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.
On March 5, 2013, a bipartisan panel of leading mental health experts and parents of children with “mental disorders” held a conversation (that’s newspeak for meeting) in Washington D.C. on the topic: Violence and Severe Mental Illness.
The invited panelists were:
Thomas Insel, MD, Director of NIMH Harold Koplewicz, MD, President of Child Mind Institute E. Fuller Torrey, MD, Founder of Treatment Advocacy Center Michael Welner, MD, Founder and Chairman of The Forensic Panel Michael Fitzpatrick, MSW, Director of NAMI And three parents of "diagnosed" children
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"Prescription Drugs Associated with Reports of Violence Towards Others"
This is the title of a 2010 research report by Thomas J. Moore, Joseph Glenmullen, and Curt D. Furberg, published in PLOS One, an online peer-reviewed journal.
The authors of the study searched the FDA’s Adverse Event Reporting System from 2004 to September 2009, and flagged reports indicating violence.
They concluded:
"Acts of violence towards others are a genuine and serious adverse drug event associated with a relatively small group of drugs."
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Mental Health and Torture
Recently, courtesy of Monica on Twitter, I’ve come across a United Nations document. It’s a report on torture or cruel, degrading treatment in healthcare settings. You can see it here. It runs to 23 pages.
Here are some quotes:
"…the discriminatory character of forced psychiatric interventions, when committed against persons with psychosocial disabilities, satisfies both intent and purpose required under the article 1 of the Convention against Torture, notwithstanding claims of 'good intentions' by medical professionals…"(p. 7)
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National Alliance for Mental Health
This is a new group: “…a grassroots organization dedicated to providing accurate information and resources to families and individuals seeking better mental health.” I discovered them thanks to Tallaght Trialogue and zebdot on Twitter.
They’re not affiliated with the National Alliance on Mental Illness (despite the similarity in title), and their philosophy is very different from NAMI’s.
You can read about them here, and their posts, by Dennis Dodson, are here.
Here are some quotes from Dennis’s first post:
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Tardive Dyskinesia
In the late 80’s, I worked for a while in an addictions unit that was located on the grounds of a State Hospital in West Virginia. Clients would arrive on 72-hour holding committals from the counties, and if the psychiatrist felt that the client needed to stay longer than that (which was almost always the case), then either the client had to convert to voluntary status, which is what happened in most cases, or the hospital had to arrange for a hearing in front of a judge. For convenience, a local judge would come in and the hearing would be held in the hospital.
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Bad Pharma, by Ben Goldacre
All the awful things you’ve heard and read about the pharmaceutical companies are documented on the pages of Bad Pharma with compelling clarity and abundant references.
Dr. Goldacre is a British physician. His primary issue is the safety and efficacy of pharmaceutical products in general medicine, but he has a lot to say about psychiatric drugs also.
Here are some quotes:
"Drugs are tested by the people who manufacture them, in poorly designed trials, on hopelessly small numbers of weird, unrepresentative patients, and analysed using techniques which are flawed by design, in such a way that they exaggerate the benefits of treatments."(p. x)
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Mental Health and the Schools
When I was about eleven or twelve, I had reasonably good social skills with my peers, but I was shy and awkward with adults. Our neighbor, Mrs. F., was a very pleasant lady who loved to spend time in her front yard with her flowers. Often, as I came up the walk to our door, I would pass her. She always gave me a nice greeting, to which I would respond by gazing at my toes and grunting.
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Aurora Murders Suspect Considering an Insanity Plea
It will come as no great surprise that James Holmes, the suspect in the Aurora theater shootings, is considering an insanity plea.
But there’s an interesting twist. Before he enters a plea of not guilty by reason of insanity, he (or rather his lawyers) wants the court to define the term “mental condition,” which occurs several times in the statute. His point is that he can’t admit to something until he knows what this admission might entail!
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Schizophrenia – Two Short Stories
First story
In the early 70’s I worked in Grendon Prison in England. The facility was run on the lines of a therapeutic community – lots of meetings, groups, etc… One of the prisoners – let’s call him William – was serving time for burglary. He was about 24 years old, and during his intake interviews he told us that he was a member of a small quasi-religious sect who believed that doomsday was imminent and that they would be the chosen few. He talked about these matters openly and with a good measure of passion, and after a few weeks the other prisoners were describing him as “crazy” and a “nutcase.”
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Mental Health and the Law
The central theme of this website is that there are no mental illnesses, and that the widespread medicalization of ordinary human problems is spurious and destructive. These concepts have been around for decades, but in the last four or five years have “taken off,” and are finding a good deal of acceptance among practitioners, academics, clients, and the general public. Change is in the air.
A matter that is sometimes overlooked, however, is that the concept of “mental illness” and its “treatment” by psychiatrists and other professionals is deeply embedded in the legal system of most states and countries.
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