Tag Archives: mental-health

Schizophrenia Becomes Psychosis Susceptibility Syndrome | Mad In America

Anoiksis is the Dutch association of and for people with a psychotic susceptibility. Anoiksis is Greek and freely translated means “Open Mind.” Our core business is facilitating peer support. The new name project is a specifically Anoiksis project; and many members have been involved and have made contributions. To the old name are attached prejudices, misleading significance and stigma, and they can be thrown overboard by introducing a new name – Psychosis Susceptibility Syndrome

Schizophrenia Becomes Psychosis Susceptibility Syndrome | Mad In America.

How to facilitate and support self-determination of patients in psychiatric practice

EPA 30th Anniversary Ethics Symposium 2013
15 November 2013 – Council of Europe – Strasbourg, France
How to facilitate and support self-determination of patients in psychiatric practice
Abstract of presentation by A. Heinz, Prof. Dr. med.
There is currently a debate between legal practitioners and psychiatrists on different forms of compulsory treatment and their ethical implications. This debate is based on different concepts of autonomy and its prerequisites. We advocate an approach that centers on the individual demands of the person, promotes open settings and focuses on intensified relationships

WHO WE ARE 30th Anniversary Anniversary Symposium | European Psychiatric Association.

Mental health: integration is the key to the revolution : The Lancet

Hold that Thought!

Just published, by Tim Carey: Mental health: integration is the key to the revolution : The Lancet.

See more about his ideas about transdiagnositic approaches to psychopathology here:



Yale Psychiatry Professor write: “Mental Illness Fallacies Counterproductive”

Professor Larry Davidson is critical of an attempt in Connecticut to introduce compulsory treatment in this Opinion piece in the Connecticut Courant, where he says:

“Proponents of Connecticut establishing a law that would allow the involuntary treatment of people with mental illness in the community have recently used two misleading ideas to support their case.

They acknowledge that voluntary treatment is preferable, but point out it doesn’t work for everyone. Among the reasons they give for the failure of voluntary treatment is that some people with mental illness have a condition that makes them unaware they are ill, or they don’t like the side effects of medication. Both assertions are highly questionable and neither does justice to the seriousness of the issue.

It is misleading, for example, to refer to people with mental illnesses as either “treated” or “untreated.” The medications we currently have for these conditions do not come close to resembling the effective use of insulin for diabetes, for example. Only seven out of 10 people with a serious mental illness will derive any benefit from medications, and these benefits will typically be modest.”

Interesting (and free) online articles on resilience and recovery, in ‘Studies in Social Justice’

Vol 6, No 1 (2012): The Politics of Resilience and Recovery in Mental Health Care

Guest Editors: Jijian Voronka and Alison Howell

Table of Contents

Introduction

Introduction: The Politics of Resilience and Recovery in Mental Health Care PDF
Jijian Voronka, Alison Howell 1-7

Articles

Uncovering Recovery: The Resistible Rise of Recovery and Resilience PDF
David Harper, Ewen Speed 9-26
Towards a Social Justice Framework of Mental Health Recovery PDF
Marina Morrow, Julia Weisser 27-43
Power and Participation: An Examination of the Dynamics of Mental Health Service-User Involvement in Ireland PDF
Liz Brosnan 45-66
The New Vocabulary of Resilience and the Governance of University Student Life PDF
Katie Aubrecht 67-83
“Recovering our Stories”: A Small Act of Resistance PDF
Lucy Costa, Jijian Voronka, Danielle Landry, Jenna Reid, Becky Mcfarlane, David Reville, Kathryn Church 85-101

Other Articles

Homelessness in the Suburbs: Engulfment in the Grotto of Poverty PDF
Isolde Daiski, Nancy Viva Davis Halifax, Gail J. Mitchell, Andre Lyn 103-123
The Aesthetic Post-Communist Subject and the Differend of Rosia Montana PDF
Irina Velicu 125-141

Book Reviews

Review of Global Child Poverty and Well-Being: Measurement, Concepts, Policy and Action PDF
Laura Camfield 143-146
Review of Becoming Biosubjects: Bodies, Systems, Technologies PDF
Audrey L’Espérance 147-149

Manualised CBT for Psychosis

In Western Australia, the Centre for Clinical Interventions has provided a manual for the delivery of CBT for psychosis which is available for download here. Their website is also worth considering – http://www.cci.health.wa.gov.au

Another freely available resource related to this theme is an article in Schizophrenia Bulletin from 2009, by Sara Tai and Douglas Turkington – The Evolution of Cognitive Behavior Therapy for Schizophrenia: Current Practice and Recent Developments 

MDMA assisted psychotherapy for PTSD & FREE access to some articles from the Journals of the British Psychological Society

PTSD is a common comorbidity with psychosis, with some asserting that post-traumatic dissociative symptoms are often misdiagnosed as psychosis.

This makes treatment for PTSD symptoms an important response to traumatised patients, whatever their diagnosis. The current freely-available paper by Mithoeffer et al (Durability of improvement in post-traumatic stress disorder symptoms and absence of harmful effects or drug dependency after 3,4-methylenedioxymethamphetamine-assisted psychotherapy: a prospective long-term follow-up study) shows there was significant improvement and no adverse outcomes from the treatment:

“In the initial study (Mithoefer et al., 2011), 20 subjects with treatment-resistant PTSD (in most cases from sexual abuse or assault) were randomly assigned to psychotherapy with the active drug (n = 12) or with an inactive placebo (psychotherapy-only; n = 8), each administered during two 8-hour sessions scheduled 3–5 weeks apart, accompanied by weekly non-drug sessions. The MDMA-assisted sessions were conducted in a comfortable setting, in which participants were encouraged to spend considerable time focused inward without talking, alternated with time spent talking to the therapists. The therapists took a non-directive approach to supporting their subjects in processing trauma-related material. More information concerning the nature of the psychotherapy is found in the Mithoefer et al. (2011) study, as well as in the author’s treatment manual (MAPS, 2011).

“At the end of this controlled study, the participants who had received the psychotherapy-only treatment were offered openlabel MDMA-assisted psychotherapy, using the same schedule of sessions as were used in the controlled study protocol. Of the eight therapy-only subjects, seven accepted and completed the crossover arm of the study, which resulted in 19 of the 20 study subjects receiving the MDMA-assisted psychotherapy treatment. The one therapy-only subject had recovered from PTSD symptoms with psychotherapy alone, and did not participate in the crossover. As allowed by a protocol amendment, the last eight subjects recruited (five in the double-blind stage and three in the crossover stage) also received a third MDMA-assisted psychotherapy session. This protocol change was sought because of tentative clinical impressions by the investigators that a third session would likely enhance the processing of trauma and the integration process that were essential to the treatment.

MDMA-assisted-psychotherapy

PLUS

FREE access to recent most read* and most cited† articles from the Journals of the British Psychological Society

Best wishes for the Holiday Season (and take care!)

SAMHSA seeking input on Trauma Informed Care Guidelines

SAMHSA (Substance Abuse & Mental Health Services Administration) is the US government’s body setup to “support States, Territories, Tribes, communities, and local organizations through grant and contract awards and provide national leadership in promoting the provision of quality behavioral health services”.

“Behavioral Health” – this it the term used in the USA to refer to mental (or emotional, or psychological) health.

However, SAMHSA has a long history of recognising the links between trauma and distressing symptoms and “mental illness”., and are committed to the promotion of a recovery orientation – see, for example, their Recovery Guiding Principles Whitepaper.

Now, they are promoting Trauma Informed Care, through promotion of information, for example, on the prevalence and treatment approaches for women in jail and substance abuse programmes at http://gainscenter.samhsa.gov/pdfs/Women/series/AddressingHistories.pdf

SAMHSA is now seeking feedback on their proposed Guidelines for Implementing a Trauma Informed Approach (to mental health care…) at http://www.samhsa.gov/traumajustice/traumadefinition/index.aspx

This page references a title which looks to be worth following up for those interested in constructing trauma informed services: New Directions for Mental Health Services, Using Trauma Theory to Design Service Systems, No. 89 Spring 2001, Maxine Harris & Roger D. Fallot (Eds.) 

Another important agency in the USA with a strong emphasis on trauma informed care is the NASMHPD (National Association of State Mental Health Program Directors) which has been promoting this form of care for more than twenty years! Links to many of their resources are at http://www.nasmhpd.org/TA/NCTIC.aspx