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.
The "Essential Principles" of Psychiatric Practice: More Psychiatric Cheerleading
In the May 2018 issue of Current Psychiatry, there’s an editorial by Henry Nasrallah, MD. Dr. Nasrallah is a highly renowned psychiatrist, and is Editor-in-Chief of the journal. He is also chair of the St. Louis University Department of Psychiatry.
Here’s the opening paragraph of the article.
"As the end of the academic year approaches, I always think of one last message to send to the freshly minted psychiatrists who will complete their 4 years of post-MD training. This year, I thought of emphasizing the principles of psychiatric practice, which the graduates will deliver for the next 4 to 5 decades of their professional lives. Those essential principles are coded in the DNA of psychiatric practice, just as the construction of all organs in the human body is coded within the DNA of the 22,000 genes that comprise our 23 chromosomes."
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Recovery: Creating Your Personal Journey through Self-Honesty, Resilience and Hope
I am in recovery from “mental illness”. I’ve always felt that the typical professional services were unable to provide the relief I needed. When I re-entered the workforce I focused my energy on these limitations. I became a peer specialist-a person in recovery trained in supportive counseling and advocacy. I also began earning my master’s degree in psychiatric rehabilitation, a field dedicated to the idea of recovery, and which takes a more holistic approach. I’ve become a constructive critic of the mental health field and found that these ideas already existed on the fringes. They continue to gain momentum and I’m excited to advocate for them.
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"The Power Threat Meaning Framework": A New Perspective on Mental Distress
In January, 2018, the clinical psychology division of the British Psychology Society published a very important paper. The document is titled The Power Threat Meaning Framework and is subtitled:
"Towards the identification of patterns in emotional distress, unusual experiences and troubled or troubling behaviour, as an alternative to functional psychiatric diagnosis".
The term functional psychiatric diagnosis does not imply that the "diagnoses" in question are useful or helpful, but is rather a reflection of the historical division of psychiatric "diagnoses" into those that are organic (i.e., stemming directly from brain damage or disease) and those that are functional (i.e. all the rest). This distinction was formally embedded in DSM-I (1952), but has been largely abandoned in psychiatry's promotion of the hoax that all their "diagnoses" stem from brain malfunctions. The authors of the report are:
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"How Long a Time". A new song by Richard Lewis
Psychiatry is a hoax. The “mental illnesses” that it invents with increasing frequency are not illnesses in any ordinary sense of the term. Its “diagnoses” are destructive, disempowering, and stigmatizing; and its “treatments” (drugs and electric shocks) always do more damage than good, especially in the long term.
In our struggle against this destructive travesty, it’s important to deliver our message in a variety of methods, including music. In July 2017, Richard Lewis published the music video “Benzo Blue” on Mad in America. The song “highlights the struggles of the millions of worldwide victims/survivors of prescribed benzodiazepine drugs such as Xanax, Ativan, Klonopin, and Valium.”
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Dr. Pies Defending Psychiatry's Position on Auditory Hallucinations
On September 4, 2017, the very eminent and prestigious psychiatrist Ronald Pies, MD, published an article on Psychiatric Times. The piece is titled: Hearing Voices and Psychiatry’s (Real) Medical Model. Dr. Pies is Editor-in-Chief Emeritus of Psychiatric Times and a professor of psychiatry at SUNY and Tufts. He has written extensively on psychiatric and other matters, and has acquired a reputation for scholarship and erudition. His credibility, however, took a considerable knock in 2014 when, in a Medscape article he asserted that the chemical imbalance theory of depression was just a kind of urban legend that was never seriously promoted by psychiatry. This assertion, which was widely disputed, added a whole new dimension to the concept of the ivory tower. But it also provided an important insight into Dr. Pies’ primary position: that psychiatry is inherently benign, scientifically founded, and helpful, and that all suggestions to the contrary are logically flawed, factually mistaken, or both. The present “Hearing Voices…” piece is in this same vein.
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Speaking Out Against Electric Shocks
"…they're human beings, for God's sake! In the name of everything holy, how can they do that to them?" (p 108)
The Other Mrs. Smith, by Bonnie Burstow, 2017
In the March 2017 issue of the Journal of ECT, there was an editorial titled: Electroconvulsive Therapy (ECT) in the News: “Balance” Leads to Bias.
The authors are Melissa Choy, BA; Kate Farber, BA; and Charles Kellner, MD. Dr. Kellner is Chief of Geriatric Psychiatry and Director of ECT Services at Mt. Sinai Medical Center, NY, and is clearly the senior author. I was unable to find much information concerning Ms. Choy or Ms. Farber.
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Rebranding Psychiatry
Or, how to make a silk purse from a sow’s ear.
INTRODUCTION
In November 2017, the British Journal of Psychiatry published a guest editorial titled Shrink rethink: rebranding psychiatry. The authors are Scottish psychiatrists Jim Crabb, MD and Neil Masson, MD, and Lee Barber, an advertising and marketing strategist. Both Drs. Crabb and Masson practice general adult psychiatry and also lecture in psychiatry at the University of Glasgow. They are both members of the Scottish Teaching and Recruitment Group (STARG), which “looks at ways of improving recruitment into psychiatry.”
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Mental Illness Vs. "Bad" Behavior
On February 14, 2017, the very eminent psychiatrist Allen Frances, MD, published a letter in the New York Times. The main points of Dr. Frances’s letter are:
that, contrary to some speculations and assertions, Donald Trump, President of the USA, does not meet the criteria for narcissistic personality disorder "because he does not suffer from the distress and impairment required to diagnose mental disorder." that "Bad behavior is rarely a sign of mental illness…"- Seven months later (September 2017), Dr. Frances gave an interview to Mary Elizabeth Williams. The interview was published on ALTERNET, and it restated and reinforced the points made in the letter to the New York Times. Here's a quote from the interview: "It's a great mistake to confuse bad behavior with mental illness."
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Elimination of the Bereavement Exclusion: History and Implications
INTRODUCTION
The bereavement exclusion was formally eliminated in the spring of 2013, with the publication of DSM-5. The exclusion was a provision in earlier editions, that a “diagnosis of major depressive disorder” could not be assigned to a bereaved person, even though he or she met the criteria, unless certain additional considerations were met. The history of its elimination provides an interesting example of psychiatry’s relentless expansion of its net. The issues involved take us right to the heart of the psychiatric hoax.
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On July 25, 2017, Fredrik Hieronymus et al published a meta-analysis in Molecular Psychiatry. The study is titled Efficacy of selective serotonin reuptake inhibitors in the absence of side effects: a mega-analysis of citalopram and paroxetine in adult depression. Elias Eriksson, PhD, Head of the Department of Pharmacology, University of Gothenburg, Sweden, is the principal author, but as Fredrik Hieronymus is the first author listed, I will refer to the article as Hieronymus et al.
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