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Mundus vult decipi: the world wants to be deceived.
The truth is too complex and frightening; the taste for the truth
is an acquired taste that few people acquire. The unethical and
fraudlent self promotion of psychiatrists leads to 'physician-induced
need,' or what the Health Care Finance Administration (HCFA) refers
to as an increased 'volume' and 'intensity' of prescribing. And,
when that no longer compensates, they take to inventing diseases.
Funk & Wagnalls New Comprehensive International Dictionary
of the English Language - 1980
Psychiatry: The branch of medicine that treats disorders of the
mind or psyche, especially psychoses, but also neuroses.
Psychiatrist: A medical doctor specializing in the practice of
psychiatry.
Websters Third New International Dictionary - 1971
Psychiatric: 1) related to, employed in, or of concern to psychiatry;
2) engaged in the practice of psychiatry.
One would assume than that psychiatric is an adjective referring
to the practice of psychiatry. Yet SEE how is it used in the following
sentence which is derived from the American Psychiatric Association
site in on the internet.
Psychiatric management includes a specific set of interventions,
some of which have been included in the concept of "supportive
psychotherapy" and/or "insight-oriented psychotherapy"
and others in the concept of "clinical management."
Would not psychiatric management refer to the management
of psychiatrists? And wouldnt the management referred to be
the psychological or clinical management?
How about this sentence from the same material.
The psychiatrist should remain vigilant for changes in psychiatric
status.
Does this mean the persons status in regard to having a doctor?
Or perhaps, it means that the psychiatrist is concerned about changes
in his/her own status. Will s/he be disbarred from further practice?
Or perhaps s/he is expecting a promotion.
It should be clear that psychiatrists consistently use the term
inappropriately. The question is what is the purpose? Any reasonable
reader should be able to sense the self promotion that occurs in
writing by psychiatrist. By attaching the psychiatric label to things,
they try to indicate ownership, however inappropriately. My favorite
is psychiatric rehabilitation. While I certainly agree that
most psychiatrists need to be rehabilitated, I dont think
this was the intent. The real intent was to take over responsibility
for what used to be known as psychosocial rehabilitation. This was
a nonmedical practice working with severe and persistent problems
in living, lovingly known in the trade as chronic mental illness
or chronic schizophrenia.
If we examine these terms closely, we find even more difficulty
with psychiatric language. Chronic is true
only because of the inept services offered by psychiatrists. People
with schizophrenia get better over time, providing they can avoid
the debilitating effects of neuroleptic drugs. And illness
is a simple metaphor [See the Myth of Mental Illness, by Thomas
Szasz] and is not truly applicable to any mental state except dementia.
Such self serving survival methods have caused some people to begin
to react as the following three quotes would indicate.
Prominent psychiatrists are stating that schizophrenia is a brain
disease like Alzheimer's, Parkinson's, or multiple sclerosis.
These statements are disconfirmed by scientific facts: no neurologist
can independently confirm the presence or absence of schizophrenia
with laboratory tests because the large majority of people diagnosed
with schizophrenia show no neuropathological or biochemical abnormalities
and a few people without any symptoms of schizophrenia have the
same biophysiological abnormalities. People with schizophrenia
do not usually progressively deteriorate: most improve over time.
Psychotherapy and milieu therapy, without medications, have led
even the most severely disturbed individuals with schizophrenia
to full recovery and beyond. Many people diagnosed with schizophrenia
have recovered on their own without any treatment, something never
accomplished by a person with Parkinson's, Alzheimer's, or multiple
sclerosis. Unethical Psychiatrists Misrepresent What is Known
About Schizophrenia by Al Siebert, Ph.D.
"Psychiatry is probably the single most destructive force
that has affected American society within the last fifty years,"
states Thomas Szasz, Professor Emeritus of Psychiatry at the
University of New York and Lifetime Fellow of the American Psychiatric
Association.
"I also faced an investigation into my behavior as chief of
the National Institute of Mental Health's Center for Studies of
Schizophrenia and was excluded from prestigious academic events.
By 1980, I was removed from my post altogether. All of this occurred
because of my strong stand against the overuse of medication and
disregard for drug-free, psychological interventions to treat psychological
disorders. I Want No Part of It Anymore." Loren R. Mosher,
M.D. - upon resigning after nearly three decades of membership in
the American Psychiatric Association.
One wonders why we take psychiatrist so seriously. I visited their
site to determine whether there were medical protocols for psychiatry.
What I found were Guidelines for Psychiatric Practice in State
and Community Psychiatry Systems
The introduction to all of the practice guidelines started this
way
Traditionally, state offices of mental health and state hospitals
have been headed by psychiatrists. This is no longer true for
these settings nor for community mental health programs. In recent
years, one result of this trend has been that the comprehensive,
biopsychosocial expertise brought by psychiatrists has been absent
in many cases. This has negative consequences as serious mental
illnesses are in the medical domain. State and community systems
are responsible for the care and treatment of large numbers of
persons with the most serious mental illnesses. The quality of
this care must be assured through defining appropriate leadership
roles for psychiatry at all levels of the system.
When CEO positions within public mental health programs are not
held by psychiatrists, it is imperative that their clinical expertise
be available in appropriately defined medical/clinical director
roles at each level of the state system. Such senior clinical
executives will be qualified psychiatrists who are knowledgeable
by training and experience in contemporary treatment and rehabilitative
modalities, clinical supervision, and administration. These positions
will have authority to provide collegial oversight for all clinical
services.
This document outlines a series of guidelines which delineate
the roles of medical directors in state offices of mental health
as well as in state and community mental health programs. With
adequate support for medical director roles as defined by these
guidelines, the quality of care within public systems will be
improved.
The underlining is added to indicate the self service of the guidelines
that are being developed. The overriding theme is that we should
have this power because we have always had this power. We insist
that psychological issues are medical in nature because we are medical
doctors - and for no other reason. This contention, despite the
lack of evidence to the contrary persists that serious mental illness
is in the medical domain. Why? Is there a shred of evidence that
a medical degree is needed to deal with these issues. The only evidence
is the self serving one of the dispensation of toxic drugs. Even
in this area, psychiatrist, by and large are less than competent.
Most dont even know that statistically, six or more medications
taken at the same time projects a 100% potential for negative reaction.
Neuroleptic cocktails are the treatment of the day.
The only ones who benefit are the psychiatrists and the drug companies.
What imperative of clinical expertise exists. Psychologists and
social workers are far ahead in providing clinical services; psychiatrist
provide only medication. They have little or no expertise in any
clinical practice - as is indicated by their own language.
Ultimately, the aim of practice guidelines is to improve patient
care. Although some have argued that no guidelines should be promulgated
until "all the data are in," this is not possible given
the pressure of clinical and administrative decisions. Psychiatrists
and those charged with the allocation of health care resources
must try to make the best possible decisions based on currently
available data. Guidelines should help practicing psychiatrists
determine what is known today about how best to help their patients.
Until all the data are in is code for the fact that
psychiatry is essentially a technology without any scientific basis.
In fact, all of the data collected so far is contrary to the way
psychiatrists practice: drugs are toxic [look up malignant neuroleptic
syndrome] and not helpful [with the possible exception of bipolar];
there is no support for psychoanalysis that it is any more effective
than time; electroconvulsive shock therapy is hardly acceptable.
Is there any question as to why psychiatry is the only helping profession
picketed by those is says it wants to help!
Here we are, after decades of psychiatric practice, and the American
Psychiatric Association is just struggling to develop guidelines
for practice and is unsure that they know what the hell they are
doing! Gives you confidence, doesnt it. And they want positions
of authority over all clinical services. Well lets not give it to
them.
Psychiatrists are fighting for their lives; they are desperate.
The original purpose of medical expertise was to rule out a medical
cause for the psychological state. Despite the failure of psychoanalysis,
it was an attempt to provide clinical input. Every science has to
pass through this ordeal by quackery, and at the present time psychology,
on its way toward becoming a proper science, has to slough off the
quackery of Freudianism. Psychoanalysis is a pseudoscience just
as alchemy and astrology were pseudosciences [Popper, 1959], and
while its influence prevails, it will prevent psychology from emerging
from its chrysalis [Eysenck]. But psychiatry has not moved away
from psychoanalysis, see above concerning psychiatric management
and "supportive psychotherapy" and/or "insight-oriented
psychotherapy".
One of the more common illusions of Freudian orthodoxy is that
the durability of results corresponds to the length of therapy [Gutheil].
This, of course, helped to bring home the bacon for quite a while.
By the way, does drug therapy ever end? Gee, this is kind of like
residuals - once I prescribe, I continue to make money for a long
time.
But the fact is that psychiatrist dont even practice psychodynamic
interventions any more, they simply tell other people to do it;
and it doesnt work. And we have known it doesnt work
from 1959 as stated above. In fact the only way of continuing this
atrocious behavior in this time of scientific inquiry is to group
this [psychodynamic] and that [cognitive/behavior interventions]
and claim that it is the same thing.
By grouping cognitive and behavioral interventions as psychotherapies,
psychotherapies show some success. Of course, cognitive and behavioral
interventions are of an entirely different order than psychodynamic
therapies and are based on social learning theory. In fact the interventions
are not appropriately called treatment or therapies at all. The
more appropriate terms would be teaching or training. Thus the helper
or changeworker trains the individual in skills which enables them
to take responsibilities for their own lives.
Since psychiatrist generally believe that there is a pathology
that is causing the behavior and that until a cure is effected nothing
will change, the inclusion of cognitive and behavioral interventions
directly opposes their belief systems. Yet, cognitive behavioral
therapy is an accepted part of a process which is presumably
improved by drug taking. Need I point out that taking drugs sends
a message which is exactly opposite to the social learning expectation?
Which leads us, perhaps to the whole question of seeking and using
help. First, another part of the psychiatric practice guidelines.
4. Enhancing treatment compliance
Bipolar disorder is a long-term illness in which adherence to
carefully designed treatment plans can improve the patient's health
status. However, patients with this disorder are frequently ambivalent
about treatment. This ambivalence often takes the form of noncompliance
with medication and other treatments (24, 25). Noncompliance with
mood-stabilizing medications is a major cause of relapse (26,
27).
Ambivalence about treatment stems from many factors. One is denial.
Patients who do not believe that they have a serious illness are
not likely to be willing to adhere to long-term treatment regimens.
Patients with this disorder may minimize or deny the reality of
a prior episode, their own behavior, and often the consequences
of their behavior. Denial may be especially pronounced during
a manic episode.
Another important factor for some patients is their reluctance
to give up the experience of mania (24). The increased energy,
euphoria, heightened self-esteem, and ability to focus may be
very desirable and enjoyable. Patients often recall this experience
and minimize or deny entirely the subsequent devastating features
of full-blown mania or the extended demoralization of a depressive
episode. They are therefore often reluctant to take medication
that prevents mania.
Medication side effects and other demands of long-term treatment
may be burdensome and need to be discussed realistically with
the patient and family members. Many side effects can be corrected
with careful attention to dosing, scheduling, and preparation.
Troublesome side effects that remain must be discussed in the
context of an informed assessment of the risks and benefits of
the current treatment and its potential alternatives.
It is unfortunate, for me, that this particular guideline is about
bipolar. I probably should have sought out another section, I am
sure compliance is an issue all over the place. Resistance means
that I dont want your help, thank you. I resist when I think
what your are asking is unhelpful. I am after all the sum total
of what I think, and if I think this is unhelpful or harmful, I
may not want to do it. And who are you to decide that it is for
my own good?
The reason it is unfortunate for me, is that in my experience,
the one place that people tell me that the medication is helpful,
is in bipolar. And since I believe that people are autonomous agents,
my only concern is that they have made an informed choice. And by
the way, for bipolar, with all the facts, most people choose to
take the drugs. And that is their right. However, the same is not
true, in my experience, for any other mental status. Therefore,
when I discuss this resistance or noncompliance, I am generally
taking this from another perspective.
Denial is an interesting term. I deny schizophrenia exists. And
I defy any psychiatrist to demonstrate that it does [see paragraph
by Seibert above]. Why should anyone who comes to the doctor
for help, continue to comply with a plan of care which makes them
much worse, but which pleases the people around them. Medication
side effects are more than burdensome, according to psychiatrist
Peter Breggin.
Chapter 5: Neurotoxity of the Major Tranquilizers, from Peter
Breggins book.
The major tranquilizers are highly toxic drugs; they are poisonous
to various organs of the body. They are especially potent neurtoxins,
and frequently produce permanent damage to the brain.
The liver is often adversely affected...develops jaundice without
other severe symptoms.
A variety of blood disorders have been reported.... In rare cases,
agranulocytosis [a decrease in certain white blood cells] renders
the patient susceptible to life-threatening infection.
Many cardiovascular complications may develop, usually based
on disturbance of the autonomic nervous system, including abnormalities
of electrical conduction of the heart and various arrhythmias.
...a drop in blood pressure.
...Patients complain of dry mouth, stuffy nose, blurred vision,
urinary retention, constipation and impaction, and, in extreme
cases, paralytic ileus [inhibition of the intestine]. In men ejaculation
may be inhibited, or reversed into the bladder, in a painful manner.
Glaucoma may be aggravated.
Endocrine disorders are not uncommon, including increased appetite
and obesity, edema, breast engorgement in women, menstrual irregularities,
gynecomastia [mammary growth in men], impotence in men, and hypersexuality
in women.
Skin changes ...including allergic reactions ...photosensitivity
to the sun...sometimes...a disfiguring gray-blue pigmentation
of the skin,....
...Accumulation of opaque deposits in the lens and cornea of
the eye.
...Suppressing perspiration,.......may also have suppressed the
heat-regulating centers of the brain.
And by the way he didnt even mention tardive dyskinesia,
which took clients twenty years of court battles for the psychiatric
community to even admit. This is an irreversible reaction which
causes tics, quacks, and other body movement, which many people
think is the mental illness. This is the palliative
that psychiatry has to offer to its most profoundly affected clients.
But of course the medication isnt curative. This is just
a quick fix to hold you until we find a cure - and that
will occur right after we find the pathology.
Finally, we are finding more and more children in need of psychotropic
medication. We are creating a generation of junkies
and we are paying the drug dealers an enormous amount of money in
the process. Notice what Baughman has to say:
The epidemic of psychiatric drugging in the US as nowhere else
in the developed world has risen from 150,000 in 1970, to 9-10
million today; 15 to 20% of all US schoolchildren. The ADHD/Ritalin
portion now stands at an estimated 6-7 million. Other 'chemical
imbalances' treated with other 'chemical balancers'-drugs-make
for a total to 9-10 million-all of them normal until the first
brain-altering, brain damaging drug courses through their systems.
From 1965 to the present, the number of physicians in the US
has grown 5 times faster than the population, from 140 physicians
/ 100,000 population to 280/100,000! Today, each physician has
half the number of patients they had 35 years ago. But their incomes
have kept pace! To compensate they resort to 'physician-induced
need,' or what the Health Care Finance Administration (HCFA) refers
to as an increased 'volume' and 'intensity' of prescribing. And,
when that no longer compensates, they take to inventing diseases.
This, in fact, is the primary cause of the US health care crisis.
With this note, I will leave off my diatribe against psychiatrist
and provide you with one final quote which I found in I And You:
A Prologue by Walter Kaufman
Mundus vult decipi: the world wants to be deceived. The truth
is too complex and frightening; the taste for the truth is an
acquired taste that few people acquire.
Not all deceptions are palatable. Untruths are too easy to come
by, too quickly exploded, too cheap and ephemeral to give lasting
comfort. Mundus vult decipi; but there is a hierarchy of deceptions.
On a higher level we find fictions that men eagerly believe,
regardless of the evidence, because they gratify some wish.
Near the top of the ladder we encounter curious mixtures of untruth
and truth that exert a lasting fascination on the intellectual
community.
What cannot, on the face of it, be wholly true, although it is
plain that there is some truth in it, evokes more discussion and
dispute, divergent exegesis and attempts at emendations than what
has been stated very carefully, without exaggeration or onesidedness.
Mundus vult decipi: The world winks at dishonesty. The world
does not call it dishonesty.
Once a few respected men have fortified a brazen claim with their
prestige, it becomes a cliche that gets repeated endlessly as
if it were self-evident. Any protest is regarded as a heresy that
shows how those who utter it do not belong: arguments are not
met on their merits; instead one rehearses a few illustrious names
and possible deigns to contrast them with some horrible examples.
These respected men [and women], these psychiatrists, have betrayed
our trust. How long will we wink at dishonesty?
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