Tag: biomedical psychiatry

Trauma nation?

Medicine is where hope is alive and well in America. During the past fifty years, due to rapid advances in microbiology, many persons who once might have died prematurely, or suffered debilitating diseases or disorders, instead enjoy productive lives, albeit often with chronic illnesses to manage. Through its near-miracle successes, the field has engendered the …

The mental health field has a branding problem

For over two centuries, the mental health field, and psychiatry in particular, has actively cultivated a “brand,” distinguishing itself as a remedy for societal ills, largely by adapting its philosophy and methods to the dominant social agenda. In 1793, when Dr. Philippe Pinel initiated reforms in the Salpêtriere and Bicêtre Hospitals in Paris where the …

ADHD: When meds (and genes) become a failure to act

Photo of mural in San Francisco's Mission District.

While reading a 2007 press release from the National Institute of Mental Health (NIMH), I became unusually hopeful for youths diagnosed with attention deficit hyperactivity disorder (ADHD). A study performed jointly by the NIMH and the National Institute of Health revealed the brains of youths with ADHD develop normally but at different rates. In the prefrontal …

Does globalization 3.0 need DSM V?

The slated 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) wobbles like jello. It can’t tell the difference between psychopathology, normal misery, or bad habits. When you know there is something definitely wrong and need help, it won’t necessarily confirm your problem. Allen Frances, MD gives a good breakdown of some …

When psychiatry retraumatizes

Before I became a psychotherapist, I often wrote, lectured, and blogged about damaging aspects of psychiatry. I am more hopeful now — not about psychiatry improving, but about truly helpful mental healthcare for people who might otherwise be labeled “chronically” mentally ill and forever take medications to tranquillize their internal demons. Since I began combining …

Research on traumatic stress supports paradigm shift

In the mental health system, the biomedical model is the dominant paradigm. It depicts mental disorders as chronic diseases requiring lifelong treatment with medication (like diabetes or high blood pressure). This model of mental illness has been under attack in the US, where an estimated 20 percent of the population regularly takes psychiatric medications. Arguments …

Biological ≠ Medical

The New England Journal of Medicine (NEJM) published a review (2008) that concluded articles submitted to journals by pharmaceutical companies and psychiatric researchers about the effectiveness of the selective serotonin reuptake inhibitors—SSRI antidepressants—gave a rosier picture of this class of drugs than the studies actually show. By mainly publishing studies that tout SSRIs success and …

Foretelling extinction?

Mental illness has reached epidemic proportions. The National Institute of Mental Health (NIMH) estimates eighteen percent of American adults suffer from a mental disorder each year. The World Health Organization (WHO) claims depression is the leading cause of disability in the world. These numbers, however, do not do justice to the burden of mental illness in our …

Why is suicide increasing in midlife?

What leads a middle-aged person to contemplate suicide? A failed relationship? Financial devastation? Drug abuse? All of these explanations have been suggested for an unexpected increase in suicides in persons 45 to 54 years old. According to the Center for Disease Control and Prevention (CDC-P), this age group had a 20 percent increase in suicides …