Legislation & Regulation

In an article published by the Treatment Advocacy Center, The Shortage of Public Hospital Beds for Mentally Ill Persons, the authors (D. J. Jaffe and E. Fuller Torrey) present the idea that we have far too few hospital beds in this country, and because of that there has been a dramatic shift towards the diversion of people labeled with mental illness into prisons and homelessness. Their answer to this issue is that we should radically increase the amount of hospital beds and we should also dramatically increase our reliance on outpatient treatment in the form of mandated involuntary medication programs. As many people know here, the TAC has been highly influential politically and the authors of this paper have been instrumental in getting laws passed that mandate the outpatient use of psychiatric drugs for people who have been civilly committed.

I am quarantined in Stabilization. In front of me an old woman with cherry lipstick and a clipboard asks questions about sexual abuse, but my mind is through the square window on the door behind her. In that room I see a steel bed surrounded by emptiness. On top of it lay leather straps that are uneven in width where they’re wearing thin. Each strap has a set of holes to fasten the buckles tight, and I can see quite clearly that the ones nearest the end are circles while the ones furthest away have stretched into ovals. Tonight will be a Haldol night.

In MinnPost, Susan Perry discusses a JAMA Internal Medicine study that found that, within 48 hours of being hospitalized, almost half of adults aged...

The Toronto Transit Commission has removed billboards for a popular escape game after The Toronto Star reported on four complaints about its mental health-themed...

In the wake of a major court decision, the US Food and Drug Administration has issued new guidelines for public comment, covering how pharmaceutical...

"Illinois medical regulators have indefinitely suspended the medical license of psychiatrist Michael Reinstein, who prescribed more of the most powerful and riskiest antipsychotic drug...

I’ve had some criticism of the recent Doctor Munchausen posts. They’re not fair on doctors. Many people have told me of lives saved by good doctors. It’s not fair to tar these good doctors with the brush of a few Dr Munchausens here and there. So there’s bad doctoring and good doctoring and great doctoring. What would great doctoring mean?

In an interview with the Los Angeles Times, Tom Burns recants. Burns is described as a psychiatrist who was long one of the strongest...

This past June, Illinois became the 3^rd state to allow psychologists to prescribe medications commonly used for psychiatric issues, after New Mexico and Louisiana have enacted similar laws.  When it comes to gambles for our profession, and frankly for the general public, it doesn’t really get much bigger than this. The following list provides a brief overview of some of the most serious issues that face this discussion, both for psychologists and the general public.

An article in HRHero, a legal resource for human resource professionals, expresses concern about the expanding diagnostic categories in the Diagnostic and Statistical Manual...

It seems almost every week now that we hear of a mass murder/shooting in the media. By now the pattern is too familiar to be as frightening as it once was. The response has also become reflexive: Guns should be made less available, especially to people with mental illnesses, and potentially dangerous people should be treated for their mental illnesses − involuntarily if necessary − so they can live safely in our community. Yet, nothing much changes, outraging the next set of victim’s families and communities.

Even as we have access to more and more information linking that which gets labeled mental illness to trauma — treatment that exacerbates the trauma response continues to gain legal traction all over the country. This, of course, leads to the epidemic of harm and iatrogenic illness we’re watching happen. (See: Anatomy of an Epidemic.)

It is rare to get involved in a dialogue over psychiatry without sooner or later someone defending the use of such “treatments” as ECT “as long as they are consented to,” with the term “informed consent” periodically employed. Herein lies the context for this piece. The issue that I want to probe, to be clear, is not whether force should be used—for of course it shouldn’t—but the thorny issue of consent itself—what exactly constitutes consent and what other issues besides consent are critical to factor in when considering what it is and is not legitimate for a “medical” professional to offer.

The United States Food and Drug Administration is inviting comments on its new draft guidelines for informed consent. "This guidance is intended to provide...

A California nursing home has settled with AARP in an unprecedented class-action lawsuit against the facility for using inappropriate kinds and amounts of psychiatric...

Next week the United Nations Human Rights Committee is scheduled to begin evaluating Ireland's progress towards implementing the International Covenant on Civil and Political...

I am not comfortable with an all-or-nothing insanity defense that is both legally and socially stigmatizing because it sets the person apart as someone who is legally determined to be incapable of being treated as a moral agent. This stigma spills over onto all people who are psychiatrized, and it is part of the conception of madness that also ends up serving as a justification for civil commitment, since we are perceived (incorrectly) as outside the reach of ordinary law.

We are, more and more, as individuals with “mental health diagnoses,” living in a reality of senselessness, absurdity and and arbitrary outcomes. While I often believe that our movement simply calls itself a movement, but does not really move at all, it is in fact possible today to say that we are part of a post-Justina movement. The attention to her case highlights both the senselessness and the absurdity, but perhaps not the arbitrary nature of how the system functions for those it impacts.

FDA approvals are less influential on prescribing patterns than pharmaceutical sales marketers are, according to a study in Health Affairs. University of California and...

A bipartisan group of House lawmakers have introduced a bill called "Justina's Law" to limit federal funding for medical research involving foster children, according...

Psychiatrists debated forced treatment at the American Psychiatric Association annual meeting in May. George Szmukler, a King’s College professor of psychiatry, is quoted by...

Pharmaceutical industry executives who mislead the public could soon face fines of up to $5 million or two years in jail in Canada. According...

The disability community, including users and survivors of psychiatry, has sent a letter (drafted and circulated by WNUSP) to the UN Human Rights Committee urging that treaty monitoring body to follow the Committee on the Rights of Persons with Disabilities in prohibiting all mental health detention. The signatories came from all regions of the world and include user/survivor organizations, disability organizations, other human rights organizations and individual experts. Since our letter is quite technical in pointing out the divergence of the Human Rights Committee's position from that of the CRPD, which is a higher standard of human rights protection, I would like to bring out some additional points that may be helpful in our advocacy.

The year before I was born, E. Fuller Torrey published ‘The Death of Psychiatry.’ Therein, he repeatedly made statements that are disdainful of the psychiatric profession and its core concepts. He also asserted that known brain diseases were responsible for "no more than 5 percent of the people we refer to as mentally 'ill’.” As recently as 1991, he has been quoted as calling for the end of psychiatry. In October of that year he said, “Now, if you give the people with brain diseases to neurology and the rest to education, there's really no need for psychiatry." I want to ask: “Edwin Fuller Torrey, what happened to you?”

My mother was once a bright, creative, beautiful young woman, a promising artist and a poet, who was captivated by the hippie movement. She was a creative bohemian artist, defying the conventions of our middle-class Jewish Midwestern family, which had carried a tradition of holding emotions inside and acting stoic. One day, soon after my grandparents’ divorce, she left. She hitched a ride to California, and from that point on, was never the same. The police picked her up on a park bench in Arizona, and she was committed for the first time at age 18. She rotated in and out of mental hospitals, the streets, and jail until her death.