Best 199 quotes in «psychiatry quotes» category

The anti-psychiatrists held various, sometimes conflicting views but one particular line of reasoning is attributable to all of them—they all pitched their arguments against the power of the psychiatric establishment. They argued that the psychiatric diagnosis is scientifically meaningless. It is a way of labeling undesirable behaviour, under the guise of medical intervention. Those who are diagnosed ill are subjected to treatment which is a violation of human rights and dignity. The situation amounts to psychiatry having a mandate to declare some citizens unfit to live in an ‘ordinary’ community. It claims to cure but the supposed beneficiaries of that cure are often held in hospitals against their will. Within a structure like this it is impossible to understand the real nature of mental suffering and it is just as impossible to develop a coherent system of help.

The categories used in psychiatric diagnosis are based on observation of signs and symptoms, rather than on pathological processes. One can make use of a few signs, such as facial expressions associated with depression or the flight of ideas associated with mania. But what clinicians mainly use for diagnosis are symptoms, the subject experiences reported by patients. Psychiatrists have little knowledge of the processes that lie behind these phenomena. Thus psychiatric diagnoses, with very few exceptions, are syndromes, not diseases.

The child psychologist's clinic: where imaginary friends go to die, where dreams go to burn, where creativity goes to drown.

The cruelty intrinsic to the workhouse system was excused by the need to discourage idleness, much as the malice intrinsic to the mental hospital system has been excused by the need to provide treatment.

The data on organised abuse has been simplified or distorted in an attempt force it to conform to mechanical psychological models of dissociative obedience or else to the psychiatric framework of ‘paedophilia’. Psychopathology alone is an inadequate explanation for environments in which sexual abuse has a social and symbolic function for groups of adults. Abusive groups do not emerge in a vacuum but rather they are formed within pre-existing social arrangements such as families, churches and schools.

The doctor was not, he thought, really sure that anyone else existed, and wanted to prove they did by helping them.

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.

The ethics of psychiatric therapy is the very negation of the ethics of political liberty. The former embraces absolute power, provided it is used to protect and promote the patient's mental health. The latter rejects absolute power, regardless of its aim or use.

The fading relevance of the nature–nurture argument has recently been revived by the rise of evolutionary psychology. A more sophisticated understanding of Darwinian evolution (survival of the fittest) has led to theories about the possible evolutionary value of some psychiatric disorders. A simplistic view would predict that all mental illnesses with a genetic component should lower survival and ought to die out. ‘Inclusive fitness’, however, assesses the evolutionary value of a characteristic not simply on whether it helps that individual to survive but whether it makes it more likely that their offspring will survive. Richard Dawkins’s 1976 book The Selfish Gene gives convincing explanations of the evolutionary advantages of group support and altruism when individuals sacrifice themselves for others. A range of speculative hypotheses have since been proposed for the evolutionary advantage of various behaviour differences and mental illnesses. Many of these draw on ethological games-theory (i.e. the benefits of any behaviour can only be understood in the context of the behaviour of other members of the group). So depression might be seen as a safe response to ‘defeat’ in a hierarchical group because it makes the individual withdraw from conflict while they recover. Mania, conversely, with its expansiveness and increased sexual activity, is proposed as a response to success in a hierarchical tussle promoting the propagation of that individual’s genes. Changes in behaviour that look like depression and hypomania can be clearly seen in primates as they move up and down the pecking order that dominates their lives. The habitual isolation and limited need for social contact of individuals with schizophrenia has been rather imaginatively proposed as adaptive to remote habitats with low food supplies (and also a protection against the risk of infectious diseases and epidemics). Evolutionary psychology will undoubtedly increasingly influence psychiatric thinking – many of our disorders fit poorly into a classical ‘medical model’. Already it has helped establish a less either–or approach to the discussion. It is, however, a highly controversial area – not so much around mental disorders but in relation to social behaviour and particularly to gender specific behaviour. Here it is often interpreted as excusing a very male-orientated, exploitative worldview. Luckily that is someone else’s battle.

The implication that the change in nomenclature from “Multiple Personality Disorder” to “Dissociative Identity Disorder” means the condition has been repudiated and “dropped” from the Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association is false and misleading. Many if not most diagnostic entities have been renamed or have had their names modified as psychiatry changes in its conceptualizations and classifications of mental illnesses. When the DSM decided to go with “Dissociative Identity Disorder” it put “(formerly multiple personality disorder)” right after the new name to signify that it was the same condition. It’s right there on page 526 of DSM-IV-R. There have been four different names for this condition in the DSMs over the course of my career. I was part of the group that developed and wrote successive descriptions and diagnostic criteria for this condition for DSM-III-R, DSM–IV, and DSM-IV-TR. While some patients have been hurt by the impact of material that proves to be inaccurate, there is no evidence that scientifically demonstrates the prevalence of such events. Most material alleged to be false has been disputed by someone, but has not been proven false. Finally, however intriguing the idea of encouraging forgetting troubling material may seem, there is no evidence that it is either effective or safe as a general approach to treatment. There is considerable belief that when such material is put out of mind, it creates symptoms indirectly, from “behind the scenes.” Ironically, such efforts purport to cure some dissociative phenomena by encouraging others, such as Dissociative Amnesia.

The human being is so complicated in some ways, and yet so simple in others. Sometimes, we need complex medication regimens. Yet, sometimes, we just need a good cry.

The issues of antidepressant-associated suicide has become front-page news, the result of an analysis suggesting a link between medication use and suicidal ideation among children, adolescents, a link between medication use and suicidal ideation among children, adolescents, and adults up to age 24 in short term (4 to 16 weeks), placebo-controlled trials of nine newer antidepressant drugs. The data from trials involving more than 4.4(K) patients suggested that the average risk of suicidal thinking or behavior (suicidality) during the first few months of treatment in those receiving antidepressants was 4 percent, twice the placebo risk of 2 percent. No suicides occured in these trials. The analysis also showed no increase in suicide risk among the 25 to 65 age group. Antidepressants reduced suicidality among those over age 65. Following public hearings on the subject, in October 2004, the FDA requested the addition of “black box” warnings—the most serious warning placed on the labeling of a prescription medication—to all antidepressant drugs, old and new.

The medical profession's classic prescription for coping with such predicaments, Primum non nocere (First, do no harm), sounds better than it is. In fact, it fails to tell us precisely what we need to know: What is harm and what is help? However, two things about the challenge of helping the helpless are clear. One is that, like beauty and ugliness, help and harm often lie in the eyes of the beholder--in our case, in the often divergently directed eyes of the benefactor and his beneficiary. The other is that harming people in the name of helping them is one of mankind's favorite pastimes.

The irony of seeking a shrink: they are successful in shrinking your brain but unfortunately they also make your wallet shrink.

The irony of taking Anti Depressants: you take them to feel good but they also make you feel bad or worse because you worry about your purse.

The lifetime prevalence of dissociative disorders among women in a general urban Turkish community was 18.3%, with 1.1% having DID (ar, Akyüz, & Doan, 2007). In a study of an Ethiopian rural community, the prevalence of dissociative rural community, the prevalence of dissociative disorders was 6.3%, and these disorders were as prevalent as mood disorders (6.2%), somatoform disorders (5.9%), and anxiety disorders (5.7%) (Awas, Kebede, & Alem, 1999). A similar prevalence of ICD-10 dissociative disorders (7.3%) was reported for a sample of psychiatric patients from Saudi Arabia (AbuMadini & Rahim, 2002).

Theirs was the eternal youth of an alternating self, a youth with the constant although unfulfilled promise of growing up

The mental health system is filled with survivors of prolonged, repeated childhood trauma. This is true even though most people who have been abused in childhood never come to psychiatric attention. To the extent that these people recover, they do so on their own.[21] While only a small minority of survivors, usually those with the most severe abuse histories, eventually become psychiatric patients, many or even most psychiatric patients are survivors of childhood abuse.[22] The data on this point are beyond contention. On careful questioning, 50-60 percent of psychiatric inpatients and 40-60 percent of outpatients report childhood histories of physical or sexual abuse or both.[23] In one study of psychiatric emergency room patients, 70 percent had abuse histories.[24] Thus abuse in childhood appears to be one of the main factors that lead a person to seek psychiatric treatment as an adult.[25]

The power to label is the power to destroy.

The more I attempted to escape through self-consultation, self-help therapies, psychology, psychiatry, and self-analysis, the more frustrated I became.

The most chronic and complex of the dissociative disorders, multiple personality disorder, was renamed multiple personality disorder, was renamed 'dissociative identity disorder' in 1994 in DSM-IV (American Psychiatric Association). The rationale for the name change, was among other things, to clarify that there are not literally separate personalities in a person with dissociative identity disorder; 'personalities' was a historical term for the fragmented identity states that characterize the condition.

Then the weeks rolled by in a sinister psych ward haze filled with white-coated orderlies and rocking whack-job patients torn straight from some old Jack Nicholson film, all anti-psychotic meds and padded lonely cells...

The old joke is that psychiatrists are doctors who can't stand the sight of blood. Maybe they can't stand it, but if they work where I work, they damn well better get used to it. At least surgeons and prizefighters get to wear gloves

The primary problem with modern psychiatry is its reduction of mental illness to bodily dysfunction. Objectification of those identified as mentally ill, by insisting on the somatic nature of their illness, may apparently simplify matters and help protect those trying to provide care from the pain experienced by those needing support. But psychiatric assessment too often fails to appreciate personal and social precursors of mental illness by avoiding or not taking account of such psychosocial considerations. Mainstream psychiatry acts on the somatic hypothesis of mental illness to the detriment of understanding people's problems.

The psychiatrists have a label for everyone. I'm a manic-depressive without the depression.

The principal differences between law and science are as follows: 1. In the administration of the law, facts are necessary to enable the umpire (jury, judge) to decide whether rules have been broken and, if so, the type of penalty to apply. In science, facts are necessary to form new or better theories and to develop novel applications (for example, drugs, machines). Novelty is not a positive value in law. Instead, the lawyer looks for precedent. For the scientist, however, novelty is a value; new facts and theories are sought, whether or not they will prove useful. 2. If we endeavor to change objects or persons, the distinction between law (both as law making and law enforcing) and applied science disappears. In applying scientific knowledge, one seeks to change objects, or persons, into new forms. The scientific technologist may thus wish to shape a plastic material into the form of a chair, or a delinquent youth into a law-abiding adult. The aims of the legislator and the judge are often the same. Thus, legislators may wish to change people from drinkers into nondrinkers; or judges many want to change fathers who fail to support their dependent wives and children into fathers who do. This [is a] "therapeutic" function of law.

There needs to be a nationwide awareness programme for all NHS staff, to educate them about dissociative disorders. Diagnoses need to be more obtainable within the NHS; people's lives should be placed ahead of funding restraints and bureaucratic red tape. We need minimum standards of care and treatment agreed and implemented within the NHS to end the current nightmare of the postcode lottery—not just guidelines that can be ignored but actual regulations.

There are a range of useful and illuminating analyses of the media construction of organised abuse as it became front-page news in the 1980s and 1990s (Kitzinger 2004, Atmore 1997, Kelly 1998), but this book is focused on organised abuse as a criminal practice; as well as a discursive object of study, debate and disagreement. These two dimensions of this topic are inextricably linked because precisely where and how organised abuse is reported to take place is an important determinant of how it is understood. Prior to the 1980s, the predominant view of the police, psychiatrists and other authoritative professionals was that organised abuse occurred primarily outside the family where it was committed by extra-familial ‘paedophiles’. This conceptualisation; of organised abuse has received enduring community support to the present day, where concerns over children’s safety is often framed in terms of their vulnerability to manipulation by ‘paedophiles’ and ‘sex rings’. This view dovetails more generally with the medico-legal and media construction of the ‘paedophile as an external threat to the sanctity of the family and community (Cowburn and Dominelli 2001) but it is confounded by evidence that organised abuse and other forms of serious sexual abuse often originates in the home or in institutions, such as schools and churches, where adults have socially legitimate authority over children.

There have been extensive human rights violations by American psychiatrists over the last 70 years. These doctors were pad by the American taxpayer through CIA and military contracts. It is past time for these abuses to stop, it is past time for a reckoning, and it is past time for individual doctors to be held accountable. The Manchurian Candidate Programs are of much more than "historical" interest. ARTICHOKE, BLUEBIRD, MKULTRA and MKSEARCH are precursors of mind control programs that are operational in the twenty first century. Human rights violations by psychiatrists must be ongoing in programs like COPPER GREEN, the interrogation program at Abu Ghraib prison in Iraq. Such programs must be carried out within CIA units like Task Force 121 (The Dallas Morning News, December 1, 2004, p. 1A). Information pointing to ongoing human rights violations by psychiatrists is available in publications like The New Yorker (see article by Seymour M. Hersh, May 24, 2004). Yes the indifference, silence, denial, and disinformation of organized medicine and psychiatry continue. One purpose of The CIA Doctors: Human Rights Violations By American Psychiatrists is to break that silence.

There is no clear boundary between mental health and mental illness. Psychological complaints exist on continua with normal behaviours and experiences. Where we draw the line between sanity and madness is a matter of opinion.

There's no doubt that stimulant drugs work to improve attentiveness. The catch is that research has shown that stimulants help anyone focus, whether or not they have symptoms of ADHD. [...] With this in mind, I can't help but wonder whether we are actually treating a childhood mental illness with these medications or instead are allowing the drugs to transform our very image of childhood.

The worst feeling in the world is not losing your friend forever, but rather having patronizing people tell you that the love you have for your friend and the connection and emotion you have towards them is an illness to be cured, a problem to be covered up and hidden away by the power of mood-altering drugs. I used to trust doctors when I was younger... now I've lost my trust in all mental health professionals forever.

The shimmering tarmac of the deserted basketball court, a line of industrial-sized garbage cans, and beyond the electrified perimeter fence a vista that twangs a country and western chord of self-pity in me. For a brief moment, when I first arrived, I thought of putting a photo of Alex - Laughing Alpha Male at Roulette Wheel - next to my computer, alongside my family collection: Late Mother Squinting Into Sun on Pebbled Beach, Brother Pierre with Postpartum Wife and Male Twins, and Compos Mentis Father Fighting Daily Telegraph Crossword. But I stopped myself. Why give myself a daily reminder of what I have in every other way laid to rest? Besides, there would be curiosity from colleagues, and my responses to their questions would seem either morbid or tasteless or brutal depending on the pitch and role of my mood. Memories of my past existence, and the future that came with it, can start as benign, Vaselined nostalgia vignettes. But they’ll quickly ghost train into Malevolent noir shorts backlit by that great worst enemy of all victims of circumstance, hindsight. So for the sake of my own sanity, I apologize silently to Alex before burying him in the desk alongside my emergency bottle of Lauphroaig and a little homemade flower press given to me by a former patient who hanged himself with a clothesline. The happy drawer.

The thesis that DID is merely a North American phenomenon has been refuted in the past decade by research reports based on standardized assessment from diverse countries, such as from The Netherlands, Turkey, and Germany (Boon & Draijer, 1993; Gast, Rodewald, Nickel, & Emrich, 2001; S ̧ar et al, 1996). Clinicians and researchers should be careful to avoid categorizing a universal human condition as culture-bound.

...the vast majority of these [dissociative identity disorder] patients have subtle presentations characterized by a mixture of dissociative and PTSD symptoms embedded with other symptoms, such as posttraumatic depression, substance abuse, somatoform symptoms, eating disorders, and self-destructive and impulsive behaviors.2,10 A history of multiple treatment providers, hospitalizations, and good medication trials, many of which result in only partial or no benefit, is often an indicator of dissociative identity disorder or another form of complex PTSD.

The term psychopathic state is the name we apply to those individuals who conform to a certain intellectual standard, sometimes high, sometimes approaching the realm of defect but yet not amounting to it, who throughout their lives, or from a comparatively early age, have exhibited disorders of conduct of an antisocial or asocial nature, usually of a recurrent or episodic type, who, in many instances, have proved difficult to influence by methods of social, penal, and medical care and treatment and for whom we have no adequate provision of a preventive or curative nature. The inadequacy or deviation or failure to adjust to ordinary social life is not mere willfulness or badness which can be threatened or thrashed out of the individual so involved, but constitutes a true illness for which we have no specific explanation.

They safely cured the world of sadness, wiser the Pfizer for it?

Through most of human history, our ancestors had children shortly after puberty, just as the members of all nonhuman species do to this day. Whether we like the idea or not, our young ancestors must have been capable of providing for their offspring, defending their families from predators, cooperating with others, and in most other respects functioning fully as adults. If they couldn't function as adults, their young could not have survived, which would have meant the swift demise of the human race. The fact that we're still here suggests that most young people are probably far more capable than we think they are. Somewhere along the line, we lost sight of – and buried – the potential of our teens.

This is how every fairy tale starts. With the storyteller explaining to the reader just how it is. There once was a girl named Milly who was the wolf’s coveted meal. Whose father left her in the clutches of an evil stepmother. Whose stepmother imprisoned her with monsters.

Tony Cox, still a painter and not yet married to Yoko Ono, pioneered in the use of mescaline for draft-evasion. 400 milligrams taken before his own preinduction physical prompted an angry outburstas an orderly took a stab at his arm to draw blood. Tony roared, "What the fuck do you think you are doing?" and was led into the presence of a psychiatrist with whom he engaged in a protracted discussion of the merits of the New York school of abstract expressionist painting, all the while naked. Tony got his 4F classification, presumably on grounds of schizophrenia, and went on to counsel others liable to military service, using the same approach.

Tthe thing is, Dr. Foster…the truth is, I like Marina.” He eyed the doctor. “And I actually don’t like you very much.” Oh, it was worth it. God, it was worth it. To see the perennially calm face turn pale, only slightly, but still pale; to see him blink away the hurt in his watery, pallid blue eyes.

Under the guise of helping the sick, oppressed and hopeless, psychiatry is paving the way for authoritarian governments to suppress a whole society furthermore, with drugs and obscene practices that promote, not only hypnotic suggestions, but also highly suggestible individuals which, otherwise, would oppose a whole repressive system that threatens both their existence and the existence of future generations on Earth. And so, one can very well say that, psychiatry, aided by pharmaceutical corporations and power-driven governments, or merely governments fearful of their own people and the extinction of immoral politics, will contribute vastly to the extermination and full extinction of the human race.

What daily life is like for “a multiple” Imagine that you have periods of “lost time.” You may find writings or drawings which you must have done, but do not remember producing. Perhaps you find child-sized clothing or toys in your home but have no children. You might also hear voices or babies crying in your head. Imagine that you can never predict when you will be able to have certain knowledge or social skills, and your emotions and your energy level seem to change at the drop of a hat, and for no apparent reason. You cannot understand why you feel what you feel, and, if you are in therapy, you cannot explore those feelings when asked. Your life feels disjointed and often confusing. It is a frightening experience. It feels out of control, and you probably think you are going crazy. That is what it is like to be multiple, and all of it is experienced by the ANPs. A multiple may also experience very concrete problems, even life-threatening ones.

Unlike ‘mere’ medical or physical disorders, mental disorders are not just problems. If successfully navigated, they can also present opportunities. Simply acknowledging this can empower people to heal themselves and, much more than that, to grow from their experiences.

Visions and voices and fear and despair cannot be captured by CT scan or measured in the amplitude of EKG waves. Try as we might, we simply cannot predict which of our patients will kill themselves, which will murder their children, and which will leave the hospital healed, never to return.

We don’t go in for that psychodynamic stuff around here. Those guys will talk you to death, clean out your bank account while they are doing it, and then invite you to come back and express your innermost feelings about being broke.

We study humans to give them a healthier and happier life.

What I do know is that when a person is first asked to explain what is wrong, they may find it almost impossible to articulate exactly what the problem is. They may not yet have matched words to the feelings they can sense in the hidden rooms of their mind. They may still have no clear ideas about the "what", "why" or "how" relating to the origins of their difficulties. Instead of words, their angst may be expressed in behaviour which may be hard for them, or anyone else, to make sense of and can manifest itself as irritability, anger or withdrawal. Sometimes they will delay seeking help until they are in a state of crisis. It's not easy to ask; I struggled at first, too.

Why do families blame themselves? If so many of the family theories have been discredited why spend so much time on the issue here? Family theories in mental illness continue to exercise a remarkably powerful hold over us despite the evidence. And not just in schizophrenia but in depression, anorexia nervosa, personality disorder, drug and alcohol abuse, etc. Parents seem to have an endless capacity to blame themselves for what happens to their children (and perhaps children to blame their parents). This is probably because we need to believe it. Just as we need to believe in free will and our influence on the outside world, family members need to believe that they influence each other. If we didn’t why would we bother? The evolutionary psychologists would say that parents need to believe it to invest years and years bringing up their children. We’re biologically programmed to look after our children so we need some belief system to support it (just as they might say we’re biologically programmed to mate and need to believe in love to support it). It is proposed that such a belief is a mechanism for sustaining our attention to our biological task. The downside is, of course, guilt and blame. If we believe we have an influence we feel we have failed if things do not work out well. It is inescapable. Even in expressed emotion work where therapists insist emphatically that no one is to blame and that the aim is solely to find more effective coping strategies, families do feel blamed. ‘If only we weren’t so over-involved he would not have so many relapses.’ ‘Other families must have dealt with it better otherwise how would the therapist know what to advise?’ For some families feeling responsible, despite the guilt, is preferable. It implies the logical consequence that there must be something they can do to influence the outcome. Cultures which value resignation are less likely to blame themselves (high expressed emotion is less common in India than in Europe).

When treating their first few DID cases, therapists typically focus too much attention on the alters. This focus tends to distract from what is fundamental–the patients’ pervasive dissociative/posttraumatic distress and maladaptation. Has something similar occurred in psychiatry’s view of DID? Have the compelling phenomena of alters distracted us from the matrix of dissociative and posttraumatic symptoms in which alters are embedded? - Dell, P. F. (2001). Why the Diagnostic Criteria for Dissociative Identity Disorder Should Be Changed, Journal of Trauma and Dissociation, 2 (1).