A social history of serious mental illness

Daugherty, Brendan; Warburton, Katherine; Stahl, Stephen M.

doi:10.1017/s1092852920001364

Cited by 7 publications

(3 citation statements)

References 50 publications

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“…It stopped the flowering of a new and liberating vector in psychiatry that focused on the positive aspects of being alive. It also served the emergence of big pharma (3)(4)(5)(6)(7)(8)(9). It suppressed and repressed our primary data, the subjective nature of human beings (10)(11)(12).…”

Section: Introduction-kap Values and Psychotherapymentioning

confidence: 99%

Ketamine-assisted psychotherapy, psychedelic methodologies, and the impregnable value of the subjective—a new and evolving approach

Wolfson,

Vaid

2024

Front. Psychiatry

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Psychiatry is in a growth phase in which several psychedelic medicines have entered its arena with great promise. Of these, presently, ketamine is the only medicine that may be legally prescribed. We hypothesize that at subanesthetic doses, ketamine produces a unique spectrum of altered states, ranging from psychoactive to deep ego-dissolving experiences, that are intrinsic to ketamine’s therapeutic effects. When these experiences are embedded in a therapeutic relationship—a setting—that fosters an amplification of the recipient’s subjective consciousness, personal growth, inner healing, greater clarity, and better relationships may well ensue. While much of the literature on ketamine labels its dissociative effects as ‘side effects’, alteration of consciousness is a component and unavoidable ‘effect’ of its therapeutic impact. From its inception in the clinical trials of the 1960s, ketamine was recognized for producing dissociative, psychedelic effects on consciousness in subjects as they emerged from ketamine-induced anesthesia. Unanticipated and unintegrated, these experiences of ‘emergence phenomena’ were felt to be disturbing. Accordingly, such experiences have been typically labeled as dissociative side effects. However, in a conducive set and settings, these experiences have been demonstrated to be of positive use in psychiatry and psychotherapy, providing a time-out from usual states of mind to facilitate a reshaping of self-experience along with symptomatic relief. In this way, ketamine-assisted psychotherapy (KAP) offers a new potential in psychiatry and psychotherapy that is powerfully valanced toward recognizing experience, individuality, and imagination. Essential to a successful therapeutic experience and outcome with KAP is close attention to the subjective experience, its expression by the recipient and integration of the ketamine experience as a healing opportunity.

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Section: Introduction-kap Values and Psychotherapymentioning

confidence: 99%

Ketamine-assisted psychotherapy, psychedelic methodologies, and the impregnable value of the subjective—a new and evolving approach

Wolfson,

Vaid

2024

Front. Psychiatry

View full text Add to dashboard Cite

show abstract

“…The conditions of individuals with psychotic disorders have swung, like a pendulum, from institutional neglect to community neglect and back again over the past several hundred years. [1][2][3][4] At the core of treatment failure is a failure in mental health policy and funding, with the result usually framed as the degree of human institutionalization in jails, prisons, and asylums. [5][6][7] In the middle of the 19th century, institutions designed to deliver moral treatment were considered the humane answer to care properly for the SMI population.…”

mentioning

confidence: 99%

“…[9][10][11][12] An examination of the history of the approach to people with SMI across time and geography indicates that we are just one data point on a cyclical pattern of treatment and policy failure through time. [1][2][3][4] Figure 1 is an oversimplification, but illustrates the issue if you consider the current state of homelessness, criminalization, forensic institutionalization, and incarceration of people living with SMI in the wake of deinstitutionalization. The criminalization crisis is currently reaching the tipping point where it will begin to drive changes in policy.…”

mentioning

confidence: 99%