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Journal of Critical Psychology, Counselling and Psychotherapy Appropriate, and Have to Use Force, Which Constitutes a Threat
Winter 2010 Peter Lehmann 209 Medicalization and Peter * Lehmann Irresponsibility Through the example of an adolescent harmed by a variety of psychiatric procedures this paper concludes that bioethical and legal action (involving public discussion of human rights violations) should be taken to prevent further uninhibited unethical medicalization of problems that are largely of a social nature. Each human being loses, if even one single person allows himself to be lowered for a purpose. (Theodor Gottlieb von Hippel the Elder, 1741–1796, German enlightener) Beside imbalance and use of power, medicalization – the social definition of human problems as medical problems – is the basic flaw at the heart of the psychiatric discipline in the opinion of many social scientists, of users and survivors of psychiatry and critical psychiatrists. Like everywhere, in the discussion of medicalization there are many pros and cons as well as intermediate positions. When we discuss medicalization, we should have a very clear view, what medicalization can mean in a concrete way for an individual and which other factors are connected with medicalization; so we can move from talk to action. Medicalization and irresponsibility often go hand in hand. Psychiatry as a scientific discipline cannot do justice to the expectation of solving mental problems that are largely of a social nature. Its propensity and practice are not * Lecture, June 29, 2010, presented to the congress ‘The real person’, organized by the University of Preston (Lancashire), Institute for Philosophy, Diversity and Mental Health, in cooperation with the European Network of (ex-) Users and Survivors of Psychiatry (ENUSP) in Manchester within the Parallel Session ‘Psychiatric Medicalization: User and Survivor Perspectives’ (together with John Sadler, Professor of Medical Ethics & Clinical Sciences at the UT Southwestern, Dallas, and Jan Verhaegh, philosopher and ENUSP board-member, Valkenburg aan de Geul, The Netherlands). -
Asylum 17.4Digital.Indd
Winter 2010 Volume 17 Number 4 £3.50 Sales and subscriptions Tel 01989 763900 www.pccs-books.co.uk Information Asylum Collective www.asylumonline.net the magazine for democratic psychiatry USERS’ ACTION PETER LEHMANN SURVIVOR HISTORY and more … page 2 asylum winter 2010 An international magazine for democratic psychiatry, psychology, and community development Incorporating the Newsletter of Psychology Politics Resistance the magazine for democratic psychiatry Volume 17, Number 4, Winter 2010 ISSN 0955 2030 © Asylum and Asylum Associates CONTENTS Limbrick Centre Limbrick Rd A SMALL ACT OF REVOLUTION Sheffield, S6 2PE Bill Bailey 4 [email protected] PANIC ATTACK: A WINDOW FOR WISDOM Anon 5 Executive Editor: Phil Virden: [email protected] THE DEAD SHEEP IN THE WATER TANK General Editors: Terry Simpson 7 Prof Alec Jenner: [email protected] USER-LED MENTAL HEALTH SERVICES? Lin Bigwood: [email protected] WE’VE DONE IT FOR A DECADE Business Manager: Adam James 8 Peter Bullimore: [email protected] Poetry & Creative Writing: LETTERS 9 Clare Shaw: [email protected] SOTERIA: AS VIEWED BY (EX-)USERS AND Phil Thomas: [email protected] SURVIVORS OF PSYCHIATRY Members of Asylum Collective: Peter Lehmann 11 Jim Campbell: [email protected] Jacqui Dillon: [email protected] ONE STEP BEYOND – REVIEW OF ‘ALTERNATIVES David Harper: [email protected] BEYOND PSYCHIATRY’ EDITED BY PETER STASTNY AND Paul Hammersley PETER LEHMANN [email protected] Book review by Helen Spandler -
The Psychoactive Effects of Psychiatric Medication: the Elephant in the Room
Journal of Psychoactive Drugs, 45 (5), 409–415, 2013 Published with license by Taylor & Francis ISSN: 0279-1072 print / 2159-9777 online DOI: 10.1080/02791072.2013.845328 The Psychoactive Effects of Psychiatric Medication: The Elephant in the Room Joanna Moncrieff, M.B.B.S.a; David Cohenb & Sally Porterc Abstract —The psychoactive effects of psychiatric medications have been obscured by the presump- tion that these medications have disease-specific actions. Exploiting the parallels with the psychoactive effects and uses of recreational substances helps to highlight the psychoactive properties of psychi- atric medications and their impact on people with psychiatric problems. We discuss how psychoactive effects produced by different drugs prescribed in psychiatric practice might modify various disturb- ing and distressing symptoms, and we also consider the costs of these psychoactive effects on the mental well-being of the user. We examine the issue of dependence, and the need for support for peo- ple wishing to withdraw from psychiatric medication. We consider how the reality of psychoactive effects undermines the idea that psychiatric drugs work by targeting underlying disease processes, since psychoactive effects can themselves directly modify mental and behavioral symptoms and thus affect the results of placebo-controlled trials. These effects and their impact also raise questions about the validity and importance of modern diagnosis systems. Extensive research is needed to clarify the range of acute and longer-term mental, behavioral, and physical effects induced by psychiatric drugs, both during and after consumption and withdrawal, to enable users and prescribers to exploit their psychoactive effects judiciously in a safe and more informed manner. -
Changing the Balance of Psychosis Treatment
Advances in psychiatric treatment (2009), vol. 15, 0–0 doi: 10.1192/apt.bp.108.006361 Advances in psychiatric treatment (2009), vol. 15, 221–223 doi: 10.1192/apt.bp.108.006361 INVITED Changing the balance of psychosis COMMENTARY treatment INVITED COMMENTARY ON … MINIMAL-MEDICATION APPROACHES TO TREATING SCHIZOPHRENIA† Joanna Moncrieff but a further reason is that their benefits may have Joanna Moncrieff is a senior SUmmary been exaggerated. Long before the introduction lecturer in social and community psychiatry at University College Antipsychotic medication is the primary form of these drugs, it was known that a proportion of of treatment offered to people diagnosed with London and an honorary consultant people who have a psychotic breakdown recover schizophrenia or psychosis, but it is associated in rehabilitation psychiatry at the naturally. In addition, it is generally accepted that North East London Foundation Trust. with severe adverse effects, it is often experienced up to a third of patients derive little benefit from She has written numerous papers as unpleasant and its benefits may have been and one book on psychiatric drug overstated. Therefore, it is important to evaluate taking antipsychotics, but continue to manifest treatments, history of psychiatry research into approaches that aim to minimise the disabling symptoms. and research methodology. use of this medication. Existing studies suggest that Correspondence Dr Joanna such approaches can be successful and result in Moncrieff, Mental Health Sciences, Research on antipsychotics Wolfson Building, University College avoidance of antipsychotics in a high proportion It is commonly assumed that research has London, 48 Riding House Street, of clients. -
Combatting Psychiatric Patients' Catastrophic Reduction in Life Expectancy: User-Orientated Approaches
Peter Lehmann Combatting Psychiatric Patients' Catastrophic Reduction in Life Expectancy: User-orientated approaches Lecture to the 6th European Conference on Mental Health Berlin, October 6, 2017 www.peter-lehmann-publishing.com/berlin Reduced Life Expectancy “25 Years. Average number of years prematurely that people with serious mental illness die.” FEMHC – The Foundation for Excellence in Mental Health Care (2014). Just the Facts. Wilsonville, OR. www.mentalhealthexcellence.org/ “Research has shown that the life expectancy for people living with a serious mental health condition is, on average, 25 years shorter than the general population. Heart disease, diabetes, respiratory diseases, and infectious diseases (such as HIV/AIDS) are the most common causes of death among this population.” Janssen Pharmaceuticals, Inc. (2012). The importance of total wellness. Choices in Recovery—Support and Information for Schizophrenia, Schizoaffective, and Bipolar Disorder, 9(2), 12 www.peter-lehmann-publishing.com/berlin Reduced Life Expectancy “It has been known for several years that persons with serious mental illness die younger than the general population. However, recent evidence reveals that the rate of serious morbidity (illness) and mortality (death) in this population has accelerated. In fact, persons with serious mental illness (SMI) are now dying 25 years earlier than the general population.” Parks J. (October 2006). Foreword. In: J. Parks, D. Svendsen, P. Singer, & M.E. Foti (Eds.), Morbidity and mortality in people with serious mental -
Abolishing the Concept of Mental Illness
ABOLISHING THE CONCEPT OF MENTAL ILLNESS In Abolishing the Concept of Mental Illness: Rethinking the Nature of Our Woes, Richard Hallam takes aim at the very concept of mental illness, and explores new ways of thinking about and responding to psychological distress. Though the concept of mental illness has infiltrated everyday language, academic research, and public policy-making, there is very little evidence that woes are caused by somatic dysfunction. This timely book rebuts arguments put forward to defend the illness myth and traces historical sources of the mind/body debate. The author presents a balanced overview of the past utility and current disadvantages of employing a medical illness metaphor against the backdrop of current UK clinical practice. Insightful and easy to read, Abolishing the Concept of Mental Illness will appeal to all professionals and academics working in clinical psychology, as well as psychotherapists and other mental health practitioners. Richard Hallam worked as a clinical psychologist, researcher, and lecturer until 2006, mainly in the National Health Service and at University College London and the University of East London. Since then he has worked independently as a writer, researcher, and therapist. ABOLISHING THE CONCEPT OF MENTAL ILLNESS Rethinking the Nature of Our Woes Richard Hallam First published 2018 by Routledge 2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN and by Routledge 711 Third Avenue, New York, NY 10017 Routledge is an imprint of the Taylor & Francis Group, an informa business © 2018 Richard Hallam The right of Richard Hallam to be identified as author of this work has been asserted by him in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. -
Coming Off Psychiatric Drugs Successful Withdrawal From
Peter Lehmann (Ed.) Coming off Psychiatric Drugs Successful Withdrawal from Antipsychotics, Antidepressants, Mood Stabilizers, Ritalin and Tranquilizers With prefaces by Judi Chamberlin, Pirkko Lahti and Loren R. Mosher Fourth, expanded ebook edition With contributions by Karl Bach Jensen, Regina Bellion, Olga Besati, Wilma Boevink, Michael Chmela, Oryx Cohen, Susanne Cortez, Bert Gölden, Gábor Gombos, Katalin Gombos, Maths Jesperson, Klaus John, Bob Johnson, Manuela Kälin, Kerstin Kempker, Susan Kingsley-Smith, Leo P. Koehne, Elke Laskowski, Peter Lehmann, Ulrich Lindner, Jim Maddock, Mary Maddock, Constanze Meyer, Fiona Milne, Harald Müller, Eiko Nagano, Mary Nettle, Una M. Parker, Pino Pini, Nada Rath, Hannelore Reetz, Roland A. Richter, Marc Rufer, Lynne Setter, Martin Urban, Wolfgang Voelzke, David Webb, Josef Zehentbauer, and Katherine Zurcher Peter Lehmann Publishing 2020 This book was originally published in 1998 in Germany as print edition; 5th print edition in 2019, 1st ebook edition in 2013, 3rd ebook edition in 2020. English print edition in 2004, 1st ebook edition in 2013, 3rd ebook edition in 2020. Greek print edition in 2008 by Edition Nissides in Thessaloniki, 2nd print edition in 2014. Spanish ebook edition in 2016. French print edition in 2018 by Editions Résurgence (Marco Pietteur) in Embourg, Belgique. For information on all different editions see www.peter-lehmann- publishing.com/comingoff. The publisher/editor and the authors have no responsibility for the persistence or accuracy of addresses as well as URLs for external or third-party Internet websites referred to in this publication and do not guarantee that any content on such websites is, or will remain, accurate or appropriate. -
Antipsychiatry Movement 29 Wikipedia Articles
Antipsychiatry Movement 29 Wikipedia Articles PDF generated using the open source mwlib toolkit. See http://code.pediapress.com/ for more information. PDF generated at: Mon, 29 Aug 2011 00:23:04 UTC Contents Articles Anti-psychiatry 1 History of anti-psychiatry 11 Involuntary commitment 19 Involuntary treatment 30 Against Therapy 33 Dialectics of Liberation 34 Hearing Voices Movement 34 Icarus Project 45 Liberation by Oppression: A Comparative Study of Slavery and Psychiatry 47 MindFreedom International 47 Positive Disintegration 50 Radical Psychology Network 60 Rosenhan experiment 61 World Network of Users and Survivors of Psychiatry 65 Loren Mosher 68 R. D. Laing 71 Thomas Szasz 77 Madness and Civilization 86 Psychiatric consumer/survivor/ex-patient movement 88 Mad Pride 96 Ted Chabasinski 98 Lyn Duff 102 Clifford Whittingham Beers 105 Social hygiene movement 106 Elizabeth Packard 107 Judi Chamberlin 110 Kate Millett 115 Leonard Roy Frank 118 Linda Andre 119 References Article Sources and Contributors 121 Image Sources, Licenses and Contributors 123 Article Licenses License 124 Anti-psychiatry 1 Anti-psychiatry Anti-psychiatry is a configuration of groups and theoretical constructs that emerged in the 1960s, and questioned the fundamental assumptions and practices of psychiatry, such as its claim that it achieves universal, scientific objectivity. Its igniting influences were Michel Foucault, R.D. Laing, Thomas Szasz and, in Italy, Franco Basaglia. The term was first used by the psychiatrist David Cooper in 1967.[1] Two central contentions -
OVERCROWDING on the SHIP of FOOLS: HEALTH CARE REFORM, PSYCHIATRY, and the UNCERTAIN FUTURE of NORMALITY Johnathan Fish, J.D., LL.M.*
11 HOUS.J.HEALTH L. & POL’Y 181–266 181 Copyright © 2011 Johnathan Fish Houston Journal of Health Law & Policy ISSN 1534-7907 OVERCROWDING ON THE SHIP OF FOOLS: HEALTH CARE REFORM, PSYCHIATRY, AND THE UNCERTAIN FUTURE OF NORMALITY Johnathan Fish, J.D., LL.M.* I. INTRODUCTION Unbeknownst to most Americans, the Wall Street bailout and the health care overhaul that were signed into law in 2008 and 2010, respectively, marked a bold new direction in federal mental health policy. Parity requirements in the bailout law eliminated much of the disparity between mental and physical health care coverage in employer-sponsored health insurance plans.1 The health care reform law signaled an even more significant shift. In a few years, the federal government will require most Americans to have health insurance coverage that must include a minimum basic mental health and substance abuse benefit.2 Along with insurance market reforms, subsidies, and a dramatic expansion of the Medicaid program, this mandate is expected to expand access to affordable mental health services and treatments for an additional thirty-two million * I owe a deep debt of gratitude to William J. Winslade for his guidance and support. This Article would not exist were it not for my wife’s extraordinary patience. 1 See Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, Pub. L. No. 110-343, §§ 511–12, 122 Stat. 3765, 3881–93 (2008) (amending 26 U.S.C. § 9812, 29 U.S.C. § 1185a, and 42 U.S.C. § 300gg-5). 2 See Patient Protection and Affordable Care Act, Pub. -
Durham Research Online
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Durham Research Online Durham Research Online Deposited in DRO: 04 September 2012 Version of attached file: Accepted Version Peer-review status of attached file: Peer-reviewed Citation for published item: Laws, Jennifer (2009) ’Reworking therapeutic landscapes : the spatiality of an ’alternative’ self-help group.’, Social science medicine., 69 (12). pp. 1827-1833. Further information on publisher’s website: http://dx.doi.org/10.1016/j.socscimed.2009.09.034 Publisher’s copyright statement: NOTICE: this is the authors version of a work that was accepted for publication in Social science medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Social science medicine, 69, 12, 2009, 10.1016/j.socscimed.2009.09.034 Use policy The full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-profit purposes provided that: • a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders. Please consult the full DRO policy for further details. -
The Electroshock Quotationary®
The Electroshock Quotationary® Leonard Roy Frank, Editor Publication date: June 2006 Copyright © 2006 by Leonard Roy Frank. All Rights Reserved. Dedicated to everyone committed to ending the use of electroshock everywhere and forever The Campaign for the Abolition of Electroshock in Texas (CAEST) was founded in Austin during the summer of 2005. The Electroshock Quotationary (ECTQ) was created to support the organization’s opposition to electroshock by informing the public, through CAEST’s website, about the nature of electroshock, its history, why and how it’s used, its effects on people, and the efforts to promote and stop its use. The editor plans to regularly update ECTQ with suitable materials when he finds them or when they are brought to his attention. In this regard he invites readers to submit original and/or published materials for consideration (e-mail address: [email protected]). CONTENTS Acknowledgements Introduction: The Essentials (7 pages) Text: Chronologically Arranged Quotations (146 pages) About the Editor ACKNOWLEDGEMENTS For their many kindnesses, contributions and suggestions to The Electroshock Quotationary, I am most grateful to Linda Andre, Ronald Bassman, Margo Bouer, John Breeding, Doug Cameron, Ted Chabasinski, Lee Coleman, Alan Davisson, Dorothy Washburn Dundas, Sherry Everett, John Friedberg, Janet Gotkin, Ben Hansen, Wade Hudson, Juli Lawrence, Peter Lehmann, Diann’a Loper, Rosalie Maggio, Jeffrey Moussaieff Masson, Carla McKague, Jim Moore, Bob Morgan, David Oaks, Una Parker, Marc Rufer, Sherri Schultz, Eileen Walkenstein, Ann Weinstock, Don Weitz, and Rich Winkel. INTRODUCTION: THE ESSENTIALS I. THE CONTROVERSY Electroshock (also known as shock therapy, electroconvulsive treatment, convulsive therapy, ECT, EST, and ECS) is a psychiatric procedure involving the induction of a grand mal seizure, or convulsion, by passing electricity through the brain. -
Evidence from Clinical Study Reports. Joanna Moncrieff
Misrepresenting harms in antidepressant trials- more evidence from Clinical Study Reports. Joanna Moncrieff, Senior Lecturer, Division of psychiatry, University College London, Maple House, 149 Tottenham Court Road, London, W1T 7NF. E mail address: [email protected] Word count: 737 Misrepresenting harms in antidepressant trials- more evidence from Clinical Study Reports. People in the United Kingdom are consuming more than four times as many antidepressants as they were two decades ago (1). Despite this, we still do not fully understand the effects of these drugs, nor can we be confident about their risk-benefit ratio. Unresolved issues include the nature and frequency of potential serious adverse effects such as self-harming or suicidal actions, suicidal ideation and aggression. In the linked paper, Sharma et al use Clinical Study Reports (CSRs) to explore these adverse effects. CSRs are prepared by pharmaceutical companies for the purpose of obtaining marketing authorisation. There are guidelines about contents and presentation of CSR’s (2) but no mandatory requirements. Consequently, although CSRs usually contain more data than published articles (3), the level of detail varies. Moreover, there may be differences between what is reported in the body of the CSR and data contained in appendices, such as individual patient listings of adverse events or narratives of serious adverse events. Sharma et al’s analysis of CSRs reveals misrepresentation of adverse events. Comparing the ‘results’ reported in CSRs with data from individual patient listings or patient narratives revealed misclassification of deaths on antidepressants, and misrepresentation of suicidal events. More than half of the suicide attempts and instances of suicidal ideation were coded as ‘emotional lability’ or ‘worsening of depression,’ for example.