Short Notes from a Muddled Island (with apologies to Bill Bryson)
There has been quite a bit going on in the UK mental health world of late, and MiA already shares some of this in the form of open letters from Anne Cooke, et al. and Richard Bentall. Both are responses to a series of BBC programmes. In their letter Kinderman, et al. also make reference to a recently published report; The Five Year Forward View for Mental Health. This has been published by a so-called independent body; The Mental Health Taskforce to the NHS in England. Readers would find it encouraging; it refers to a need for closer attention to early intervention, to the need to address stigma, for a focus upon life’s transitions, and innovations that could support recovery, personal autonomy and well-being. What happened? Nothing!
In Case You Missed This
On November 12th, 2015, the third anniversary of the day that I abruptly stopped taking benzodiazepines, my dear friend, J. Doe, published a two-part article here on Mad in America examining the language that is commonly used to describe benzodiazepine (benzo) iatrogenesis. I wanted a summary of these articles captured in a Youtube video so that those in the thick of benzo neurotoxicity could tune into these ideas in a way that might be more easily digestible. I hoped more benzo sufferers would begin to question how they describe (and allow others to describe) an illness that remains decades behind in understanding and recognition. I also wanted to draw attention to the content again in hopes that more medical professionals would read and understand the crucial distinctions in language surrounding this problem.
Call to Action: Support a Bill for Informed Benzodiazepine Use
Massachusetts Bill HD 4554 needs to gain sufficient state representative support by Tuesday, March 1, 2016. This bill will put restrictions on the prescribing of benzodiazepines and non-benzodiazepine sleep aids, and will require that all patients be informed of the potential dangers of these drugs, specifically the dangers of long-term use.
Foxes Guarding the Henhouse: the Role of the Chief Psychiatrist
I do not wish to discuss an individual patient. I wish to discuss the conduct of the psychiatrists at Upton House, Dr Katz in particular, who have been responsible for the administering of over 50 ECTs consecutively to a patient, and have reportedly repeatedly restrained this patient to a bed, on one occasion for approximately 60 consecutive days.
Promoting Mental Health: Supporting Early Relationships Does Not Mean Blaming Parents
As both a pediatrician and psychoanalyst, D.W. Winnicott had a unique view of human development. In preparation for teaching a course on early childhood mental health I had the pleasure of reconnecting with the profound wisdom of his writings. While Winnicott wrote extensively for both a general and a professional audience, I discovered, on careful re-reading of his essay for a general audience entitled ""The Ordinary Devoted Mother"" that it contains a vast wealth of ideas, foreshadowing contemporary research at the intersection of developmental psychology, neuroscience and genetics that is revealing more every day of how early experience gets into the body and brain.
Troubling Mental Health Nurse Education
Mental health nurse education in not sufficiently critical of institutional psychiatric practice. Its formal curricula in universities are often undermined by the informal curricula of practice environments. As an institution, mental health nursing pays insufficient attention to both these issues because it is an arguably un-reflexive and rule-following discipline.
Einstein, Social Justice and The New Relativity
To create his theory of relativity, Einstein had to see things differently. He used imagination and empathy to come to know a new 'reality' of existence. In this essay, we delve deeply into the nature of human experiences that lead to public concern and discover ourselves in a whole new realm.
The Future of Mental Health Interview Series: Eleanor Longden
The following interview with Eleanor Longden, who is well known for her Ted Talk and her activism in the psychiatric survivor movement, is part of a “future of mental health” interview series that I’m currently conducting on my Psychology Today blog Rethinking Mental Health. To see the full interview roster, please visit
http://ericmaisel.com/interview-series.
Open Letter about BBC Coverage of Mental Health
Following Richard Bentall’s inspired Open Letter to Stephen Fry, we – a group of people who have (and still do) use mental health services, who work in mental health, or who work as academics... or fall into more than one of those categories – have decided to write a parallel Open Letter to the BBC and other media organizations about their coverage of mental health issues. We need as many signatures as possible!
All in the Brain? An Open Letter Re: Stephen Fry’s Assumptions About Mental Illness
Stephen Fry’s exploration of manic depression (in the current BBC series on mental health, ‘In the Mind‘) has drawn both praise (because of his attempts to destigmatize mental illness) and criticism (because he appears to have a very narrow biomedical understanding of mental illness). I have sent an open letter to the actor which challenges some of his assumptions about mental illness, and offers a very different understanding to that promoted in his recent television programme.
Recovery: Compromise or Liberation?
The 90s were labeled - rather optimistically - as the ‘decade of recovery.’ More recently, recovery has been placed slap bang central in mental health policy. Is supporting recovery pretty much good common sense? Or is the term being misused to pressure those suffering to behave in certain ways?
The Curious Case of over 50 Consecutive ECTs in Melbourne
Over the past few weeks I have been witness to, and increasingly involved in trying to stop one of the most extreme examples of psychiatric brutality I have encountered in my 40 years in this field. And I have encountered quite a few. I suggest you sit down before watching and reading. This is not your usual, run-of-the-mill psychiatric abuse story.
40 Days to Tell the #FDAStoptheShockDevice
Please join us in demanding that the FDA stop the shock device from being down-classified to a Class II device. We have until March 28th, 2016.
Depressed, Anxious, or Substance-Abusing? But Don’t Buy You Are “Defective”?
Depressed, anxious, and substance-abusing people can beat themselves up for being defective. And psychiatrists and psychologists routinely validate and intensify their sense of defectiveness by telling them that they have, for example, a chemical-imbalance defect, a genetic defect, or a cognitive-behavioral defect. For some of these people, it feels better to believe that they are essentially defective. But the “defect/medical model of mental illness” is counterproductive for many other people—especially those “untalented” in denial and self-deception—for whom there is another model and path that works much better.
My 6-year Anniversary Off Psych Drugs: How I Made It Through the Darkest Times
Last week was my anniversary off a huge psych drug cocktail I’d been on for 20 years. In this video I speak to the inner resources that kept me going. The fact is there is nothing in society to help those who love us to understand what we are going through.
Exploiting The Placebo Effect: Deceiving People For Their Own Good?
There is an enormous irony in a psychiatrist using the epithet "thought police" to express censure, when it is psychiatry itself that routinely incarcerates and forcibly drugs and shocks people on the grounds that their thoughts and speech don't conform to psychiatry's standards of normality.
Future of Mental Health Interview Series: Interview with Joanna Moncrieff on The Myth of...
The Future of Mental Health interview series continued this past week with many interesting interviews: Claudia Gold on The Silenced Child; Bill D. on Alcoholics Anonymous; Jackee Holder on Life Coaching and Emotional Health; Rorie Hutter on Innisfree Village; Lori Sylvester on residential treatment for adolescent girls; Joanna Moncrieff on The Myth of the Chemical Cure; and Rosie Kuhn on Transformation Coaching. Below is the Joanna Moncrieff interview. Below that are links to the other interviews and a link to a roster of the whole series.
Doing It Alone Together: Core Issues In Dutch Self-Managed Residential Programs
For the last six years we, a group of researchers, social work students, peer experts, and social professionals associated with the Amsterdam University for Applied Sciences, have been studying and facilitating the development of self-managed programs in homelessness and mental health care in the Netherlands. With our research we want to contribute to the development of new and existing programs through critical reflection. With this blog, I hope to share some of our findings, to give back to the respites from which we learned so much.
Rethinking Public Safety – The Case for 100% Voluntary
It is time to create an entirely voluntary psychiatric system. International conscience is clear. The singling out of people with psychosocial disabilities is not worthy of a free society. There are better, safer ways to address legitimate public needs.
Feeling Good with Narcotics Now “Evidence” of Opioid Deficiency: The Chemical Imbalance Theory of...
We have lost our ability to tolerate distress, to find meaning in emotion, and purpose in experience. As the sociologist Nicolas Rose has noted, we have recoded our moods in terms of neurochemistry. Emotions no longer have context. They are aberrations in neurochemistry. I’m no longer hurting because I’m lonely, but because I’m running low on endorphins. Buprenorphine for depressive despair reinforces the belief that emotions should be obliterated, and can only be done so through modulating biochemistry.
Lost & Found: Drowning The Mermaid, and Our Collective Power
We spend a lot of time in this community complaining about our lack of voice and power. We blame the news outlets and their coverage; so blind that it ignores our stories, and research that’s been readily accessible for years. We blame people like Representative Tim Murphy and his fear-fueled political agenda. We blame ‘Big Pharma.’ We blame ‘the system.’ We blame anybody but ourselves.
Bloodtime
Free flow had characterized my creative process — and now an art practice that had come naturally since my childhood was extinguished. Not only were my reproductive capabilities shut down on psychiatric drugs, my ability to create art had been effectively disabled.
Gender Wage Gap and Depression/Anxiety
When women receive less pay than men for the same work, they were about two and a half times more likely to "have major depressive disorder," and about four times more likely to "have generalized anxiety disorder" than their male counterparts. But when women were earning more than men, the odds were 1.2 and 1.5 respectively. The use of psychiatric terminology ("major depressive disorder" and "generalized anxiety disorder") constitutes something of a barrier to communication here, but the general message is clear: people (in this case women) who are routinely treated unfairly and discriminately are more likely to be depressed and anxious, than those not so treated.
Belief Systems, Nuance, and Productive Advocacy Ideas
For those with lived experience, do people believe your recovery story? What restrictions do people put on you when you tell your story? What one-liners have you found to defuse people's concerns so that they can hear you? How do you stay in the advocacy game instead of getting frustrated at being the only one who knows the data? This is my story of disclaimers, advocacy friends, respect for religious beliefs, and sustainable advocacy efforts.
Dr.s Leo & Lacasse Respond to Dr. Pies’ Response
In October of 2015, Jeffrey Lacasse and Jonathan Leo published an article in The Behavior Therapist about the Chemical Imbalance Theory of Depression. In the article we criticized Dr. Pies’ characterization of the theory. Dr. Pies was upset and immediately had Mad in America post a letter about our paper. The Behavioral Therapist recently published his letter, and Lacasse and Leo’s reply.