Tuesday, June 21, 2016

Stop psychiatric abuse

Peter Breggin has a blog on Mad in America entitled "Forced 'treatment' is torture". His blog follows that by Peter Gøtzsche entitled "Abolishing forced treatment in psychiatry is an ethical imperative". I agree psychiatric abuse must be prevented.

For both Peters, as it did for Thomas Ssasz, psychiatric abuse includes detention in hospital. They want to abolish all forced intervention in psychiatry. Here I do not agree. Society does expect psychiatry to manage madness on its behalf. However much informal and voluntary interventions, including psychotherapy, may have developed since the origins of psychiatry with the asylums in the 19th century, they have not completely replaced the need for compulsory detention. From a position in private practice, Peter Breggin may well have never detained anyone against their will. As he says, "Someone in an out-of-control manic episode or someone threatening to do harm in a psychotic episode presents difficult problems to civil libertarians and to those of us who wish to help people in distress while protecting others from them." However, he can't use these situations to justify mental health legislation, whereas I think I can.

Where I do agree is about the need to improve safeguards for forced medication. In England, apart from the right of appeal to the Mental Health Tribunal and hospital managers, this is primarily about having access to a Second Opinion Approved Doctor (SOAD) but only after 3 months of receiving medication. Patients on a community treatment order (CTO) with the threat of recall to hospital may take medication and be considered to be consenting to medication and therefore not be referred to a SOAD. The Alaska Supreme Court case ruling, referred to by Peter Gøtzsche, needs to be enforced so that someone should not be given medication against their will without "first proving by clear and convincing evidence that it is in their best interests and there is no less intrusive alternative available". We do need to have much more of an open debate about whether there is any justification for the forcible injection of medication, and, therefore, I welcome the two Peters contribution to this debate. Coercion in psychiatry needs to be reduced.

10 comments:

Anonymous said...

You're a human rights abuser and you disgust me to my core. The 'two Peters' are a million times the man you are. May we one day be protected from the thuggery you both practice and are an apologist for. I wish there was a hell for coercive psychiatrists to go to.

Anonymous said...

Unlike Breggin and Gøtzsche, this post doesn't provide any references or substantiation for the opinions provided that would allow for a reasoned response. We have all heard, ad infinitum, the justification for forced intervention on the basis of the fact that a small percentage of people experiencing psychosis become violent. That's not enough to demonstrate that the harm prevented by forced intervention outweighs the harm caused by the systemic failures of the system, which Breggin and Gøtzsche describe in convincing detail.

The author seems to believe his opinion is reason enough. This approach is reminiscent of typical psychiatric arrogance. I am not surprised that this post triggered the emotional diatribe posted by Anonymous.

Duncan Double said...

Perhaps a place to start with the literature is the most recent review of the Mental Health Act in England and Wales. The government set up a scoping group that produced a report. This led to a process which eventually led to the reform of the Act in 2007. The Critical Psychiatry Network was formed in this context and commented on the documents produced at each stage (see documents page). The Scottish executive also produced a review of the literature. for the reform of the Scottish Act.

There is no randomised control comparing detention with non-detention and probably never will be for practical and ethical reasons. In fact, trials comparing inpatient with home treatment excluded people requiring detention.

I do have some problems with some of the references in the two Peters' posts but we'll leave that debate for another time.

Albert Wilson said...

Would it surprise you my son is been cured of SCHIZOPRENIA?
I am excited to share this testimony as i have been sad and confused for the past 18 years of my son been a victim of SCHIZOPHRENIA.
People which their relative or children are suffering from this will understand what it takes to be with them. After i have spent a lot on drugs such like
Lurasidone (Latuda), Seroquel oral, Olanzapine (Zyprexa), Paliperidone(Invega), Quetiapine (Seroquel), Risperidone (Risperdal), Ziprasidone (Geodon). Just a few to mention without any testimony. So i went ahead to search the internent on how to cure SCHIZOPHRENIA, which i found a Dr. who advised me to get his product i was scared but my wife kept saying we should give a try.
My son is completely cured, stop spending on drugs as most of them comes with side effect.
I assure you will have testimony after getting his medication. Here is Dr. Nelson's email address. drnelson581@gmail.com

Chrys Muirhead said...

Well done on posting Anonymous abusive comments Dr Double. I reject the negative and abusive comments which come to my blog, also the comments advertising products, which are many.

Peter Jones said...
This comment has been removed by the author.
Peter Jones said...

@ Dr Double. the zepharia post above is spam and click collecting scam. please remove it.

I learned something here many years ago: right is ceiling or floor? If they detain you they do not have time then to revise. power of open ended detention exists, specially, in CTO. that is easy to be abused. That scares people to seek help. Some who are scared might become dangerous then, later. If they do something harmful, then in retrospect, in aftermath of the event, the authority gets the idea that they should be more restrict, they should do more screening. And the vicious circle goes on and on.

If human understands that he cannot solve some problems then he might be able to be helpful in certain limited cases.

Janet Williams said...

I decided to share this to help someone out there who is still held with schizophrenia.
My son suffered from chronic schizophrenia for 18 years and we traveled round the world from one hospital to another neurologist and spent thousands of dollars and even got scammed in this process of seeking a cure and the problem still persisted. He acted weird and aggressive and this was so scary. All thanks to Dr Joseph who was able to use his medicine to cure him permanently. He is one of the Honest men out there. If you want to contact him on how to get his medicine or for info just reach him directly on josephalberteo@gmail.com Thanks admin.

McAllister Craig said...

How my son was cured from psychosis.
My son Jim was down with psychosis which his major symptoms was his aggressiveness and violence towards us and anyone, the psychosis which struck him at the age of 17 he had to drop out of high school and he was kept under watch indoors and this took the major part of his life because it all lasted for 14 more years before i was able to come across this useful website www.brainhealthpress.com that treats and cures psychosis, schizophrenia and i contacted them, and told them all about my son's condition and they gave me hope and assured me that he will be fine and in the end their doctor came to our house and treated him personally at our house in Texas using their herbal medicine which he was on for 3 months and his condition was better and in 6 months he had no symptoms of psychosis anymore, he was normal again and he was no longer aggressive and violent. Today i am a proud father, because i was shy about him before where others introduced their son and i remember mine. Before this we had tried various prescriptions (rispedal, zyprexa) from our psychiatrist and several therapies to suppress the symptoms that all failed. When he was 25 his condition heightened and he became super aggressive and very violent. Today my son is doing fine and he is no longer aggressive to anyone. If you or anyone you know have psychosis, bipolar disorder or schizophrenia simply contact them on (info@brainhealthpress.com) they can help you regain your lost sanity just like my son. I hope this information helps someone out there.

jessical aba's said...

ALL THANKS TO DR WILLIAMS FOR THE GREAT DEED HE HAVE DON FOR MY DAUGHTER?
My daughter suffered from a terrible tinnitus for more than 23 years which started after she turned 5 we all thought it will end but got even worse as days went by. We tried all several treatments and therapy prescribed by various doctors we met but to no avail, she lost total concentration and screamed most times. She usually tells me she hears hissing and ringing noises. This were steady noise that disrupted her entire life, even at night she screams even more because the sounds become louder because everywhere is quiet and she slept less because of this.It was during a casual conversation with a friend that i learned about dr Williams herbal medicine I was able to contact him on his email address. and give him all the necessary information that he needed,few day later he sent me the herbal portion and his medicine was able to restore her back to normal and she is very okay now without any side effects whatsoever. If you have Tinnitus, do not hesitate to contact him on drwilliams098765@gmail.com for advice and for his product. I hope this also helps someone out there.