Crisis Response As a Human Rights Flashpoint

Total Page:16

File Type:pdf, Size:1020Kb

Crisis Response As a Human Rights Flashpoint HHr Health and Human Rights Journal Crisis Response as a Human Rights Flashpoint:HHR_final_logo_alone.indd Critical 1 10/19/15 10:53 AM Elements of Community Support for Individuals Experiencing Significant Emotional Distress peter stastny, anne m. lovell, julie hannah, daniel goulart, alberto vasquez, seana o’callaghan, and dainius pūras Abstract This paper proposes a set of nine critical elements underpinned by human rights principles to support individuals experiencing a serious crisis related to mental health problems or psychosocial disabilities. These elements are distilled from a range of viable alternatives to traditional community mental health approaches and are linked to a normative human rights framework. We argue that crisis response is one of the areas of mental health care where there is a heightened risk that the rights of service recipients may be infringed. We further make the case that the nine critical elements found in advanced mental health care models should be used as building blocks for designing services and systems that promote effective rights-based care and supports. Peter Stastny, MD, is Consulting Psychiatrist at Community Access and the Pratt Institute, New York, USA, and founding member of the International Network towards Alternatives and Recovery. Julie Hannah is Co-Director of the International Centre on Human Rights and Drug Policy and a member of the Human Rights Centre, University of Essex, UK. Anne M. Lovell, PhD, is Senior Research Scientist Emerita at INSERM (Institut de Santé et de la Recherche Medicale) at CERMES 3, Villejuif and Paris, France. Daniel Magalhães Goulart, PhD, is Associate Professor of the Faculty of Education and Health Sciences, University Center of Brasilia, Brazil. Alberto Vasquez Encalada is Research Coordinator, Office of the United Nations Special Rapporteur on the Rights of Persons with Disabilities, Geneva, Switzerland, and Chair of Sociedad y Discapacidad – SODIS, Lima, Peru. Seana O’Callaghan is a consultant research scientist in New York, USA. Dainius Pūras, MD, Clinic of Psychiatry, Vilnius University, Lithuania, is the United Nations Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of health. Please address correspondence to Peter Stastny. Email: [email protected]. Competing interests: None declared. Copyright © 2020 Stastny, Lovell, Hannah, Goulart, Vasquez, O’Callaghan, and Pūras. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original author and source are credited. JUNE 2020 VOLUME 22 NUMBER 1 Health and Human Rights Journal 105 p. stastny, a. m. lovell, j. hannah, d. goulart, a. vasquez, s. o’callaghan, and d.pūras / mental health and human rights, 105-119 Introduction are grounded in the rights-based approach and the right to health. Specifically, they correspond Over the last two decades, the United Nations and to principles underlying the key normative frame- other organizations have released a number of works enshrined in the CRPD and to the principle of groundbreaking reports documenting widespread, the right to the enjoyment of the highest attainable systemic human rights abuses within mental health standard of mental and physical health, which are systems worldwide.1 Overall, these documents incorporated into article 12(1) of the International emphasize the need to seek better health and so- Covenant on Economic, Social and Cultural Rights cial outcomes through sustainable means, using a (ICESCR).4 We follow the 1946 Constitution of the human rights-based approach in keeping with the World Health Organization in defining health as 2006 United Nations Convention on the Rights “a state of complete physical, mental and social of Persons with Disabilities (CRPD) and the right well-being and not merely the absence of disease or to health framework. These normative standards, infirmity.”5 along with persistent calls by service users and advocates, have brought attention to the rights of persons with psychosocial disabilities, particularly A quest for rights-based mental health the right to freedom from coercion in mental health systems services. They provide the impetus to find suitable Practices with the potential to transform or re- practices to transform and modernize mental place community-based mental health care have health care in communities everywhere. been in existence, and many shown to be effective, However, the form and substance of rights- since the advent of modern community psychiatry based interventions through which mental health service providers, family members, and in the mid-1960s. Some, such as the Italian and other engaged citizens might offer support, with- Brazilian experiences, involve large-scale mental out resorting to coercive and dehumanizing health reforms driven by deinstitutionalization and interventions, remain unclear. While promising the development of sectorized community mental 6 non-coercive interventions for persons experienc- health services. However, they also include high- ing serious emotional crises have been piloted in ly innovative, small-scale efforts that have eluded 7 several countries, usually as alternatives to involun- larger systems. These have been spearheaded by tary hospitalization, better evaluation and research former patients or by visionary psychiatrists; many 8 is needed to increase their potential for widespread focus on people experiencing psychosis. Most implementation.2 And although recent publications began as alternatives to coercive treatment and en- argue for such rights-based approaches, how to hance personal liberties. Although these initiatives operationalize this evolving framework has yet to preceded the contemporary human and disability be described.3 rights discourse by years, they contain critical ele- The present paper fills this important gap by ments which align with these rights. identifying a set of elements that are likely critical A first type of innovation, beginning in the to rights-based support for individuals experienc- 1970s, involves small, community-based sup- ing serious emotional crises, whether or not they port structures. For example, the Soteria model use mental health services. The aim of this paper is provides a safe community home, largely non-pro- to help ensure that a rights-based approach to crisis fessional staffing, and minimal medication use as response becomes a distinct and crucial operation- a substantive, non-coercive alternative to acute al component of mental health care. Crisis response hospitalization for people experiencing early psy- is a human rights flashpoint where coercive struc- chosis.9 Consumer/survivor/ex-patient groups have tures and practices dominate and the human rights established other alternatives to mainstream mental threat to individuals is consistently manifest. health services for people in crisis.10 The strongest The critical elements presented in this paper outgrowth—peer-run respite facilities—provides 106 JUNE 2020 VOLUME 22 NUMBER 1 Health and Human Rights Journal p. stastny, a. m. lovell, j. hannah, d. goulart, a. vasquez, s. o’callaghan, and d.pūras / mental health and human rights, 105-119 peer support and non-coercive safe spaces where range of localized innovations that adhere to hu- individuals in crisis can stay for varying periods man rights law while offering workable alternatives of time.11 Some such solidly established initiatives to the dominant mental health system. include the Berlin Runaway House (Germany), the This paper contributes critical elements as Bapu Trust (India), and Western Massachusetts guideposts for such efforts. Rather than propos- Recovery Learning Community (United States). ing one paradigm, a competing technology, or A later crisis response paradigm is embodied total system reform at once, it offers rights-based in the now widespread Open Dialogue model, creat- building blocks that, when endorsed by local stake- ed in Finland in the 1980s. Instead of an alternative holders, can contribute to system reconfiguration residential setting, Open Dialogue uses systemic of responses to serious mental health crises. network approaches to support individuals in crisis 12 in their homes and communities. Structured con- Methodology: Linking abstract principles versations between a treatment team, the person in and practical responses crisis, and members of her social network give equal weight to all viewpoints on the crisis, even those To identify critical elements of a rights-based ap- that would elsewhere be dismissed as “psychotic.” proach to crisis response, we modified Paul Hunt’s By engaging persons in crisis with their network three-step process for developing a normative members, Open Dialogue attempts to transform framework of human rights principles and values the experience of “psychosis” and to destigmatize and translating them into practical elements.18 and empower the person in crisis.13 Whereas Hunt’s model moves from the abstract Alternative and “radical” models often show to the practical, we chose to identify already ex- better social and clinical outcomes than “standard isting practices and confirm their human rights care”; others, according to Piers Gooding et al., underpinnings. may contribute to lowering coercive hospitaliza- First, we located the human rights laws and tion.14 Yet they have
Recommended publications
  • 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).
    [Show full text]
  • 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
    [Show full text]
  • 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
    [Show full text]
  • 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.
    [Show full text]
  • 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.
    [Show full text]
  • Lehmann-Feb 08
    ex tra-ordinary people eter Lehmann has been battling the psychiatric The content of the book ranges widely: individual establishment for more than 30 years, in his survival stories, ‘organised self-help’ projects, models of home country, Germany, and Europe-wide non-psychiatric professional support, and structures and through the European Network of (ex-) Users mechanisms for supporting alternative treatments for and Survivors of Psychiatry (ENUSP), which he mental distress. ‘Some people who call themselves Pchaired from 1997 to 1999. In 1989 he co-founded the antipsychiatry say leave the drugs, abolish psychiatrists, Association for Protection against Psychiatric Violence, problem solved. That is a very primitive approach,’ and helped set up the Berlin Run-away House. He is also Lehmann says. ‘I am not against drugs. When I meet a writer, publisher and bookseller, and has published a people who say they have recovered thanks to the drugs, number of books criticising psychiatry and the drugs it I think wow, what good luck for them. I do not doubt it, uses to treat mental distress. They include The Chemical but I am surprised. Gag: why Psychiatrists Administer Neuroleptics (1986); ‘In the veterinary field, when dogs are given SSRIs to Instead of Psychiatry (1993), and Coming off Psychiatric calm them down when they are left alone, or pigs on the Drugs (1998, published in English in 2004, and in Italian way to the slaughter house, they are calmer; the drugs are and Greek in 2008). His most recent book, co-edited with working. They are working in humans too, to calm down US psychiatrist Peter Stastny, came out late last year.
    [Show full text]
  • Treatment-Induced Suicide: Suicidality As a Potential Peter Lehmann Effect of Psychiatric Drugs
    •J .- -.- ~ '"If'"'. ~TT I """'.1 I• I I. I .,..... ~ ~ - .- - I.e "I.. .......-. _ ." ~ t.JJ '-'.... L '-.J ""~... L '-...I.. '-"'L -- J '" .• ~. "'. =- =,''''d. ~ :>.'" ·.d••" •• ~ " '.:.c' ,. - - -, ... ~ ,~ , ~. - ~ .... ,- .. .. .'. ' .. .. .. ~ '-""" .. ,".~- - .- ¥ I 'Ohl .,= . c .~ -,. ,.~:- .. , OplllL 20(2 ! " T"> [ 11 .I. ~J \In, -.,.. ~ ... ~ ~ .1 C'C''''''i~'';",':1 ...- .I. ;:,y ~'Y " -. - Treatment-induced Suicide: Suicidality as a potential Peter Lehmann effect of psychiatric drugs Psychiatric treatment, particularly drug treatment, is a factor in causing depression. This paper examines probable links between psychiatric treatment and suicide. Depression can have many causes: psychosocial and political conditions, neurological diseases, metabolic disorders, aging, toxic substances and drugs. Psychiatrists generally focus onorganic or supposedorganic depressions, for which they prescribe psychiatric drugs and electroshocks. It is hard for them to accept that a large number of psychiatric drugs can cause or increase depression and suicidality. But inmedical and pharmacological specialist literature there are many reports about the depressive effects of psychiatric drugs. In particular neuroleptics (so-called antipsychotic drugs) often initiate depression and suicide. A suicide­ register with special consideration of associated psychiatric drugs, electroshocks, restraint and other forms of psychiatric coercion could be effective as a form of prevention and lower the incidence of depression and suicides. Drug-associated depression
    [Show full text]
  • 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
    [Show full text]
  • Report of the Special Rapporteur on the Right of Everyone to the Enjoyment of the Highest Attainable Standard of Physical and Mental Health
    United Nations A/HRC/44/48 General Assembly Distr.: General 15 April 2020 Original: English Human Rights Council Forty-fourth session 15 June–3 July 2020 Agenda item 3 Promotion and protection of all human rights, civil, political, economic, social and cultural rights, including the right to development Right of everyone to the enjoyment of the highest attainable standard of physical and mental health Report of the Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health Summary In the present report, submitted pursuant to Human Rights Council resolution 42/16, the Special Rapporteur elaborates on the elements that are needed to set a rights-based global agenda for advancing the right to mental health. The Special Rapporteur welcomes international recognition that there is no health without mental health and appreciates the different worldwide initiatives to advance all elements of global mental health: promotion, prevention, treatment, rehabilitation and recovery. However, he also emphasizes that despite promising trends, there remains a global failure of the status quo to address human rights violations in mental health-care systems. This frozen status quo reinforces a vicious cycle of discrimination, disempowerment, coercion, social exclusion and injustice. To end the cycle, distress, treatment and support must be seen more broadly and move far beyond a biomedical understanding of mental health. Global, regional and national conversations are needed to discuss how to understand and respond to mental health conditions. Those discussions and actions must be rights-based, holistic and rooted in the lived experience of those left furthest behind by harmful sociopolitical systems, institutions and practices.
    [Show full text]
  • Alternatives Beyond Psychiatry
    Peter Stastny and Peter Lehmann (Eds.) Alternatives Beyond Psychiatry PrefacebyRobertWhitaker Contributionsby VolkmarAderhold,LaurieAhern,BirgittaAlakare, KarynBaker, UlrichBartmann,AgnesBeier,ReginaBellion, WilmaBoevink,PatBracken,StefanBräunling,LudgerBruckmann, GiuseppeBucalo,DorotheaS.Buck-Zerchin,SarahCarr, TinaColdham,BhargaviDavar,AnneMarieDiGiacomo, ConstanceDollwet,JeanneDumont,MerindaEpstein, SandraEscher,JamesB.Gottstein,ChrisHansen,GeoffHardy, PetraHartmann,AlfredHausotter,MichaelHerrick,GuyHolmes, AndrewHughes,TheodorItten,MathsJesperson,KristineJones, HanneloreKlafki,MiriamKrücke,PeterLehmann,BruceE.Levine, HaroldA.Maio,RufusMay,SheryMead,KateMillett, MaryseMitchell-Brody,DavidW.Oaks,PeterRippmann, MariusRomme,MarcRufer,GiselaSartori,ErichSchützendorf, JaakkoSeikkula,AndySmith,ZoranSolomun,PeterStastny, ChrisStevenson,DanTaylor,PhilipThomas,JanWallcraft, DavidWebb,UtaWehde,ScottWelsch,SalmaYasmeen, LauraZieglerandUrsulaZingler Translations by Christine Holzhausen, Katy E. McNally and Mary Murphy Peter Lehmann Publishing ·Berlin· Eugene · Shrewsbury ·2007 4 This book is simultaneously published in German by Peter Lehmann Publishing under the title Statt Psychiatrie 2 (ISBN 978-3-925931-38-3, ed. by P. Lehmann and P. Stastny). Please find information on the internet at www.peter-lehmann-publishing.com/books/without/german. The italic explanations in the brackets are written by the editors. © This collection Peter Lehmann Publishing. Individual chapters the authors. All rights reser - ved. No part of this book may be reproduced,
    [Show full text]
  • Spring 1994 Course Descriptions
    Spring 1994 Course Descriptions ● School of Education and Social Policy ● College of Arts and Sciences ● 0501 General Music ● School of Speech ● McCormick School of Engineering & Applied Science [email protected] Course Descriptions, Evanston Campus Registration Northwestern University Last Updated: May 3,1994 Spring 1995 Course Descriptions School of Education and Social Policy ● 0205 Educational Processes ● 0210 Learning Sciences ● 0225 Human Development and Social Policy ● 0230 Counseling Psychology [email protected] Course Descriptions, Evanston Campus Registration Northwestern University Last Updated: May 3, 1995 Spring 1994 Course Descriptions College of Arts and Sciences ● 0000 Freshman Seminars ● 0000 Senior Linkage Seminars ● 0403 Anthropology ● 0404 African-American Studies ● 0405 Art History ● 0406 Art Theory and Practice ● 0407 Astronomy ● 0409 Biological Sciences ● 0410 Humanities ● 0411 Chemistry ● 0413-0415 Classics ● 0416 Comparative Literary Studies ● 0417 Economics ● 0418 American Culture ● 0419 English ● 0421 Geography ● 0423 Geological Sciences ● 0425 German ● 0427 History ● 0429 Religion ● 0430 European Thought and Culture ● 0433 African and Asian Languages ● 0434 Linguistics ● 0435 Mathematics ● 0439 Philosophy ● 0447 Physics ● 0449 Political Science ● 0451 Psychology ● 0455 French ● 0457 Italian ● 0459 Portuguese ● 0463 Spanish ● 0467 Slavic Languages and Literature ● 0471 Sociology ● 0473 Statistics ● 0480 Women's Studies ● 0482 Integrated Arts Program ● 0495 International Studies [email protected] Course
    [Show full text]
  • Lehmann, Peter
    September 2013 Peter Lehmann 167 Recovery from Psychosis and Depression by Taking Psychiatric Drugs versus Recovery by Coming off Peter Lehmann Psychiatric Drugs Some recover from distress – often labelled as disease – others recover from psychiatry itself Key words: Recovery Recovery is a relatively new concept within the psychosocial arena which is used by those critical of psychiatry as well as by mainstream psychiatry itself, and turns against the therapeutic pessimism of the past decades. "Recovery’ can mean, among others things, rediscovery, healing, improvement, salvation or the regaining of independence. A positive connotation of hope is common to all uses of this term, but it has many different implications, especially in combination with the administration or intake of psychiatric drugs. For some, recovery means recovering from a mental illness, a reduction of symptoms, or a cure. Others use it to signify an abatement of unwanted effects of psychiatric drugs after their discontinuation, or the regaining of freedom after leaving the mental health system, or "being rescued from the swamp of psychiatry# (see Stastny & Lehmann, 2007a, p. 41). Members of mainstream psychiatry base their hope on the conviction that mental problems are largely of a brain/organic nature, not of a social nature, and that psychiatry as a scientific discipline can do justice to the expectation of solving mental problems. They believe that its diagnostic methods do not obstruct the view of the real problems of individuals in society and that their propensity and practice of using force are completely justified and compatible with human rights declarations and the UN Convention on the Rights of Persons with Disabilities.
    [Show full text]