Quotes by Psychiatrists - Page 6

The wisdom of that moment of pure emotion resonates with me still: that the dearest and most enduring moments of our lives are sometimes the quietest ones.
Christine Montross
The implication that the change in nomenclature from “Multiple Personality Disorder” to “Dissociative Identity Disorder” means the condition has been repudiated and “dropped” from the Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association is false and misleading. Many if not most diagnostic entities have been renamed or have had their names modified as psychiatry changes in its conceptualizations and classifications of mental illnesses. When the DSM decided to go with “Dissociative Identity Disorder” it put “(formerly multiple personality disorder)” right after the new name to signify that it was the same condition. It’s right there on page 526 of DSM-IV-R. There have been four different names for this condition in the DSMs over the course of my career. I was part of the group that developed and wrote successive descriptions and diagnostic criteria for this condition for DSM-III-R, DSM–IV, and DSM-IV-TR.While some patients have been hurt by the impact of material that proves to be inaccurate, there is no evidence that scientifically demonstrates the prevalence of such events. Most material alleged to be false has been disputed by someone, but has not been proven false.Finally, however intriguing the idea of encouraging forgetting troubling material may seem, there is no evidence that it is either effective or safe as a general approach to treatment. There is considerable belief that when such material is put out of mind, it creates symptoms indirectly, from “behind the scenes.” Ironically, such efforts purport to cure some dissociative phenomena by encouraging others, such as Dissociative Amnesia.
Richard P. Kluft
Psychiatrists look for twisted molecules and defective genes as the causes of schizophrenia, because schizophrenia is the name of a disease. If Christianity or Communism were called diseases, would they then look for the chemical and genetic “causes” of these “conditions”?
Thomas Szasz
Pathological dissociation is characterized by profound, functional amnesias and significant alterations in identity; normal dissociation is expressed primarily in the form of intense absorption with internal stimuli (e.g., daydreams) or external stimuli (e.g., a fascinating book or television program).
Frank W. Putnam
The central mechanism of the avoidance mechanism of PTSD is the ego defense of denial
Frank M. Ochberg
Unlike ‘mere’ medical or physical disorders, mental disorders are not just problems. If successfully navigated, they can also present opportunities. Simply acknowledging this can empower people to heal themselves and, much more than that, to grow from their experiences.
Neel Burton
A vast amount of psychiatric effort has been, and continues to be, devoted to legal and quasi-legal activities. In my opinion, the only certain result has been the aggrandizement of psychiatry. The value to the legal profession and to society as a whole of psychiatric help in administering the criminal law, is, to say the least, uncertain. Perhaps society has been injured, rather than helped, by the furor psychodiagnosticus and psychotherapeuticus in criminology which it invited, fostered, and tolerated.
Thomas Szasz
The main reason why clinicians may not diagnose personality disorders is that they think that doing so supports therapeutic pessimism. Recent research has shown this is not true; most patients get better, either with time or with treatment, that the prognosis is actually better than in many patients with severe mood and anxiety disorders.
Joel Paris
The pressure to reduce health care costs is aimed only at the treatment of real diseases. There is no pressure to reduce the costs of treating fictitious diseases. On the contrary, there is pressure to define ever more types of undesirable behaviors as mental disorders or addictions and to spend ever more tax dollars on developing new psychiatric diagnoses and facilities for storing and treating the victims of such diseases, whose members now include alcoholics, drug abusers, smokers, overeaters, self-starvers, gamblers, etc.
Thomas Szasz
If two people with no symptoms in common can both receive the same diagnosis of schizophrenia, then what is the value of that label in describing their symptoms, deciding their treatment, or predicting their outcome, and would it not be more useful simply to describe their problems as they actually are? And if schizophrenia does not exist in nature, then how can researchers possibly find its cause or correlates? If psychiatric research has made so little progress in recent decades, it is in large part because everyone has been barking up the wrong tree. It is not a question of getting a bigger and better scanner, but of going right back to the drawing board.What’s more, medical-type labels can be as harmful as they are hollow. By reducing rich, varied, and complex human experiences to nothing more than a mental disorder, they not only sideline and trivialize those experiences but also imply an underlying defect that then serves as a pseudo-explanation for the person’s disturbed behaviour. This demeans and disempowers the person, who is deterred from identifying and addressing the important life problems that underlie his distress.
Neel Burton
Other pressing problems with the current medical model [of mental disorder] is that it encourages false epidemics, most glaringly in bipolar disorder and ADHD, and the wholesale exportation of Western mental disorders and Western accounts of mental disorder. Taken together, this is leading to a pandemic of Western disease categories and treatments, while undermining the variety and richness of the human experience.
Neel Burton
To become a fad, a psychiatric diagnosis requires 3 preconditions: a pressing need, an engaging story, and influential prophets. The pressing need arises from the fact that disturbed and disturbing kids are very often encountered in clinical, school, and correctional settings. They suffered and cause suffering to those around them—making themselves noticeable to families, doctors, and teachers. Everyone feels enormous pressure to do something. Previous diagnoses (especially conduct or oppositional disorder) provided little hope and no call to action. In contrast, a diagnosis or childhood Bipolar Disorder creates a justification for medication and for expanded school services. The medications have broad and nonspecific effects that are often helpful in reducing anger, even if the diagnosis is inaccurate.
Allen Frances
What is actually observed in so-called 'biplar children'? If you read the research reports carefully, they describe broad and persistent emotional dysregulation. Although these children have mood swings, they do not develop manic or hypomanic episodes. They are moody, irritable, oppositional and likely to misbehave—like all children with disruptive behavior disorders. Their grandiose thinking usually consists of little beyond boastfulness. No evidence from genetics, neurobiology, follow-up studies or treatment response shows that this syndrome has anything in common with classical bipolarity.
Joel Paris
The fatal weakness of most psychiatric historiographies lies in the historians' failure to give sufficient weight to the role of coercion in psychiatry and to acknowledge that mad-doctoring had nothing to do with healing.
Thomas Szasz
We cannot institutionalize helping the "victims" of personal disasters.
Thomas Szasz
The young and the old are defenseless against relatives who want to get rid of them by casting them in the role of mental patient,and against psychiatrists whose livelihood depends on defining them as mentally ill.
Thomas Szasz
The term 'deinstitutionalization' conceals some simple truths, namely, that old, unwanted persons, formerly housed in state hospitals, are now housed in nursing homes; that young, unwanted persons, formerly also housed in state hospitals, are now housed in prisons or parapsychiatric facilities; and that both groups of inmates are systematically drugged with psychiatric medications.
Thomas Szasz
Many people with Dissociative Disorders are very creative and used their creative capacities to help them cope with childhood trauma.p55
Marlene Steinberg
Although Dissociative Disorders have been observed from the beginnings of psychiatry, the Structured Clinical Interview for DSM-III-R Dissociative Disorders (Steinberg 1985) was the first diagnostic instrument for the comprehensive evaluation of dissociative symptoms and to diagnose the presence of Dissociative Disorders.
Marlene Steinberg
The SCID-D may be used to assess the nature and severity of dissociative symptoms in a variety of Axis I and II psychiatric disorders, including the Anxiety Disorders (such as Posttraumatic Stress Disorder [PTSD] and Acute Stress Disorder), Affective Disorders, Psychotic Disorders, Eating Disorders, and Personality Disorders.The SCID-D was developed to reduce variability in clinical diagnostic procedures and was designed for use with psychiatric patients as well as with nonpatients (community subjects or research subjects in primary care).
Marlene Steinberg
Dissociative Disorders have a high rate of responsiveness to therapy and that with proper treatment, their prognosis is quite good.
Marlene Steinberg
It is not unusual for subjects diagnosed with a Dissociative Disorder on the SCID-D to be surprised at having their symptoms validated by a clinician who understands the nature of their disorder.
Marlene Steinberg
Interestingly, the patients who presented to me self-diagnosed [with Dissociative Identity Disorder had tried to tell previous therapists of their plight, but had been disbelieved. These therapists had used fallacious "capricious criteria" (KIuft, 1988) to discredit the diagnosis; e.g., that the patient could not possibly have MPD because she was aware of the other alters [sic!].
Richard P. Kluft
The case of a patient with dissociative identity disorder follows:Cindy, a 24-year-old woman, was transferred to the psychiatry service to facilitate community placement. Over the years, she had received many different diagnoses, including schizophrenia, borderline personality disorder, schizoaffective disorder, and bipolar disorder. Dissociative identity disorder was her current diagnosis.Cindy had been well until 3 years before admission, when she developed depression, "voices," multiple somatic complaints, periods of amnesia, and wrist cutting. Her family and friends considered her a pathological liar because she would do or say things that she would later deny. Chronic depression and recurrent suicidal behavior led to frequent hospitalizations. Cindy had trials of antipsychotics, antidepressants, mood stabilizers, and anxiolytics, all without benefit. Her condition continued to worsen.Cindy was a petite, neatly groomed woman who cooperated well with the treatment team. She reported having nine distinct alters that ranged in age from 2 to 48 years; two were masculine. Cindy’s main concern was her inability to control the switches among her alters, which made her feel out of control. She reported having been sexually abused by her father as a child and described visual hallucinations of him threatening her with a knife. We were unable to confirm the history of sexual abuse but thought it likely, based on what we knew of her chaotic early home life.Nursing staff observed several episodes in which Cindy switched to a troublesome alter. Her voice would change in inflection and tone, becoming childlike as ]oy, an 8-year-old alter, took control. Arrangements were made for individual psychotherapy and Cindy was discharged.At a follow-up 3 years later, Cindy still had many alters but was functioning better, had fewer switches, and lived independently. She continued to see a therapist weekly and hoped to one day integrate her many alters.
Donald W. Black
Because drugs have become so profitable, major medical journals rarely publish studies on nondrug treatments of mental health problems.31 Practitioners who explore treatments are typically marginalized as “alternative.” Studies of nondrug treatments are rarely funded unless they involve so-called manualized protocols, where patients and therapists go through narrowly prescribed sequences that allow little fine-tuning to individual patients’ needs. Mainstream medicine is firmly committed to a better life through chemistry, and the fact that we can actually change our own physiology and inner equilibrium by means other than drugs is rarely considered.
Bessel A. van der Kolk
I get the same buzz cleaning up the yard as Leo Tolstoy did from scything hay.
Sergei Lukyanenko
The major goal of the Cold War mind control programs was to create dissociative symptoms and disorders, including full multiple personality disorder. The Manchurian Candidate is fact, not fiction, and was created by the CIA in the 1950’s under BLUEBIRD and ARTICHOKE mind control programs. Experiments with LSD, sensory deprivation,electro-convulsive treatment, brain electrode implants and hypnosis were designed to create amnesia, depersonalization, changes in identity and altered states of consciousness. (p. iii)“Denial of the reality of multiple personality by these doctors [See page 114 for names] in the mind control network, who are also on the FMSF [False Memory Syndrome Foundation] Scientific and Professional Advisory Board, could be disinformation. The disinformation could be amplified by attacks on specialists in multiple personality as CIA conspiracy lunatics” (P.10)“If clinical multiple personality is buried and forgotten, then the Manchurian Candidate Programs will be safe from public scrutiny. (p.141)
Colin A. Ross
The horror of incest is not in the sexual act. but in the exploitation of children and the corruption of parental love. p4
Judith Lewis Herman
The vast majority of incest begins years before the earliest conceivable age of consent. p4
Judith Lewis Herman
I have tried to communicate my ideas in a language that preserves connections, a language that is faithful both to the dispassionate, reasoned traditions of my profession and to the passionate claims of people who have been violated and outraged. I have tried to find a language that can withstand the imperatives of doublethink and allows all of us to come a little closer to facing the unspeakable.
Judith Lewis Herman
This book appears at a time when public discussion of the common atrocities of sexual and domestic life has been made possible by the women’s movement, and when public discussion of the common atrocities of political life has been made possible by the movement for human rights. I expect the book to be controversial—first, because it is written from a feminist perspective; second, because it challenges established diagnostic concepts; but third and perhaps most importantly, because it speaks about horrible things, things that no one really wants to hear about.
Judith Lewis Herman
Psychological trauma is an affliction of the powerless. At the moment of trauma, the victim is rendered helpless by overwhelming force. When the force is that of nature, we speak of disasters. When the force is that of other human beings, we speak of atrocities. Traumatic events overwhelm the ordinary systems of care that give people a sense of control, connection, and meaning.… Traumatic events are extraordinary, not because they occur rarely, but rather because they overwhelm the ordinary human adaptations to life.… They confront human beings with the extremities of helplessness and terror, and evoke the responses of catastrophe.
Judith Lewis Herman
To hold traumatic reality in consciousness requires a social context that affirms and protects the victim and that joins the victim and witness in a common alliance. For the individual victim, this social context is created by relationships with friends, lovers, and family. For the larger society, the social context is created by political movements that give voice to the disempowered.
Judith Lewis Herman
As long as you keep secrets and suppress information, you are fundamentally at war with yourself…The critical issue is allowing yourself to know what you know. That takes an enormous amount of courage.
Bessel A. van der Kolk
It is a rare person who can cut himself off from mediate and immediate relations with others for long spaces of time without undergoing a deterioration in personality.
Harry Stack Sullivan
In order to escape accountability for his crimes, the perpetrator does everything in his power to promote forgetting. If secrecy fails, the perpetrator attacks the credibility of his victim. If he cannot silence her absolutely, he tries to make sure no one listens.
Judith Lewis Herman
Relative poverty is when you have more taste than money.
Neel Burton
I do believe that simplicity is a hallmark of maturity. But I do not believe that simplicity is necessarily a first step. Often, we must learn a depth of complexity before a beautiful simplicity blooms, whether in mind or matter.
Kourosh Dini
The thought of a comedy with paid prostitutes always seemed so silly and purposeless, for a person hired by me could never take the place of my imagination of a 'cruel mistress'.
Richard von Krafft-Ebing
I have also fantasised myself to be his female slave, but this does not suffice, for after all every woman can be the slave of her husband.
Richard von Krafft-Ebing
Readers acquainted with the recent literature on human sexuality will be familiar with what we call the standard narrative of human sexual evolution, hereafter shortened to the standard narrative. It goes something like this:1. Boy Meets girl, 2. Boy and girl assess one and others mate value, from perspectives based upon their differing reproductive agendas/capacities. He looks for signs of youth, fertility, health, absence of previous sexual experience and likelihood of future sexual fidelity. In other words, his assessment is skewed toward finding a fertile, healthy young mate with many childbearing years ahead and no current children to drain his resources. She looks for signs of wealth (or at least prospects of future wealth), social status, physical health and likelihood that he will stick around to protect and provide for their children. Her guy must be willing and able to provide materially for her (especially during pregnancy and breastfeeding) and their children, known as "male parental investment". 3. Boy gets girl. Assuming they meet one and others criteria, they mate, forming a long term pair bond, "the fundamental condition of the human species" as famed author Desmond Morris put it. Once the pair bond is formed, she will be sensitive to indications that he is considering leaving, vigilant towards signs of infidelity involving intimacy with other women that would threaten her access to his resources and protection while keeping an eye out (around ovulation especially) for a quick fling with a man genetically superior to her husband. He will be sensitive to signs of her sexual infidelities which would reduce his all important paternity certainty while taking advantage of short term sexual opportunities with other women as his sperm are easily produced and plentiful. Researchers claim to have confirmed these basic patterns in studies conducted around the world over several decades. Their results seem to support the standard narrative of human sexual evolution, which appears to make a lot of sense, but they don't, and it doesn't.
Cacilda Jethá
Fetishizing is the norm for males, not for females.
Robert Stoller
I have the not altogether unsatisfying impression that civilisation is collapsing around me.Is it my age, I wonder, or the age we live in? I am not sure. Civilisations do collapse, after all, but on the other hand people grow old with rather greater frequency.
Theodore Dalrymple
The world has a lot to thank murderers for, when you come to think of it.
Theodore Dalrymple
I can't believe I spent 13 years at school and never got taught cooking, gardening, conversation, massage, Latin, or philosophy. What were they thinking? That I would somehow live off inorganic chemistry?
Neel Burton
Societies in which women have lots of autonomy and authority tend to be decidedly male-friendly, relaxed, tolerant, and plenty sexy. Got that, fellas? If you're unhappy at the amount of sexual opportunity in your life, don't blame the women. Instead, make sure they have equal access to power, wealth and status. Then watch what happens.
Cacilda Jethá
We have absolutely no control over what happens to us in life but what we have paramount control over is how we respond to those events.
Viktor E. Frankl
The best way to navigate through life is to give up all of our controls.
Gerald G. Jampolsky
Visions and voices and fear and despair cannot be captured by CT scan or measured in the amplitude of EKG waves. Try as we might, we simply cannot predict which of our patients will kill themselves, which will murder their children, and which will leave the hospital healed, never to return.
Christine Montross
Schizophrenia cannot be understood without understanding despair.
R.D. Laing
For truly we are all angels temporarily hiding as humans.
Brian L. Weiss
When leaders betray their people and the people don't overthrow them, it's not just the leaders who should be blamed.
Sergei Lukyanenko
Man cannot bear to be in the wrong. As soon as he feels guilt or remorse, he bends his ethics to suit himself. Actions do not flow from ethics, but ethics from actions, and it is by refining our actions that we refine our ethics.
Neel Burton
Despite your delusions to the contrary, swingers, by and large, are a civilized lot. We come in all ages, shapes, sizes, nationalities, and ethnicities. We have differing beliefs, varying opinions, IQs, and senses of humor. We have families, friends, careers, hobbies, mortgages, and retirement plans. In short, we’re just like everyone else. We don’t strap on leather chaps and nipple clamps to go about our day. Wearing kinks on our sleeves like badges of honor isn’t our style. Truth be told, we don’t talk that much about our dalliances—-at least not to Vanilla folk. We’re not ashamed. We simply assume most of the world doesn’t get our way of life. And more times than not, we’re right.
Daniel Stern
When I’d RSVPed for tonight, I hadn’t expected to be the youngest by three-plus decades. To be honest, I hadn’t expected anything. I didn’t have the mental capacity. The excitement over my first house party overwhelmed me and kept my thoughts abuzz for threeweeks.Jim and Valerie suggested Harry and Jackie invite me. Understandably, Harry and Jackie were skeptical about bringing a single male into their close-knit group, but Valerie vouched for me, which persuaded Jackie. I leapt at the invitation—any single male would have—but now, learning about the most recent medications to assist smooth menopausal transition, I was seriously rethinking my decision.
Daniel Stern
I’m no expert, no natural-born talent, definitely no guru. As you’ll soon learn, only through a colossal experiment in trial and error did I reach the sexual summit. Although I own up to having worn a cape in a few intimate scenarios, I don’t possess supernatural powers of any kind. Perhaps my IQ is slightly above average, but Mensa isn’t busting down my door. If pressed to define myself, I’d say I’m Horatio Alger between the sheets: a self-made swinging single male. . . with a hefty dose of Buster Keaton mixed in.
Daniel Stern
After consciously enduring a twelve-inch knitting needle navigated into the unseen recesses of my pelvis and almost passing out at the sensation of my hip inflating with fluid and somehow clinging to my sanity through the hour-long, migraine-inducing blare of the imaging contraption, which resembled a compact wind tunnel, possessed the amplification capability of a Marshall stack, and pushed my patience beyond the limits of superhuman endurance, I wasinformed by my orthopedist that the image of my still-smoldering hip had revealed, and I quote, “just a little inflammation.” In the world of orthopedic medicine, “a little inflammation” apparently qualifies as sound diagnosis.
Daniel Stern
How long you guys been renovating?” Craig asked Arianna.“About a month.”“How much longer?”Arianna sighed. “The contractor messed up the counters, so who knows.”“Preaching to the choir.”“Yeah?”“Oh, yeah. But in the end everything turned out for the best.”“How so?”“Well, for one, I switched from laminate to granite.”“Granite . . .” She exhaled, confounded, as if the granite countertop quandary was the most perplexing philosophical question of all time. “Yeah . . .We’re torn.”“More expensive, but aesthetically superior,” Craig lobbied. “Also retains value longer.”Knowing the sexual perversity about to transpire, I couldn’t reconcile that I was suddenly in an episode of Extreme Makeover: Home Edition. Granted, I didn’t know from normal pre–group sex discussion topics, but I was pretty sure home improvement wasn’t on the list.
Daniel Stern
The selection process is simple. Hubby exhausts every ploy in his psychological arsenal to filter out the liars, fakes, and undesirables. (If only every husband were so devoted . . .) Me, I try to prove that I’m not the stereotypical single male. That I’m in the Lifestyle for the right reasons. That I’m courteous and respectful. All of which are true, but the burden of proof is onme. It always is.
Daniel Stern
See, far above arrogance and selfishness on the rankings of undesirable Lifestyle traits, topping the lengthy list of carnal sins, occupying its very own stratosphere of unforgivablereprehensibility, is lying. Without question, fibbing is the fastest way to secure a one-way trip to blackball status in the swing community. So assured is a liar’s exile from the Lifestyle that should a perjurer come clean about a material untruth and still secure playtime, that individual will have rewritten the entire swing rulebook. And no matter how enticing it may be to rewrite history, I do not recommend attempting it. Not unless you’re lusting after a celibate existence.
Daniel Stern