Robert Whitaker Explains His Research After Being Pigeonholed As Anti-Medication

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In the past two decades, Robert Whitaker has published books and articles that challenge the conventional wisdom about the widespread use of medications in treating mental illnesses.  A research paper entitled: The case against antipsychotic drugs: a 50-year record of doing more harm than good, that the journalist/author published in 2004 is representative of the skeptical eye that Whitaker casts.

By chance, I was included in an email exchange where Whitaker objected to being labeled as someone who is unilaterally “against” medications.  Dr. Allen J. Frances, Professor Emeritus of Psychiatry and Behavioral Sciences at Duke University Medical School, suggested that Whitaker clarify his views. In this guest blog, Whitaker explains what his research has shown him.

Me, Allen Frances, and Climbing Out of a Pigeonhole

All of this led to my having an email exchange with Allen Frances, who urged me, if I indeed thought antipsychotics had a use, to make this publicly known. My writings on this topic, he wrote, had:

“Caused collateral damage in 2 ways: 1) misleadingly discouraging meds for those who have tragic outcomes without it, and 2) contributing to the adversarial relationship between service users vs providers & families that is unique to the US and a major reason our system is such a mess. I am absolutely frank with you because I think you are intellectually honest and well meaning, but also unbalanced by the pressures of leading a crusade and by a lack of clinical and life experience with the constituency whose needs you ignore. With relatively small changes in the emphasis of your message and a clarification that you support selectivity, you could broaden your mandate to include the needs of the severely ill inappropriately in jail & homeless and could help heal the rupture between users and providers & families. I understand that you haven’t caused the problems and the limitations of any one person in healing them, but you are in a unique position to help and I think it would be irresponsible of you not to try once you fully understand the other side of the story you are presenting.” (Quoted with Allen Frances’ permission.)

Pete Earley also wrote to say that if I wrote such a piece, he would like to publish it on his site.

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Wanting To Testify, We Left A Tropical Paradise For a Blizzard And 3 Feet of Snow

This was untouched - done completely by wind - as the snow around it was clean with no tracks. Photo Credit: Evan Luzi

This photo was taken by my son, Evan Luzi, near his apartment. It is untouched – the work of the wind – as the snow around it was clean with no tracks.

Patti and I were in the Virgin Islands taking a rare and long anticipated five day vacation when we heard that a blizzard would be hitting the Washington D.C. area, starting at 4 p.m. on Friday (1-22-16). Patti suggested we catch an earlier flight home on Thursday.

“No way!” I said stubbornly. “I’m not giving up two days of vacation. Besides, weather forecasters are always exaggerating. It makes for better ratings.”

A call to American Airlines set off alarm bells on Friday morning. If we didn’t leave the island immediately, we would be stuck in St. Thomas until late Tuesday night. Stuck?

Ordinarily, the threat of being forced to stay in a tropical paradise while the entire upper East Coast was under three feet of snow would be a no-brainer. Bring me another Pina Colada while I watch a perfect Caribbean sunset, please.

But I was scheduled to testify before the U.S. Senate Judiciary Committee on Tuesday (1-26-15) about the importance of Crisis Intervention Team training and jail diversion. I didn’t want to miss that hearing.

Patti and I scrambled to the airport and took off for Miami, the first link of our trip home.

And that is as far as we got on American Airlines, which promptly cancelled the next leg of our flight. We were stranded in Miami on Friday during a downpour of rain. A kind but frazzled flight agent told us that we had been re-booked on a flight that would leave late Tuesday night for Dulles Airport.

“But I have to get back to testify before a Senate committee on Tuesday morning,” I said, hoping that statement would make it sound as if the safety of the entire free world depended on me giving testimony.  (I would later learn that Vice President Joe Biden’s flight had been redirected to Miami and that he couldn’t get home to Washington either.)

My plea didn’t work. Worse, American Airlines refused to give us our bags.

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Read Glenn Close’s Vignette in RESILIENCE: Two Sisters And A Story of Mental Illness – Just Released In Paperback

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RESILIENCE: Two Sisters And A Story Of Mental Illness, the intimate memoir that I helped Jessie Close write is now available in paperback with a dramatic new cover!

It’s the brutally frank story about Jessie’s struggles with bipolar disorder and alcoholism, and her inspiring recovery. Her talented sister, Glenn Close, widely acclaimed as one of the finest and most versatile actresses in Hollywood, was instrumental in helping Jessie and her son, Calen, after he also was diagnosed. As most of you know, Glenn is a co-founder of the anti-stigma non-profit BringChange2Mind. As part of its campaign, it has produced two powerful Public Service Announcements for television. Glenn also generously wrote three personal vignettes for RESILIENCE which are included in both the hardback and just released paperback. She has graciously allowed me to reprint one of them.  You can order the paperback edition of Jessie’s book  here.

From RESILIENCE: Two Sisters and a Story of Mental Illness

By Jessie Close with Pete Earley and Glenn Close

Vignette Copyright by Glenn Close @2015  Used by permission

It’s strange how memory can distill something down to a single image and yet somehow that single image retains its power to invoke all the other senses. I realize now that my memory of my little sister, Jessie, when she was a child is a collection of images around which other sensations move in and out of my consciousness. Maybe that’s because, compared to most other families, our family has a shocking lack of pictures, especially throughout Jessie’s childhood and beyond. For the most part, at a certain point the pictures just stop. Hers is the only baby-picture book that remains painfully incomplete. Of course, Jessie was the fourth child, and our mother’s days were full of tending to three other kids, a herd of various pets, and a husband who came home from interning at Roosevelt Hospital in New York City only on weekends, if then. I treasure any pictures of us that were taken as we were growing up because they shine a light onto memories full of shadows. Without their validity and light—solid evidence surrounded by a solid frame—all is vague and mutable. So I will attempt to reconstruct a few memories of Jessie from images in my mind’s eye that I have carried with me all these years.

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After Sen. Creigh Deeds Tragedy, State Officials Removed Damning Reports From Website

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(1-18-16) State officials have quietly removed two years worth of Inspector General reports from a government website that showed they were aware of a dangerous hospital bed shortage at least two years before state Senator Creigh Deeds and his son were told no hospital beds were available and turned away with tragic results.

When Deeds drove his mentally ill son, Austin “Gus” Deeds, to a mental health center on November 18, 2013, he was informed no local hospital beds were available and sent home. Later that day, Gus stabbed his father repeatedly before ending his own life. Sen. Deeds has filed a $6 million dollar wrongful death lawsuit against state mental health officials, claiming negligence.

The IG reports, which could help Deeds’ legal case, were removed from the Office of State Inspector General website sometime after May 2014 at roughly the same time speculation about the state’s liability began making the rounds at the state capitol in Richmond.

A spokesman for State Inspector General June Jennings told me in an email on Friday (1-15)  that the missing IG reports were removed by the Department of Behavioral Health and Developmental Services (DBHDS), which oversees 16 state facilities and assists 40 local Community Service Boards in delivering mental health services. The DBHDS is a defendant in Deeds’ wrongful death lawsuit. An official at the DBHDS, however, told me Friday that it was Jennings’ office that decided to remove the reports from its website.

Jennings’s spokesperson said the IG reports have not been destroyed. They are stored in the IG Office’s electronic archives. While still available, removing them from the IG website makes them much more difficult for the public and for Deeds’ attorneys to identify, locate and read.

The content of those reports go to the heart of Deeds’ wrongful death lawsuit.

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Guest Blog: Deliver Us From Evil – Gun Violence, Stigma and Mental Illness

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On Monday (1-11-15) I posted a blog about pathology and gun violence. Long-time mental health advocate and former member of the national Board of Directors of the National Alliance on Mental Illness, Graham L. Champion today offers his point-of-view about gun violence and mental illness. He can be reached at  psllc06@gmail.com

Deliver Us from Evil

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Graham L. Champion

During our lives, most everyone of us has at some time or another uttered the words “deliver us from evil.” It may have been as part of the Lord’s Prayer or after a particularly heinous act that we have witnessed or been informed about by the press or it might simply be the result of some action in our life that was particularly disturbing. Evil comes in many different forms from violence to harassment to intimidation to mention but just a few.

In recent times, we have seen senseless mass killings in a variety of different locations. Virtually every time one of these mass shootings happens the media is quick to speculate that if the event was not terror related —  it must have been committed by someone who is mentally deranged. Mental illness has become the “go to” explanation for why someone goes out and shoots up the landscape.

Just as predictably the discussion goes to the issue that we, as a society, need to find a way to better identify those with mental health issues and prevent them from having access to firearms. It is without question that those individuals living with a serious and chronic mental illness, during times of crisis, should not be allowed to purchase a firearm. With that premise in mind, we, as a society, must begin to destigmatize mental health issues and provide treatment for those living with a diagnosed mental health issue.

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The Role of Psychopathy in Horrific Crimes

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Two women meet, fall in love and become one of the first gay couples to legally marry only to have their lives shattered when they are sexually attacked in their home and one of them is viciously murdered. Incredibly, the survivor in this true life crime story forgives the rapist/murderer. And yes, that man has a mental illness.

The book’s publisher sent me a pre-publication copy of this story because he hoped I would write a “blurb” — one of those gushing quotes printed on book covers to lure buyers. Although the writer did an excellent job explaining how deinstitutionalization and a lack of community mental health services have led to our jails and prisons becoming defacto mental asylums, I declined.

Book blurbs are one or two sentences and I couldn’t write an endorsement in twenty words that explained the perpetrator in this book was not typical. Most persons with mental illnesses are not dangerous. They are not rapists and murderers. They are more likely to be victims rather than committers of crimes.

Yet, here was an example of a mentally disturbed man who was very dangerous and very violent. How do we explain his actions?

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