Thinking differently about mental health

Moving from an outdated physical disease model of mental illness to a more relational mental health practice

Tuesday, March 14, 2023

Mediated by the brain not necessarily the same as caused by the brain

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Further to my last post , it may be worth thinking a bit more about why psychiatry, and neuroscience in general, have taken us down the rout...
1 comment:
Monday, March 13, 2023

People are not their brains

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I have been thinking about the implications of the mereological fallacy (see previous post ) for psychiatry. Psychiatry must stop identifyin...
Wednesday, March 08, 2023

Publication bias in antidepressant trials

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Erick Turner was a former US Food and Drug Administration (FDA) reviewer. At the FDA he was aware of publication bias due to negative result...
Thursday, March 02, 2023

Reducing overprescribing in the NHS

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The Department of Health and Social Care (DHSC) produced a report  in September 2021 to reduce overprescribing of medication. According to t...
Sunday, February 12, 2023

Does psychotropic medication work?

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Horatio Clare and Femi Oyebode have made a valiant effort to provide a balanced perspective in the radio series ‘ Is psychiatry working? ’. ...
Wednesday, February 08, 2023

Truth about psychiatric diagnosis

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The study by Rosenhan (1973) published in Science  has probably always been difficult to believe. I’ve said before, though, that psychiatry ...
6 comments:
Sunday, January 29, 2023

Conversation about critical/relational psychiatry

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I've posted a summary (see  link ) of my views about critical/relational psychiatry, which is to be published in a forthcoming Oxford Un...
Tuesday, January 24, 2023

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The Joint Committee on the draft Mental Health bill has produced an impressive report (see eg. last post  and twitter thread of what the C...
Monday, January 16, 2023

Legislating for Mental Health Act (MHA) reform

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My understanding is that the Joint Committee on the draft Mental Health bill should be producing its report this week (see its  tweet ). I j...
Thursday, January 12, 2023

Reimagining psychiatry

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Diana and Nik Rose have a Psychological Medicine article entitled ‘Is ‘another’ psychiatry possible?’. They discuss postpsychiatry (see eg....
Thursday, January 05, 2023

Psychiatric practice is too based on speculation

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Although psychiatrists generally admit  that brain science has not advanced to the point where discernible biological lesions or genetic abn...
2 comments:
Friday, December 30, 2022

Mental health treatment online can exploit people

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Article in The Wall Street Journal exposes how advertising   and other strategies to promote expansion of treatment by digital mental healt...
Wednesday, December 21, 2022

Causal concepts of disease

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I’ve emphasised before (eg. see previous post ) how medicine changed in the nineteenth century. K. Codell Carter in his book The rise of cau...
Saturday, December 17, 2022

Relational psychiatry not merely an embarrassing hangover from 1970s

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I have been re-reading my editorial in BJPsych Bulletin  entitled ‘Critical psychiatry: An embarrassing hangover from the 1970s?’. I conclu...
Wednesday, November 23, 2022

Scottish Mental Health Law Review

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The Scottish Mental Health Law Review (SMHLR)  final report  (see summaries and recommendations ; also see previous post about interim repo...
Tuesday, November 15, 2022

We have over-medicalised normal life and it's destroying the NHS

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Even though she may overstate her case, Katie Musgrave has a helpful article in Pulse about the state of NHS mental health services. I...
Sunday, November 13, 2022

Psychiatric training needs to incorporate a critical perspective

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I have been re-reading my first published book chapter in This is madness too  (2001). Psychiatry doesn’t seem to have changed much in over...
Friday, November 11, 2022

Hypothesis of depression as a brain disorder does not just depend on evidence

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Bruce Levine (who I've mentioned in a previous post ) highlights three reviews in his Counterpunch   article  that confirm that "th...
Monday, November 07, 2022

Efficacy of lithium

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MailOnline has an article discussing views about lithium for bipolar disorder. Years ago I created a webpage for 'Efficacy of lithium...
Friday, October 21, 2022

Preventing people becoming reliant on antidepressants

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The Economist has an editorial ‘Most people on antidepressants don’t need them: Time to wean them off’. It helpfully focuses on the need f...
Tuesday, October 11, 2022

Evidence to the Joint Committee on the draft Mental Health bill

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My submission to the Joint Committee on the Draft Mental Health Bill has been published, together with four pages of other submissions. A...

The need for institutional change in mental health services

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Another television programme, this time from Channel 4's Dispatches: Hospital undercover are they safe? ,  underlines how current inpati...
Sunday, October 02, 2022

Psychiatric services have not really progressed since the worst days of the asylums

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The scandal at the Edenfield Centre exposed by the BBC  Panorama programme  is reminiscent of scandals in the asylums from the 1960s. Serv...
Thursday, September 29, 2022

The implications for psychiatry of patients being human

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Thomas Fuchs (who I have mentioned before eg. see previous post ) lectures online on 'Personhood and neuroscience'. As he says, ...
2 comments:
Monday, September 12, 2022

Rights based legislation in mental health

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The World Health Organisation (WHO) QualityRights Toolkit can be used to evaluate adherence by mental health services to the Convention on t...
Tuesday, September 06, 2022

Psychiatry must give up mechanistic understandings of mental illness

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Nour et al ( 2022 ) complain that mechanistic understandings of psychiatric treatments, such as psychotropic medication and psychotherapy, r...
Sunday, August 28, 2022

Clinical sense about antidepressants

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Cristea & Naudet ( 2018 ) conducted a content analysis of citations of Leucht et al (2012) (see previous post ), a paper which concluded...
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