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Transcript
Topics Introduction; Nature vs Nurture. Well– Psychotic Stress Vulnerability model. Spontaneous self healing Part of the Interview with Dr. John Weir Perry. What does Science have to say about biomedical treatment of psychosis? What does Psychiatry have to say about their treatment © Part of this presentation can be copied after being fully referenced. All copy rights reserved “Life is the beautiful thing as far as I hold the string” The great majority of us were born as healthy as the perfect Nature could endow us both genetically and biologically to lead a wonderful fulfilling life. And then something in our early life and/or latter went wrong with the ongoing nurture. Dysfunctional family, lack of proper education, wrong people we associated with, drug addiction, longlasting feeling of inadequacy in family or in local and wider society, broken strong and meaningful relationships to us, and you name the rest, were changing our life. © Part of this presentation can be copied after being fully referenced. All copy rights reserved We respond differently to life’s difficulties You feel terrible, abandoned by others, not understood, perhaps humiliated and cheated and therefore feel further alienated from people around you. Despair and suffering with mounting anger with people around you, and inappropriate behaviour for some, and complete withdrawal from others – family and closest friends - with suffering and despair in solitude for others. Aren’t we so different, now in the way we respond to life’s difficulties which overwhelm us. These differences are no surprise and are just normal natural differences in responses of people whose genome – biologically imprinted differences – which govern their body-mind-spiritual sensitivity (the endocrine & CNS system) as to how we react psychologically and physiologically to our lives’ difficulties. © Part of this presentation can be copied after being fully referenced. All copy rights reserved Everyone’s psychotic experience is very personal “Psychosis is a condition in which the dream takes the place of reality" is probably the shortest and most expressive definition given by Jung for one’s psychotic condition. Everyone’s psychotic experience is very personal, and once understood by making sense of this life unpleasant and scary experience stays as a testimony of how a non-ordinary state of consciousness is nothing to be afraid. © Part of this presentation can be copied after being fully referenced. All copy rights reserved Everyone’s psychotic experience is very personal Actually, even though it is a personal delusion at the time of an emergency state of the mental health condition it can be very enjoyable, at one time and then other time very scary when the psychotic person becomes very paranoiac. Hearing voices, visual and sometimes tactile hallucinations are not necessarily the symptoms of an illness but are the signs that one’s ego-conscious awareness is overwhelmed with the contents from his or her deepest unconscious, wherein it takes mythic and symbolic forms. © Part of this presentation can be copied after being fully referenced. All copy rights reserved Spontaneous Self Healing Commenced self-healing renders through an almost apocalyptic transformation process, involving a temporary non-ordinary state of conscious. During approximately 6 weeks of turmoil a psychological transformation process takes place when an inner process of personal and social renewal precipitates. This process should not be suppressed by coercive medication and subversive isolation or any force imposed. © Part of this presentation can be copied after being fully referenced. All copy rights reserved Spontaneous Self Healing Could the hearing voices (positive for example) be legitimately seen as a survival strategy of the human nature - higher self for some and Holy Spirit for others? To understand and contextualise one’s own psychotic experiences, after acute psychosis, is a lengthy process for a person who has experienced them. During that time, love, patience and a feeling of total acceptance of the psychotic person are essentials. © Part of this presentation can be copied after being fully referenced. All copy rights reserved Unfortunately: Long term sufferers of unpleasant and disturbing mental conditions (people whose self-healing process was stopped or suppressed from the very beginning) have been brought up in situations where they felt unwanted and unloved by their surroundings (friends, family and professional helpers) because of their often extreme emotions and anger expressed. A strong feeling of mistrust with professional “helpers” and a more harmful feeling of being betrayed by the nearest has been installed. © Part of this presentation can be copied after being fully referenced. All copy rights reserved Language; linguistic and semantic of pursuing communication Language the consumers of MHS listen from psychiatrists in their communication is of crucial importance for clients and their families collaboration and ultimate wellbeing. Language the consumers of MHS have been listening is mainly the language of illness, the language of the hopelessness of a chronic incurable patient. And you guess, this language, which consumers listen over and over again they translate into the language of apathy, fear, despair and sometimes into extreme action such as self-harm or even suicide. © Part of this presentation can be copied after being fully referenced. All copy rights reserved Language; linguistic and semantic of pursuing communication Language the consumers of MHS listen from psychiatrists in their communication is of crucial importance for clients and their families collaboration and ultimate wellbeing. Language the consumers of MHS have been listening is mainly the language of illness, the language of the hopelessness of a chronic incurable patient. And you guess, this language, which consumers listen over and over again they translate into the language of apathy, fear, despair and sometimes into extreme action such as self-harm or even suicide. © Part of this presentation can be copied after being fully referenced. All copy rights reserved Destructive social forces working against effective treatment Prejudice that improvement and recovery are not to be expected. Discrimination and poverty, as well as overzealous cost containment in MHS and insurance coverage. Public dialogue is mostly about ensuring that people take their medication, while little is said about providing ways to return to productive lives. © Part of this presentation can be copied after being fully referenced. All copy rights reserved Part of the Interview with Dr. John Weir Perry O'Callaghan: Did Jung really see this as a healing process? Perry: He believed that "schizophrenia" is a self-healing process - one in which, specifically, the pathological complexes dissolve themselves. The whole schizophrenic turmoil is really a self-organising, healing experience. It's like a molten state. Everything seems to be made of free energy, an inner free play of imagery through which the alienated psyche spontaneously re-organises itself - in such a way that the conscious ego is brought back into communication with the unconscious again. © Part of this presentation can be copied after being fully referenced. All copy rights reserved Part of the Interview with Dr. John Weir Perry O'C: How long does the experience normally last? PERRY: The acute hallucinatory phase, during which these contents go through the re-ordering process, usually lasts about six weeks. This, by the way, corresponds to the classical description of visionary experiences in various religious texts, such as the proverbial "forty days in the wilderness" often referred to in the Bible. Anyway, six weeks is roughly it. O'C: Who experiences a "schizophrenic break"? PERRY: Well, there's a lot of controversy about this! There is a constitutional element, which is often interpreted as a "genotype of pathology", but this depends on how you see it. I see it as a genotype of sensitivity! Among adolescent siblings in a family, for example, it’s usually the most sensitive one who's going to catch it © Part of this presentation can be copied after being fully referenced. All copy rights reserved Part of the Interview with Dr. John Weir Perry O'C: So are you saying that the reason we have so-called "chronic schizophrenia" in our society - where a person is medicated, distressed or hospitalised for decades - is really cultural? A society, which refuses to understand the healing nature of the phenomenon? PERRY: Yes, it seems so. Of course, there are some unusual cases where the individual simply can't handle the impact of all this unconscious content, or doesn't know what to do with it, and freaks out. But from my experience at Diabasis, I've seen so many people go the other way that I really do feel "chronic schizophrenia" is created by society's negative response to what is actually a perfectly natural and healthy process. I hate to think of what happens to people who go into the mental hospital... © Part of this presentation can be copied after being fully referenced. All copy rights reserved Should society recognize a moral imperative to listen to what science is telling us in last 10 years, what patients told us long before? • The brain seems to possess capacities for healing and self-repairing beyond the dreams of researchers and science only few decades ago. • “Neuroscience, not psychiatry, is currently in a position where it is clear, that none of ‘chemical imbalances’ theories for major mental disorders are right, but science does not know what to replace them with”. •“There is no conclusive proof at all that Dopamine plays an important role in the aetiology of Psychosis; neither directly nor indirectly”. Professor Emeritus of Psychology and Neuroscience Valenstein Eliot in his book “Blaming the Brain – The Truth about Drugs And Mental Health”. (1998). © Part of this presentation can be copied after being fully referenced. All copy rights reserved “Neuroscience, not psychiatry, is currently in a position where it is clear, that none of ‘chemical imbalances’ theories for major mental disorders are right, but cience does not know what to replace them with”. “There is no conclusive proof at all that Dopamine plays an important role in the aetiology of Psychosis; neither directly nor indirectly”. Professor Emeritus of Psychology and Neuroscience Valenstein Eliot in his book “Blaming the Brain – The Truth about Drugs And Mental Health”. (1998). “The simplistic formulation that ‘schizophrenia is a dopamine disease’ or that ‘mood disorder is a nor-epinephrine or serotonin disease’ are almost certainly wrong, given what we now know about the complex interaction between chemical systems in the brain”. Nancy C. Andreasen, M.D., Ph. D, a leading neuroscientist who is Editor-in-Chef of American Journal of Psychiatry and a member of the task force that developed both the DSM-III and DSM-IV), in her latest book “Brave New Brain – Conquering Mental Illness in the Era of the Genome”, 2002. When you flood your body with molecular substance that nature never intended to be there, damage is virtually guaranteed. • Gigantic molecules comprising chlorine, sulphur, and fluorine are heavily poisonous for our brain. Chemical Activity of Neuroleptics Drugs block the following receptors Dopamine 2 receptors (D2), muscarinic-cholinergic receptors (M1), alpha 1 and 2 edrenergic receptors (α1, α2), histamine receptors - antihistaminic action - (H1), serotonin 2A receptors (5HT2A), norepinephrine (NE), and N-methyl-dasparate (NMDA) glutamate receptors. The other four subtype of dopamine receptors are D1, D3, D4 and D5 and are attacked by new atypicals, that also attack other multiple 5-hydroxytryptamine (5-HT) receptors that have been identified as (5-HT1A/1B/1D/1E/1F, 5-HT2A/2B/2C, 5-HT3A/3B, 5HT4A/4B, 5-HT5A/5B, 5-HT6 and 5-HT7A/7B/7C/7D). Little is know about enigmatic Sigma receptors; possible ligands include DHEA (sigma 1), and endogenous N, N-DMT with slight affinity for both sigma receptors. Drugs interference with the cellular communication in CNS All neuroleptic; old typical and new atypical, which psychiatry incorrectly and unfairly call antipsychotics, heavily downregulate the frontal cortex and limbic dopamine systems. By their domino effect these drugs broadly deregulate normal communication of other neurotransmitters and neuromodulators not only in our brain but in other vital organs in our body. This is happening in organs where many of those chemicals are secreted and carry the messages required for normal function of our entire physiological (endocrine system for instance) and nervous system; both the CNS and PNS. What we think of today as a mental illness could it be psycho-logical, spiritual emergency and not biological? Bio-medical treatment in modern psychiatry today resembles to treatment which try to solve a computer software problem by working on the hardware. As psychiatry professor Thomas Szasz, M.D., has said: “trying to eliminate so-called mental illness by having a psychiatric work on your brain is like attempting to eliminate cigarette commercials from television by having a TV repair work on your TV set. Instead Conclusions The great success in recovery achieved in experimental residential facilities in Diabasis, Berkeley, California (seventies); Kingsley Hall experiment in London (sixties) and Soteria House in San Diego, almost not registered by bio-psychiatry are virtually forgotten nowadays. J. W. Perry, R. D. Laing and Dr Loren Mosher showed that people fully recover from psychosis if not treated by powerful and debilitating neuroleptic drugs. “When people share a common goal, their natural tendency is to cooperate in realising it." The starting point for a true recovery process in which professionals in the (existing) mental health system want to participate and support is the acceptance of reality of the psychotic experience of the sufferers. Only by validating a person’s experience is it then possible to working together to resolve the distress caused by the experience. The Pause for Thought The great majority of us are required to live a life of constant systematic duplicity. Your health is bound to be affected, day after day, and you say the opposite of what you feel. If you grovel before what you dislike and rejoice at what brings you nothing but misfortune. Our nervous system isn't just a fiction; it's a part of our physical body, and our soul exists in space and is inside us, like the teeth in our mouth. It can't be forever violated with impunity. Boris Pasternak Thank you and Questions time