Pub Date : 2023-01-02DOI: 10.1080/17522439.2022.2164344
A. Homberg
who have “survived” the treatment which they have received for their psychiatric disorder! All the assertions are impressively documented, though as a clinical social worker I am not at all competent to assess the validity of the many methodological analyses. I would like to conclude this review on a personal note by paraphrasing the famous folk singer Bob Dylan. How can the lives of such patients be in the palms of such apparent fools hands? To see them so badly mistreated couldn’t help but make me feel ashamed to be part of a profession involving the gross mistreatment of so-called psychiatric patients.
{"title":"Schizophrenia. An unfinished history","authors":"A. Homberg","doi":"10.1080/17522439.2022.2164344","DOIUrl":"https://doi.org/10.1080/17522439.2022.2164344","url":null,"abstract":"who have “survived” the treatment which they have received for their psychiatric disorder! All the assertions are impressively documented, though as a clinical social worker I am not at all competent to assess the validity of the many methodological analyses. I would like to conclude this review on a personal note by paraphrasing the famous folk singer Bob Dylan. How can the lives of such patients be in the palms of such apparent fools hands? To see them so badly mistreated couldn’t help but make me feel ashamed to be part of a profession involving the gross mistreatment of so-called psychiatric patients.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"118 - 119"},"PeriodicalIF":1.2,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45750683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-22DOI: 10.1080/17522439.2022.2160487
Katrina Brown, S. Parry
{"title":"How do people with first episode psychosis experience therapeutic relationships with mental health practitioners? A narrative review","authors":"Katrina Brown, S. Parry","doi":"10.1080/17522439.2022.2160487","DOIUrl":"https://doi.org/10.1080/17522439.2022.2160487","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48046972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-25DOI: 10.1080/17522439.2022.2145347
E. Rapsey, N. Pilcher
{"title":"“The world is a beautiful place – I want to explore that a bit”: the experience of taking part in an adventure therapy sailing project by a group of individuals who have experienced psychosis","authors":"E. Rapsey, N. Pilcher","doi":"10.1080/17522439.2022.2145347","DOIUrl":"https://doi.org/10.1080/17522439.2022.2145347","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48570519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-23DOI: 10.1080/17522439.2023.2183428
Gail Tasch, P. Gøtzsche
ABSTRACT Background Psychiatric patients’ human rights are often violated when forced treatment orders are issued. Methods We assessed the records for 30 consecutive petitions for mental health commitment in which an involuntary medication order was requested, from Anchorage, Alaska. Results In 29 cases, the commitment petition was granted. The forced medication order was granted in 27 of the 30 cases. In 26 cases, in violation of previous Supreme Court rulings, the patients’ desires, fears, wishes and experiences were ignored even when the patients were afraid that the neuroleptics might kill them or when they had experienced serious harms such as tardive dyskinesia. The ethical and legal imperative of offering a less intrusive treatment was also ignored. Benzodiazepines were not offered. Psychotherapy was not offered or mentioned in 15 cases. The providers claimed, contrary to the evidence, that psychotherapy does not work. Dicussion The legal procedures can best be characterized as a sham, in which the patients are defenseless. The power imbalance and abuse were extreme, and several of the psychiatrists who argued for forced treatment obtained court orders for administering drugs and dosages that were dangerous. We suggest forced medication be abandoned.
{"title":"Systematic violations of patients’ rights and safety: forced medication of a cohort of 30 patients in Alaska","authors":"Gail Tasch, P. Gøtzsche","doi":"10.1080/17522439.2023.2183428","DOIUrl":"https://doi.org/10.1080/17522439.2023.2183428","url":null,"abstract":"ABSTRACT Background Psychiatric patients’ human rights are often violated when forced treatment orders are issued. Methods We assessed the records for 30 consecutive petitions for mental health commitment in which an involuntary medication order was requested, from Anchorage, Alaska. Results In 29 cases, the commitment petition was granted. The forced medication order was granted in 27 of the 30 cases. In 26 cases, in violation of previous Supreme Court rulings, the patients’ desires, fears, wishes and experiences were ignored even when the patients were afraid that the neuroleptics might kill them or when they had experienced serious harms such as tardive dyskinesia. The ethical and legal imperative of offering a less intrusive treatment was also ignored. Benzodiazepines were not offered. Psychotherapy was not offered or mentioned in 15 cases. The providers claimed, contrary to the evidence, that psychotherapy does not work. Dicussion The legal procedures can best be characterized as a sham, in which the patients are defenseless. The power imbalance and abuse were extreme, and several of the psychiatrists who argued for forced treatment obtained court orders for administering drugs and dosages that were dangerous. We suggest forced medication be abandoned.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"145 - 154"},"PeriodicalIF":1.2,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41325523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-21DOI: 10.1080/17522439.2022.2141843
Lauren A. Bradley, Louise Combes, A. Perry, Remennie Brooks
{"title":"‘Client's perspectives and the efficacy of Dramatherapy for Early Psychosis’","authors":"Lauren A. Bradley, Louise Combes, A. Perry, Remennie Brooks","doi":"10.1080/17522439.2022.2141843","DOIUrl":"https://doi.org/10.1080/17522439.2022.2141843","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48524287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-10DOI: 10.1080/17522439.2022.2141840
Kerry Middleton, A. Cooke, Rufus May
{"title":"“It allowed us to let our pain out”: perspectives from voice-hearers and their voices on the ‘talking with voices’ approach","authors":"Kerry Middleton, A. Cooke, Rufus May","doi":"10.1080/17522439.2022.2141840","DOIUrl":"https://doi.org/10.1080/17522439.2022.2141840","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43358962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-03DOI: 10.1080/17522439.2022.2141841
Sara King, M. Allan, L. Lindsey
{"title":"“I found hundreds of other people…but I still wasn’t believed” – An exploratory study on lived experiences of antipsychotic withdrawal","authors":"Sara King, M. Allan, L. Lindsey","doi":"10.1080/17522439.2022.2141841","DOIUrl":"https://doi.org/10.1080/17522439.2022.2141841","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48732554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-18DOI: 10.1080/17522439.2022.2134444
Tomi Bergström, Jaakko Seikkula, P. Köngäs-Saviaro, Jyri J. Taskila, J. Aaltonen
ABSTRACT Background The open dialogue (OD) approach includes the need-adapted use of psychiatric medication in treating first-episode psychosis (FEP), but there is limited information on how psychiatric medications are actually used in OD-based services. This study aims to analyse long-term medication dispensing patterns among FEP cohort treated according to the OD. Methods The OD cohort consisted of people who received treatment for FEP in the Finnish Western Lapland catchment area at a time of OD implementation (n=61). The comparison group included people whose FEP treatment commenced outside the catchment area during the mid-1990s (n=1378). Data were gathered from national registers from onset to the end of the 10-year follow-up or death. A non-confirmatory descriptive comparison was performed to evaluate the usage patterns and cumulative exposure to psychiatric medication. Results Under OD, a smaller proportion had been dispensed benzodiazepines, antidepressants, and neuroleptics. Persons who had received these medications did not differ in cumulative exposure. In both groups, most of those who received neuroleptics in the first follow-up years continued using medication throughout follow-up. Discussion OD may assist in detecting FEP patients who can manage without neuroleptics, thus minimizing iatrogenic effects. Due to the observational design, further studies are required to confirm this hypothesis.
{"title":"Need adapted use of medication in the open dialogue approach for psychosis: a descriptive longitudinal cohort study","authors":"Tomi Bergström, Jaakko Seikkula, P. Köngäs-Saviaro, Jyri J. Taskila, J. Aaltonen","doi":"10.1080/17522439.2022.2134444","DOIUrl":"https://doi.org/10.1080/17522439.2022.2134444","url":null,"abstract":"ABSTRACT Background The open dialogue (OD) approach includes the need-adapted use of psychiatric medication in treating first-episode psychosis (FEP), but there is limited information on how psychiatric medications are actually used in OD-based services. This study aims to analyse long-term medication dispensing patterns among FEP cohort treated according to the OD. Methods The OD cohort consisted of people who received treatment for FEP in the Finnish Western Lapland catchment area at a time of OD implementation (n=61). The comparison group included people whose FEP treatment commenced outside the catchment area during the mid-1990s (n=1378). Data were gathered from national registers from onset to the end of the 10-year follow-up or death. A non-confirmatory descriptive comparison was performed to evaluate the usage patterns and cumulative exposure to psychiatric medication. Results Under OD, a smaller proportion had been dispensed benzodiazepines, antidepressants, and neuroleptics. Persons who had received these medications did not differ in cumulative exposure. In both groups, most of those who received neuroleptics in the first follow-up years continued using medication throughout follow-up. Discussion OD may assist in detecting FEP patients who can manage without neuroleptics, thus minimizing iatrogenic effects. Due to the observational design, further studies are required to confirm this hypothesis.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"134 - 144"},"PeriodicalIF":1.2,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46811546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-14DOI: 10.1080/17522439.2022.2134443
Robert P. Allison
{"title":"A tripartite relationship theory of voice hearing: a grounded theory study","authors":"Robert P. Allison","doi":"10.1080/17522439.2022.2134443","DOIUrl":"https://doi.org/10.1080/17522439.2022.2134443","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43455280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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