Loren R. Mosher Papers
Total Page：16
File Type：pdf, Size：1020Kb
Load more
Recommended publications
-
Soteria – a Treatment Model and a Reform Movement in Psychiatry
1 Soteria – a treatment model and a reform movement in psychiatry By Volkmar Aderhold - Translated by Peter Stastny - September 2006 In honour of Loren Mosher “Everyone is much more simply human than otherwise” H.S.Sullivan - The interpersonal theory of psychiatry Introduction The Soteria treatment model was originated by the American Psychiatrist Loren Mosher during the early 1970s. As director of the Schizophrenia Branch at the National Institute Mental Health (1968-1980) he developed two federally-funded research demonstration projects: “Soteria” (1971-1983) and “Emanon” (1974-1980). The aim was to investigate the effects of a supportive milieu therapy (“being with”) for individuals diagnosed with “schizophrenia” (DSM-II), who were experiencing acute psychotic episodes for the first or second time in their lives. In these programs neuroleptics were either completely avoided, or given in low dosages only. Since the founding of Soteria Bern by Luc Ciompi in 1984, similar programs have been developed in Europe, mostly in the form of residential facilities situated in proximity to psychiatric hospitals. Initiatives to promote such programs are currently active around the world. Due to the expectation that neuroleptics would be used selectively, in acute as well as long-term situations, the program’s challenge to the medical model of “schizophrenia,” and the wide acceptance of inpatient treatment provided by mental health professionals (Mosher & Hendrix 2004, p. 282), the Soteria model has been consistently marginalized in psychiatric discourse and largely ignored in the scientific literature. On the other hand, during the past twenty years the Soteria approach has become quite influential within the debate about the optimal therapeutic methods and the development of state-of-the-art acute inpatient services. -
BREAKDOWN Phoebe Sengers
Document generated on 09/27/2021 8:55 p.m. Surfaces BREAKDOWN Phoebe Sengers SUR LA PUBLICATION ÉLECTRONIQUE Article abstract ON ELECTRONIC PUBLICATION The psychiatric institution mechanizes the patient. Absorbed into the workings Volume 4, 1994 of the psychiatric machine, the patient is reduced to a sign. Breakdown: the machine exceeds its own logic and the patient exceeds the institution's URI: https://id.erudit.org/iderudit/1064953ar totalizing grasp. Primary references to Deleuze and Guattari, Blanchot and DOI: https://doi.org/10.7202/1064953ar Goffman. See table of contents Publisher(s) Les Presses de l’Université de Montréal ISSN 1188-2492 (print) 1200-5320 (digital) Explore this journal Cite this article Sengers, P. (1994). BREAKDOWN. Surfaces, 4. https://doi.org/10.7202/1064953ar Copyright © Phoebe Sengers, 1994 This document is protected by copyright law. Use of the services of Érudit (including reproduction) is subject to its terms and conditions, which can be viewed online. https://apropos.erudit.org/en/users/policy-on-use/ This article is disseminated and preserved by Érudit. Érudit is a non-profit inter-university consortium of the Université de Montréal, Université Laval, and the Université du Québec à Montréal. Its mission is to promote and disseminate research. https://www.erudit.org/en/ BREAKDOWN Phoebe Sengers ABSTRACT The psychiatric institution mechanizes the patient. Absorbed into the workings of the psychiatric machine, the patient is reduced to a sign. Breakdown: the machine exceeds its own logic and the patient exceeds the institution's totalizing grasp. Primary references to Deleuze and Guattari, Blanchot and Goffman. RÉSUMÉ L'institution psychiatrique mécanise le patient. -
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). -
Subverting the Narrative: Addressing Gaps in the Medical Model of Mental Health Through Expressive Arts and Critical Race Feminism Paradigms
Lesley University DigitalCommons@Lesley Graduate School of Arts and Social Sciences Expressive Therapies Capstone Theses (GSASS) Spring 5-16-2020 Subverting the Narrative: Addressing Gaps in the Medical Model of Mental Health Through Expressive Arts and Critical Race Feminism Paradigms Sofiya Kostareva [email protected] Follow this and additional works at: https://digitalcommons.lesley.edu/expressive_theses Part of the Social and Behavioral Sciences Commons Recommended Citation Kostareva, Sofiya, "Subverting the Narrative: Addressing Gaps in the Medical Model of Mental Health Through Expressive Arts and Critical Race Feminism Paradigms" (2020). Expressive Therapies Capstone Theses. 250. https://digitalcommons.lesley.edu/expressive_theses/250 This Thesis is brought to you for free and open access by the Graduate School of Arts and Social Sciences (GSASS) at DigitalCommons@Lesley. It has been accepted for inclusion in Expressive Therapies Capstone Theses by an authorized administrator of DigitalCommons@Lesley. For more information, please contact [email protected], [email protected]. SUBVERTING THE NARRATIVE 1 Subverting the Narrative: Addressing Gaps in the Medical Model of Mental Health Through Expressive Arts and Critical Race Feminism Paradigms Sofiya Kostareva Graduate School of Arts and Social Sciences, Lesley University SUBVERTING THE NARRATIVE 2 Abstract: This paper discusses the problematic theoretical underpinnings of the medical model of mental health, first examining the historical development of the mental health field. Reviewing literature on the paradigms of expressive arts therapy, critical race feminism, and the medical model of mental health, the author argues how systemic oppression in such forms as racism, classism and ableism contribute to the issues of mental health accessibility for individuals who possess historically marginalized identities in the United States. -
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 -
Visioning a Recovery Oriented Alaska Mental Health
Visioning a Recovery Oriented Jim Gottstein Alaska Mental Health System Jim Gottstein Law Project for Psychiatric Rights http://PsychRights.Org Renewable Resources 2009 Alaska Mental Health Recovery Education Conference May 12, 2009 Fear and Absolution Why Has Society Fear Myth: People Diagnosed with Mental Illness Are Violent Accepted Dubious Absolution By Accepting “Medical Model,” No one is Medical Model? Responsible May 12, 2009 Alaska Recovery Education Conference Psychiatric Symptoms Are Responses If Not Defective Brain, What? to Events/Experiences Examples: Multiple Personalities Other Responses to Trauma Mental Map Reorganization Hearing Voices Common Phenomenon Mania Icarus Project – Time Magazine Last Week May 12, 2009 Alaska Recovery Education Conference May 12, 2009 Alaska Recovery Education Conference 1 While Some People find Didn’t Ascribe Bad Motives to Neuroleptics Helpful . Psychiatrists, but at this Point . Quality of Life Tremendously With Recent Revelations No Longer Plausible Diminished Otherwise Cause Massive Deniability Amount of Harm Why Do They Still Insist on the Drugs Even Life Spans Now 25 Years Shorter Though they Are Largely Ineffective and Greatly Reduce Recovery Always Harmful? Rates Psychiatrists No Longer Know Anything But 6-fold Increase in Mental Illness Disability Rate the Drugs Hugely and Unnecessarily Expensive Huge Unnecessary Human What to Do? Toll May 12, 2009 Alaska Recovery Education Conference May 12, 2009 Alaska Recovery Education Conference Successful Peers Are The Real Experts Recovery – JG Definition Many examples of recovery from “incurable” mental illness. Getting past a diagnosis of mental illness to a Value of Insights Need to point where a person enjoys meaningful activity, Be Recognized has relationships, and where psychiatric Unique ability to relate to people going through the symptoms, if any, do not dominate or even play same thing. -
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. -
List of Psycho Therapy Spirits for MD 12 Steps Programs, 100 Years Of
List of Psycho Therapy Spirits for MD 12 steps programs, 100 Years of Psychotherapy – And the World's Getting Worse, abnormal Psychotherapy, Abreaction, Academy at Dundee Ranch, Academy at Ivy Ridge, Academy at Swift River, Academy of Cognitive Therapy, Accelerated experiential dynamic therapy, Acceptance and commitment therapy, Ackerman Institute for the Family, Active listening, Activity theory, Adaptive psychotherapy, Addiction psychiatry, Addictions Anonymous, Adlerian therapy, Adventure therapy, Affect logic, Affect theory, Afterburn, Aggression Replacement Training, Alcoholics Anonymous, altered emotions, altered mind, altered soul, altered state of consciousness, altered will, Alternative new age therapies, Alternative therapies for developmental and learning disabilities, alters, Amplification, Analytical psychology, Anger management, Animal-assisted therapy, Anomalistic psychology, anti-christ, Anti-psychiatry, Anti-psychology, Anxiety Management Training, anxiety reduction technique, Anything Anonymous, Apex effect, Applied Behavioral Analysis, Applied Psychophysiology and Biofeedback, Arbitrary inference, Art therapy, Asian psychology, Aspen Achievement Academy, Assertive community treatment, Atavistic regression, Attachment in adults, Attachment in children, Attachment measures, Attachment theory, Attachment therapy, Attachment-based psychotherapy, Attachment-based therapy for children, Attack therapy, Audio–visual entrainment, Auditing, Autogenic training, Autosuggestion, Auxiliary ego, Aversion therapy, Aylan School, Bad -
Residential Versus Community Treatment of Personality Disorders: a Comparative Study of Three Treatment Programs
Article Residential Versus Community Treatment of Personality Disorders: A Comparative Study of Three Treatment Programs Marco Chiesa, M.D., M.R.C.Psych. Objective: The aim of this study was to Results: By 24 months, patients in the compare the effectiveness of three treat- step-down condition showed significant Peter Fonagy, Ph.D., F.B.A. ment models for personality disorder: 1) a improvements on all measures. Patients in long-term psychoanalytically oriented resi- the long-term residential model showed Jeremy Holmes, M.D., M.R.C.P., dential specialist program, 2) a phased significant improvements in symptom se- “step-down” specialist psychosocial pro- verity, social adaptation, and global func- F.R.C.Psych. gram that included a briefer residential tioning, while no changes were achieved stay and an outpatient component, and 3) in self-harm, attempted suicide, and read- Carla Drahorad, D.Psychol. a general community psychiatric model. mission rates. Patients in the general psy- chiatric group showed no improvement Method: One hundred forty-three pa- on any variables except self-harm and hos- tients with a personality disorder diagnosis pital readmissions. were allocated according to geographical Conclusions: The results of this study criteria to the three treatment conditions. suggest that for personality disorders, a Outcome was prospectively evaluated at 6, specialist step-down program is more ef- 12, and 24 months through the use of a fective than both long-term residential standardized battery of instruments that treatment and general psychiatric treat- included measures of general symptom ment in the community. Replication is severity, social adaptation, assessment of needed that includes a random allocation mental health functioning, frequency of of patients to conditions to ensure that self-harm and suicide attempts, and rates geographical factors did not account for and duration of hospital readmissions. -
Mark Ragins, M.D
Recovery: Changing From A Medical Model To A Psychosocial Rehabilitation Mode by Mark Ragins, M.D. Ever since Kraeplin defined schizophrenia, or dementia praecox, 100 vears ago, as a chronic, unremitting, gradually deteriorating condition, it has been difficult to talk credibly about or work towards recovery with severe mental illness. The relationship between treatment professionals, patients and their families has frequently been frustrating, unsatisfying, and noncollaborative often to the point of coercion. Clients and families are often waiting for their illnesses to go away, or be cured, in order to go on with their lives and are angry at professionals for not helping them, or doing anything for them, since their lives are not improving at all. At present, most people on all sides have abandoned the process entirely out of despair. Very few psychiatrists treat the chronically mentally ill and increasing numbers of patients are described as "treatment resistant" and families are "burned out" and disengaged. The result is the abandonment, neglect and deterioration we see all around us. All this hopelessness exists despite clear evidence of the growing efficacy of our treatments, and more benign outcomes than traditionally thought. I would argue that the problem may be as much in our conceptual model of treatment and recovery as in the inherent nature of the conditions. Schizophrenics in third world countries are regularly reported to have better outcomes than here. Also people with schizophrenia who explain their conditions spiritually, instead of medically, apparently fare better. The medical model tends to define recovery in negative terms. Symptoms and complaints need to be eliminated. -
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