The Chandra Levy verdict

I am probably stretching it, but here goes.

You may ask what’s the recent verdict in the Chandra Levy case got to do with a diagnosis of schizophrenia?

Chandra Levy was an intern in Washington, D.C. who went out for a run one day in 2001 and never returned. Her body was discovered about a year later in a forested area off a jogging path.

On Monday Ingmar Guandique was convicted of her murder. Astonishingly, he was convicted despite the fact that there was no forensic evidence linking him to the crime, no murder weapon, no knowledge of what actually killed Chandra, no witnesses, and no confession on his part. Other lawyers declined the case because they felt it would be impossible to convict.
There was, however, testimony from a cell mate who claimed that Guandique “confessed” to the crime and from two female joggers who were molested by Guandique around the time that Chandra went missing.

It is astonishing that a conviction could be obtained based on lack of evidence and speculation. It looks like the jury based its verdict on what they would like to believe about the accused, and in doing so blithely overturned centuries of the common law principle of reasonable doubt. Other prosecution lawyers declined the case because they felt it was unwinnable.
A diagnosis of schizophrenia or other mental illness  is arrived at through similar leaps of faith. There is no scientific evidence that schizophrenia is a pathological disease, many people will not confess to being “sick,” and yet they will be “convicted” anyway, based on their appearance and of acting outside of social norms.

Is it so astonishing that the Chandra Levy verdict is being heavily criticized for its lack of scientific evidence when those of us in the trenches see lack of scientific evidence guiding most of the legal and policy decisions governing mental health treatment?

What’s it like for other people?

It is well-known that no two people labelled “schizophrenic” are alike. One of the hardest things for me at the beginning of this crisis was comparing how Chris was stacking up against “the competition.” The competition were the people who were doing better than Chris at the moment or the people who were much older and fully recovered. I was frightened that Chris would be part of the group that wouldn’t make it.

Well, I shouldn’t have been so worried (and neither should you be about your own relative) because Chris is making it and far surpassing the expectations of the psychiatrists who labelled him in the first place. Even though Chris is not like your son or daughter in the way the crisis unfolded in him it doesn’t mean that the remedies are different.  

The point I’m trying to make is that when I report progress with Chris, it may not at all ressemble anything that you are experiencing. When I write that I am pleased that Chris seems utterly bored these days, it may bear absolutely no relation to what’s happening with your relative. Yet, I wonder if boredom (or some other under-exercised emotion) is a significant sign of progress that can be applied to anybody in this situation, especially if your relative is the type who never expressed much discontent one way or the other. To be discontented means that something will eventually change. A light may go on. The trick here for me is not to leap in with all kinds of ideas to alleviate boredom. He needs to take sustained action himself.

Let him be bored.

Ablechild

I often get long e-mails from someone or something called ben.merhav@gmail.com which I would normally ignore because the source of his messages refer back to blogs with multicolored font on the perennial black background, ABUNDANT USE OF CAPITAL LETTERS, large bold font and cut and paste as the rantings of CONSPIRACY NUTS. They are pushing their luck with me.  This is the print equivalent to me of the rantings of Herbert W. (dubblya) Armstrong, founder of the World Wide Church of God.  Herbert, through the evangelical radio show that he hosted, was always “just back from speaking with WORLD GOVERNMENTS!”  I assume Herbert was a little more focused in his younger days.

Problem is, sometimes these messages are just too interesting to ignore.

So it is with today’s message from Ben (is it a person?), who gets most of his material from a blog entitled THE 18TH BLOG FOR THE OUTLAW OF PSYCHIATRY NOW ! This blog appears to be written by Evelyn Pringle, who I had banished to my spam box, only because while I liked her investigative journalism re pharmaceutical interests, I ended up getting her opinion pieces on just about anything, No, I don’t want to hear from her about Obama, the war in Afganistan, or gun control, and I certainly don’t want to read colored type on a black background. My interests are quite narrow, really.

Today’s message is about Ablechild

Ablechild (Parents for A Label and Drug-Free Education), is a national non-profit founded in 2001, by these two mothers who each had personal experiences with being coerced by the public school system to label and drug their children for ADHD. Patty and Sheila went from being victims to become national advocates for the fundamental rights of all parents and children in the US.
 
Here’s the link to the original blog. It’s definitely worth a read. I wrote a post about my own experiences with my youngest son Taylor, when the school psychologist, in cahoots with the middle school principal, took on the role of diagnosing psychiatrists. ADD, ADHD, Schizophrenia – where’s the medical evidence?

Books on my wish list

Here is a list of just some of the books I want to read, beginning with the most recently published. I plucked the reviews by readers from amazon.co.uk.

Doctoring the Mind: Why psychiatric treatments fail
Author: Richard P. Bentall
Published: June 2010

Richard Bentall pieces together evidence from an impressive array of sources to provide a critical yet accessible evaluation of the current state of psychiatry. This book is not a scathing anti-psychiatry rant. Bentall lucidly examines the mental health literature, before concluding that a) mental health practitioners often fail their patients – he is self-critical and modest about his own treatment successes and failures and b) this failure is often borne out of rigid adherence to the neo-kraeplinian, biomedical school of psychopathology; an approach which is underpinned by pharmaceutical companies and their marketing strategies. Psychiatric diagnosis is a difficult process, the author – who favours a symptom-focused model – believes these difficulites arise from the inefficiencies, limitations and unsuitability of the disorder-based, biomedical paradigm of mental health. The efficacy of both pharmacological and psychosocial treatments is also comprehensively challenged – alongside the chapters on psychiatric diagnosis, these topics form large sections of the book.

See also Why antipsychotics aren’t sold on street corners

Collision 
Author: John Donoghue 
Published Dec. 2008

A well plotted tale, intriguing and atmospheric, beautifully written by a fine story teller.

A vivid picture which keeps the pages turning, explores the currents of possession and mental illness with a backdrop of a sizzling romance, hospital life and Catholicism. Notably, the parallel descriptions of exorcism and the clinical situation are spine-tingling.

A very enjoyable, thought -provoking read; a must for anyone interested in mental health issues.

The Drama of the Gifted Child: The Search for the True Self
Author: Alice Miller
First published 1979

Miller’s book is concise and straightforward, asserting that parental expectations for children–however benign or well-meaning–inevitably suppress the child’s real self, leading to the ongoing “dramatic” performance of an identity throughout the child’s life that is not driven by his/her own feelings. The lists of common behaviors that might be signs of this drama are helpful, and provoke moments of self-recognition that can be both painful and illuminating. My one reservation about Miller’s argument is that this suppression of children’s true selves is often demonstrated using examples of truly abusive parents, including several accounts of incest and violence. This undermines her overall understanding of the drama tendency as an almost universal property of family life.

See also This week’s obituaries



Heroic GSK debunks own medication for a non-existent market

Omega-3 fish oil has been debunked as helpful for atrial fibrillation by a study sponsored by GlaxoSmithKline. Oddly, GSK sells the prescription omega-3 medication that was tested in the study. Lovaza is the only FDA approved medication made from omega-3 fish oil that is effective in lowering very high triglycerides.

The study’s leader, Dr. Peter Kowey, cardiology chief at Main Line Health Hospital System near Philadelphia, said many people take supplements and vitamins that have not been well tested.
“People are spending an enormous amount of money on stuff that doesn’t work,” he said.

Results were reported Monday at an American Heart Association conference in Chicago and published online by the Journal of the American Medical Association. . . . . The capsules used in the study are sold as Lovaza in the United States and as Zodin in Europe by GlaxoSmithKline PLC, which paid for the research.

You might well puzzle over this one. Why would GSK pay for a study that shows its own product to be not helpful for a certain condition? Well, one possibility is that GSK hopes that by doing this it will demonstrate to its critics that it is open and transparent. They will begin to see GSK as not just another company that buries data found unfavorable to it.

There’s always more to the story, especially when it involves those dastardly profit seekers.

Here’s my thinking on it. Atrial fibrillation, as far as I know, since I’ve got it myself, has no known cause and is not considered life-threatening.  I have never heard that it is associated with high triglycerides and the associated risk of stroke, for which this medication has FDA approval. I’ll admit I haven’t spent any time researching this one, and so this is the first time I have read about the horrible fate that awaits. (Hint: GSK is planting the idea by this study that atrial fibrillation is damn serious and something ought to be done about it.)

If people are taking omega-3 for atrial fibrillation, they are using it off-label. GSK knows that it is an elusive market. Plenty of smart people can by-pass the doctor’s office in favor of the health food store to stock up on their non-prescription omega-3s to cure whatever it is that they think needs curing. Waste of money? Only to doctors who would prefer that you get your prescriptions through them.

(GlaxoSmithKlein (Mighty Mouse) willing to take the hit) 

This is one GSK market can afford to lose, because it’s not its market in the first place. By cleverly allowing this one to escape, it’s building the new idea that atrial fibrillation is life-threatening. The market it wants from this study is me, and millions more like me, who once happily went about their lives unconcerned with the occasional flutter, and soon will be breaking down the doors of the doctor’s office to get whatever GSK has in its pipeline for atrial fibrillation.

And the moral of today’s story? “Beware a wolf in sheep’s clothing.”

Beliefs governing the universe

I have fallen in love with a book called Holy Spirit for Healing: Merging Ancient Wisdom with Modern Medicine, by Ron Roth, PhD. (available from Hay House). What I love about it is that the author, a former Catholic priest, is open-minded to all religious belief systems. He is especially interested in discovering the original meaning behind the Biblical words used today that so often obscure rather than clarify Jesus’ message. Jesus, like Buddha, Mohammed, and others, had what is called “cosmic consciousness.” He applied in his day to day teachings the laws governing the universe.

Roth has written an astonishing treatise on healing that shows that energy is the basis for healing, and love is the greatest healer of all. I’ll be writing more about this book later, but for now here is an excerpt below from an interview with Ron Roth in The Share Guide.

Ron: I began to meditate on these various concepts many years ago. I don’t take the scriptures dogmatically and doctrinally as many people do. In all my studies of the sacred scriptures, I look for understanding in the original Greek and Aramaic, the language of the original text. When we translate it into English, it is always a poor substitute. When I looked at the original text, the first thing I noticed was that the Greek word that is used, dynamis–which we took “dynamite” and “dynamic”–that word actually means energy. In the Phillips translation, the words for Holy Spirit are “that divine energy that raised Jesus from the dead.” He uses the term energy because it is the closest to the Greek. In the old testament and the new testament, it says “great balls of fire” came flying out of the sky when people were praying. I think it was their way of saying that there is an energy that is unexplainable. This energy is really an aspect of the Divine Spirit. I don’t believe that anybody has to belong to a certain religion to be healed or to be loved by God. I studied Christianity because that was my background. But there were a lot of things I did not like, and I could not see Jesus as being a promoter of those things.

The Share Guide: So you were seeking the original languages in which these holy books were written so as to get closer to the source, rather than working with thousands of years of interpretations?

Ron: That’s correct. I had a scripture professor who had PhD’s in Scripture, Aramaic and Sanskrit. He would say to us, “Gentlemen, whenever you are looking at passages, don’t look at the English because you have to understand what the situation was at the time that the scripture was written.” In other words, what did they mean by a particular phrase 2,000 years ago, which could mean something entirely different today? The word “awful” comes to mind. The word used to mean full of awe, respect, and reverence. Today it means something terrible. In the original context it still means “full of awe.” So if you read a passage that says our God is an awful God, it is a clear example.

The Share Guide: Are you saying that the phrase “Energy Medicine” is really tied with the Holy Spirit, the original healing energy of God?
Ron: When you get an understanding of what a true authentic prayer means and is, it is an “energy prayer.” It is not something we do; it is something the Spirit of God at the center of our being does. That divine connection keeps coming up from the spirit essence. So when you put prayer and spirit together and understand what they truly mean, you can define it as a tangible energy that people feel.

The Share Guide: Is this the same energy which in India is called prana or in the Orient called chi, the life essence?

Ron: Yes.

Second chances

I have to admit, in May 2009 I was not looking forward to having Alex, our middle son back living at home. He had graduated from university in the United States and decided to return to the country where we live to seek employment and to gain eventual citizenship. Ian and I were feeling quite closed in. Chris had just emerged from the psych hospital after a three month stay. We wondered how we would cope.

We are typical North American parents in our mentality. We expected our children to do what we did, which is to be independent –  fast.  Independence means to most North Americans, living away from home. That hadn’t worked out exactly as we planned with Chris, and here was Alex arriving on the doorstep.

Alex and I have always had a volatile relationship. He’s the type of kid who immediately introduces an electric charge into the room.  I could feel the jangle. Outsiders would term him engaging and lively, which he is. It’s the everyday that wears you down. Every family seems to have one like our Alex.  We argue a lot. He doesn’t back down, neither do I. We got under each other’s skin because there must be truth to the saying that the person most like you is the one with whom you have the most disagreements.

Things turned out differently than I imagined. We’re delighted that Alex is at home. He got a job; he’s been a great brother to Chris and good company at the end of the day. I decided before Alex came home that I was no longer going to go head to head with him. It was time to repair the damage from our long years of discord. The less I rise to the occasion, the less I quibble about this or that, the less he grumbles and the closer we are becoming. I’m consciously trying to help him with his own hot temper and we have the luxury of being able to have the occasional quiet chat where I try to introduce some healing words.

In the language of energy healing, our family is becoming in synch because our vibrations are aligning. Our children are no longer children and yet it has taken us this long to live together in harmony. We may not be that different from other families in this regard. Yet, here we are, after 28 years of marriage, three children, and we are just getting to this point.

The little things

Since Chris was released from his third hospitalization in May, 2009, Ian and I have been keeping a low profile around Chris. We made a conscious effort to practice low Expressed Emotion. This means for us, not asking Chris how his day was, not asking him about his night course or whether he thought he might be ready to tackle something big. We don’t ask, he doesn’t tell. In the past, our showing “friendly interest” can also be interpreted as “concern,” and this is high Expressed Emotion. We don’t ask his psychiatrist for meetings and we have given up trying to figure out if Chris is in his right mind. Ian and I don’t discuss Chris between us. We don’t comment to each other about whether Chris seems happy or sad, and we never discuss our future hopes and plans for Chris.

The result is that things are going along swimmingly. Chris has always had a tendency to be too honest and would tell you, if asked, all about his self-doubt and would share subtle things that made one despair he would ever pass his course. We don’t want to hear this (too nerve-wracking), and now we don’t.

Last night I was just about to turn in when Chris knocked at the bedroom door. He popped in to tell me how much he was enjoying his computer technician night course, and that it was a bit challenging because of the language difference, but all in all, he thought it was going well.

In the past, I might have gotten all enthused and interested and probed him a bit more and then launched into some ideas about where he could go with this course. Instead, all I said was, “that’s great. See you in the morning.”

This is something little that is also something big.

Adding trauma while combatting stigma

Kris Ulland recently wrote at Borderline Families about her feelings of apprehension when invited to attend a conference, the venue which was directly opposite the treatment facility her daughter had once attended. Many of us feel the same way. We do not like to be even in the vicinity of the psychiatric care facilities that our relatives attended. These days I only get mildly stressed when I pass the outpatient facility that Chris attended for two years. It’s hard to avoid because it’s on a well-travelled route within walking distance of our home.

Kris brings up a little discussed aspect of mental health care. It is traumatizing for the patients and families to revisit the “scene of the crime.” I assume that mental health care is aware of this and tries to stage events away from the hospital or clinic when at all possible. I attended one such event as a service to an older woman friend whose nephew had been released years ago from the US marines after his schizophrenia diagnosis.  The military would not reveal to the family what had happened to him during his time in the marines. His aunt is still grieving and bewildered.

The event was sponsored by a local family support group for schizophrenia and was held in a meeting hall unconnected to the hospital. The guest speaker was none other than Dr. Rx, an eminent psychopharmacologist and overall head of Chris’s treatment program. There he was, still wearing the same navy blazer and not looking a day older than when I had last seen him four years earlier. I slunk to our seats well in the back of the room and kept my head down, not wanting to make eye contact. This was already becoming a traumatizing experience.

If I recall correctly, the purpose of the meeting was to “end the stigma” surrounding schizophrenia. So, what did we watch? A French Canadian documentary entitled “Schizo,” if you can believe it. It was all the dreary stuff associated with schizophrenia, camera slightly out of focus, sad music, a feeling of impending doom. One of the psychiatrists interviewed in the film had a long grey beard. He  looked far crazier than his patients. The mother of Marc Lépine, the young man who massacred fourteen female engineering students at the University of Montreal in 1989, was interviewed, thus reinforcing schizophrenia with mass murder. All very sad, a downer really and what was I doing there? Oh, yes, to support my friend.

After watching a film about stigma that was stigmatizing, questions were taken from the floor by Dr. Rx and his assistant. A tall, well dressed man who appeared to be in his fifties stood up to ask a question. It was apparent by the rather enigmatic way he posed his question that he was a one time consumer of mental health services. Without my remembering the specifics, there was a challenge imbedded in his question to the doctors. Dr. Rx and his assistant, remember, they were there to stop the stigma, ignored him. They looked at each other when the question was posed, and appeared rather embarrassed that a consumer of their services had challenged them, even obliquely. The man sat down after getting nowhere with the two onstage. He tried again later, and got the same result. (The definition of insanity?)

Now, if I were a psychiatrist and that were me on stage, I would have welcomed an intervention from someone who had been there. (Remember, Dr. Rx was there to combat the stigma.) I would have tried a lot harder to bridge the gap. Dr. Rx and his assistant came across to me as wanting to retain their authority and overly afraid of exposure.

I was glad when it was finally over. Never again.

Laughter is the best medicine

I need more laughs in my life, I’ve decided. Let me put this in context. In the city where I live, I notice that nobody smiles. It’s not just me who has noticed this. Life is very serious here, apparently. I have lived in the same apartment block for thirteen years and only nod to the neighbours when we meet in the elevator. They give me a wan smile in return.

Now that Chris is well on the road to full recovery, ironically I am feeling sicker. I have spent the past few years reading, almost exclusively, psychiatric literature. Not many laughs there. I need a break.

For my birthday, Chris gave me Adrian Mole: The Prostrate Years. I’ve been a big fan of Adrian since he was aged 13 3/4. I laughed my way through the latest book in two sittings.

What tickles your funny bone?