get rid of, disturbing or unwanted inner experiences like anxiety or voices, and then refocusing on a commitment to take action toward personally chosen values regardless of whether that seems to make the unwanted experiences increase or decrease. This idea is consistent with the emphasis in the recovery movement of finding a way to live a valued life despite any ongoing problems, but ACT has value because of the unique and effective strategies it offers to help people make this shift.

“Should We Stop Using Antipsychotic Medication?”

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In a recent interview, Nancy Andreasen, former editor-in-chief of the American Journal of Psychiatry, reaffirmed her earlier findings that antipsychotics shrink brain tissue. "We spent a couple...

As Lawyers and Bureaucrats Delay, The Body Count Rises

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It took over twenty years for the state medical board to sanction a Minnesota psychiatrist who was responsible for the deaths and injuries of 46 patients. Today, in the Markingson case, it looks as if history is repeating itself. How many patients die while bureaucrats delay?

Cognitive Function Improved by Reducing Antipsychotics

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A 28-week randomized controlled study by researchers in Japan, Canada and the United States finds that a 50% reduction of risperidone or olanzapine significantly...

Taking “Anti-Psychotics” When You Are Not Psychotic

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The Wunderink study has been discussed here in other blogs. In brief, using a randomized control design, Wunderink found that in adults diagnosed with a psychotic disorder continuous use of neuroleptics was associated with worse functional outcomes. Is this study relevant to those who do not experience psychosis?

Creating Dialog on Approaches for “Psychosis” in New Jersey

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What would happen if professionals opened their minds about the nature of madness?  What new possibilities might be created if they questioned labels such...

NIMH Director Thomas Insel Acknowledges That Antipsychotics May Worsen Long-Term Outcomes

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Thomas Insel, the director of the National Institute of Mental Health (NIMH), acknowledged yesterday in his "Director's Blog" that the long-term outcome studies of...

Negative Symptoms Are Key to Recovery From Psychosis

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Researchers from Aarhus University in Denmark find from a 10-year follow-up of participants in a randomized controlled study of brief antipsychotic medication (the OPUS...

Guiding Voices, Trauma-Induced Voices

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I have facilitated support groups and worked one-on-one with those who hear voices for nearly 10 years.. The insights I've come to from my own experience have often facilitated understanding for others. Here is what I have learned from my experience of hearing voices.

Understanding Madness as Revolution, Then Working Toward Peace

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While some will frame Eleanor Longden’s story, told in her awesome TED video (which has now been viewed about 1/2 million times!), as the triumph of an individual struggling against “mental illness,” I believe the story might better be seen as a refutation of the whole “illness of the mind” metaphor, and as an indication of a desperate need for a new paradigm.

On “Schizophrenia”

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The first time I heard someone labeled schizophrenic I was about 10 years old. A man was talking to himself and appeared to be house-less and perhaps on drugs. My mom, a very good teacher and explainer of things to me, said, “That man is schizophrenic. That means he can't tell the difference between what's inside of himself and what's outside.” In retrospect this seems like a relatively sophisticated and sensitive explanation; Falling in love, hearing music that enters our heart, having children/giving birth, connecting powerfully with another person in a meeting of the minds, feeling empathy, deeply caring about something, experiencing oneness with nature, are all examples of times when the line between inner and outer reality is blurred.