Politically incorrect psychiatry

From http://www.psychquotes.com/

“Every child in America entering school at the age of five is insane because he comes to school with certain allegiances to our founding fathers, toward our elected officials, toward his parents, toward a belief in a supernatural being, and toward the sovereignty of this nation as a separate entity. It’s up to you as teachers to make all these sick children well – by creating the international child of the future”
(Dr. Chester M. Pierce, Psychiatrist, address to the Childhood International Education Seminar, 1973)

“We have swallowed all manner of poisonous certainties fed us by our parents, our Sunday and day school teachers, our politicians, our priests, our newspapers, and others with a vested interest in controlling us. ‘Thou shalt become as gods, knowing good and evil,’ good and evil with which to keep children under control, with which to impose local and familial and national loyalties and with which to blind children to their glorious intellectual heritage… The results, the inevitable results, are frustration, inferiority, neurosis and inability to enjoy living, to reason clearly or to make a world fit to live in.”
(Dr. G. Brock Chisholm, President, World Federation of Mental Health and first Director General of the World Health Organization)

“…Jesus Christ might simply have returned to his carpentry following the use of modern psychiatric treatments.”
(William Sargant, British psychiatrist, 1974)

Misery loves company

Several years ago I joined an on-line schizophrenia support group. I was beginning to change my ideas about the diagnosis and I joined the group to meet people in a similar situation. We live in a European city where we are not fluent in the local language and this has limited our reaching out. The only people I knew going through what Chris and I were going through were part of the bi-weekly support group run by the hospital program that Chris attended. Since I was not fluent in the language, contact with other parents was virtually non-existent.

I stayed with the on-line support group for about two years. It ultimately served to harden my holistic position. The regulars in the group were wonderful people struggling daily to cope with what they saw primarily as a disease needing medication. I quickly began to feel quite out of place. The members defined themselves by their diagnosis. They lectured each other on the need to keep on the medication and did not agree with the few people who suggested that there might be another way. It was heartbreaking to see where the medication had brought many of them.

There was one young woman who was approaching her thirtieth birthday. She lived by herself in a rural area. Her father stopped by from time to time to do repairs, but for most of the time she was alone, and this was not a good thing. It pitched her further into psychosis which broke through every so often in the messages she wrote. Her loneliness was overwhelming. She was on so many high dose psych meds it made my head spin. Who enabled her to get to this position? She saw a psychiatrist once a month, but only for a med check. This young woman was very articulate, even through the meds fog. On occasions when she lapsed into psychosis, the group’s verdict was to urge her to change or increase her meds. If she was clearly psychotic while on meds, shouldn’t it dawn on the members that the meds might be the problem here?

The overuse of meds seemed to be a problem mainly in the United States where so many factors collude in giving people lots and lots of pills and little access to psychotherapy. It was mind boggling to see how badly off these people really were. Multiple pills, multiple diagnoses. Nobody seemed to question whether they truly were all of the labels. “I’m schizoaffective and OCD, with depressive features.” No, you’re not, I am thinking. You merely have problems that have not been properly addressed.

I began to feel badly for even opening my mouth about an alternative view. Why? Simply because many of the members were my age and at this advanced age, reminding people of what might have been seemed downright cruel. They clung to their diagnoses because to do otherwise might open up regret. The type of people that were in the group tended to be ones who drew comfort from feeling bad. “My brother jumped off a building in the 1970s, said one member, “and he’s been in a wheel chair ever since! That’s the reality of untreated schizophrenia, don’t you get it? Don’t talk to me about getting off the drugs!”

I left the group, not wanting to feel bad about a situation I knew I could do something about.

Report card

Chris is doing well. Ian and I stick to our vow to not discuss Chris under almost any circumstance (the low Expressed Emotion thing). Chris has enrolled for another night course in computer technology, having finished the two week intro while Ian and I were away in August. He was asked, and forced to turn down, a request to join a rock band because unfortunately it interferes with his night course. He continues his once a week voice lessons and sings in the church choir.

He sees the sound shaman once a week. The shaman, in addition to working his magic on Chris’s chakras through sound, has suggested to Chris that he might want to put some of his energy into finding a girlfriend. Can a girlfriend come before a paycheck? We’ll see. If he does find a girlfriend, she might be attracted by his cooking skills. He’s becoming quite good at feeding the family on a nightly basis and he does a lot of the grocery shopping.

Chris continues to whittle away at the medication while seeing Dr. Stern twice a week. For those who are new to this blog, a large part of my energy was spent in the beginning fighting to get him off the medication. After being off the meds for a few months, he relapsed, although not due to the withdrawal. He went back into the hospital and was put on meds once again, most unfortunately. I argued again with the doctors to get him off them. Chris is now in the process of handling his own medication withdrawal. I noticed the other day that he seems more at ease with people, although, he still tends to stand while others are sitting, making it slightly socially awkward. I expect that to dissipate over time, but I do not feel it is meds-related.

He’s thinking hard about where he wants to go in life. There are a few open houses coming up with programs that he might want to pursue. I hope he goes to them.

Chris has also started to complain that he feels that all he does is errands for us. Good. I hope he is waking up to the idea of striking out on his own, becoming his own person, ditching the ties that bind.

P.S. I forgot to mention the vitamins, as Duane noted in the comments to this post. We have a more relaxed attitude toward the vitamins than previously. Chris is no longer taking 35 vitamins a day. That was becoming a bit of a tyranny. (See: The tyranny of vitamins). Instead, he has scaled down to the Dr. Hoffer basics – NADH instead of niacin, vitamin C, a vitamin B, and recently he has started taking 4 omega 3s per day.

What version of coming off meds did Will Hall sign off on?

I was going to write an update today on how well Chris is doing. Instead, after reading a postscript to the Huffington Post article by DJ Jaffe, I realized that Chris couldn’t possibly be doing well.

Jaffe is highly critical of the  Alternatives 2010 Mental Health Conference, which took place Sept. 29 – Oct. 3 in Anaheim, CA.  Jaffe is not a  psychiatrist, but rather an opinion leader from the patient ranks. Jaffe is obviously a friend of state mind control, while maintaining he is a advocate for the mentally ill, so in that respect, people may confuse him with being a psychiatrist. He is no friend of the mentally ill because the opinion piece he wrote on the Alternatives Conference is a put down of human beings every step of the way in the best best tradition of institutional psychiatry. In a follow-up article today in the HP, Jaffe doesn’t seem to get that so-called mentally ill people are exactly like you and me, and that’s appalling, coming from someone who purports to want to help. He wants to lock’em up in a police state run by relatives in collusion with the police. He doesn’t seem to get it at all.

This guy is a do-gooder by appearance but he has aligned himself with interests that are the opposite of empathetic. There are many like him out there. They are not on the side of the sufferer because they continue to deny that the labelled person has any mind of their own or any rightous reason to behave as they do. They continue to believe that there is something called serious mental illness, because not believing in it might turn the spotlight on their own biases towards the individual. They use the language of dependency. The mentally ill can’t possibly know what is good for them, so we must protect them at all costs. According to Jaffe’s bio, he’s been advocating for the “seriously” mentally ill for over thirty years now. He only takes an anti-depressant. He’s done a good job in advocating in favor of the seriously mentally ill because we still have lots of seriously mentally ill folks whose relatives like Jaffe’s views.

Jaffe was very critical of Will Hall’s workshop of coming off psychiatric meds. The organizers of the Conference wanted Hall to downplay the coming off psych meds. From my understanding, Hall refused to change the wording and that in effect cancelled the workshop. The organizers then backed down, and Hall agreed to deliver the workshop.

First, I looked up Will Hall’s presentation – Coming Off Medications: A Harm Reduction Approach

Here’s what I read today (Oct. 6) on the Internet:

Participants will learn what a harm reduction approach is, receive a copy of the Harm Reduction Guide, understand the goals of medication empowerment, and explore how to collaborate in a partnership with prescribing professionals. This workshop is not medical advice but is about educating participants to be more empowered and make wiser, more confident choices about mental health treatments including starting, continuing, reducing, changing, and going off medications.

If this was the wording that Will Hall signed off on, then that’s exactly what I would want to see written.

Jaffe reports an updated description of the workshop which I reprinted below. If this is in fact what Will Hall agreed to, I am (a) very disapointed, to say the least, and (b) plenty discouraged today about Chris’s prospects because apparently Chris is seriously mentally ill, a schizophrenic who needs his medications to prevent him from deteriorating. (I thought it was my job to help prevent the deterioration.)  As a labelled schizophrenic he has been singled out from the rest of the mentally ill people attending the conference as the worst of the worst. Other people who are not as well informed as you and me are going to take this advice at face value. Once a schizophrenic, always a schizophrenic is the message I get from this. Don’t ever separate these seriously whacko people from their medications or tragedy will always result. My job as a supportive parent who believes in her son’s innate wisdom and mental health and accepts my own share of the responsibility has just been delivered a devastating blow. So has your job.

Jaffe’s update on Oct. 2nd on what we are led to believe is the revised description of Will Hall’s workshop :

Updated 10/2/2010: The following section was inserted: “For the ‘labeled’ participants, there will be a workshop on how to go off medications. That could be a dangerous, if not deadly, ‘alternative,’ should someone with schizophrenia who needs medication to prevent them from deteriorating decides to do it”.

It replaces a section which previously read, “For the ‘labeled’ participants, there will be a workshop on how to go off medications. That could be a dangerous, if not deadly, ‘alternative,’ should any people with real mental illness be in attendance.

Jaffe’s description sounds like it might have been taken from document not related to the Conference agenda, e.g. “there will be a workshop.” Did Will Hall agree to deliver the workshop as described in the Jaffe update? Please, someone, tell me no.

When pharma was fine

I used to work for pharma. It was only a summer line job at the pharmaceutical firm where my father worked, but it was in pharma. Back in the 1970s, the firm was the biggest employer in the county. Actually, it was just about the only employer in the area that paid decent wages. Those unionized paychecks went a long way to covering my living expenses through four years of university. Almost everybody we knew worked at the company in the company town – my friends’ parents, my parents’ friends. Pharmaceuticals were king. People liked pharma. One of the firm’s big sellers was a hormone replacement drug that mother and her friends all swore by. In their opinion, it was even better than Tupperware. (I only remember one of my mother’s friends developing breast cancer.) There was this unbridled post-war belief that advances in technology and pharmacology was only going to make our lives better and better.

I worked on the production line, wearing a hairnet, white coat and sensible shoes. The job involved either inspecting pills or sterilizing bottles on a daily basis. Here’s a picture of how to load the hopper. I like routine jobs. You know what to expect.

Despite the fact that my father worked at the company and was a believer (and a shareholder), he also became a fervent fan of vitamins. When he was in his mid-fifties he developed a circulation problem in his leg, possibly due to years of smoking. He quit smoking cold turkey. My mother had been reading about vitamin E. They made a pilgrimage to the Shute brothers clinic in London, Ontario to learn about the benefits of this wonder drug. Eight hundred international units of vitamin E along with other daily vitamins improved my father’s health significantly. He felt great. He told others. Did my parents check with the family doctor about whether they should do this? They did not. The family doctor, it was felt by many in the town, was a pill pusher. I haven’t heard that expression for a while.

The example set by my parents is how attitudes are developed about one’s own future health concerns. My parents believed that the daily intake of vitamins allowed them to flourish well into their eighties.

This was the era of the television show Laugh-In and the Farkle Family sketches, where a lot of the fun focused around the double sounding alliteration of the letters F and PH. The president of the pharmaceutical company in our town was an unassuming little man named Franklin F. One of my high school friends who also worked on the line had us all in stitches when she came up with the expression “Fine pharmaceutical firm you have here, Frank.” That’s how everybody in that country and in that era felt about it, too. Pharma was fantastically fine back then.

Two characters in search of a publisher

I began writing about Chris’s and my experience in mental health care five years ago when it suddenly clicked with me that a diagnosis of schizophrenia was the beginning of a fabulous journey, although not one without peril. It occurred to me to write a book to sound the drum for an alternative way of thinking about an up-until-now dismal diagnosis. Five years later and I am still at it. Seventy-five thousand words but just about done.

What I’ve written is sort of a do-it-yourself look at alternative mental health but in the form of a memoir. It can also be seen as a coming of age story regarding waking up to the delusion of the pharmaceutical cure. My book has been professionally edited three times. I  realized early on that my writing skills were rusty from being on the mommy track for so long (grocery lists and notes to teacher). It was just about ready two years ago and then Chris had a relapse. Being a holistic convert, I took it in stride as a necessary step on the road to self-awareness on both our counts. The relapse also allowed me to add some interesting new chapters on yet more therapies and approaches.

Most of the therapies that I have written about in my book are not known to be applied to a diagnosis of schizophrenia. That’s part of why what Chris and I are doing is so interesting. It’s all new territory. I also personally underwent these novel therapies so that I could get a better grip on what I was writing about. I, too, have benefited from the healing effects of the therapies.

I am at the point where I could really use some advice about how to market this book. I am perfectly prepared to go the self-publishing route because it involves no rejection letters and not as much work as chasing agents. (I have already received a few rejection letters, so I feel I must be getting closer to a published book). I can also put it on Authonomy, the author’s website where other writer’s critique your work in exchange for your critiquing theirs. My book would be available to anyone who simply signs up for an account. What I want to do is to get our story to a larger public. I’ve gone the blog and Twitter route as a way of getting a strong “platform” as they say in the biz but also as a way of sharpening my writing skills. I don’t know how strong my platform really is, but it looks good in a query letter.

If you have any ideas that I may not have considered, please feel free to contact me about them. No idea is too small, too big or too eccentric, trust me.

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Title of this post is inspired by Pirandello’s Six Characters in Search of an Author. For an interesting look at Pirandello’s inspiration, google Pirandello schizophrenia. 

Mere alcohol doesn’t thrill me at all

Chris is quite perky these days. There are very few times in his life where I have seen him thrilled, but Sunday was one of them. His friend from high school who used to be in a band with him, phoned him out of the blue and asked if he would join his new classic rock band. No hesitation in saying “yes.”

The other times in his life where I would say he was thrilled are the following: Getting his first guitar, getting a laptop, our buying a la-z-boy recliner for our living room (all the men in the house were thrilled!) and being in a band.

He knows he has bigger things to think about, like a career direction, and he is working on these, slowly, while getting lots of support from others. For now, he is thrilled and it sure suits him.

A question of accountability

Is there an organized effort (lobby?) that pressures the media to disclose the pharmaceutical ties of the people they are interviewing?

The media habit of publishing a story, such as this one, and failing to disclose that some, if not all of  the “experts” quoted have ties to pharma, is just not good journalism.

So, who is forcing the media to be more accountable in this area?

I am doing my bit where I can and so are you, but I would like to know if there are organizations that are doing this more systematically.