unsafe
at
any
dose
Sales of this book help support the work of
The James Nayler Foundation www.TruthTrustConsent.com
unsafe
at
any
dose
exposing psychiatric dogmas
so minds can heal.
Dr Bob Johnson
Consultant Psychiatrist GMC speciality register for psychiatry
formerly Head of Therapy, Ashworth Maximum Security Hospital, Liverpool
Consultant Psychiatrist, Special Unit, C-Wing, Parkhurst Prison, Isle of Wight .
MRCPsych (Member of Royal College of Psychiatrists),
MRCGP (Member of Royal College of General Practitioners).
Diploma in Neurology & Psychiatry (Psychiatric Inst NY),
MA (Psychol), PhD(med computing), MBCS, DPM, MRCS.
Published in 2006 by Trust Consent Publishing,
P O Box 49, Ventnor, Isle of Wight, PO38 9AA UK. www.TrustConsent.com.
All rights reserved: no part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying or otherwise, without the prior written consent of the publisher.
2006 Dr Bob Johnson
Dr Bob Johnson is hereby identified as the author of this work in accordance with Section 77 of the Copyright, Designs and Patents Act 1988.
British Library Cataloguing in Publication Data. A CIP record of this book is available on request from the British Library. ISBN 0-9551985-1-8
ISBN-13 is 978-0-9551985-1-9
10 9 8 7 6 5 4 3 2 1
If you have comments please send them either via the publisher or via www.TruthTrustConsent.com. Sadly, time and age will limit my replies.
Please note psychiatric drugs are increasingly powerful, they wreak great changes on the chemistry of our brains so do not stop or change their dosage abruptly, nor attempt to do so without adequate support. This is a HEALTH WARNING .
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printed by Biddles Ltd, Kings Lynn, Norfolk, PE30 4LS
foreword
Psychiatric drugs do more harm than good not a comfortable statement to read. Your first reaction is likely to be shock, your second, disbelief. After all, doctors have a long and rigorous training if something was wrong, surely they would be the first to point it out. Sadly, too many doctors share your disbelief. They keep splashing out psychiatric drugs, as if their futures depended on it. For the last 50 years doctors, with few honourable exceptions, have steadfastly ignored the solid, irrefutable evidence that psychiatric drugs prolong disease.
Robert Whitakers book Mad In America gives chapter and verse on the full range of damning scientific evidence. Whitaker himself hoped that by presenting the scientific data, in a calm straightforward manner, matters would improve. Sadly his venture failed. This book is therefore a further attempt along the same lines in effect it says, Wake up! Theres more to psychiatry and to life, than psychiatric teaching currently allows.
Unless this teaching is changed, we are all destined to be treated as mindless unfeeling robots, gummed up by psychiatric drugs. Indeed closer scrutiny shows that todays psychiatric foundations are built on sand. My earlier book Emotional Health discusses why here I describe what it is like from the psychiatrists point of view, and show how a reawakened psychiatry could heal more. We are a sociable species emotional distress of all varieties can generally be cured. After reading it, you might agree that public pressure is needed to rescue us.
This is not an anti-psychiatry book. I have been a member of the Royal College of Psychiatrists since 1973. I have studied psychiatry intensively since 1963, and have been a Consultant Psychiatrist since 1991. I love it. Since emotions inflict such terrible agonies, it is imperative that we control them, not them us. This is why I now put much effort into establishing Emotion Support Centres, where recoverers help others recover.
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list of chapters
list of chapters vii
contents ix
1) WHY IGNORE 50 YEARS OF ADVERSE SCIENTIFIC EVIDENCE? 1
2) WHAT EXACTLY ARE YOU TREATING? 20
3) THE DAMAGE IN DETAIL 42
4) SAFER PSYCHIATRY 70
5) EMOTION SUPPORT for Lenny 91
6 : EMOTION SUPPORT for Louise 117
7) EMOTION SUPPORT for Ann 132
8) WHERE WE GO FROM HERE. 165
APPENDIX 180
Contemporary Psychiatric Anomalies 198
Levels Of Violence And Medication In A Special Prison Unit, 1986-1995. 204
Evidence Prepared For The Joint Committee On The Draft Mental Health Bill 209
SELECTED READING LIST 215
contents
ii
list of chapters vii
contents ix
1) WHY IGNORE 50 YEARS OF ADVERSE SCIENTIFIC EVIDENCE? 1
dogma 1 ignore the fear 1
denial 3
dogma 2 ignore the mind 6
despair 8
drunk 11
short term benefit long term disaster 15
dogma 3 ignore the software 17
2) WHAT EXACTLY ARE YOU TREATING? 20
medical realities 20
psychiatric nihilism 23
daffy diagnoses 26
pigeon holing people 29
recipes for unicorn blood 32
DSM-IV sanctifies the three dogmas 36
3) THE DAMAGE IN DETAIL 42
a personal story 42
Robert Whitakers preface 45
Professor Ebmeiers presumption 49
shocking electrical treatment 54
anorexia from the inside 57
Scott Maloney 61
4) SAFER PSYCHIATRY 70
a guided tour of the human mind 70
consent/intent as housekeeper 74
denial re-visited 77
The Healing Hand Of Kindness 80
Dr Peter Breggins support and inspiration 81
micro Darwinism 83
erasing psychiatric dogmas. 87
5) EMOTION SUPPORT for Lenny 91
6 : EMOTION SUPPORT for Louise 117
7) EMOTION SUPPORT for Ann 132
8) WHERE WE GO FROM HERE. 165
reality and insanity 165
to my psychiatric colleagues (and everyone else) 168
to talk therapists (and everyone else) 171
towards a safer psychiatry 175
APPENDIX 180
The Case Against Antipsychotic Drugs: A 50-Year Record Of Doing More Harm Than Good 181
Did Neuroleptics Enable Deinstutionalization? 182
Establishing Efficacy: The Pivotal NIMH Trial 183
The NIMH Withdrawal Studies 183
Drug Treatment Versus Experimental Forms of Care 184
The World Health Organization Studies 185
MRI Studies 186
Relapse Studies: 187
Doing More Harm Than Good 188
A Better Model: The Selective Use of Neuroleptics 189
The Atypicals: Dawn of a New Era? 189
Summary 190
A Timeline for Neuroleptics 191
Clinical History/Standard Neuroleptics 191
References 194
Contemporary Psychiatric Anomalies 198
etiolated aetiology 198
emotionless nosologies 199
pull yourself together 200
References 202
Lancet letter Ashworth: The Horrors of Misdiagnosis 202
Levels Of Violence And Medication In A Special Prison Unit, 1986-1995. 204
introduction 204
method 205
results 205
discussion 207
Evidence Prepared For The Joint Committee On The Draft Mental Health Bill 209
Preamble 209
the Committees Questions 210
SELECTED READING LIST 215
1) WHY IGNORE 50 YEARS OF ADVERSE SCIENTIFIC EVIDENCE?
dogma 1 ignore the fear
Psychiatry is begrimed in a veil of fear. The mentally ill have always attracted their unfair share of calumny and degradation essentially because their fear leaks. Psychiatrists too, are generally cast in a fearsome light partly through associating with insanity, and partly because they repeatedly insist on heroically damaging treatments. Fear impedes rational thought its the only thing that does. How can you possibly assess whether psychiatric drugs do more harm than good, if the whole topic comes to you overburdened with forebodings? My advice would be to take this book steadily and calmly. Keep hold of a thread of reason at all times. Make sure you can see some sense in what I write, by relating it to what you are already familiar with. Above all, never stop looking for fear of what you might see that way madness lies. For my part, I shall endeavour to keep the thread simple, calm and straightforward, relying on the maxim that you should first taste what I write, but swallow only when you see enough sense in it to do so: but when you do, please act.