New Anosognosia Video Raises Questions About Lack of Insight

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People who are in the midst of a psychotic break often do not think anything is wrong with them. In recent years, this lack of insight has been described as anosognosia (a word that does not roll off the tongue easily.)  It means that a person isn’t aware that he/she is sick.

Two years ago, there was a push to add anosognosia to the the APA’s  DSM which is currently being revised. I wrote about that campaign on my blog and it attracted a number of divergent comments.

The Treatment Advocacy Center, which lobbies for passage of Assisted Outpatient Treatment laws, has released a video this week about anosognosia.  Dr. E. Fuller Torrey argues that anosognosia is a key reason why it’s important for family members and mental health professionals to be able to intervene when someone — who has a history of going off their medications or a history of violence — begins showing signs of psychosis. 

Critics argue that anosognosia isn’t a real medial condition and that most people are capable of making their own decisions without intervention even if they have a mental illness and may be in the midst of a breakdown. 

What do you think of anosognosia and this new video? I’m especially interested in personal stories.

Thank you for sharing your experiences and thoughts.

 

ABBOTT Board Should Be Forced To Publicly Apologize, Write Ethics Essay

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Failure of Leadership at Abbott Breaks Its Promise

Yesterday’s announcement that the global pharmaceutical giant Abbott Laboratories had agreed to pay $1.6 billion to state and federal agencies in criminal and civil fines made me furious. This is not the first time that a large drug manufacturer has been caught illegally promoting unapproved uses for one of its medicines.  But the Abbott case is especially egregious because it executives  exploited two vulnerable groups: persons with mental illnesses and the elderly.

The settlement ends a four-year investigation into a wide number of calculated moves by the Illinois-based company to push sales of its neurological drug Depakote into so called “off label” markets where it didn’t belong.  One of the more scandalous admissions was that executives created a special sales force to promote Depakote in nursing homes.  The sales force was told to push Depakote as a substitute for proper staffing since one of its side effects was turning grandma and grandpa into compliant zombies thus reducing the need to hire employees and provide decent care.  “Abbott essentially preyed on…the most helpless patient populations,” one attorney noted.

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The Better Side of Columnist George Will

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I can’t remember now if the tip came in first to Howie Kurtz  or to me when we were both reporters at The Washington Post. But one of us heard that members of the Reagan Administration were taking part in a nifty little boondoggle that Charles Z. Wick had approved at the United States Information Agency.  Here was the scam. If a high-ranking government employee was willing to drop by the U.S. Embassy when he and his family jetted off to London, Paris, or some other exotic city on vacation, the government would pick up the cost of his airfare. All he had to do was give an hour long “briefing” to embassy employees to qualify for the taxpayer paid ticket.

Wick was furious when we confronted him and during our exchange he blurted out that Reagan staffers were not the only Washingtonians who were getting free airfare courtesy of Uncle Sam.

Journalists were too.

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Are People Being Arbitrarily Slapped With Psychiatric Labels?

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“Psychiatry’s Bible: The DSM is doing more harm than good.”

This was the headline of a guest opinion piece printed in yesterday’s Washington Post. The editorial was written by psychologist Paula J. Caplan who argued that “hundreds of people  [are being] arbitrarily slapped with a psychiatric label and are struggling because of it.”  As an example, Caplan recounted the story of a “young mother” who had been told after a quick assessment by an emergency room doctor that she had bipolar disorder. The woman was committed to a psychiatric ward and started on dangerous psychiatric medication.

  Over the next 10 months, the woman lost her friends, who attributed her normal mood changes to her alleged disorder. Her self-confidence plummeted; her marriage fell apart. She moved halfway across the country to find a place where, on her dwindling savings, she and her son could afford to live. But she was isolated and unhappy. Because of the drug she took for only six weeks, she now, more than three years later, has an eye condition that could destroy her vision.

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What Mental Health Books Helped You?

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Each week, I receive books about mental illness from publishers who ask if I would be willing to give their book a plug. I also get requests from individuals who either want to get their books published or have self published their own books and need help publicizing  them.

This week I want to turn the tables.

What books about mental health would you recommend?

Is there a specific book that has helped you personally?

Have you written a book about mental health that you want to plug on my webpage?

Here’s your chance. Don’t be shy. I’ll start.

My friend, Clare Dickens, first published her book, A Dangerous Gift, in Iceland. It’s a moving story about her son’s struggle with bipolar disorder. When the big publishers in New York turned her down, she refused to give up. She kept knocking on doors. Recently, Politics and Prose, the Washington D.C. bookstore, published a U.S. version.  I’m happy that she is telling her story here.

Now tell me about books that helped or matter to you.
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Those Who Cannot Remember the Past Are Condemned to Repeat It

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We need better laws and  improved mental health services.