Alternative perspective on psychiatry’s so-called mental disorders PHILIP HICKEY, PH.D.
I am a licensed psychologist, presently retired. I have worked in clinical and managerial positions in the mental health, corrections, and addictions fields in the United States and England. My wife and I have been married since 1970 and have four grown children.
The phrase “mental health” as used in the name of this website is simply a term of convenience. It specifically does not imply that the human problems embraced by this term are illnesses, or that their absence constitutes health. Indeed, the fundamental tenet of this site is that there are no mental illnesses, and that conceptualizing human problems in this way is spurious, destructive, disempowering, and stigmatizing.
The purpose of this website is to provide a forum where current practices and ideas in the mental health field can be critically examined and discussed. It is not possible in this kind of context to provide psychological help or advice to individuals who may read this site, and nothing written here should be construed in this manner. Readers seeking psychological help should consult a qualified practitioner in their own local area. They should explain their concerns to this person and develop a trusting working relationship. It is only in a one-to-one relationship of this kind that specific advice should be given or taken.
There’s a truly delightful little piece in February’s Current Psychiatry. It’s written by Henry Nasrallah, MD, and is titled Psychiatry’s future shock. Dr. Nasrallah is Editor-in-Chief of Current Psychiatry.
The gist of the article is that “transformative” changes are occurring in the psychiatric field, and psychiatrists had better get on board, or they will be left behind.
Here are some quotes:
"The 'neuroscientification' of psychiatry, ongoing for more than 3 decades, is now approaching a tipping point: The specialty is on the verge of an unprecedented denouement of the old tenets and assumptions."
...
Transcranial Magnetic Stimulation
TMS is a psychiatric treatment that uses a rapidly alternating magnetic field to induce electric currents in the brain. These currents stimulate neurons, causing them to “fire.” When used repetitively, TMS is said to alter the excitability of the brain area that has been stimulated. In the psychiatric field, TMS is being used increasingly as a treatment for depression, particularly with so-called treatment-resistant clients. I Googled the string “TMS + depression” and got 1.35 million hits. So the idea is attracting attention.
...
Real Illness vs. Psychiatric 'Illness' - A Case In Point
On Monday, February 17, cannotsay, a regular commenter on this website, left a link to a White House petition on a recent post.
The petition calls for an investigation into possible civil rights violations in the case of Justina Pelletier, 15, who is being held by court order in a residential unit in Framingham, Massachusetts. The issue is complicated and contentious. The psychiatrists apparently maintain that she has a psychiatric “illness” (somatoform pain disorder), whereas her parents and other physicians say that she suffers from mitochondrial disease. Wikipedia has an article on mitochondrial disease.
...
Drugging Our Children: A Book Review
The 2012 book Drugging Our Children: How Profiteers Are Pushing Antipsychotics on Our Youngest, and What We Can Do to Stop It, is edited by Sharna Olfman PhD, and Brent Dean Robbins, PhD. It is a collection of ten articles, plus an Introduction and an Afterword by Sharna Olfman. Here are the chapter titles, with a quote from each:
Introduction, by Sharna Olfman, PhD
...
Genetic Protection Against Schizophrenia?
On November 12, 2013, Molecular Psychiatry published online Evidence that duplications of 22q11.2 protect against schizophrenia, by Rees et al. The print version was published last month – January 2014.
Here’s the authors’ summary:
"A number of large, rare copy number variants (CNVs) are deleterious for neurodevelopmental disorders, but large, rare, protective CNVs have not been reported for such phenotypes. Here we show in a CNV analysis of 47 005 individuals, the largest CNV analysis of schizophrenia to date, that large duplications (1.5–3.0 Mb) at 22q11.2—the reciprocal of the well-known, risk-inducing deletion of this locus—are substantially less common in schizophrenia cases than in the general population (0.014% vs. 0.085%, OR=0.17, P=0.00086). 22q11.2 duplications represent the first putative protective mutation for schizophrenia."
...
Psychiatry Embraces Patient-Centered Care: Dr. Lieberman
On January 29, the APA’s online bulletin Psychiatric News, published Psychiatry Embraces Patient-Centered Care, by Jeffrey Lieberman, MD, and Lisa Dixon, MD. Dr. Lieberman is President of the APA, and chair of psychiatry at Columbia University. Dr. Dixon is a professor of psychiatry at Columbia.
Here’s the opening statement:
"Psychiatry has long been considered the medical specialty most attuned to listening to the patient."
This is a little difficult to reconcile with the fifteen minute med-check that has been pretty much the standard of care in most psychiatric offices for the past 25 years. It is also difficult to reconcile with reports from psychiatric survivors. The authors are willing to concede, however, that “…the nature of the doctor-patient relationship was traditionally one-sided.” What they mean by this is:
...
Revitalizing Psychiatric Therapeutics?
In January of this year, Steven Hyman MD, former Director of NIMH and currently a leading psychiatric researcher at MIT and Harvard, published Revitalizing Psychiatric Therapeutics in Neuropsychopharmacology. The article is in the journal’s commentary section and is essentially an opinion piece. Here’s Dr. Hyman’s summary:
"Despite high prevalence and enormous unmet medical need, the pharmaceutical industry has recently de-emphasized neuropsychiatric disorders as 'too difficult' a challenge to warrant major investment. Here I describe major obstacles to drug discovery and development including a lack of new molecular targets, shortcomings of current animal models, and the lack of biomarkers for clinical trials. My major focus, however, is on new technologies and scientific approaches to neuropsychiatric disorders that give promise for revitalizing therapeutics and may thus answer industry's concerns."
...
Schizophrenia Research
Psychiatric News is the APA’s online bulletin. On Jan 15, it ran an article by Vabren Watts (an APA staff writer). The article is called APA Gives Schizophrenia Research Capitol Hill Spotlight.
It is reported in the article that on December 12, 2013, the APA, together with the Congressional Neuroscience Caucus and the American Brain Coalition, made a joint presentation to legislators and their staffs on
...
Life Is Bipolar
I am a 30 year man who finally realized a few months ago (after finding this website) that he is not mentally ill but just an adult who often acts like a child. I dabbled with some “official” drugs (meaning prescribed) in the last few years when I was first diagnosed with depression (was put on anti deps + anti anxiety pills) and then bipolar a year later (this time it was mood stabilizers and sleeping pills).
...
Clubfoot – A Story of Hope
On January 27, NPR ran a short piece on a new treatment for clubfoot. Here’s a quote from the transcript:
"Just a decade ago, up to 90 percent of babies…were treated with surgery that usually had to be repeated several times. That created a buildup of scar tissue that often left patients with a lifetime of chronic pain, stiffness, arthritis and medical bills. But with the help of a simple, noninvasive solution and an Internet campaign led by parents, the course of treatment and likely outcomes have changed completely."
...