Doris Bersing, PhD
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No Magic Bullet for Treating Mental Illness

Copyright by  Piotr Marcinski

Copyright by Piotr Marcinski

On a medical model oriented society, we always look for the magic bullet to cure all our illnesses. Mental Illness has not been spared of such a mythical quest. There is not one size fits all or magic bullet to makes “whole”.  People in the field of healing and psychiatry like Dr. Stan Grof , author of the holotropic paradigm shift, refers to disease like the manifestation of our “body and soul” trying to move towards wholeness. Thus, health is a total state of physical, mental,  emotional, spiritual and social well-being and yet Western medicine is poor at preventing and treating mental distress otherwise called diseases and keeps looking for the “magic bullet” to cure every disease

Referring specifically to HIV/AIDS related mental illness treatment. Dr. Thomas Insel has written “… Universal prevention has been a focus of psychiatric research for the past 4 decades. Using a public health approach, research has shown that mitigating major risk factors, such as poverty and early life stress, and promoting protective factors can improve behavioral outcomes. In other areas of medicine, we have observed how similar preventive approaches have reduced deaths from cancer and infectious disease. By contrast, while reducing environmental stress and providing better maternal support improve general behavioral outcomes (by preventing the development of antisocial behavior, for example), there are few, if any, examples of preventive approaches in psychiatry that reduce either the morbidity or the mortality of our most disabling illnesses—such as schizophrenia and bipolar disorder (Read More)

Dr. Insel expresses the needs of doing the same type of preventive work when approaching HIV/AIDS related mental illness and caution of the myth of the magic bullet. He says “…Imagine for a moment that we had the magic bullet for depression or schizophrenia or anorexia or autism. A single pill, taken once a day, safe and effective, that would immediately and continually keep all of the symptoms at bay. With this magic bullet, an end to episodes threatening job and family, no more hospitalizations, and a chance for a long life not cut short by mental illness and its complications. Now imagine that such a magic bullet existed, but only one in four people received it. Seems impossible?  (See more)

Imagine for a moment that we had the magic bullet for depression or schizophrenia or anorexia or autism. A single pill, taken once a day, safe and effective, that would immediately and continually keep all of the symptoms at bay. With this magic bullet, an end to episodes threatening job and family, no more hospitalizations, and a chance for a long life not cut short by mental illness and its complications. Now imagine that such a magic bullet existed, but only one in four people received it. Seems impossible? – See more at: http://www.psychiatrictimes.com/blogs/couch-crisis/aids-cautionary-tale?GUID=&rememberme=1&ts=15072014#sthash.LXr8RamO.dpuf
Universal prevention has been a focus of psychiatric research for the past 4 decades. Using a public health approach, research has shown that mitigating major risk factors, such as poverty and early life stress, and promoting protective factors can improve behavioral outcomes. In other areas of medicine, we have observed how similar preventive approaches have reduced deaths from cancer and infectious disease. By contrast, while reducing environmental stress and providing better maternal support improve general behavioral outcomes (by preventing the development of antisocial behavior, for example), there are few, if any, examples of preventive approaches in psychiatry that reduce either the morbidity or the mortality of our most disabling illnesses—such as schizophrenia and bipolar disorder – See more at: http://www.psychiatrictimes.com/neuropsychiatry/prevention-preemption-paradigm-shift-psychiatry#sthash.NKRl0BQW.dpu

Universal prevention has been a focus of psychiatric research for the past 4 decades. Using a public health approach, research has shown that mitigating major risk factors, such as poverty and early life stress, and promoting protective factors can improve behavioral outcomes. In other areas of medicine, we have observed how similar preventive approaches have reduced deaths from cancer and infectious disease. By contrast, while reducing environmental stress and providing better maternal support improve general behavioral outcomes (by preventing the development of antisocial behavior, for example), there are few, if any, examples of preventive approaches in psychiatry that reduce either the morbidity or the mortality of our most disabling illnesses—such as schizophrenia and bipolar disorder – See more at: http://www.psychiatrictimes.com/neuropsychiatry/prevention-preemption-paradigm-shift-psychiatry#sthash.NKRl0BQW.dpu
Universal prevention has been a focus of psychiatric research for the past 4 decades. Using a public health approach, research has shown that mitigating major risk factors, such as poverty and early life stress, and promoting protective factors can improve behavioral outcomes. In other areas of medicine, we have observed how similar preventive approaches have reduced deaths from cancer and infectious disease. By contrast, while reducing environmental stress and providing better maternal support improve general behavioral outcomes (by preventing the development of antisocial behavior, for example), there are few, if any, examples of preventive approaches in psychiatry that reduce either the morbidity or the mortality of our most disabling illnesses—such as schizophrenia and bipolar disorder – See more at: http://www.psychiatrictimes.com/neuropsychiatry/prevention-preemption-paradigm-shift-psychiatry#sthash.NKRl0BQW.dpuf

Chemical Imbalance and Mental Issues: An Oversimplification?

17800976_sIn Psychology and Psychiatry, there are theories of brain malfunctioning and chemical imbalance to explain the presence of symptoms or alterations we would call mental illness, too easily.  Nonetheless, beware, neurochemistry, neurophysiology, chemical imbalances, neurotransmitters have being all explanations that had tried to become the panacea that would help us understand what is inextricable and simplify the grasp of it. The most fatal blow to this “brain disease” model has been dealt by the inability of the research to validate the brain disease hypothesis. The most severe mental disorders such as schizophrenia, bipolar disorder, and major depression have been the primary targets of attempts to validate the medical model of mental suffering. Billions of dollars and thousands of research studies have gone into exactly this quest, and yet, according to a large number of highly experienced researchers, scholars and clinicians none of it is substantial. Many claim, in fact, that because the disease model continues to be unsupported in spite of the enormous amount of research that has been conducted in an attempt to validate it, the implications point strongly in the opposite direction—that these types of mental disorders are not caused by a disease of the brain.

Moreover, some doctors believe that they will help the patient feel less blameworthy by telling them,  Dr. Ronald Pies, MD wrote “You have a chemical imbalance causing your problem.” It’s easy to think you are doing the patient a favor by providing this kind of “explanation”, but often, this isn’t the case. Most of the time, the doctor knows that the “chemical balance” business is a vast oversimplification…(Read Dr. Pies’ article)

Could we say, what was first? the chemical imbalance, the symptoms, the wounds, the disease? Cd not this be a minimization of a bigger reality. What’s next? It seems that the only way to deal with this tragic dilemma is to ironically create genuine brain disease (through brain-damaging drugs, electroshock therapy, and/or other similarly harmful means) in an attempt to “deaden” you to your unbearable suffering. What came first? The egg or the chicken?


Good or Bad for Patients to Know What Therapists Think of Them?

Copyright : Steven Frame

Copyright : Steven Frame

About 700 patients at Beth Israel Deaconess Medical Center are participating in a novel experiment. Within days of a session, they can read their therapists’ notes on their computers or smartphones. It seems like open notebook study aims to improve trust, communication between patient, doctor. Some professionals oppose such an idea :…Sounds like a great idea. But when rules were changed about academic job referee reports some years ago so that the candidates could read them, all information about candidate shortcomings disappeared and only praise (sincere or not) remained. The reports became useless and appointments committees quickly learned to ignore them. The candidates who were disadvantaged were those who would have received honestly favorable reports.

One can expect an analogous effect on therapy notes that are released to the patient. Some therapists may resort to a second set of “honest” notes, the existence of which will remain secret. Or, worse for the patient, rely on their memory of the sessions. Read the article and the comments by Jan Hoffman in the New York Times


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