Best 199 quotes in «psychiatry quotes» category

It is clear that we cannot distinguish the sane from the insane in psychiatric hospitals. The hospital itself imposes a special environment in which the meanings of behavior can easily be misunderstood. The consequences to patients hospitalized in such an environment-the powerlessness, depersonalization, segregation, mortification, and self-labeling-seem undoubtedly countertherapeutic.

It's been very interesting over the years just how many of those psychiatrists that were openly incredulous and dismissive have become stalwart admitants to the [trauma and dissociation] unit. In fact I can remember one psychiatrist... this is going back more than a decade and a half... it says something about the ambivalence about this area... who rang me saying he doesn't believe that DID exists but nevertheless he's got a patient with it that he'd like to refer. That's called Psychiatrist Multiple Reality Disorder. - 15 years as the director of a trauma and dissociation unit: Perspectives on Trauma-informed Care

It's okay to not be okay - it means that your mind is trying to heal itself.

…it seemed to Kirsch that the most reliable guide to the mental landscape of a patient was the patient himself. He was better placed to explain his behaviour and his experiences than anyone else. Yet wherever Kirsch went, the patient was the very last person anyone thought to consult. Because, of course, the patient was insane.

It takes two to tango” isn’t even true on the dance floor. One person can do a lot of evil all on his or her own. But the Theory of Mutual Blame arose sometime before Doc was even born. Perhaps it was a takeoff on Freud’s seduction theory or the more generic practice of blaming victims for being alive. Its origins were unclear, but no one had ever had to take full responsibility for their own actions since.

It takes an insane person to understand the language of insanity.

Maybe you’re so good at listening that you have no idea when to speak.” ~Braeden

Neither he [Ferenczi] nor Freud believed that a person should be exempted from legal punishment--or worse, that he should be punished by compulsory psychiatric "treatments"--because of psychoanalytic information about him. In the light of current thought, this is a startling and sobering fact.

My mother, my psychiatrist and an assortment of sedatives eventually convinced me I was delusional.

My sadness is beautiful. It infuses everything I do. It is at the core of my identity and always has been, just as happiness is in some people. I refuse to be told that it's a flaw. I will not mute it with medications for the sake of society. I will hold it close to me and celebrate it rightfully while the rest of the world fails to see it for what it is and it will be their loss.

Medications used to treat psychiatric disorders are commonly referred to as psychotropic drugs. These drugs are commonly described by their major clinical application, for example, antidepressants, antipsychotics, mood stabilizers, anxiolytics, hypnotics, cognitive enhancers, and stimulants. A problem with this approach is that these drugs have multiple indicators. For example, selective serotonin reuptake inhibitors (SSRls) are both antidepressants and anxiolytics, and the serotonin-dopamine antagonists (SDAs) are both anxiolytics and mood stabilizers.

My other client, whom I will call Teresa, thought Lorraine had MPD and hoped I could help her. Almost no one recognized this condition in those days. Lorraine was forty years old and had been in and out of psychiatric hospitals since she was thirteen. She had had various diagnoses, mainly severe depression, and she had made quite a few serious suicide attempts before I even met her. She had been given many courses of electric shock therapy, which would confuse her so much that she could not get together a coherent suicide plan for quite a while. Lorraine’s psychiatrist was initially opposed to my seeing her, as her friend Teresa had been stigmatized with the "borderline personality disorder" diagnosis when in hospital, so was seen as a bad influence on her. But after Lorraine spent a couple of months in hospital calling herself Susie and acting consistently like a child, he was humble enough to acknowledge that perhaps he could learn some new things, and someone else’s help might be a good idea.

Never love anybody who treats you like you're normal...they're just the psychiatric hospital staff

n sum, let us enter a plea for clinical clinicians who can distinguish unconscious depression from conscious despair, paranoia from adaptive wariness, and who can tell the difference between a sick man and a sick nation.

No conceptually regimented and normatively informed theory of mental disorder can be devised without taking philosophy of mind seriously and knowing something about this subject area of philosophy and of such topics as consciousness, Intentionality, personal identity, the mind/body problem and rationality.

Nonetheless, it remains the case that the psychological literature on organised abuse has not provided a coherent explanation for the emergence of sexually abusive groups in a range of contexts, or for the difficulties that victims experience in disclosing their abuse and accessing care and support. The psychological model of organised abuse emphasises individual rather than social factors and so it tends to characterise organised abuse as a drama of psychological energies. Similar deficiencies can be found in attempts to theorise organised abuse that draw from psychiatric understandings of ‘paedophilia’ (eg Wyre 1996). This is a perspective that has proved particularly influential in public inquiries into allegations of organised abuse (for examples from Australia, see NCA Joint Committee Report 1995, Wood Report 1997, for examples from Britain, see Corby et at. 2001). These public inquiries have integrated the psychiatric notion of ‘paedophilia’ with existing stereotypes of organised crime to generate a model of ‘organised paedophilia’ or the ‘paedophile ring’, in which otherwise solitary sexual offenders with deviant sexual interests conspire to sexually abuse children for pleasure and/or profit. This psychiatric model may accurately describe some abusive men and groups but it has proven problematic as a catch-all explanation for organised abuse. Attempts to establish the existence of ‘paedophile rings’ often founders on semantic debates over whether alleged perpetrators meet the diagnostic criteria of a ‘paedophile’, sometimes leading to the confused and misleading conclusion that no ‘paedophile ring’ existed even where there is strong evidence that multiple perpetrators have colluded in the sexual abuse of multiple children.

Nostalgia was diagnosed [as a medical illness] at a time when art and science had not yet entirely severed their umbilical ties and when the mind and body internal and external well-being were treated together...Our progeny well might poeticize depression and see it as a global atmospheric condition, immune to treatment with Prozac.

Of course. A new consciousness - I that that is the word,' said the old man after he had thought a moment. 'That is what I hope it is. You and your African and Colombian, you are speaking the same language now, you know the same ideas. You are conscious that life on earth is flux. Men are better educated. They are more disciplined than in the past - their schedules are harder, their lives move faster, efficiency digs into them. Men are more sophisticated -every day they have more alternatives to choose among than they can possibly exhaust. Through psychiatry they know their strengths and weaknesses. They know the risks of every choice. This is what I mean by consciousness. Men know so much about everything they do. It was much simpler when they didn't know, when they simply acted out of instinct, believed from instinct, loved from instinct, brought up children by their instincts. Perhaps people were even happier. But now we are more conscious. We have got to live with our greater knowledge. We have got to live with our greater freedom.

Oggi la mia anima è triste fino al corpo. Tutto me stesso mi duole: la memoria, gli occhi, le braccia.

One of the most studied ideas as to what causes schizophrenia is the 'chemical imbalance theory,' which derives psychiatric pharmaceuticals themselves. Though the 'mechanism of action' of drugs marketed for their 'antipsychotic' properties isn't understood--plainly, drug companies believe these drugs are effective in lessening psychiatric symptoms, but they don't actually know why--what is known is that they affect chemical levels in the brain. It's therefore supposed that abnormal chemical levels might somehow be crucial to understanding what's different about the brains of people diagnosed with schizophrenia. Testing chemical levels inside brains remains impossible. Despite billions of dollars of investigation, the chemical imbalance theory has never been confirmed.

Once the individual has learned to dissociate in the context of trauma, he or she may subsequently transfer this response to other situations and it may be repeated thereafter arbitrarily in a wide variety of circumstances. The dissociation therefore “destabilizes adaptation and becomes pathological.”[6] It is important for the psychiatrist to accurately diagnose DDs and also to place the symptoms in perspective with regard to trauma history.

On having a backup plan: "Always a good plan anytime you want to follow your dream - I love writing, acting, and psychiatry - there are crazy people everywhere which means I can take my career anywhere my dream needs to go.

[One way] researchers sometimes evaluate people's judgments is to compare those judgments with those of more mature or experienced individuals. This method has its limitations too, because mature or experienced individuals are sometimes so set in their ways that they can't properly evaluate new or unique conditions or adopt new approaches to solving problems.

Other pressing problems with the current medical model [of mental disorder] is that it encourages false epidemics, most glaringly in bipolar disorder and ADHD, and the wholesale exportation of Western mental disorders and Western accounts of mental disorder. Taken together, this is leading to a pandemic of Western disease categories and treatments, while undermining the variety and richness of the human experience.

On Prozac, Sisyphus might well push the boulder back up the mountain with more enthusiasm and creativity. I do not want to deny the benefits of psychoactive medication. I just want to point out that Sisyphus is not a patient with a mental health problem. To see him as a patient with a mental health problem is to ignore certain larger aspects of his predicament connected to boulders, mountains, and eternity.

Our brains are embodied—much of the problem with the debate over addiction and psychiatry more generally is a refusal to accept this and our ongoing need to see “physical,” “neurological,” and “psychological” as completely distinct.

Our desires, dreams and hopes, open portals. These portals manifest in our conscience and five senses, in the form of decisions related to the material world but also opportunities. Now, at the exact same time, or maybe even slightly before in time, we get the exact opposite, the temptation, the illusion and deception. And when we are about to make a decision, as if by magic, the two things come stronger to us, as if pushing us into a duality that makes it hard to decide. Now, this brings me to another super interesting fact: Most people assume that they have freewill, and that choices are hard to be made, and that life is full of dualities. And I've learned that this is just a great deception related to our planet, which, as human beings, we must transcend. And what I'm really saying here is that the duality and the freewill don't exist. There's only one choice to be made, the one that bring us upwards. Self-destruction is not a choice. And yet, every duality presents exactly that, and not really a choice.

Prior to the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), the diagnosis of Dissociative Identity Disorder had been referred to as Multiple Personality Disorder. The renaming of this diagnosis has caused quite a bit of confusion among professionals and those who live with DID. Because dissociation describes the process by which DID begins to develop, rather than the actual outcome of this process (the formation of various personalities), this new term may be a bit unclear. We know that the diagnosis is DID and that DID is what people say we have. We’d just like to point out that words sometimes do not describe what we live with. For people like us, DID is just a step on the way to where we live—a place with many of us inside! We just want people who have little ones and bigger ones living inside to know that the title Dissociative Identity Disorder sounds like something other than how we see ourselves—we think it is about us having different personalities. Regardless of the term, it is clear that, in general, the different personalities develop as a reaction to severe trauma. When the person dissociates, they leave their body to get away from the pain or trauma. When this defense is not strong enough to protect the person, different personalities emerge to handle the experience. These personalities allow the child to survive: when the child is being harmed or experiencing traumatic episodes, the other personalities take the pain and/ or watch the bad things. This allows these children to return to their body after the bad things have happened without any awareness of what has occurred. They do this to create different ways to make sense of the harm inflicted upon them; it is their survival mechanism.

People may be constrained in two basic ways: physically, by confining them in jails, mental hospitals, and so forth; and symbolically, by confining them in occupations, social roles, and so forth. Actually, confinement of the second type is more common and pervasive in the day-to-day conduct of society’s business; as a rule, only when the symbolic, or socially informal, confinement of conduct fails or proves inadequate, is recourse taken to physical, or socially formal, confinement…. When people perform their social roles properly – in other words, when social expectations are adequately met – their behavior is considered normal. Though obvious, this deserves emphasis: a waiter must wait on tables; a secretary must type; a father must earn a living; a mother must cook and sew and take care of her children. Classic systems of psychiatric nosology had nothing to say about these people, so long as they remained neatly imprisoned in their respective social cells; or, as we say about the Negroes, so long as they “knew their place.” But when such persons broke out of “jail” and asserted their liberty, they became of interest to the psychiatrist.

Psychiatry is NOT Science, it is just a game like Gematria. It is induced and applied by man and only exists in his domain while he remains alive. Since man is NO god, he possesses NOT the power over his mechanics – including Psychology, and hence, his Biology is subjugated to the Laws of Science as an exterior influence whether he likes it or not.

Psychopathic individuals have a neurobiologic impairment in the ability to recognize and process fear and sadness in the facial expressions or voices of other people. It's as though they're blind and deaf to the pain of those around them.

Psychiatry has come a long way, into the spiritual realm. Into energies. There are deniers, certainly, but they all work for big oil. Now tell me about your most recent dreams.

Perhaps my depression coincided with the start of every academic year and the subsequent increase in my workload. Or maybe there was a more biological explanation linked to the fact that I, like many people with depressed mood, find the absence of light at these latitudes intolerable in the winter months. I didn't know the answer - I still don't. This is who I am. I cope most of the time; I am well for months, sometimes even for more than a year; but there are recurring periods in my life when the world seems a darker, more hostile and unforgiving place. I am a person who gets depressed.

Philosophy is to religion as psychoanalysis is to pseudoscience

Psychotropic drugs have also been organized according to structure (e.g., tricyclic), mechanism (e.g., monoamine, oxidase inhibitor [MAOI]), history (first generation, traditional), uniqueness (e.g., atypical), or indication (e.g., antidepressant). A further problem is that many drugs used to treat medical and neurological conditions are routinely used to treat psychiatric disorders.

Sanity is over-rated. It lacks color.

Researchers’ understanding of [Dissociative Disorders] has been augmented by developments in investigative tools and strategies but also by a willingness of mainstream researchers to acknowledge the importance of traumatic dissociation in psychiatry and to investigate the possible effects and outcomes in patients who present for treatment.

Sadly, psychiatric training still includes far too little on the very serious psychiatric sequelae of childhood trauma, especially CSA [child sexual abuse]. There is inadequate recognition within mental health services of the prevalence and importance of Dissociative Disorders, sufferers of which are frequently misdiagnosed as Borderline Personality Disorder (BPD), or, in the cases of DID, schizophrenia. This is to some extent understandable as some of the features of DID appear superficially to mimic those of schizophrenia and/or Borderline Personality Disorder.

Rather than being medicalized or romanticized, mental disorders, or mental dis-eases, should be understood as nothing less or more than what they are, an expression of our deepest human nature. By recognizing their traits in ourselves and reflecting upon them, we may be able both to contain them and to put them to good use. This is, no doubt, the highest form of genius.

Repression. Her therapist, Dr. Solomon, loved the word. He'd say it slowly, letting it roll off his tongue. Sometimes he'd add a chin stroke for good measure. He always looked pleased when he did this, like he'd discovered the Caramilk secret or something.

Sandra had studied psychiatry in order to understand the nature of despair, but all she had really learned was the pharmacology of it. The human mind was easier to medicate than to comprehend.

Science is not a democracy. Therefore to try to pass of global warming as real just because "98% of scientists say they agree" makes no sense at all. If 98% of psychiatrists said that all mentally ill people needed lobotomized, does that make it true? If 98% of your friends jumped off a building, would you jump, too?

Seeking for perfection is like seeking for mental health without a definition of what it is. But if psychology and psychiatry are as lost as the people they consistently evaluate, and people are as imperfect as the imperfection they see in others, then I have to conclude that it is as wise to accept judgment as it is to judge first the ones who judge us. But it is also as wise as it is foolish to do so; for it is like seeking for a definition that can’t entirely define us. Because if one answer can explain a thousand questions, a billion questions would never amount to the importance of an answer, which the simpler it is, the more questions it answers. And in that sense, I must say, we are imperfectly perfect.

Se não mentir a si próprio, descobrirá que é uma pessoa com limites e deixará de querer ir a todas, como fazem os fóbicos. Também não será dono da verdade nem tão importante como são os paranóicos. Não será o mais perfeito, o que fica para os obsessivos, nem tão brilhante ou poderoso como os histriónicos e psicopatas. Não será uma pessoa muito original, como os esquizofrénicos, nem um génio, como os maníaco-depressivos. Será apenas uma pessoa comum que aceita os desafios e os paradoxos da vida, faz o possível para, em cada momento, dar o que pode e actuar em conjunto com os outros. No entanto, tem de assumir a responsabilidade completa pelas suas acções. Afinal, todos fomos expulsos do Paraíso e condenados à solidariedade. Fizemos das fraquezas forças e, uns com os outros, construímos coisas admiráveis. Convenhamos, entretanto, que tudo isto é muito complicado, pouco gratificante e difícil de fazer. Fácil, fácil, é mesmo tornar-se doente mental.

SELFHOOD AND DISSOCIATION The patient with DID or dissociative disorder not otherwise specified (DDNOS) has used their capacity to psychologically remove themselves from repetitive and inescapable traumas in order to survive that which could easily lead to suicide or psychosis, and in order to eke some growth in what is an unsafe, frequently contradictory and emotionally barren environment. For a child dependent on a caregiver who also abuses her, the only way to maintain the attachment is to block information about the abuse from the mental mechanisms that control attachment and attachment behaviour.10 Thus, childhood abuse is more likely to be forgotten or otherwise made inaccessible if the abuse is perpetuated by a parent or other trusted caregiver. In the dissociative individual, ‘there is no uniting self which can remember to forget’. Rather than use repression to avoid traumatizing memories, he/she resorts to alterations in the self ‘as a central and coherent organization of experience. . . DID involves not just an alteration in content but, crucially, a change in the very structure of consciousness and the self’ (p. 187).29 There may be multiple representations of the self and of others. Middleton, Warwick. "Owning the past, claiming the present: perspectives on the treatment of dissociative patients." Australasian Psychiatry 13.1 (2005): 40-49.

Some people, who never engaged in any research about DID, claim that there is no connection between child abuse and DID. Then they unwittingly contradict themselves by stating DID doesn’t even exist. DSM-5 concluded from the rigorous research into DID: “Interpersonal physical and sexual abuse is associated with an increased risk of dissociative identify disorder. Prevalence of childhood abuse and neglect in the United States, Canada and Europe among those with the disorder is close to 90%.

Shall we go?' he murmured, perhaps regretting his decision to show me his army of plastic cartoon figurines.

Some alters are what Dr Ross describes in Multiple Personality Disorder as 'fragments'. which are 'relatively limited psychic states that express only one feeling, hold one memory, or carry out a limited task in the person's life. A fragment might be a frightened child who holds the memory of one particular abuse incident.' In complex multiples, Dr Ross continues, the 'personalities are relatively full-bodied, complete states capable of a range of emotions and behaviours.' The alters will have 'executive control some substantial amount of time over the person's life'. He stresses, and I repeat his emphasis, 'Complex MPD with over 15 alter personalities and complicated amnesia barriers are associated with 100 percent frequency of childhood physical, sexual and emotional abuse.' Did I imagine the castle, the dungeon, the ritual orgies and violations? Did Lucy, Billy, Samuel, Eliza, Shirley and Kato make it all up? I went back to the industrial estate and found the castle. It was an old factory that had burned to the ground, but the charred ruins of the basement remained. I closed my eyes and could see the black candles, the dancing shadows, the inverted pentagram, the people chanting through hooded robes. I could see myself among other children being abused in ways that defy imagination. I have no doubt now that the cult of devil worshippers was nothing more than a ring of paedophiles, the satanic paraphernalia a cover for their true lusts: the innocent bodies of young children.

...someday..., we'll medicate human experience right out of the human experience.

Somehow the disorder hooks into all kinds of fears and insecurities in many clinicians. The flamboyance of the multiple, her intelligence and ability to conceptualize the disorder, coupled with suicidal impulses of various orders of seriousness, all seem to mask for many therapists the underlying pain, dependency, and need that are very much part of the process. In many ways, a professional dealing with a multiple in crisis is in the same position as a parent dealing with a two-year-old or with an adolescent's acting-out behavior. (236)