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Humming
05-29-2005, 10:12 AM
JON RAPPOPORT, MAY 23, 2005.

http://www.nomorefakenews.com/archives/archiveview.php?key=2631]http://www.nomorefakenews.com/archives/archiveview.php?key=2631

For the past year, I've been receiving communications from a practicing American psychiatrist, who has an office in the southeastern US. He sees patients privately and also works at a large hospital. Increasingly, this man has been expressing doubts about the drugs he has been prescribing.

Now, he has blown the lid off his own profession, and it appears he is ready to switch careers or become an alternative practitioner.

Here is an excerpt from our recent conversation:

Q: Why do you doubt the drugs?

A: They're toxic and injurious.

Q: Which ones?

A: All of them.

Q: And in particular?

A: The antidepressants. Paxil, Prozac, Zoloft, and so on. They are not showing, on balance, good results, and patients have been experiencing adverse effects.

Q: Such as?

A: Sleeplessness, nightmares, erratic behavior, highs and lows, crashes, attempts to commit suicide, exacerbated depression, violence, dramatic personality changes.

Q: Why do you think this is happening?

A: To be honest, I don't know. But my sense is, in general, that the drugs interfere in unpredictable ways with various neurotransmitter systems. I also believe they can work extreme changes in blood sugar levels and electrolyte levels. You know, it's not hard to create these effects with chemicals. The body is not able to integrate them in its normal functioning. I would compare it to suddenly setting up all sorts of roadblocks and detours and forced lane changes on a busy highway. You will get big trouble.

Q: Have you tried to communicate your concerns to colleagues and medical groups?

A: For a short time, I did. But I was given the cold shoulder. I got the distinct feeling I was being treated like some wayward child who had his facts all wrong.

Q: Who do you blame for this drugging catastrophe?

A: At the moment, everybody. The doctors, the drug companies, the FDA, the psychiatric teaching institutions, even the press. And at some point, patients are going to have to take responsibility and not follow the orders of their doctors.

Q: Do you believe that doctors should cut back and give the drugs to some people and not others?

A: That sounds good, but there is no way to know what effects the drugs will cause in any given individual, especially as time passes. Even in the short term, I have seen some frightening things.

Q: Do you believe the profession of psychiatry has made some kind of overarching deal with the drug companies?

A: Yes. The drug companies are everywhere. They stick their noses into everyone's business.

Q: What lies about the drugs have you had to purge from your own mind?

A: The main one is that they're some kind of miracle breakthrough. Another one is that I can rely on the judgments and certifications of the FDA. We're playing Russian Roulette out here. It's a very dangerous situation.

Q: Do you believe that some of the school shootings have resulted from children being on the antidepressants?

A: I didn't, until one day a sixteen-year-old patient of mine showed up for his appointment with a 9mm hand gun. Then I began to comb back through reports on a bunch of those shootings. I can tell you, it focuses the mind to see a young patient sitting across from you---you've put him on an antidepressant and now he's talking about "a new day" and he takes the gun out of his pocket and lays it on a table next to him by the Kleenex. You think to yourself, "I may have created a killer and his first victim could be me." People want to outlaw all guns. I'd start with the drugs.

Q: How about the diagnosis of depression itself?

A: I've come to realize that you can't do an interview with a patient and then come out with a shorthand assessment. It's wrong. It reduces all sorts of problems down to a label, and then you have your official gateway into the drugs.

Q: Your colleagues think you're over-reacting?

A: I think I'm under-reacting. I think we have an epidemic on our hands, but it has nothing to do with mental disorders. It has to do with the chemicals we're facilitating.

Q: This boy with the gun---were you able to talk him down?

A: I spent two hours with him that day. I told him he was having a reaction to the drug. At first, it made no sense to him. He was on a manic sort of ride. That really scared me---that I couldn't make him see what was happening to him. He was in the middle of an episode and he couldn't stand outside it. Finally, he eased up a little. He began to weep in my office. It wasn't really crying. Tears just ran down his cheeks while he was talking. He didn't seem to notice them. He had almost stopped being human. He was a...creature. He was on a mission of some kind. His view of the world had totally changed. In his mind set, destruction was the only course of action.

Q: And then?

A: He calmed down a little. I was afraid to ask him for the gun. He just picked it up and put it back in his pocket. After he left, I called his mother. She went home from her job and met him. I had asked her to call the police but she wouldn't. Later, she told me she sat and talked with him for a long time and then he handed over the gun. It was a very tense situation. I had her remove the bottle of pills from her medicine cabinet. Then I had to follow up. I weaned him slowly from the drug. It took two months. He finally sort of returned to being the person he was. Even then I wasn't sure he'd be okay. He was definitely addicted to the drug. Luckily, I didn't cut him off suddenly. He might have killed people during the withdrawal cycle.

Q: Did you continue to see this boy as a patient?

A: I did a nutritional assessment with the help of a doctor who is very good with that. We found the boy was having strange reactions to certain soft drinks that have speed-type boosters in them. We gradually weaned him off them. Then we discovered he was reacting to dyes and other chemicals in junk food. So we had to change his diet. That wasn't easy.

Q: He was addicted in several ways to chemicals.

A: That's right. There was peer pressure for him to keep eating junk. All his friends did. They called him weird for going off the food they were eating every day. Finally, I discovered that, five years before I saw him, he'd been on Ritalin for a year. You know, for ADHD. He'd been driven into depression by that. He basically felt, at eleven, that his life was over. All paths and interests were closed to him.

Q: How is he now?

A: Much better. But he's not all the way back.

Q: Do you think there is permanent brain damage?

A: I don't know. He's now living outside the US with his father. I get reports once in awhile.

Q: How does he feel about his own experience?

A: He wants it to be an example to other families.

Q: You didn't go into medicine to deal with this.

A: No. In school, my ideals were high. But I allowed myself to be led down the garden path. I fell for the sales pitch. I'm telling you, this is not a good situation. We are a society on the brink. Something has to be done.

Q: How do you feel about Bush's mental health screening program for all children?

A: All in all, it may turn out to be the worst thing he's done as president. It's just a tip of his hat to his pharmaceutical supporters. But the consequences---if this plan gets rolling---will be devastating.

Q: Is there some underlying principle at work here? Some paradigm that everyone is accepting that is putting us into a bad situation?

A: You know the answer to that. It's the combination of easy diagnosis plus the drug fix. The pill craze for everything. Take a drug and everything will work out. I see it as the classic street-drug promotion. Feel good. Take this drug and you'll feel different and better. Combine that with the basic immaturity of most people and you have the interlock. Why work out your problems and strive to have the life you want when you can arrive at the best destination with a pill? I'd take this a step further. If you stacked up all the tranquilizers and antidepressants, for adults, next to, say, marijuana, as a way of dealing with stress, I'd say that a very modest amount of a mild marijuana would be more successful than all those other drugs at the levels they're normally prescribed. If I were forced to recommend one or the other, I'd go with the marijuana. And I'd say the drug companies know this. Which is one reason why, in the US, the enforcement on marijuana has been stepping up. But again, you're always dealing with an individual. Each person is different. I've seen people who react very badly to pot. It affects them like a psychedelic.

Q: You're saying the science behind the antidepressants is false.

A: Absolutely. Judging by the effects of the drugs, it has to be. It may sound good and proper. All the right words are used. But I don't care about that anymore. I go by results. My eyes have been opened.

Q: Then why are the drug companies pushing these drugs?

A: I'm not an expert to speak to about that. Certainly there is the profit motive. But I think there is also the myth of progress.

Q: What do you mean?

A: That myth states that technology must keep making advances. It's the legend of forward motion. If technology is to be seen as good, it has to keep turning out better advances---otherwise something is wrong. And there can't be anything wrong.

Q: It's like a hectic race.

A: Yes. If you stop, you might fall down. Secrets might be exposed. Shortcomings might show up. So you have to keep pushing. You have to keep saying you're doing better and better. I'm sure you can see where this gets you. You make new mistakes to cover up old mistakes. You become careless. You lie. You hire promotion people to tout your work. You keep the whole thing rolling forward, no matter what. That's where we are.

Q: And you were carried on that wave.

A: For many years. But now I've stopped.

Q: Is it uncomfortable?

A: Not so much anymore. But at first I was very upset and angry. I was blaming everyone but myself. I felt like I was in chains, that my whole education and career were at stake. And I was my career. What else did I have? Getting off the boat was quite difficult. I had every advantage this society has to offer. I was---

Q: The expert.

A: Yes. That's a powerful feeling. People come to you with questions and you have the answers. If you don't, then you're thrown down in the pit with everyone else. Part of being a doctor is being above the pit, out of the problem. You're the solution. You don't want to fall. And the only thing that keeps you from falling is what you've learned. Your knowledge. When you see that that's based on lies, you don't know what to do. It's like being a priest and realizing that everyone gets to the far shore by his own means. You don't want to let go of the doctrine that put you on the pulpit.

Q: So what would a new paradigm look like?

A: For mental health? We have to get rid of all the old classsifications and disorders. We have to let all that sink into oblivion. That was wrong. That was largely fantasy.

Q: It was a story.

A: We told it, and now we have to stop telling it. Because we've ended up intervening in people's lives in a very pernicious way.

Q: Part of the story necessitated that kind of intervention.

A: Yes. And, not to take myself off the hook, but people want that kind of story, as you say. They want that "expert story." They want someone else to come in and tell them what to do and what to think and what drug to take.

Q: Why do you think that is?

A: Because people have taken the easy path. They have opted for what I would call a flat version of reality. If they started adding dimensions on their own---

Q: They would be forced to tell their own story.

A: In the terms you're using, yes. That's what would happen.

Q: And how would society look then?

A: Much different. Much more risky, perhaps, but much more alive. Psychology and psychiatry don't allow for that kind of outcome. All mental disorders are constructs. They're named by committees, as I'm sure you know. They're a form of centralized pattern. In this context, the word "shrink" is very appropriate. That's what we've been doing. Shrinking down the perception of what reality and the mind are all about.

Q: Can you imagine what would happen if the lid were taken off?

A: I work with that idea every day now.

Q: And how does it look?

A: More and more appealing.
www.nomorefakenews.com (http://www.nomorefakenews.com)

[ May 29, 2005, 04:44 PM: Message edited by: Humming ]

Manning
05-29-2005, 11:20 AM
December 4, 1998

Rodrigo Munoz, M.D., President
American Psychiatric Association
1400 K Street N. W.
Washington, D.C. 20005

Dear Rod:

After nearly three decades as a member it is with a mixture of pleasure and disappointment that I submit this letter of resignation from the American Psychiatric Association. The major reason for this action is my belief that I am actually resigning from the American Psychopharmacological Association. Luckily, the organization's true identity requires no change in the acronym.

APA reflects, and reinforces, in word and deed, our drug dependent society. Yet, it helps wage war on "drugs". "Dual Diagnosis" clients are a major problem for the field but not because of the "good" drugs we prescribe. "Bad" ones are those that are obtained mostly without a prescription. A Marxist would observe that being a good capitalist organization, APA likes only those drugs from which it can derive a profit--directly or indirectly. This is not a group for me. At this point in history, in my view, psychiatry has been almost completely bought out by the drug companies. The APA could not continue without the pharmaceutical company support of meetings, symposia, workshops, journal advertising, grand rounds luncheons, unrestricted educational grants etc. etc. Psychiatrists have become the minions of drug company promotions. APA, of course, maintains that its independence and autonomy are not compromised in this enmeshed situation. Anyone with the least bit of common sense attending the annual meeting would observe how the drug company exhibits and industry sponsored symposia draw crowds with their various enticements while the serious scientific sessions are barely attended. Psychiatric training reflects their influence as well; i.e., the most important part of a resident curriculum is the art and quasi-science of dealing drugs, i.e., prescription writing.

These psychopharmacological limitations on our abilities to be complete physicians also limit our intellectual horizons. No longer do we seek to understand whole persons in their social contexts, rather we are there to realign our patients' neurotransmitters. The problem is that it is very difficult to have a relationship with a neurotransmitter, whatever its configuration. So, our guild organization provides a rationale, by its neurobiological tunnel vision, for keeping our distance from the molecule conglomerates we have come to define as patients. We condone and promote the widespread overuse and misuse of toxic chemicals that we know have serious long term effects: tardive dyskinesia, tardive dementia and serious withdrawal syndromes. So, do I want to be a drug company patsy who treats molecules with their formulary? No, thank you very much. It saddens me that after 35 years as a psychiatrist I look forward to being dissociated from such an organization. In no way does it represent my interests. It is not within my capacities to buy into the current biomedical-reductionistic model heralded by the psychiatric leadership as once again marrying us to somatic medicine. This is a matter of fashion, politics and, like the pharmaceutical house connection, money.

In addition, APA has entered into an unholy alliance with NAMI (I don't remember the members being asked if they supported such an organization) such that the two organizations have adopted similar public belief systems about the nature of madness. While professing itself the champion of their clients the APA is supporting non-clients, the parents, in their wishes to be in control, via legally enforced dependency, of their mad/bad offspring. NAMI, with tacit APA approval, has set out a pro-neuroleptic drug and easy commitment-institutionalization agenda that violates the civil rights of their offspring. For the most part we stand by and allow this fascistic agenda to move forward. Their psychiatric god, Dr. E. Fuller Torrey, is allowed to diagnose and recommend treatment to those in the NAMI organization with whom he disagrees. Clearly, a violation of medical ethics. Does APA protest? Of course not, because he is speaking what APA agrees with but can't explicitly espouse. He is allowed to be a foil; after all he is no longer a member of APA. (Slick work APA!) The shortsightedness of this marriage of convenience between APA, NAMI and the drug companies (who gleefully support both groups because of their shared pro-drug stance) is an abomination. I want no part of a psychiatry of oppression and social control.

Biologically based brain diseases are convenient for families and practitioners alike. It is no fault insurance against personal responsibility. We are just helplessly caught up in a swirl of brain pathology for which no one, except DNA, is responsible. Now, to begin with, anything that has an anatomically defined specific brain pathology becomes the province of neurology (syphilis is an excellent example). So, to be consistent with this brain disease view all the major psychiatric disorders would become the territory of our neurologic colleagues. Without having surveyed them I believe they would eschew responsibility for these problematic individuals. However, consistency would demand our giving over biologic brain diseases to them. The fact that there is no evidence confirming the brain disease attribution is, at this point, irrelevant. What we are dealing with here is fashion, politics and money. This level of intellectual/scientific dishonesty is just too egregious for me to continue to support by my membership.

I view with no surprise that psychiatric training is being systemically disavowed by American medical school graduates. This must give us cause for concern about the state of today's psychiatry. It must mean at least in part that they view psychiatry as being very limited and unchallenging. To me it seems clear that we are headed toward a situation in which, except for academics, most psychiatric practitioners will have no real relationships--so vital to the healing process--with the disturbed and disturbing persons they treat. Their sole role will be that of prescription writers: ciphers in the guise of being "helpers".

Finally, why must the APA pretend to know more than it does? DSM-IV is the fabrication upon which psychiatry seeks acceptance by medicine in general. Insiders know it is more a political than scientific document. To its credit it says so--although its brief apologia is rarely noted. DSM-IV has become a bible and a money making best seller--its major failings notwithstanding. It confines and defines practice, some take it seriously, others more realistically. It is the way to get paid. Diagnostic reliability is easy to attain for research projects. The issue is what do the categories tell us? Do they in fact accurately represent the person with a problem? They don't, and can't, because there are no external validating criteria for psychiatric diagnoses. There is neither a blood test nor specific anatomic lesions for any major psychiatric disorder. So, where are we? APA as an organization has implicitly (sometimes explicitly as well) bought into a theoretical hoax. Is psychiatry a hoax--as practiced today? Unfortunately, the answer is mostly yes.

What do I recommend to the organization upon leaving after experiencing three decades of its history?

To begin with, let us be ourselves. Stop taking on unholy alliances without the members permission.

Get real about science, politics and money. Label each for what it is-that is, be honest.

Get out of bed with NAMI and the drug companies. APA should align itself, if one believes its rhetoric, with the true consumer groups, i. e., the ex-patients, psychiatric survivors etc.

Talk to the membership. I can't be alone in my views.

We seem to have forgotten a basic principle: the need to be patient/client/consumer satisfaction oriented. I always remember Manfred Bleuler's wisdom: "Loren, you must never forget that you are your patient's employee. In the end they will determine whether or not psychiatry survives in the service marketplace."

Sincerely,
Loren R. Mosher M.D.

[Source: Successful Schizophrenia (http://successfulschizophrenia.com/stories/mosher.html)]

See also: Peter Breggin (http://www.breggin.com/)

[ May 29, 2005, 12:23 PM: Message edited by: Manning ]

Humming
05-29-2005, 03:51 PM
"Personally, I'm not opposed to the selective use of chemicals; what I'm opposed to is the automatic use of them. I've pondered this myself and I think part of what drives the medication movement is western culture has pathologized happiness by implying it should be the norm. It becomes an expected state. If someone isn't happy, they, or those around them ask, "What's wrong with you/me? You don't seem to be very happy? Maybe you should go see a doctor. Maybe you should get some antidepressants.""

I completely agree with you, Manning. In some cases pharmaceutical drugs might be useful, but the majority of cases they are being prescribed by doctors for corporate profits, not peoples' mental health.

EDIT: Sorry for the confusion in the original post. That was a news article, but didn't give the usual author information at the beginning of it.

[ May 29, 2005, 08:42 PM: Message edited by: Humming ]

tana
05-30-2005, 03:02 AM
Humming...thank you, thank you, thank you for that post!

I've often wondered why our society (as a whole) seems to support this biomedical model of "mental illness"...why are the spiritual / emotional / lifestyle (such as nutritional) aspects of these conditions largely ignored? I feel that most likely it's because resorting to popping a pill takes away the pressure of personal responsibility. Does recognizing "mental illness" as the onset of a tranformative process invoke the fear of change, or of having to put forth too much effort? Sure, the pharmecuetical companies are raking in obscene profits (i often view this industry as an evil empire)...but doesn't our society support them in doing so?

Yes, there is some benefit from some of these meds for some people...but i agree with Rappoport's comment about pot being more effective than all that other crap...i've been on (several years ago, for depression and extreme anxiety) paxil, buspar, depakote...even risperdal. The paxil and buspar increased my "symptoms"...i really thought i was completely losing my mind...the risperdal simply shut my mind off. I eventually said "fuck it" to all these prescriptions. When i smoke a joint, i get relief from any anxiety and depression, and the high dissipates gently, with no after-effect or crash...it simply nudges my perspective into a positive shift. Okay, yes...i smoke it daily, (to paraphrase Steve Martin: "but only in the evening...well, sometimes in the early afternoon...and occasionally on Sunday mornings...") but it is so gentle, and it gives me great relief...i am so thankful for pot. Just to be clear...i'm not endorsing pot across the board here...just saying it works for me.

Once again, i am so happy to see this topic discussed on this forum...my heart fills with hope whenever i read through these threads.

[ May 30, 2005, 04:05 AM: Message edited by: tana ]

tana
05-30-2005, 05:45 AM
Great article, Manning...it's important to not ignore the shadow!

(Manning) I've spoken with plenty of "patients" in the mental health community over the past few years and some of them feel medication has been very beneficial to them. It's hard to argue with that.

...while sometimes legitimate, i think that sometimes this may be simply placebo effect...and i'm sure that for those patients who "got better", the meds weren't the only factor in their improvement.

You know what i find strange? When i come across people who glamorize being on psychiatric drugs...do you know what i mean? In some cases, it is expressed by someone seemingly bragging about their prescription, or bragging about their "condition". I've also met those who seem to want to create a condition that would warrant meds...a young person i know has made repeated attempts to be diagnosed with a mental illness, with his primary goal being, being prescibed one of those drugs he's heard about. I don't really get this desire/pursuit...is it the need to put a notch in his belt?...the desire to be a helpless victim? I think it goes deeper than just wanting attention. I don't understand how being medicated for a psychiaric condition can be seen as glamorous, or cool.

I may just be babbling here...i don't know.

[ May 30, 2005, 06:51 AM: Message edited by: tana ]

Humming
05-30-2005, 07:29 AM
"I've often wondered why our society (as a whole) seems to support this biomedical model of "mental illness"...why are the spiritual / emotional / lifestyle (such as nutritional) aspects of these conditions largely ignored?"

Tana, I think this is because Western medicine is based in Western materialist science, which claims that the emotional states that we experience are mere by-products of our physical biological systems, namely, the brain.

When the physical brain is thought to be the basis of human consciousness, altering the physical brainstates is thought to alter consciousness. Hence, all of the pharmaceutical drugs that screw with neurotransmittors in the name of "chemical balance".

The new paradigm of science (as it has been described by some) is based in the philosophy of idealism, which states that consciousness creates the physical world, not the other way around. In this paradigm, personal health and wellness are understood to be directly affected by the health person's own mindstate.

Perhaps one day, instead of the profession of psychiatry we will have group meditation sessions to solve our problems, contemplating peace and happiness as a product of one's own mind instead of trying to incessantly tweak brain chemistry until a physical "balance" is found.

silentwolf
05-30-2005, 09:28 AM
Well...it is said that to be truly happy, a significant minority of the human population must consume opiates. There are a lot of different "psychiatric" conditions that respond favorably to treatment with opiates (symptoms, of course) but for some odd reason it's taboo to write out opiate prescriptions for emotional pain.

Depressed? Grow some poppies, eat the sap, meditate a bunch and find out where the splinter is in your paw.

Heh...it gets a little bit more complicated when it comes to more visionary "psychotic" states. For those, the only hope is to realize that you're in two places at once...then you have to figure out which is which.