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Thread: Law, Liberty, and Psychiatry - Mental Health Laws and Treatment (Compulsory)

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    Default Law, Liberty, and Psychiatry - Mental Health Laws and Treatment (Compulsory)

    Here is the cover page of the book "Law, Liberty and Psychiatry" by Thomas Szasz, one of the greatest critics of psychiatry

    What is Mental Illness: Abnormal clusters of thought, mood, and behaviour that grossly impairs judgement and perception of reality
    Mental Illness Disease or Derogation?
    Classification in Psychiatry
    Commitment of the Mentally Ill
    False Commitment
    Testamentary Capacity/Competence: The capacity to judge the outcomes of taking vs not taking treatment.
    Crime and Mental Illness: A critical survey of Forensic Psychiatry
    Criminal Responsibility
    Acquital by Reason of Insanity
    The Right to Trial
    In Hospitals, mental patients fight for basic freedoms
    The Abridgment of the Constitutional Rights of the Mentally Ill
    Ethics and Psychiatry
    Politics and Psychiatry
    Toward the Therapeutic State
    Proposals for Reform in the Mental Health Field

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    Neuroleptic (Abilify) Side Effects

    Dopamine is associated with thought, movement, cognition, attention, and the reward centers.

    Neuroleptics reduce the activity of the frontal lobes, by blocking the mesocortical dopaminergic pathway.
    Neuroleptics also block the mesolimbic dopaminergic pathway, one of the therapeutic goals of the antipsychotic drug action, causes anhedonia (lack of pleasure)/depression; due to D2 & D3 blockade.
    Neuroleptics cause Neuroletptic Syndrome: (def.) = lack of motivation, initiative and preoccupation, blunting of affect; emotional indifference, etc.
    Neuroleptics reduce the high of daily life, as well as the euphoria from drugs and sex, due to dopamine antagonism, their therapeutic goal.


    Neurologic side effects: Acute vs. Long-term treatment:


    In the short term, or acute side effects:

    Dystonia, muscle spasms (in the face and neck regions), facial tics, masked face sensations.
    Pseudo-Parkinsonism = tremor/tremulousness
    Akathisia = motor restlessness; inability to remain still which is uncomfortable and disconcerting

    In the long term side effects of neuroleptics/antipsychotics:

    Tardive Akathisia
    Tardive Dystonia
    Weight gain
    Cognitive decline
    Disease vs. Drug Models of Antipsychotic Drug Action

    Disease Model:
    The Antipsychotic is thought to treat core aspects of a disease. Therapeutic effects are thought to derive from effects on underlying disease process; Antipsychotics are thought of as psychosis arresting and preventing agents. In a disease centered model, the beneficial effects are derived from the effects on the presumed disease pathology. Drugs are thought of as medical treatments.

    Drug Model:
    The Antipsychotic is thought of as a psychotropic agent with broad effects (of which the desired effects are the therapeutic effects, and the rest - side effects). Some of the psychotropic effects of the Antipsychotic may be useful in some circumstances; in helping to reduce positive symptoms over the short term.

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    Antipsychotics cause mental illness

    Mental Illness is defined as follows:
    Substantial Disorder of...

    1. Thought
    2. Mood
    3. Perception
    4. Orientation
    5. Memory

    that grossly impairs:

    I. Judgment
    II. Behaviour
    III. Capacity to recognize reality
    IV. Ability to meet the ordinary demands of life

    The effects that patients suffer from not merely the side effects. Rather, they are the therapeutic goals of antipsychotic treatment. Abilify is the most acceptable in terms of its side effects; and even Abilify can be intolerable for patients.

    Abilify = 2nd Generation Antipsychotic; Partial Agonist {Intrinsic Acticity = 30%}
    - is a powerful anti-manic, anti psychotic agent which reduces positive symptoms of psychosis.

    However, all antipsychotics also cause mental illness of their own.

    Psychotic symptoms can be put into three categories:
    1. Positive (symptoms which the illness adds to the person); ex hallucinations, delusions, disorganized thought and behaviour etc.
    2. Negative (symptoms which are absent in non-psychotic people); ex. blunting of affect, cognitive impairment, anhedonia, etc.
    3. Cognitive (symptoms of cognitive impairments) ex. ADHD

    Antipsychotics create mental illness
    1.Negative & Cognitive Symptoms (of Psychosis): ADHD, poor executive functions, lower frontal lobe activity, etc.
    2.Neuroleptic Syndrome; Affective blunting, flattening of emotions, emotional indifference, lack of motivation, initiative and preoccupation; delayed response to external stimuli.
    3.Supersensitivity Psychosis. Over time, antipsychotics cause more dopamine receptors to be synthesized which hypothetically/theoretically make someone vulnerable to developing psychosis in the future.

    Under these definitions, antipsychotics cause negative and cognitive symptoms of psychosis. Antipsychotics only treat positive symptoms, and are only effective over the short term.The effectiveness of antipsychotics diminishes over time due to compensatory adaptation. The antipsychotics work to reduce positive symptoms by blocking D2 type dopamine receptors in the brain globally. The brain reacts to the blockade as if to a pathological insult and synthesizes 40% or more dopamine receptors in order to sensitize itself to dopamine. This abnormality in the density of dopamine receptors, is associated with both positive and negative symptoms. Therefore, antipsychotics cause the very abnormality which they are hypothesized to treat. Therefore, antipsychotics are not to be used long term, but are rather only to be used for treating positive symptoms for the short term; 6 weeks.
    Last edited by Petros Agapetos; 10-25-2018 at 03:35 AM.

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    Affidavit of Peter Goetzsche

    Dr. Goetzsche’s Credentials/Expert Status
    1.Master of Science in biology and chemistry from the University of Lund in Sweden.
    In 1984, Peter Goetzsche received a Medical Doctor degree from the University of Copenhagen.

    2.In 1993, Dr. Goetzsche co-founded the Cochrane Collaboration, now known simply as Cochrane with Iain Chalmers and others.

    3.That same year, Dr. Goetzsche founded the Nordic Cochrane Center and has headed it ever since, being its Director and Chief Physician.

    4.Cochrane is free from financial interest and is internally recognized for its objective analysis of medicines, medical devices, and other interventions in health-care.

    5.His book, Rational Diagnosis and Treatment: Evidence-Based Clinical Decision-Making, was published in 2007

    6.In 2013, Dr. Goetzsche published the book, Deadly Medicines and Organized Crime: How Big Pharma has Corrupted Healthcare (Deadly Medicines), detailing how the drug industry systematically overstates the benefits of medications and understates their harms. Two chapters of Deadly Medicines focused on psychiatry and psychiatric drugs which are the worst in terms of overstating their benefits and understating their harms.

    7.In 2015, Dr. Goetzsche published an entire book on psychiatric drugs, Deadly Psychiatry and Organized Denial (Deadly Psychiatry),. detailing the lack of solid evidence for clinically meaningful benefits of psychiatric treatments, the immense harm they cause including many unreported suicides and other deaths, and the problems with psychiatric coercion.

    8.Dr. Goetzsche is considered an expert on medical research methodology and on evaluating the trustworthiness of research results.

    Dr. Peter Goetzsche outlines the harmful effects of antipsychotics; offers feasible, less restrictive and less intrusive alternative; and concludes based on scientific facts that administering a psychotropic medication or medications to a patient against his or her will is not in his or her best interest.

    I.The primary benefit of neuroleptics being forced on a patient is to make it easier for the staff, not for the patient’s benefit.

    II.Neuroleptics cripple people. They cause irreversible brain damage in a dose related fashion and dramatically decrease people’s prospect of getting back to a normal life; they create dependency, abstinence/withdrawal symptoms if people try to stop and supersensitivity psychosis. They are some of the most toxic drugs ever made apart from chemotherapy for cancer.

    III.Because neuroleptics block 70%-90% of the dopamine transmission to certain receptors in the brain, the brain compensates by growing more dopamine receptors, causing psychotic symptoms if people abruptly withdraw from the drugs. These withdrawal, or “discontinuation” symptoms are almost always interpreted as symptoms of mental illness.

    IV.Psychiatric drugs are the third greatest cause of death after heat disease and cancer.

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    25 GOOD REASONS WHY PSYCHIATRY MUST BE ABOLISHED

    1.Because psychiatrists frequently cause harm, permanent disabilities, death - death of the body-mind-spirit.

    2.Because psychiatrists frequently violate the Hippocratic Oath which orders all physicians "First Do No Harm."

    3.Because psychiatrists patronize and disempower people, especially their patients.

    4.Because psychiatry is not a medical science.

    5.Because psychiatry is quackery, a pseudo-science which lacks independent diagnostic tests, testable hypotheses, and cures for "schizophrenia" and all other types of alleged "mental illness" or "mental disorder".

    6.Because psychiatrists can not accurately and reliably predict dangerousness, violence, or any other type of human behaviour, yet make such claims as "expert witnesses", and with the media promote the "dangerous mental patient" myth/stereotype.

    7.Because psychiatrists have caused a worldwide epidemic of brain damage by promoting and prescribing brain-disabling treatments such as the neuroleptics, antidepressants, electroconvulsive brainwashing (electroshock), and psychosurgery (lobotomy).

    8.Because psychiatrists manufacture hundreds of "mental disorders" classified in its bible called "Diagnostic and Statistical Manual of Mental Disorders" (a modern witch- hunting manual); such "mental disorders" and "symptoms" are in fact negative, class- and-culturally-biased moral judgments for dissident ways of coping with personal problems and alternative ways of perceiving, interpreting or being in the world.

    9.Because psychiatrists, blinded by their medical model bias, fraudulently pathologize and label people's serious life or existential crises as "symptoms" of "mental illness" or "mental disorder" such as "schizophrenia","bipolar affective disorder", and "personality disorder".

    10.Because psychiatrists compound this fraud by falsely claiming, without scientific proof, that these "mental disorders" are caused by a "biochemical imbalance" in the brain, genetic factors or "genetic predispositions", despite the fact that there are no genetic factors in "mental illness".

    11.Because psychiatrists frequently misinform their patients, families and the public by claiming that brain-disabling procedures such as the neurotoxins (e.g.,"antipsychotic medication" and "antidepressasnts"), electroconvulsive brainwashing (electroconvulsive therapy/"ECT"), psychosurgery (lobotomy) and other behaviour modification-mind control procedures are "safe, effective and lifesaving". The exact opposite is tragically true.

    12.Because psychiatrists routinely deceive or lie to patients, prisoners, their families, and the public.

    13.Because psychiatrists routinely and willfully violate the medical-ethical principle of "informed consent" by misinforming or not informing their patients about the numerous toxic, disabling and frequently permanent effects of the neuroleptics such as memory loss, tardive dyskinesia, tardive psychosis, parkinsonism, dementia (all signs of brain damage), and death.

    14.Because psychiatrists routinely threaten, intimidate or coerce many patients - particularly women, children, the elderly, and prisoners - into consenting to health- threatening/brain-damaging "treatment" such as the antidepressants, neuroleptics, electroconvulsive brainwashing, and hi-risk experiments.

    15.Because psychiatrists frequently fail to fully inform psychiatric inmates and prisoners about existing safe and humane, non-medical alternatives in the community such as survivor-controlled crisis centres, drop-ins, self-help or advocacy groups, diet, massage, wholistic medicine, affordable supportive housing, and jobs.

    16.Because psychiatrists are sexist in frequently stereotyping women in crisis as "hysterical" or "over-emotional", blaming women whenever they voice real complaints and assertively express their feelings and emotions, prescribing massive doses of tranquilizers and antidrepressants to disproportionately large numbers of women, and in sexually assaulting women in their offices and institutions.

    17.Because psychiatrists, particularly white male psychiatrists, are homophobic - the American Psychiatric Association (APA) once labelled homosexuality as a "mental illness" or "mental disorder" - and have used forced electroshock on lesbians, trying to coerce them into adopting a heterosexual life style.

    18.Because psychiatrists are ageist in prescribing tranquilizers, antidepressants ("medication") and electroconvulsive brainwashing for disproportionately large numbers of elderly people - a form of elder abuse.

    19.Because psychiatrists are racist in disproportionately incarcerating and drugging people of African descent, aboringal people, other people of colour and labelling them "psychotic" or "schizophrenic".

    20.Because psychiatrists routinely violate people's civil rights, human rights and constitutional rights such as imprisoning innocent people without court trial or public hearing ("involuntary commitment"), and subjecting them to cruel and unusual punishments or tortures such as forced drugging, electroconvulsive brainwashing, psychosurgery, solitary confinement, "chemical restraints", and 4-point or 5-point restraints.

    21.Because psychiatrists masterminded the mass murder of hundreds of thousands of vulnerable people including disabled children, the elderly and psychiatric patients during The Holocaust in Nazi Germany, and "selected" hundreds of thousands of concentration camp prisoners for death ("T-4 euthanasia" program) - historical facts still missing in psychiatric textbooks and histories.

    22.Because psychiatrists have willingly participated in and administered mind-control experiments in the United States and Canada since the early 1950s - its chief targets have been poor patients, women, dissidents and prisoners.

    23.Because psychiatry, particularly institutional-biological psychiatry, is based on the 3 Fs: Fear, Fraud,and Force.

    24.Because psychiatry is a form of social control or punishment - not treatment.

    25.Because psychiatry, particularly institutional-biological psychiatry, is fascist - a direct threat to democracy, human rights and life.

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    General Effects of Antipsychotics:
    Slowed Thought Tempo, Impoverishment of thought and speech; cognitive impairment: memory dysfunction, shortened attention span, difficulty concentrating /focusing. Akathisia - psychomotor restlessness and inability to remain still (ex. pacing around); Pseudo_Parkinsonism: tremulousness/tremor; flattening of affect, emotional indifference, lack of motivation, initiative, and preoccupation; elevation of prolactin levels, sexual dysfunction (libido, and orgasm). Social withdrawal/poorer quality of life due to negative and cognitive symptoms. Neuroleptics rob people of their scholastic potential, learning skills, by degrading their executive functional abilities; due to mesolimbic and mesocortical dopamine pathways.

    Dopamine blockade of these two pathways causes a bulk of the symptoms people complain about while taking antipsychotics;
    Mesolimbic: connects the ventral tegmental area to the nucleus accumbens.
    Mesocortical : connects the ventral tegmental area to the frontal lobes and the prefrontal cortex.


    While the metabolic effects, for example; the link between antipsychotics and diabetes II, and prolactin elevation; are associated with the Tubero-Infundibular pathway.

    Blockade of the Nigrostriatal pathway causes Extrapyramidal symptoms; Akathisia, Dyskinesia, Dystonia, Slowing down of voluntary muscle control and coordination.

    The "Side Effects" of Antipsychotics derive from the blockade of mainly D2 and D3 type dopamine receptors in these pathways, effectively lowering their overall activity.
    Last edited by Petros Agapetos; 10-24-2018 at 10:38 PM.

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    "Dr. Thomas Szasz shows how the medicine administered psychiatric institutions is a sort of punishment ...[He] declares psychiatry to be a new form of social engineering - gravely dangerous where coercive... This bold and iconoclastic work takes up most of the faults committed in the name of mental illness, and lays down short-run and long-run solutions" - New York Times Bestselling Author, Edward De Granzia about Thomas Szasz's book, "Law, Liberty, and Psychiatry".

    "Dr. Szasz makes a real contribution by alerting us to the abuses existing and potential of human rights in iherent in enlightened mental health programs and procedures. He points out, with telling examples, shortcomings in the commitment procedures, inadequacies in the protections afforded patients in mental institutions and the dangers of over-reliace on psychiatric experts by judges and juries." - The American Bar Association.

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    Veteran Member Petros Agapetos's Avatar
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    Default Forced Psychiatric "Treatment" is Torture!

    Peter Breggin, MD By Peter Breggin, MD June 19, 2016


    Torture often has a straightforward goal—to break the victim’s will and to intimidate others who fear that torture will also be inflicted on them. Anyone who has worked or been a patient on a psychiatric ward has witnessed daily attempts to break the will of patients by limiting their freedom and activities, treating them like children, making threats, using physical restraint and isolation, and ultimately inflicting drugs and electroshocks that render the individual helpless. The most profound impact of neuroleptic (antipsychotic) drugs is to render the individual indifferent, apathetic and docile; but the drugs commonly continue to inflict physical and mental torment.

    Abolishing involuntary treatment is easily justified under the Bill of Rights, including sections that pertain to due process, protection from cruel and unusual punishments, and the protection of freedom of speech. Involuntary treatment has no place in a society that values the rights of the individual. Nor is it “humane” or “kind” to lock up and drug people against their will. If these people thought psychiatric treatment was humane and kind, they would have chosen it. To superimpose upon them the will of professionals devoted to psychiatric theories and practices that do more harm than good is neither human nor kind; it is simply oppressive.

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    Antipsychotic treatment causes docility with a chemically lobotomizing restraint on the nervous system through the seizing of dopaminergic pathways in the brain, which impairs emotional and affective response; causes flattening of affect; people become more unmotivated, lose their zest of life., lose their sex drive, lose their ability to orgasm since an orgasm is a dopaminergic burst; which are dampened under the antipsychotics ; Antipsychotic treatment also causes anhedonia, prevents high mood /hypomania; lowers testosterone ; increases prolactin (a hormone which ends orgasm) and causes sexual dysfunction. Not to mention antipsychotics shrink the brain and cause supersensitivity psychosis, cause weight gain, cause diabetes II (acquired) and cause irreparable brain shrinkage; and this damage is associated with both bodily and mental impairments (both positive and negative symptoms). Given that antispsychotics have these side effects; it is inhumane to treat people against their will with these agents.
    Last edited by Petros Agapetos; 11-13-2018 at 07:35 AM.

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    Default How a Community Treatment Order Works

    Please Vote on the Poll!

    We are talking about people being treated against their will, even if it is deemed by the psychiatrist that it is in the best interest of the patient to continue treatment.
    Are you for abolishing forced psychiatric interventions, or are you for the status quo (then vote no).

    A community treatment order gives the treating / supervising psychiatrist the authority to coerce the patient into treatment:

    How does the psychiatrist coerce the patient under a CTO?

    The psychiatrist can write an apprehension order; if the patient refuses treatment. The apprehension order authorizes police to apprehend the patient to a mental health facility for an "examination" by two physicians, one of whom must be a psychiatrist. The two physicians will decide whether to admit the patient to hosptial. If they release you from hospital, they cancel the CTO. They may also release the patient from hospital without canceling the CTO. Or they may admit you to hospital. Once admitted the following can happen. The psychiatrist may apply for a treatment order to the Alberta Mental Health Review Panel; if the review panel authorizes the treatment and finds that the treatment is in the patients "Best Interests" (legal test), then the treatment is given , otherwise the patient is let go. Or the psychiatrist may declare a patient incompetent to make treatment decisions (by Mental Capacity Act), then the patient goes to the review panel to prove their competency, once it is questioned. Mental capacity or competency means you can understand and appreciate the consequences the treatment and lack of treatment, can weigh the results , make a decision,and communicate the decision. Competency has to do with your capacity to make the decision for yourself. not whether the psychiatrist has to agree with your decision. Even if the patient's decision is demonstrably unwise, and corroborated by professional opinion, but as long as you have the right mental capacity; then you can avoid being treated against your will.

    So, let us review: the psychiatrist can cause a patient to be hospitalized ; hospitalization can (but does not necessarily ) lead to you being treated against your will. If however the treatment is objectively not in your best interest and you can demonstrate mental capacity to make treatment decisions for yourself, then the CTO can order the police to take you to hospital, but no one will order the treatment, because you don't meet the other criteria. It is a highly coercive scheme designed to keep patients on treatment; comply with medication.

    Would you abolish CTO's for people diagnosed with so called mental illnesses?
    Last edited by Petros Agapetos; 11-15-2018 at 12:24 AM.

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