Dealing With Problems of Daily Living

Thanks to Graham Davey and Richard Pemberton on Twitter for the link to an interesting article in the August 29, 2013 issue of the Lancet. It’s titled Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010, and was written by Harvey A. Whiteford, et al. The Global Burden of Disease survey is a systematic, scientific attempt to quantify the comparative magnitude of disease, injuries, and risk factors by age, sex, and geography over time. ...

There’s a new post on Peter Kinderman’s blog. It’s called Time for a paradigm change, and it’s dated September 2. The article is based on a speech that Dr. Kinderman gave to North Wales Clinical Psychology Programme, Annual Stakeholders’ Meeting on the same date. Here are some quotes: "But mental well-being is fundamentally a psychological and social phenomenon, with medical aspects. It is not, fundamentally, a medical phenomenon with additional psychological and social elements." ...

Despite the general rise in economic indicators over the past year or two, there are still many young adults who, for economic reasons, have had to move back in with their parents. A proportion of these people become depressed. Depression is the normal human reaction to loss, disappointment, or a general sense of unfulfillment. Viewed in this light, it is not surprising that young people who have to move back in with their parents might be depressed. ...

The book Madness Contested has recently been published by PCCS Books. It’s a collection of articles, edited by Steven Coles, Sarah Keenan, and Bob Diamond. The book is a remarkable piece of work. It covers just about every contentious concept in the present “mental illness” debate, and brings to bear an abundance of new insights and up-to-date research findings. There are 21 articles plus an introduction by the editors. Here’s the name of each article with a brief quotation from each: ...

BACKGROUND Obviously there are many points of contention between mainstream biological psychiatrists on the one hand, and those of us who condemn this system as spurious and destructive. Much of what I’ve written on this website over the past four years has been an elucidation of these differences. Today I would like to focus on just one of these differences: disempowerment of clients in the psychiatric system, and empowerment within frameworks that are more psychosocial/behavioral in nature. ...

Sandra Steingard, MD, is a practicing psychiatrist who from time to time posts articles on Robert Whitaker’s Mad in America website. Dr. Steingard apparently prescribes psychotropic drugs in her practice, but she is by no means a pill-for-every-problem practitioner, and her articles are always interesting and thought-provoking. Dr. Steingard posted A Paradox Revealed – Again on Mad in America on July 7, 2013. In this article she mentions the recent study by Lex Wunderink et al, which found that people being treated for first episode psychosis were doing a great deal better functionally after seven years if their neuroleptic drugs had been discontinued or reduced relatively early in the process, as compared to individuals who were retained on the drugs for two years. ...

On Twitter yesterday, Robert Stamatakis commented: "I have to ask, I don't understand. Do you work in the UK? Your descriptions of psychiatry are nothing I recognize. These descriptions of psychiatry are nothing like the practice I see on a daily basis." I am certainly a very outspoken critic of psychiatry, and in that regard Robert's question/challenge is a fair one, to which I will try to respond. My primary criticism of modern psychiatry – and indeed the criticism that underpins all the others – is that its fundamental concepts are spurious. ...

I’ve recently read a noteworthy article on PLOS One. It’s by Joanne M. Dickson and Nicholas J. Moberly, and it’s called Reduced Specificity of Personal Goals and Explanations for Goal Attainment in Major Depression. It’s a very interesting and detailed paper. The authors, who work at the University of Liverpool and the University of Exeter respectively, asked a group of depressed people and another group of people who were not depressed to list their goals. ...

BACKGROUND I’ve recently read Crazy Like Us: The Globalization of the American Psyche, by Ethan Watters (Free Press, 2010). It’s a great book, the theme of which is that western countries, especially America, are exporting the medicalization of human problems to less developed regions of the world. The new “illnesses” are being avidly promoted as if they had the same kind of reality as pneumonia or cancer, and are being foisted on vulnerable populations, with little regard for their impact on the cultures, ideas, sensitivities, and health of the recipients. ...

Last month (May 31), National Public Radio (NPR) ran an interview on Science Friday with Thomas Insel, MD, Director of NIMH, Jeffrey Lieberman, MD, President of the APA, and Gary Greenberg, PhD, practicing psychotherapist. I didn’t hear the interview, but I have read the transcript. Doctors Insel and Lieberman were spinning the barrage of criticism directed at psychiatry in recent months, while at the same time clinging desperately to the notion that the problems that psychiatrists “treat” are real illnesses. It’s become a familiar theme, and there was nothing new. ...