Rethinking Psychiatry/Medical Model

-Duncan Double critically evaluates a recent article by National Institute of Mental Health Director Thomas Insel about a "tectonic shift" towards "precision" psychiatry.

Much of what we term “madness” is, in fact, the awakening of the "Self" to its own Wholeness/Divinity. We are born totally pure. Throughout our lives we are subject to projections, flung at us from a multitude of directions: from Mom and Dad, from schools, religious institutions, the media, and the medical model. We are all buried, to some degree, under projections, and interesting symptoms emerge: nightmares, stress and anxiety, fear, flashbacks, and so on. These are not "Madness," but symptoms of health; of a "Self" attempting to break free from lies.

It took surviving all of the symptoms of benzodiazepine withdrawal, including derealization, gastritis, auditory hallucinations, wasting, dementia, panic attacks and profound depression, for me to come to understand that not only had I really been a cool person before all that shit, but also that nothing was wrong with me. I was smart and a little neurotic at times, but that was it. Drugs caused me to be mentally ill where I had not been before.

Soteria-Alaska, a program modeled after the highly effective Soteria developed in the 1970s by the late Loren Mosher, M.D., opened its doors in 2009. It is also impossible to convey the actual simplicity which in fact is the crowning jewel of the Soteria approach. A conservative review of the effectiveness of the Soteria approach revealed that it is at least as effective as traditional hospital-based treatment — without the use of antipsychotic medication as the primary treatment. Considering that people treated in the conventional way die on average 25 years younger than the general population, this is a substantial finding.

-Retired social worker David Moyer writes about his son's long battle with what is either "a mental disorder" or effects from serious physical problems.

In The Lancet, psychiatrist and MIA Blogger Andrew Scull discusses the themes in his book Madness In Civilization. "Mental illness haunts the human imagination,"...

-The Future of Mental Health Movement has started a list of the 100 best books, and is requesting suggestions for others to add.

-Do we mean "mental illness" literally, or as a metaphor?

-Julie Holland believes women may be biologically more prone to experience the world more emotionally, but resists the pathologizing of that.

As I have various discussions about mental health and disability on the internet, I am disturbed at how many people continue to use the terms “high functioning” and “low functioning” when referring to people with psychiatric or other disabilities. I have heard people refer to their family members as “low functioning.” I have seen these terms used by advocates to bully and discredit other advocates who critique calls for increased levels of involuntary treatment as “high functioning” individuals who don’t know what they’re talking about.

-Matt Walsh insists that he's got ADHD as much as anyone has ADHD, and then makes the argument that ADHD doesn't exist.

Here’s a newsflash – the hope for a molecular-biochemical explanation for psychiatry is a false hope. Most of my field has come to expect and believe that we are on the verge of a new paradigm. This paradigm is based on the illusion that the workings of the brain on the molecular level has anything to do with psychiatric conditions. The proponents believe we are on the verge of proving that psychiatry is a brain disease no different from cancer or diabetes. But all that the research has come up with is - nothing.

Robert Whitaker extended one of his core arguments from Anatomy of an Epidemic in a blog post last week. His argument revolves around the claim that psychiatric drugs are the principal cause of increasing psychiatric disability, as measured by U.S. social security disability claims. But does this really explain the rise in recipients of these SSI & SSDI benefits?

-On March 11, 2015, the NHS Foundation and three other Trusts are hosting a free conference to "take stock" after one year of Peer-supported Open Dialogue.

It's been five years today since I completed a six year withdrawal process from a large cocktail of psychiatric drugs. Today is also my 50th birthday which, frankly, seems much more remarkable to me at this point. Inside I am only aware of eternal youth. Upon having done an informal and small survey, it seems most people feel that way though it's not talked about much among the adults of our species. That which watches and experiences our lives in these bodies does not age. It's actually a wonderful thing. So I'm here wondering what comes next in this amazing trajectory which is the life being lived in this body that my parents called Monica.

-"I could not have written those six words 30 years ago, when panic episodes, anxiety disorders and Tourette's syndrome clouded my view," writes Jonathan Friesen.

One of the most amazing activist campaigns I have been involved in during my 40 years of protest for human rights in the mental health system, was the effort to stop the involuntary electroshock of Ray Sandford of Minnesota. Ray reached MindFreedom in the Fall of 2008, and an international human rights campaign began for him.

-An article In Disability and Society asks why iacademic research approaches which "at first seem inviting and like they might even help to disrupt psychiatric control," so often seem to "ultimately resort to marginalising mad people’s own knowledge."

Even the most level-headed individual can be rendered insufferable by taking an introductory psychology class. Suddenly the neophyte student will become an arrogant expert, deriding the ignorance of friends, family, and dinner companions. The use of the term “nervous breakdown” is a case in point. Uttering the words is a bit like blowing a dog whistle: Intro Psychology graduates will converge from miles around to clarify that there is no such thing . . . In this case, however, the phenomenon is not restricted to sophomores.

In order for you to understand where I am coming from, you probably need to know a bit about how I got here. Throughout my psychiatric training I had always, in the back of mind, this question: What is the difference between my suffering and those of my patients? How come they get all this treatment and I got none? Why do they have a ‘brain disease’ (there was a time when I tentatively believed in this sort of thing), whilst I, who was at times symptomatically severe enough to warrant medication, have no brain disease? The answer seems plain to me now. I had suffered exactly in the same way as many of the people I see every day do, but I had been lucky enough to avoid labeling and drugging.

The Division of Clinical Psychology of the British Psychological Society published a paper titled Understanding Psychosis and Schizophrenia. The central theme of the paper is that the condition known as psychosis is better understood as a response to adverse life events rather than as a symptom of neurological pathology. The paper was wide-ranging and insightful and, predictably, drew support from most of us on this side of the issue and criticism from psychiatry.  Section 12 of the paper is headed "Medication" and under the subheading "Key Points" you'll find this quote: "[Antipsychotic] drugs appear to have a general rather than a specific effect: there is little evidence that they are correcting an underlying biochemical abnormality."

This week a commentary, written by members of the University of Pennsylvania Department of Medical Ethics and Health Policy and titled “Improving Long-term Psychiatric Care: Bring Back the Asylum” was published in JAMA Online. The authors recommend a return to asylum care, albeit not as a replacement for but as an addition to improved community services and only for those who have “severe and treatment-resistant psychotic disorders, who are too unstable or unsafe for community based treatment.” The authors seem to accept the notion of transinstitutionalization (TI) which suggests that people who in another generation would have lived in state hospitals are now incarcerated in jails and prisons. While I do not agree, I do find there is a need for a safe place for people to stay while they work through their crisis.

-How much is hoarding rooted in consumerism?

-Anthropologist Tanya Luhrmann reflects on the British Psychological Society's "Understanding Psychosis and Schizophrenia" document.

In The Huffington Post, former DSM-IV task force chair, psychiatrist, and MIA Blogger Allen Frances offers his analysis of the recently published report from...