100 Quotes About Psychiatry

Perfection is something we should all strive for. It's a duty and a joy to perfect one's nature... The most difficult thing is love. A loveless, driving person that just competes in the rat race is far from perfection in my book. R.D. Laing

Through most of human history, our ancestors had children shortly after puberty, just as the members of all nonhuman species do to this day. Whether we like the idea or not, our young ancestors must have been capable of providing for their offspring, defending their families from predators, cooperating with others, and in most other respects functioning fully as adults. If they couldn't function as adults, their young could not have survived, which would have meant the swift demise of the human race. The fact that we're still here suggests that most young people are probably far more capable than we think they are. Somewhere along the line, we lost sight of — and buried — the potential of our teens. Robert Epstein

I decided early in graduate school that I needed to do something about my moods. It quickly came down to a choice between seeing a psychiatrist or buying a horse. Since almost everyone I knew was seeing a psychiatrist, and since I had an absolute belief that I should be able to handle my own problems, I naturally bought a horse. Kay Redfield Jamison

Science is not a democracy. Therefore to try to pass of global warming as real just because "98% of scientists say they agree" makes no sense at all. If 98% of psychiatrists said that all mentally ill people needed lobotomized, does that make it true? If 98% of your friends jumped off a building, would you jump, too? Rebecca McNutt

[One way] researchers sometimes evaluate people's judgments is to compare those judgments with those of more mature or experienced individuals. This method has its limitations too, because mature or experienced individuals are sometimes so set in their ways that they can't properly evaluate new or unique conditions or adopt new approaches to solving problems. Robert Epstein

The duality and the freewill don't exist. There's only one choice to be made, the one that bring us upwards. Self-destruction is not a choice. And yet, every duality presents exactly that, and not really a choice. Robin Sacredfire

Our desires, dreams and hopes, open portals. These portals manifest in our conscience and five senses, in the form of decisions related to the material world but also opportunities. Now, at the exact same time, or maybe even slightly before in time, we get the exact opposite, the temptation, the illusion and deception. And when we are about to make a decision, as if by magic, the two things come stronger to us, as if pushing us into a duality that makes it hard to decide. Now, this brings me to another super interesting fact: Most people assume that they have freewill, and that choices are hard to be made, and that life is full of dualities. And I've learned that this is just a great deception related to our planet, which, as human beings, we must transcend. And what I'm really saying here is that the duality and the freewill don't exist. There's only one choice to be made, the one that bring us upwards. Self-destruction is not a choice. And yet, every duality presents exactly that, and not really a choice. . Robin Sacredfire

What is peculiar and novel to our age is that the principal goal of politics in every advanced society is not, strictly speaking, a political one, that is today, it is not concerned with human beings as persons and citizens, but with human bodies.. In all technologically advanced countries today, whatever political label they give themselves, their policies have, essentially, the same goal: to guarantee to every member of society, as a psychophysical organism, the right to physical and mental health. W.h. Auden

If there is one central intellectual reality at the end of the twentieth century, it is that the biological approach to psychiatry--treating mental illness as a genetically influenced disorder of brain chemistry--has been a smashing success. Freud's ideas, which dominated the history of psychiatry for the past half century, are now vanishing like the last snows of winter. Edward Shorter

Your imaginary friend isn’t the problem, Amanda. The problem is that you don’t seem to have any real friends. Rebecca McNutt

Some of the most evil human beings in the world are psychiatrists. Not all psychiatrists. Some psychiatrists are selfless, caring people who really want to help. But the sad truth is that in today's society, mental health isn't a science. It's an industry. Ritalin, Zoloft, Prozac, Lexapro, Resperidone, happy pills that are supposed to "normalize" the behavior of our families, our colleagues, our friends - tell me that doesn't sound the least bit creepy! Mental health is subjective. To us, a little girl talking to her pretend friends instead of other children might just be harmless playing around. To a psychiatrist, it's a financial opportunity. Automatically, the kid could be swept up in a sea of labels. "not talking to other kids? Okay, she's asocial! " or "imaginary friends? Bingo, she has schizophrenia! " I'm not saying in any way that schizophrenia and social disorders aren't real. But the alarming number of people, especially children, who seem to have these "illnesses" and need to be medicated or locked up.. it's horrifying. The psychiatrists get their prestigious reputation and their money to burn. The drug companies get fast cash and a chance to claim that they've discovered a wonder-drug, capable of "curing" anyone who might be a burden on society.. that's what it's all about. It's not about really talking to these troubled people and finding out what they need. It's about giving them a pill that fits a pattern, a weapon to normalize people who might make society uncomfortable. The psychiatrists get their weapon. Today's generations get cheated out of their childhoods. The mental health industry takes the world's most vulnerable people and messes with their heads, giving them controlled substances just because they don't fit the normal puzzle. And sadly, it's more or less going to get worse in this rapidly advancing century. Rebecca McNutt

A question that always makes me hazy is it me or are the others crazy' Albert Einstein Victoria Ward

What we call 'normal' is a product of repression, denial, splitting, projection, introjection and other forms of destructive action on experience. R. D. Laing

Human psychology is the most mysterious thing in the world. Munia Khan

Sandra had studied psychiatry in order to understand the nature of despair, but all she had really learned was the pharmacology of it. The human mind was easier to medicate than to comprehend. Robert Charles Wilson

The maladies of the spirit alone, in abstracto, that is, error and sin, can be called diseases of the mind only per analogiam. They come not within the jurisdiction of the physician, but that of the teacher or clergyman, who again are called physicians of the mind only per analogiam. Ernst Von Feuchtersleben

The worst feeling in the world is not losing your friend forever, but rather having patronizing people tell you that the love you have for your friend and the connection and emotion you have towards them is an illness to be cured, a problem to be covered up and hidden away by the power of mood-altering drugs. I used to trust doctors when I was younger.. now I've lost my trust in all mental health professionals forever. Rebecca McNutt

Clear thinking requires courage rather than intelligence. Unknown

If you doubt your sanity, is that proof? James Qualls

I think more people would stay active in church, if they didn't get so offended by the actions of members. Sometimes, you have to view places of worship as free mental health clinics, in order to deal with the piety or hypocrisy. Parishioners are a wounded souls in various stages of healing, who are being treated by angels, with credentials from the University of Hard Knocks. Some take their therapy seriously and try to practice what they learned. Yet, others down the sacrament like a healing dose of Prozac, with no other effort required. When you keep this in mind, you won't feel so annoyed by the personalities you encounter. Shannon L. Alder

Landscape is to American painting what sex and psychoanalysis are to the American novel. Robert Hughes

Frosh (2002) has suggested that therapeutic spaces provide children and adults with the rare opportunity to articulate experiences that are otherwise excluded from the dominant symbolic order. However, since the 1990s, post-modern and post-structural theory has often been deployed in ways that attempt to ‘manage’ from; afar the perturbing disclosures of abuse and trauma that arise in therapeutic spaces (Frosh 2002). Nowhere is this clearer than in relation to organised abuse, where the testimony of girls and women has been deconstructed as symptoms of cultural hysteria (Showalter 1997) and the colonisation of women’s minds by therapeutic discourse (Hacking 1995). However, behind words and discourse, ‘a real world and real lives do exist, howsoever we interpret, construct and recycle accounts of these by a variety of symbolic means’ (Stanley 1993: 214). Summit (1994: 5) once described organised abuse as a ‘subject of smoke and mirrors’, observing the ways in which it has persistently defied conceptualisation or explanation. Explanations for serious or sadistic child sex offending have typically rested on psychiatric concepts of ‘paedophilia’ or particular psychological categories that have limited utility for the study of the cultures of sexual abuse that emerge in the families or institutions in which organised abuse takes pace. For those clinicians and researchers who take organised abuse seriously, their reliance upon individualistic rather than sociological explanations for child sexual abuse has left them unable to explain the emergence of coordinated, and often sadistic, multi–perpetrator sexual abuse in a range of contexts around the world. . Michael Salter

The data on organised abuse has been simplified or distorted in an attempt force it to conform to mechanical psychological models of dissociative obedience or else to the psychiatric framework of ‘paedophilia’. Psychopathology alone is an inadequate explanation for environments in which sexual abuse has a social and symbolic function for groups of adults. Abusive groups do not emerge in a vacuum but rather they are formed within pre-existing social arrangements such as families, churches and schools. Michael Salter

As mandatory reporting laws and community awareness drove an increase its child protection investigations throughout the 1980s, some children began to disclose premeditated, sadistic and organised abuse by their parents, relatives and other caregivers such as priests and teachers (Hechler 1988). Adults in psychotherapy described similar experiences. The dichotomies that had previously associated organised abuse with the dangerous, external ‘Other’ had been breached, and the incendiary debate that followed is an illustration of the depth of the collective desire to see them restored. Campbell (1988) noted the paradox that, whilst journalists and politicians often demand that the authorities respond more decisively in response to a ‘crisis’ of sexual abuse, the action that is taken is then subsequently construed as a ‘crisis’. There has been a particularly pronounced tendency of the public reception to allegations of organised abuse. The removal of children from their parents due to disclosures of organised abuse, the provision of mental health care to survivors of organised abuse, police investigations of allegations of organised abuse and the prosecution of alleged perpetrators of organised abuse have all generated their own controversies. These were disagreements that were cloaked in the vocabulary of science and objectivity but nonetheless were played out in sensationalised fashion on primetime television, glossy news magazines and populist books, drawing textual analysis. The role of therapy and social work in the construction of testimony of abuse and trauma. in particular, has come under sustained postmodern attack. Frosh (2002) has suggested that therapeutic spaces provide children and adults with the rare opportunity to articulate experiences that are otherwise excluded from the dominant symbolic order. However, since the 1990s, post-modern and post-structural theory has often been deployed in ways that attempt to ‘manage’ from; afar the perturbing disclosures of abuse and trauma that arise in therapeutic spaces (Frosh 2002). Nowhere is this clearer than in relation to organised abuse, where the testimony of girls and women has been deconstructed as symptoms of cultural hysteria (Showalter 1997) and the colonisation of women’s minds by therapeutic discourse (Hacking 1995). However, behind words and discourse, ‘a real world and real lives do exist, howsoever we interpret, construct and recycle accounts of these by a variety of symbolic means’ (Stanley 1993: 214). Summit (1994: 5) once described organised abuse as a ‘subject of smoke and mirrors’, observing the ways in which it has persistently defied conceptualisation or explanation. Michael Salter

There are a range of useful and illuminating analyses of the media construction of organised abuse as it became front-page news in the 1980s and 1990s (Kitzinger 2004, Atmore 1997, Kelly 1998), but this book is focused on organised abuse as a criminal practice; as well as a discursive object of study, debate and disagreement. These two dimensions of this topic are inextricably linked because precisely where and how organised abuse is reported to take place is an important determinant of how it is understood. Prior to the 1980s, the predominant view of the police, psychiatrists and other authoritative professionals was that organised abuse occurred primarily outside the family where it was committed by extra-familial ‘paedophiles’. This conceptualisation; of organised abuse has received enduring community support to the present day, where concerns over children’s safety is often framed in terms of their vulnerability to manipulation by ‘paedophiles’ and ‘sex rings’. This view dovetails more generally with the medico-legal and media construction of the ‘paedophile as an external threat to the sanctity of the family and community (Cowburn and Dominelli 2001) but it is confounded by evidence that organised abuse and other forms of serious sexual abuse often originates in the home or in institutions, such as schools and churches, where adults have socially legitimate authority over children. Michael Salter

Like the psychological model outlined above, the psychiatric understanding of ’organised paedophilia’ is a framework that is focused primarily on individual psychological factors and overlooks the role of violence in criminal groups and the contexts in which such groups emerge. The underlying assumption of literature on ‘organised paedophilia’ is that members of sexually abusive groups are motivated by a pathological sexual interest in children but this does not accord with evidence that suggests that abusive groups can simultaneously abuse children and women. It is increasingly recognised that sexual offenders may not specialise in one particular victim category, and a significant proportion of child sexual abusers have also offended against adults (Cann et al. 2007, Heil et al. 2003). Furthermore, many of the behaviours of abusive groups appear to be designed to elicit fear and pain from the victim rather than to generate sexual pleasure for the perpetrator per se., are not mutually exclusive, but there is a sadistic dimension to organised abuse that is not explicable as ‘paedophilic’. A survivor of organised abuse from Belgium, Regina Louf, made this point clearly when she said: I find the expression ‘paedophile network’ misleading. For me paedophiles are those men who go to playgrounds or swimming pools, priests… I certainly don't want to exonerate them, but I would rather have paedophiles than the types we were involved with. There were men who never touched the children. Whether you were five, ten, or fifteen didn’t matter. What mattered to them was sex, power, experience. To do things they would never have tried with their own wives. Among them were some real sadists. (Louf quoted in Bulte and de Conick 1998) A credible theoretical account of organised abuse must necessarily (a) account for the available empirical evidence of organised abuse, (b) address the complex patterns of abuse and violence evident in sexually abusive groups, and (c) explain the ways in which sexually abusive groups form in a range of contexts, including families and institutions. Michael Salter

Happiness. We're tearing our hair out to try to find a definition of it, for heaven's sake. Is it joy? People will tell you that it isn't, that joy is a fleeting emotion, a moment of happiness, which is always welcome, mind you. And then what about pleasure, huh? Oh, yes, that's easy, everybody knows what that is, but there again it doesn't last. But is happiness not the sum total of lots of small joys and pleasures, huh? . Unknown

Imagine a society that subjects people to conditions that make them terribly unhappy then gives them the drugs to take away their unhappiness. Science fiction It is already happening to some extent in our own society. Instead of removing the conditions that make people depressed modern society gives them antidepressant drugs. In effect antidepressants are a means of modifying an individual's internal state in such a way as to enable him to tolerate social conditions that he would otherwise find intolerable. . Theodore J. Kaczynski

On Prozac, Sisyphus might well push the boulder back up the mountain with more enthusiasm and creativity. I do not want to deny the benefits of psychoactive medication. I just want to point out that Sisyphus is not a patient with a mental health problem. To see him as a patient with a mental health problem is to ignore certain larger aspects of his predicament connected to boulders, mountains, and eternity. . Carl Elliott

A little later, when breakfast was over and I had not yet gone up-stairs to my room, I had my first interview with Doctor Brandon, the famous alienist who was in charge of the case. I had never seen him before, but from the first moment that I looked at him I took his measure, almost by intuition. He was, I suppose, honest enough -- I have always granted him that, bitterly as I have felt toward him. It wasn't his fault that he lacked red blood in his brain, or that he had formed the habit, from long association with abnormal phenomena, of regarding all life as a disease. He was the sort of physician -- every nurse will understand what I mean -- who deals instinctively with groups instead of with individuals. He was long and solemn and very round in the face; and I hadn't talked to him ten minutes before I knew he had been educated in Germany, and that he had learned over there to treat every emotion as a pathological manifestation. I used to wonder what he got out of life -- what any one got out of life who had analyzed away everything except the bare structure. . Ellen Glasgow

DENIALDefense mechanism in which the existence of unpleasant realities is disavowed; refers to keeping out of conscious awareness any aspects of external reality that, if acknowledged, would produce anxiety. Benjamin James Sadock

Shall we go?' he murmured, perhaps regretting his decision to show me his army of plastic cartoon figurines. Jon Ronson

Under the guise of helping the sick, oppressed and hopeless, psychiatry is paving the way for authoritarian governments to suppress a whole society furthermore, with drugs and obscene practices that promote, not only hypnotic suggestions, but also highly suggestible individuals which, otherwise, would oppose a whole repressive system that threatens both their existence and the existence of future generations on Earth. And so, one can very well say that, psychiatry, aided by pharmaceutical corporations and power-driven governments, or merely governments fearful of their own people and the extinction of immoral politics, will contribute vastly to the extermination and full extinction of the human race. Robin Sacredfire

Invisibility can be good as a superpower. But psychiatry reveals people don't like it very much. Joyce Rachelle

Despite what you might think, NORMAL people do NOT cause problems, misfortunes, conflicts, distress or accidents. And when they do, they CAN apologize and recognize their negative influence. A person that causes these things and can’t assume any responsibility for them is, apart from showing the cognitive and moral level of a child, deserving nothing more than abandonment, because she is dangerous at all levels and can hurt, or even kill, someone BY ACCIDENT, including herself and whoever is with her. A person like this DOES NOT deserve any TRUST for ANYTHING, ABSOLUTELY ANYTHING. . Robin Sacredfire

Grief is NOT a mental illness or an emotional disorder. Anyone who tells you otherwise has never experienced it for themselves. Rebecca McNutt

The human being is so complicated in some ways, and yet so simple in others. Sometimes, we need complex medication regimens. Yet, sometimes, we just need a good cry. Vironika Tugaleva

I don’t like psychiatrists, ” Alecto told her. “Not because they don’t think I’m real, but because they have no idea what they’re doing. Rebecca McNutt

Psychiatry is NOT Science, it is just a game like Gematria. It is induced and applied by man and only exists in his domain while he remains alive. Since man is NO god, he possesses NOT the power over his mechanics — including Psychology, and hence, his Biology is subjugated to the Laws of Science as an exterior influence whether he likes it or not. Ibrahim Ibrahim

The most chronic and complex of the dissociative disorders, multiple personality disorder, was renamed multiple personality disorder, was renamed 'dissociative identity disorder' in 1994 in DSM-IV (American Psychiatric Association). The rationale for the name change, was among other things, to clarify that there are not literally separate personalities in a person with dissociative identity disorder; 'personalities' was a historical term for the fragmented identity states that characterize the condition. Colin A. Ross

Tthe thing is, Dr. Foster…the truth is, I like Marina.” He eyed the doctor. “And I actually don’t like you very much.” Oh, it was worth it. God, it was worth it. To see the perennially calm face turn pale, only slightly, but still pale; to see him blink away the hurt in his watery, pallid blue eyes. Amelia Mangan

I began to see that the stronger a therapy emphasized feelings, self-esteem, and self-confidence, the more dependent the therapist was upon his providing for the patient ongoing, unconditional, positive regard. The more self-esteem was the end, the more the means, in the form of the patient’s efforts, had to appear blameless in the face of failure. In this paradigm, accuracy and comparison must continually be sacrificed to acceptance and compassion; which often results in the escalation of bizarre behavior and bizarre diagnoses. The bizarre behavior results from us taking credit for everything that is positive and assigning blame elsewhere for anything negative. Because of this skewed positive-feedback loop between our judged actions and our beliefs, we systematically become more and more adapted to ourselves, our feelings, and our inaccurate solitary thinking; and less and less adapted to the environment that we share with our fellows. The resultant behavior, such as crying, depression, displays of temper, high-risk behavior, or romantic ventures, or abandonment of personal responsibilities, which seem either compulsory, necessary, or intelligent to us, will begin to appear more and more irrational to others. The bizarre diagnoses occur because, in some cases, if a ‘cause disease’ (excuse from blame) does not exist, it has to be 'discovered’ (invented). Psychiatry has expanded its diagnoses of mental disease every year to include 'illnesses’ like kleptomania and frotteurism [now frotteuristic disorder in the DSM-V]. (Do you know what frotteurism is? It is a mental disorder that causes people, usually men, to surreptitiously fondle women’s breasts or genitals in crowded situations such as elevators and subways.) The problem with the escalation of these kinds of diagnoses is that either we can become so adapted to our thinking and feelings instead of our environment that we will become dissociated from the whole idea that we have a problem at all; or at least, the more we become blameless, the more we become helpless in the face of our problems, thinking our problems need to be 'fixed’ by outside help before we can move forward on our own. For 2, 000 years of Western culture our problems existed in the human power struggle constantly being waged between our principles and our primal impulses. In the last fifty years we have unprincipled ourselves and become what I call 'psychologized.’ Now the power struggle is between the 'expert’ and the 'disorder.’ Since the rise of psychiatry and psychology as the moral compass, we don’t talk about moral imperatives anymore, we talk about coping mechanisms. We are not living our lives by principles so much as we are living our lives by mental health diagnoses. This is not working because it very subtly undermines our solid sense of self. . A.B. Curtiss

Imagine a psychiatrist sitting down with a broken human being saying, I am here for you, I am committed to your care, I want to make you feel better, I want to return your joy to you, I don't know how I will do it but I will find out and then I will apply one hundred percent of my abilities, my training, my compassion and my curiosity to your health -- to your well-being, to your joy. I am here for you and I will work very hard to help you. I promise. If I fail it will me my failure, not yours. I am the professional. I am the expert. You are experiencing great pain right now and it is my job and my mission to cure you from your pain. I am absolutely committed to your care.. I know you are suffering. I know you are afraid, I love you. I want to cure you and I won't stop trying to help you. You are my patient. I am your doctor. You are my patient. Imagine a doctor phoning you at all hours of the day and night to tell you that he or she had been reading some new stuff on the subject of whatever and was really excited about how it might help you. Imagine a doctor calling you in an important meeting and saying listen, I'm so sorry to bother you but I"ve been thinking really hard about your problems and I'd like to try something completely new. I need to see you immediately! I"m absolutely committed to your care! I think this might help you. I won't give up on you. Miriam Toews

Dissociation is the ultimate form of human response to chronic developmental stress, because patients with dissociative disorders report the highest frequency of childhood abuse and/or neglect among all psychiatric disorders. The cardinal feature of dissociation is a disruption in one or more mental functions. Dissociative amnesia, depersonalization, derealization, identity confusion, and identity alterations are core phenomena of dissociative psychopathology which constitute a single dimension characterized by a spectrum of severity. Clinical Psychopharmacology and Neuroscience 2014 Dec; 12(3): 171-179The Many Faces of Dissociation: Opportunities for Innovative Research in Psychiatry. Verdat Sar

Dissociation is characterized by a disruption of usually integrated functions of memory, consciousness, identity, or perception of the environment. American Psychiatric Association

If the mind fits, shrink it. Brian Spellman

The anti-psychiatrists held various, sometimes conflicting views but one particular line of reasoning is attributable to all of them–they all pitched their arguments against the power of the psychiatric establishment. They argued that the psychiatric diagnosis is scientifically meaningless. It is a way of labeling undesirable behaviour, under the guise of medical intervention. Those who are diagnosed ill are subjected to treatment which is a violation of human rights and dignity. The situation amounts to psychiatry having a mandate to declare some citizens unfit to live in an ‘ordinary’ community. It claims to cure but the supposed beneficiaries of that cure are often held in hospitals against their will. Within a structure like this it is impossible to understand the real nature of mental suffering and it is just as impossible to develop a coherent system of help. . Zbigniew Kotowicz

My sadness is beautiful. It infuses everything I do. It is at the core of my identity and always has been, just as happiness is in some people. I refuse to be told that it's a flaw. I will not mute it with medications for the sake of society. I will hold it close to me and celebrate it rightfully while the rest of the world fails to see it for what it is and it will be their loss. Ashly Lorenzana

Then the weeks rolled by in a sinister psych ward haze filled with white-coated orderlies and rocking whack-job patients torn straight from some old Jack Nicholson film, all anti-psychotic meds and padded lonely cells... Shannon Celebi

Can you smell his sweat? That peculiar goatish odor is trans-3-methyl-2 hexenoic acid. Remember it, it's the smell of schizophrenia. Thomas Harris

What daily life is like for “a multiple” Imagine that you have periods of “lost time.” You may find writings or drawings which you must have done, but do not remember producing. Perhaps you find child-sized clothing or toys in your home but have no children. You might also hear voices or babies crying in your head. Imagine that you can never predict when you will be able to have certain knowledge or social skills, and your emotions and your energy level seem to change at the drop of a hat, and for no apparent reason. You cannot understand why you feel what you feel, and, if you are in therapy, you cannot explore those feelings when asked. Your life feels disjointed and often confusing. It is a frightening experience. It feels out of control, and you probably think you are going crazy. That is what it is like to be multiple, and all of it is experienced by the ANPs. A multiple may also experience very concrete problems, even life-threatening ones. . Alison Miller

I recently consulted to a therapist who felt he had accomplished something by getting his dissociative client to remain in her ANP throughout her sessions with him. His view reflects the fundamental mistake that untrained therapists tend to make with DID and DDNOS. Although his client was properly diagnosed, he assumed that the ANP should be encouraged to take charge of the other parts at all times. He also expected her to speak for them–in other words, to do their therapy. This denied the other parts the opportunity to reveal their secrets, heal their pain, or correct their childhood-based beliefs about the world. If you were doing family therapy, would it be a good idea to only meet with the father, especially if he had not talked with his children or his spouse in years? Would the other family members feel as if their experiences and feelings mattered? Would they be able to improve their relationships? You must work with the parts who are inside of the system. Directly. . Alison Miller

Since when did psychiatry become one big, fat Myspace survey? Nenia Campbell

Some alters are what Dr Ross describes in Multiple Personality Disorder as 'fragments'. which are 'relatively limited psychic states that express only one feeling, hold one memory, or carry out a limited task in the person's life. A fragment might be a frightened child who holds the memory of one particular abuse incident.' In complex multiples, Dr Ross continues, the 'personalities are relatively full-bodied, complete states capable of a range of emotions and behaviours.' The alters will have 'executive control some substantial amount of time over the person's life'. He stresses, and I repeat his emphasis, 'Complex MPD with over 15 alter personalities and complicated amnesia barriers are associated with 100 percent frequency of childhood physical, sexual and emotional abuse.' Did I imagine the castle, the dungeon, the ritual orgies and violations? Did Lucy, Billy, Samuel, Eliza, Shirley and Kato make it all up? I went back to the industrial estate and found the castle. It was an old factory that had burned to the ground, but the charred ruins of the basement remained. I closed my eyes and could see the black candles, the dancing shadows, the inverted pentagram, the people chanting through hooded robes. I could see myself among other children being abused in ways that defy imagination. I have no doubt now that the cult of devil worshippers was nothing more than a ring of paedophiles, the satanic paraphernalia a cover for their true lusts: the innocent bodies of young children. Alice Jamieson

Wilhelm Reich identified "armor" as the sum total of typical character attitudes, which an individual develops as a blocking against his emotional excitations, resulting in rigidity of the body, lack of emotional contact, "deadness". Functionally identical to muscular armor (chronic muscular spasms) Wilhelm Reich

A psychiatrist is the God of our age. But they cost money. Sylvia Plath

SELFHOOD AND DISSOCIATIONThe patient with DID or dissociative disorder not otherwise specified (DDNOS) has used their capacity to psychologically remove themselves from repetitive and inescapable traumas in order to survive that which could easily lead to suicide or psychosis, and in order to eke some growth in what is an unsafe, frequently contradictory and emotionally barren environment. For a child dependent on a caregiver who also abuses her, the only way to maintain the attachment is to block information about the abuse from the mental mechanisms that control attachment and attachment behaviour.10 Thus, childhood abuse is more likely to be forgotten or otherwise made inaccessible if the abuse is perpetuated by a parent or other trusted caregiver. In the dissociative individual, ‘there is no uniting self which can remember to forget’. Rather than use repression to avoid traumatizing memories, he/she resorts to alterations in the self ‘as a central and coherent organization of experience. . DID involves not just an alteration in content but, crucially, a change in the very structure of consciousness and the self’ (p. 187).29 There may be multiple representations of the self and of others. Middleton, Warwick. "Owning the past, claiming the present: perspectives on the treatment of dissociative patients." Australasian Psychiatry 13.1 (2005): 40-49. Warwick Middleton

It takes two to tango” isn’t even true on the dance floor. One person can do a lot of evil all on his or her own. But the Theory of Mutual Blame arose sometime before Doc was even born. Perhaps it was a takeoff on Freud’s seduction theory or the more generic practice of blaming victims for being alive. Its origins were unclear, but no one had ever had to take full responsibility for their own actions since. Sarah Schulman

Identity confusion is defined by the SCID-D as a subjective feeling of uncertainty, puzzlement, or conflict about one's own identity. Patients who report histories of childhood trauma characteristically describe themes of ongoing inner struggle regarding their identity; of inner battles for survival; or other images of anger, conflict, and violence. P13 Marlene Steinberg

My mother, my psychiatrist and an assortment of sedatives eventually convinced me I was delusional. Wayne Gerard Trotman

Steve [sports psychiatrist] had already taught me to try and stop worrying so much about pleasing everyone. We knew that this was one of my most draining flaws and he again used three groups to clarify my thinking. There would always be some people, Steve said, who would care about me and love me. In contrast there would also be a select group of people who would never warm to me - no matter what I did. And in the middle came the overwhelming mass who were largely indifferent to any of my failures or triumphs. I needed to understand that most people didn't really care what I did or said. All my anguish about how they might perceive me was redundant. Steve helped me realize that I spent too much time trying to please those oblivious people in the middle or, more problematically, the small group who would never change their critical opinion of me. I should concentrate on the people who really did show concern for me. Victoria Pendleton

Philosophy is to religion as psychoanalysis is to pseudoscience Christopher Marshall

The old joke is that psychiatrists are doctors who can't stand the sight of blood. Maybe they can't stand it, but if they work where I work, they damn well better get used to it. At least surgeons and prizefighters get to wear gloves Mike Bartos

You want to be happy? You want to be well? Then put your boots on. Norah Vincent

Rather than being medicalized or romanticized, mental disorders, or mental dis-eases, should be understood as nothing less or more than what they are, an expression of our deepest human nature. By recognizing their traits in ourselves and reflecting upon them, we may be able both to contain them and to put them to good use. This is, no doubt, the highest form of genius. Neel Burton

In 1949, neurologist Egas Moniz (1874-1955) received a Nobel Prize for his discovery of ‘the therapeutic value of leucotomy in certain psychoses’. Today, prefrontal leucotomy is derided as a barbaric treatment from a much darker age, and it is to be hoped that, one day, so too might antipsychotic drugs. Neel Burton

Of course. A new consciousness - I that that is the word, ' said the old man after he had thought a moment. 'That is what I hope it is. You and your African and Colombian, you are speaking the same language now, you know the same ideas. You are conscious that life on earth is flux. Men are better educated. They are more disciplined than in the past - their schedules are harder, their lives move faster, efficiency digs into them. Men are more sophisticated -every day they have more alternatives to choose among than they can possibly exhaust. Through psychiatry they know their strengths and weaknesses. They know the risks of every choice. This is what I mean by consciousness. Men know so much about everything they do. It was much simpler when they didn't know, when they simply acted out of instinct, believed from instinct, loved from instinct, brought up children by their instincts. Perhaps people were even happier. But now we are more conscious. We have got to live with our greater knowledge. We have got to live with our greater freedom. Michael Novak

I don't hold with shamans, witch doctors, or psychiatrists. Shakespeare, Tolstoy, or even Dickens, understood more about the human condition than ever occurred to any of you. You overrated bunch of charlatans deal with the grammar of human problems, and the writers I've mentioned with the essence. Mordecai Richler

Talking about one's feelings defeats the purpose of having those feelings. Once you try to put the human experience into words, it becomes little more than a spectator sport. Everything must have a cause, and a name. Every random thought must have a root in something else. Derek Landy

You see, people in the depressive position are often stigmatised as ‘failures' or ‘losers'. Of course, nothing could be further from the truth. If these people are in the depressive position, it is most probably because they have tried too hard or taken on too much, so hard and so much that they have made themselves ‘ill with depression'. In other words, if these people are in the depressive position, it is because their world was simply not good enough for them. They wanted more, they wanted better, and they wanted different, not just for themselves, but for all those around them. So if they are failures or losers, this is only because they set the bar far too high. They could have swept everything under the carpet and pretended, as many people do, that all is for the best in the best of possible worlds. But unlike many people, they had the honesty and the strength to admit that something was amiss, that something was not quite right. So rather than being failures or losers, they are just the opposite: they are ambitious, they are truthful, and they are courageous. And that is precisely why they got ‘ill'. To make them believe that they are suffering from some chemical imbalance in the brain and that their recovery depends solely or even mostly on popping pills is to do them a great disfavour: it is to deny them the precious opportunity not only to identify and address important life problems, but also to develop a deeper and more refined appreciation of themselves and of the world around them–and therefore to deny them the opportunity to fulfil their highest potential as human beings. Neel Burton

Macbeth: How does your patient, doctor? Doctor: Not so sick, my lord, as she is troubled with thick-coming fancies that keep her from rest. Macbeth: Cure her of that! Canst thou not minister to a mind diseased, pluck from the memory a rooted sorrow, raze out the written troubles of the brain, and with some sweet oblivious antidote cleanse the stuffed bosom of that perilous stuff which weighs upon her heart. Doctor: Therein the patient must minister to himself. William Shakespeare

What I do know is that when a person is first asked to explain what is wrong, they may find it almost impossible to articulate exactly what the problem is. They may not yet have matched words to the feelings they can sense in the hidden rooms of their mind. They may still have no clear ideas about the "what", "why" or "how" relating to the origins of their difficulties. Instead of words, their angst may be expressed in behaviour which may be hard for them, or anyone else, to make sense of and can manifest itself as irritability, anger or withdrawal. Sometimes they will delay seeking help until they are in a state of crisis. It's not easy to ask; I struggled at first, too. Linda Gask

Perhaps my depression coincided with the start of every academic year and the subsequent increase in my workload. Or maybe there was a more biological explanation linked to the fact that I, like many people with depressed mood, find the absence of light at these latitudes intolerable in the winter months. I didn't know the answer - I still don't. This is who I am. I cope most of the time; I am well for months, sometimes even for more than a year; but there are recurring periods in my life when the world seems a darker, more hostile and unforgiving place. I am a person who gets depressed. Linda Gask

Yet, I believe that my experience of depression has helped me to be a more humane and understanding therapist. Psychiatrists get depressed too, more often than other doctors. Being an expert in depression doesn't confer any immunity from it and I am aware that I don't have all the answers. Linda Gask

I can't see the logic in medicating a grieving person like there was something wrong with her, and yet it happens all the time... you go to the doctor with symptoms of profound grief and they push an antidepressant at you. We need to walk through our grief, not medicate it and shove it under the carpet like it wasn't there. Unknown

Psychotropic drugs have also been organized according to structure (e.g., tricyclic), mechanism (e.g., monoamine, oxidase inhibitor [MAOI]), history (first generation, traditional), uniqueness (e.g., atypical), or indication (e.g., antidepressant). A further problem is that many drugs used to treat medical and neurological conditions are routinely used to treat psychiatric disorders. Benjamin James Sadock

The issues of antidepressant-associated suicide has become front-page news, the result of an analysis suggesting a link between medication use and suicidal ideation among children, adolescents, a link between medication use and suicidal ideation among children, adolescents, and adults up to age 24 in short term (4 to 16 weeks), placebo-controlled trials of nine newer antidepressant drugs. The data from trials involving more than 4.4(K) patients suggested that the average risk of suicidal thinking or behavior (suicidality) during the first few months of treatment in those receiving antidepressants was 4 percent, twice the placebo risk of 2 percent. No suicides occured in these trials. The analysis also showed no increase in suicide risk among the 25 to 65 age group. Antidepressants reduced suicidality among those over age 65. Following public hearings on the subject, in October 2004, the FDA requested the addition of “black box” warnings–the most serious warning placed on the labeling of a prescription medication–to all antidepressant drugs, old and new. Benjamin James Sadock

Nostalgia was diagnosed [as a medical illness] at a time when art and science had not yet entirely severed their umbilical ties and when the mind and body internal and external well-being were treated together... Our progeny well might poeticize depression and see it as a global atmospheric condition, immune to treatment with Prozac. Svetlana Boym

As it stands, the diagnostic criteria for depression are so loose that two people with absolutely no symptoms in common can both end up with the same unitary diagnosis of depression. For this reason especially, the concept of depression as a mental disorder has been charged with being little more than a socially constructed dustbin for all manner of human suffering. Neel Burton

Consciousness returns to its own dark thoughts and bad memories as reliably as kids to their own scabs, and maybe it's not so difficult to understand why. The mind doesn't like unresolved issues. Except that moods don't get resolved, they get forgotten — but just try forgetting the free-fall through depression's vacuum in a hurry. Worse than that, depression isn't just a memory, it's a state of mind. If you remember it, you're in it. Mark Crutchfield

…it seemed to Kirsch that the most reliable guide to the mental landscape of a patient was the patient himself. He was better placed to explain his behaviour and his experiences than anyone else. Yet wherever Kirsch went, the patient was the very last person anyone thought to consult. Because, of course, the patient was insane. Philip Sington

The irony of taking Anti Depressants: you take them to feel good but they also make you feel bad or worse because you worry about your purse. Mico Monsalve

The irony of seeking a shrink: they are successful in shrinking your brain but unfortunately they also make your wallet shrink. Mico Monsalve

Although it is important to be able to recognise and disclose symptom of physical illnesses or injury, you need to be more careful about revealing psychiatric symptoms. Unless you know that your doctor understands trauma symptoms, including dissociation, you are wise not to reveal too much. Too many medical professionals, including psychiatrists, believe that hearing voices is a sign of schizophrenia, that mood swings mean bipolar disorder which has to be medicated, and that depression requires electro-convulsive therapy if medication does not relieve it sufficiently. The “medical model” simply does not work for dissociation, and many treatments can do more harm than good.. You do not have to tell someone everything just because he is she is a doctor. However, if you have a therapist, even a psychiatrist, who does understand, you need to encourage your parts to be honest with that person. Then you can get appropriate help. . Alison Miller

Repression. Her therapist, Dr. Solomon, loved the word. He'd say it slowly, letting it roll off his tongue. Sometimes he'd add a chin stroke for good measure. He always looked pleased when he did this, like he'd discovered the Caramilk secret or something. Jo Ann Yhard

Standing on the edge with my patients – abiding with them – means that I must harbor a true awareness that I, too, could lose my child through the play of circumstance over which I have no control. I could lose my home, my financial security, my safety. I could lose my mind. Any of us could. Christine Montross

They safely cured the world of sadness, wiser the Pfizer for it? Brian Spellman

Sometimes I get so sad that it jest sounds good. Abbi Glines

On having a backup plan: "Always a good plan anytime you want to follow your dream - I love writing, acting, and psychiatry - there are crazy people everywhere which means I can take my career anywhere my dream needs to go. Samantha Steele

A more fundamental problem with labelling human distress and deviance as mental disorder is that it reduces a complex, important, and distinct part of human life to nothing more than a biological illness or defect, not to be processed or understood, or in some cases even embraced, but to be ‘treated’ and ‘cured’ by any means possible–often with drugs that may be doing much more harm than good. This biological reductiveness, along with the stigma that it attracts, shapes the person’s interpretation and experience of his distress or deviance, and, ultimately, his relation to himself, to others, and to the world. Moreover, to call out every difference and deviance as mental disorder is also to circumscribe normality and define sanity, not as tranquillity or possibility, which are the products of the wisdom that is being denied, but as conformity, placidity, and a kind of mediocrity. Neel Burton

Calling it lunacy makes it easier to explain away the things we don't understand. Megan Chance

…all that goes under the name of science is not necessarily scientific, and that all that goes under the name of health-care will not necessarily care for your health. Neville Mandy

Theirs was the eternal youth of an alternating self, a youth with the constant although unfulfilled promise of growing up Flora Rheta Schreiber

You have to figure that there is something seriously wrong with somebody who wants to enter a profession that deals with whether people are screwing enough. Dealing with spirits, spooks, and demons almost seemed normal. Tom Upton