Duncan Double
@DBDouble
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Retired consultant psychiatrist. Supporter of Mind and Norfolk & Waveney Mind. Bank MHA Reviewer CQC. Member Norfolk & Suffolk NHS FT. Own opinions expressed.
East, England
Joined January 2009
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DSM needs to be abandoned and psychiatric diagnosis rethought.
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Psychiatry's primary object is not the brain but the person living in relationships. This fundamental failure to appreciate this philosophical reality is damaging psychiatry.
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The biomedical hypothesis that mental illness is due to brain disease is so fundamental to the edifice of psychiatry that the serotonin theory of depression is still believed despite contrary evidence.
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Should psychiatrists still prescribe antidepressants if they are no better than placebo?
@ProfRobHoward
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Psychiatrists have promoted the serotonin theory of depression and minimised antidepressant withdrawal problems because they want patients to take their antidepressants.
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Please, psychiatry, stop reducing people to their brains. You are embarassing yourself.
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Biological psychiatry is more like a faith, than a science, believing that the biological basis of primary mental illness will be discovered.
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Propaganda for biomedical psychiatry and the pharmaceutical industry?
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Take a drug to turn off your brain is the basis of the new biomedical theory of depression to justify psychedelics. Don’t believe it. People have been misled by the serotonin theory for too long for it to be replaced by further, just different, speculation.
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At staff meeting in my very first job as clinical psychologist in UK, raised issue of man who had died on ECT table day before. I still recall exact response of the psychiatrist: ‘That is none of your business and I am personally insulted by your insinuation that we killed him.’
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Framing Depression as a Functional Signal Rather than a Disease Promotes Hope and Reduces Stigma, Study Finds
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There is no valid evidence that genes play a role in causing ‘schizophrenia’ via
@MITUKTeam
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Relational psychiatry: Psychiatric services have not really progressed since the worst days of the asylums.
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The chemical imbalance theory of depression helps to protect doctors’ roles and their income, prestige, and power.
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When pointed out that man’s notes included ‘ECT contraindicated – serious heart condition’, I was evicted from meeting – physically. A colleague and I had copied that page of notes, accurately predicting that it would quickly be removed from the file.
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Relational psychiatry: Psychiatry needs to abandon its biomedical framework
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The overmedicalisation of society must be reversed in the interests of the country’s health.
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I tried for two years to get the hospital, professional and governmental authorities to investigate. I failed.
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@ProfTonyDavid
@DrAdrianJames
@ProfRobHoward
I think this is psychiatrists’ fault in a way for not really engaging with the issue. Of course traditional neuroleptics can cause akathisia.
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Biomedical psychiatry has always survived on speculations.
@sameerjauhar
et al are continuing to hope it can. But that is making psychiatry more like a faith than a science.
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#TheWorldNeeds
more psychiatrists to be critical of their own profession and to stop misleading people that functional mental illness is due to brain disease
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CQC knows “that the majority of people receive good care when they attend [psychiatric] hospital”. Do they really?
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Even though psychiatrists may want to justify antidepressant treatment, this does not excuse minimising problems caused by taking it. Doctors are advocates of antidepressant treatment which has led to them overlooking what should have been obvious about the risks of withdrawal.
Relational psychiatry: Mainstream psychiatry continues to minimise significance of antidepressant withdrawal.
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@JDaviesPhD
Psychiatry needs to face up to the harm it has caused and continues to cause (not that it can’t also do good)
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An open letter to the incoming President of the Royal College of Psychiatrists
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Psychiatry must stop identifying the brain with the person. People’s experience and relationships with others are at the core of primary mental illness and cannot be identified with brain processes.
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@JDaviesPhD
Doctors have clearly been deceiving people about antidepressants. Understandably they should be held to account.
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@ReadReadj
I suppose it’s always been the case that critics have been marginalised. That’s what Annie is doing by using the term ‘anti-psychiatry’.
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@ClinpsychLucy
How is a pharmaceutical treatment supposed to help lonely people form meaningful relationships? Agree with you, Lucy, bizarre that such questions are even asked.
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Sameer Jauhar, David Nutt, Carmine Pariante & Allan Young’s
“Competing Interests” section lists “promotional and consultancy work for more than 20 different pharmaceutical companies, all with a clear stake in the high rates of prescribing continuing”
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@DrLadeSmith
@BBCNews
@BBCPanorama
A lot of people are not shocked. Psychiatry has been abusing the rights of people with mental health problems for too long.
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@ReadReadj
@CEP_UK
@psychgeist52
@ClinpsychLucy
@peterkinderman
@MITUKteam
@dranneguy
@Institute_PDW
@Mad_In_America
@joannamoncrieff
@APPGPDD
@Altostrata
I think the main problem with what she said on This Morning was the perpetuation of the chemical imbalance myth
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@peterkinderman
@DrAnnieHickox
@ReadReadj
@joannamoncrieff
@ClinpsychLucy
@stimimi
@CEP_UK
@Mad_In_America
@dranneguy
@markhoro
People are not machines. My brain is only part of me. It mediates my thoughts, feelings, emotions and actions. But it’s not me. It’s people that become depressed, not their brains, whether chemically imbalanced or not.
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Mental health nurses accused of leaving patient in locked room for nine hours
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@awaisaftab
I know what you mean, Awais, but it’s more endemic than that. It’s almost ‘commonsense’ to believe that mental illness is due to chemical imbalance unless it is pointed out that it is wrong. It is a myth, I agree. But people believe myths.
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Save Trieste's mental health system
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It is perhaps not that surprising that doctors were slow to recognise antidepressant discontinuation reactions, as they focus on short-term fixes, they are not psychologically minded and they are too quick to peddle medication.
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New NICE guideline on depression not now expected until May 2022. Delaying advice about antidepressant dependence and withdrawal problems
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Have you heard? Psychiatry’s now going to be friendly to people.
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@peterkinderman
@DrAnnieHickox
@ReadReadj
@joannamoncrieff
@ClinpsychLucy
@stimimi
@CEP_UK
@Mad_In_America
@dranneguy
@markhoro
And the evidence is that depressed people do not have imbalanced chemicals in their brains. And actually their depression can’t be reduced to what’s happening in their brains. So it’s mere wishful thinking that a chemical imbalance will be found. It won’t!
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The serotonin theory of depression has not been proven even if
@sameerjauhar
and other psychiatrists think so.
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@JDaviesPhD
Psychopharmacologists gave up the idea of serotonin imbalance causing depression quite some time ago. It has continued in clinical practice even though it can’t be proven and most of the evidence is against it.
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To be clear, I tend to agree with you that antidepressants are no better than placebo but think it is exploiting people to use antidepressants in this way.
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United Nations Report Calls for Revolution in Mental Health Care
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Relational psychiatry: Lucy Johnstone's comment on 'The overemphasis on psychiatric diagnosis'
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Further call to Royal College of Psychiatrists for action on institutional racism
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Relational psychiatry: Preventing people becoming reliant on antidepressants
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Mental health policies should address the “power imbalance” rather than “chemical imbalance”
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Antidepressed: A Breakthrough Examination of Epidemic Antidepressant Harm and Dependence eBook : Thomson, Beverley: : Books
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Critical psychiatry: Developing a non-medical mental health service
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@joannamoncrieff
The experience and relationships of patients are at the core of depression, and they cannot be identified with neuronal or molecular processes.
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The brain is not an electrochemical machine; in fact it’s not a machine at all.
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Biomedical psychiatry is based on speculation and wish-fulfilling phantasy.
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It is obviously attractive to believe that the phenomena of human experience can be understood in exclusively biological terms. This viewpoint seems to give some certainty, perhaps particularly in the field of madness and mental illness, which may be difficult to understand.
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Psychiatry is unable to let the defunct theory serotonin theory of depression rest in peace.
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Saying that serotonin is implicated in depression is what Adolf Meyer called “neurologising tautology”
@awaisaftab
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Critical psychiatry: Minimising antidepressant discontinuation problems.
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@JDaviesPhD
@CEP_UK
It’s not just treatments that are defended, but the whole model of mental illness being brain disease that is used to justify those treatments. Such a model is more like a faith than scientific position. To give up such a faith creates grave concern for professional viability.
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The trouble with antidepressants: why the evidence overplays benefits and underplays risks—an essay by John B Warren
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Critical psychiatry: A history of critical psychiatry in four books ?
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Professor Sir Robin Murray confessed to mistakes in his psychiatric research career in a mea culpa article
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@DrMcFillin
There was a time when the use of medication in child psychiatry was rare. It was even a reason why some psychiatrists went into child psychiatry to avoid getting caught up in prescribing as with adults.
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7,600 deported to Commonwealth nations on ‘charter flights’ since 2010
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Critical psychiatry: Clarifying Szasz's critique of psychiatry
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We do need to be clear that the issue of whether antidepressants work has not yet been decided in a scientific sense. Questioning the effectiveness of antidepressants is still legitimate.
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Calls for public inquiry into mental health deaths backed amid data scandal
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Relational psychiatry: UN community does not endorse biomedical psychiatry
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Relational psychiatry: Dr Ellie helpfully exposes bias of “standard NHS advice” about antidepressants
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@ReadReadj
@JDaviesPhD
@ClinpsychLucy
@Altostrata
Taking antidepressants is an identity altering experience. Is it not surprising that they produce so-called emotional blunting?
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Study Finds Improved Functioning for ‘Schizophrenia’ Without Antipsychotics via
@Mad_In_America
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Study claiming antidepressant withdrawal is less common than thought fails to account for risks in long-term users via
@ConversationUK
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The best kept secret in psychiatry by Maria Grazia Turri
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@apospodcast
Psychiatric patients have been oppressed, mortified, and destroyed by a mental health system that, instead of serving them in its protective role of therapeutic system, has, on the contrary, contributed to the gradual and often irreversible disintegration of their identity.
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The biomedical hypothesis is so fundamental to the edifice of psychiatry that the "chemical imbalance theory of depression and schizophrenia" is still believed despite contrary evidence.
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Medicating normal. The film. Tickets for World Benzodiazepine Awareness Day
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However, it is legitimate to question whether an explanation of human nature can take the same form as the laws of natural science. Human beings do not behave like machines. People should not be reduced to their brains.
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Relational psychiatry: Improving compassion in mental health services
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Psychiatrists Argue For More Attention to Iatrogenic Harms
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@drphilhammond
As you know, the corporate manslaughter investigation is more about why consultant opinion was ignored/overridden.
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Critical psychiatry: Meta-analysis of inflammatory markers in depression shows depression is related to stress
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@benzosarebad
@recover2renew
@justin_garson
The real problem is that psychiatry does not want to take responsibility for having promoted it or at least being complicit in allowing it to be believed.
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Critical psychiatry: The limitations of psychiatric diagnosis
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Beyond Psychiatric Diagnosis: A radical new approach to mental health - Royal Institute of Philosophy
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