tag:blogger.com,1999:blog-26666124.post4790160056518115627..comments2024-03-18T03:28:36.581-04:00Comments on Shrink Rap: Am I Recovered Yet?Unknownnoreply@blogger.comBlogger12125tag:blogger.com,1999:blog-26666124.post-3562652126370708162012-11-06T07:13:27.040-05:002012-11-06T07:13:27.040-05:00If a doctor has had an awful past and overcomes it...If a doctor has had an awful past and overcomes it and writes a memoir and it gets published and he gets press in the papers and on blogs, would you say that he is not well or is mired in the past and should get over it? <br />Your link to the legislation shows that you get training for use in specified cases, including reporting rules around abuse but I do not see that everything else you do that is supposedly more evidence based has been banned. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-62928041665022092662012-11-05T07:08:15.012-05:002012-11-05T07:08:15.012-05:00If someone had bothered to ask what happened to me...If someone had bothered to ask what happened to me, I don't know if I would have said.If instead of drugging me up they kept asking, maybe I would have said. It took decades until someone asked and it took years to get bits of it out and I still do take pills but they don't call me crazy anymore and it is freeing in a big way. If someone wants to pay me to say that, I would so I can't see why Ms Cain would agree to tell her story or why she should not be paid for telling it.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-79668339938765087912012-11-04T15:36:00.084-05:002012-11-04T15:36:00.084-05:00Sard, i really hope you're right that trauma w...Sard, i really hope you're right that trauma work today doesn't look anything like what i saw in a well known, JCAHO approved eating disorder treatment facility where i was patient in the late 90's. <br /><br />The problem is that "trauma work" can mean whatever the heck the therapist wants it to mean. Does it mean having a patient screaming at an empty chair pretending it's their abusor while the therapist chants at them, completely breaking down the patient? Does it mean having the patient pretend like i'm a little victimized girl again? Or does it simply mean two adults talking, where the therapist is sensitive to the impact of these events on the patient's life and helps them work through them?<br /><br />The problem is there is no standard of care, and there really needs to be. I believe that JCAHO needs to look really closely at some of the things that pass for therapy in treatment centers, particularly the eating disorder treatment centers. There's some really messed up stuff going on.<br /><br />I can't help but cringe when i hear the words trauma work, because i saw how weird some of that stuff could get. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-12591673365837082572012-11-04T13:35:00.844-05:002012-11-04T13:35:00.844-05:00No, the model does not bar meds or hospitals but t...No, the model does not bar meds or hospitals but the starting point is not the person as disease it is person who has been through hell and needs to find a way back. The person who referred to the reliving business brings up a good point. That used to be standard in trauma therapy--to have the patient "deal" will all the aspects of the trauma-- but it became apparent that for many patients that is a more harmful than helpful. I do not know of many programs that force anyone to relive anything. The point in the Cain story is that someone cared to ask about what she had been through and to listen and help her and that is respectful. Meds will not be barred because some people find them helpful and some people have co-morbid problems. Hospitals will be used as last resorts if a person cannot be safe in the community but it would be great if we had money to fund alternatives that are less traumatic and more respectful of human needs for care, especially when the human in question may never have received real care before.sardnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-5432430581351271312012-11-04T13:02:07.521-05:002012-11-04T13:02:07.521-05:00I'm kind of all over the map on this one. Not...I'm kind of all over the map on this one. Not sure exactly what they mean by trauma recovery movement. I was in a treatment center and they did trauma work. I felt it was abusive, having patients get on the floor, relive the experience, beating pillows, screaming, etc. I hear the words get in touch with your inner child, and I'm heading for the door. So, i think it depends upon what the trauma work looks like. I think it can be abusive. Any treatment that makes me feel like a helpless little child doesn't feel safe to me.<br /><br />On the other hand, when i look at people who have been through horrendous trauma and use these experiences to help other people, I see recovery. I have spoken to classes about sexual abuse and i found it empowering. But, i know my limits and there's a fine line for me for where talking about it is helpful, and when it can become a real downer.<br /><br />i agree with the anon who said that trauma does need to be addressed in psychiatric hospitals. People who have been abused don't need to be put in a position where they are once again begging not to have their clothing removed, etc. Recreating past abuse is harmful. Patients need to have their voices heard and respected. They need to be given power, not have power taken away. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-11139398145316884012012-11-04T12:23:48.983-05:002012-11-04T12:23:48.983-05:00Clink,
Sorry I wasn't clear.
The issue is th...Clink,<br /><br />Sorry I wasn't clear.<br /><br />The issue is that a tremendous amount of people who were hospitalized and forcibly medicated and restrained did not have their trauma issues addressed. They would try to bring it up and it was ignored by professionals.<br /><br />Will Hall, a mental health advocate, who has schizophrenia and does not take meds, spoke about this in his talk before a recent meeting of the APA.<br /><br />It is an extreme failing of your profession which you cannot continue to overlook.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-69450396012184266642012-11-04T10:21:43.565-05:002012-11-04T10:21:43.565-05:00Saard and Anon: The trauma recovery model doesn...Saard and Anon: The trauma recovery model doesn't bar the use of medications, or hospitalization. I'm reviewing a couple of the studies to see where this came from now. More to follow.<br /><br />I agree about the word verification issue, I've had the same problem myself even after enlarging the text in my browser. The Blogger designers obviously are younger and have better eyes than me!ClinkShrinkhttps://www.blogger.com/profile/13316134491751195651noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-41621422836459242762012-11-04T10:12:42.432-05:002012-11-04T10:12:42.432-05:00Clink, I wouldn't be thrilled about the hypoth...Clink, I wouldn't be thrilled about the hypothetical situation you raised but I agree with Shard that better that treatment then drug treatments that cause diabetes and kidney failure.<br /><br />And addressing trauma has been neglected as an issue for years. It is criminal that people are retraumatized in hospitals with brutality when they have this history. So if takes the government to mandate that this should grbe addressed, you only have yourselves to blame when you should have been doing it years ago.<br /><br />On an topic note - the characters for verification are very hard to read. It shouldn't take several attempts to get it right.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-56227663860567547682012-11-04T09:42:31.585-05:002012-11-04T09:42:31.585-05:00I don't think the pharma industry is held to t...I don't think the pharma industry is held to the standards you claim. I'd rather have an experimental treatment that did not cause diabetes or kidney failure. It is time govt got behind something that actually respects individual experience as opposed to a pure focus on medical model of mi and addictions.sardnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-39267041698128394042012-11-04T08:51:37.689-05:002012-11-04T08:51:37.689-05:00I think if I reframe the situation slightly it mig...I think if I reframe the situation slightly it might make my concerns more clear.<br /><br />What if a patient came to me who was very sick. I treat him, he gets better, he stops coming for treatment.<br /><br />Then he travels around the country speaking to thousands of people about how wonderful my treatment was.<br /><br />What would you think if you later found out I had <i>hired</i> him to go on the lecture circuit?<br /><br />And then later you found out that the treatment I gave was completely experimental?<br /><br />That the experimental treatment was being sponsored by a government agency---and the government is now mandating people be trained in the experimental treatment?<br /><br />Doesn't that all seem a bit weird?<br /><br />People are appropriately concerned about undue influence on psychiatrists, mainly by the pharmaceutical industry. But at least the pharmaceutical industry is held to minimum criteria for safety and efficacy. I think the government should be held to the same standard.ClinkShrinkhttps://www.blogger.com/profile/13316134491751195651noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-20256664724298171762012-11-04T08:09:34.647-05:002012-11-04T08:09:34.647-05:00I have not seen the film about Ms Cain but this is...I have not seen the film about Ms Cain but this is from the blurb below the trailer to which you linked: "The transcendent story of Tonier “Neen” Cain’s emergence from drug addiction, multiple incarcerations and two decades of homelessness to become a tireless advocate and educator on the devastating impact of childhood abuse . . .".<br />To me, it seems that she meets your definition of recovery because she has emerged from a state of putting herself into situation of reliving her trauma. Now, she has taken control and harnesses the lessons and power of her past to advocate for others.This is a journey to health and reframing or reshaping the trauma for a positive purpose is healthy. If you have ever sent patients to AA of NA and they have not touched drugs or alcohol since but continue to attend meetings to receive and give support, call themselves recovering addicts even if they have not touched the stuff in years, is that not success? I believe that it is.<br />Is Ms. Cain a positive role model? Yes. She has proven that one can overcome trauma and it is not necessary to distance herself from it by becoming an air traffic controller. A number of people deal with their own traumas by entering the helping professions. I am sure you can find quite a bit on Pubmed about that topic. If they function well, why is it a problem? sardnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-38557470364978287912012-11-04T01:18:54.587-05:002012-11-04T01:18:54.587-05:00Hmm, shouldn't each person get to define recov...Hmm, shouldn't each person get to define recovery for themselves which is what Ms. Cain has done? <br /><br />http://iretablog.org/tag/tonier-cain/<br /><br />"In her interview in the National Council Magazine, Tonier Cain said, “Someone finally asked me ‘What happened to you?’ instead of ‘What’s wrong with you?’”<br /><br />This question led to a breakthrough in her recovery. It was the first time someone focused on what brought her to this point, not what she did to come to this point, which for her was jail."<br /><br />By the way Clink, Ms. Cain, hits on a real shortcoming with your colleagues as everything is seen through the DSM and no one seems to ask about trauma in someone's past. This is common sense and shouldn't take pubmed research for this to change in practices, particularly in mental hospitals where so many people with trauma are retraumautized due to what I feel are extremely brutal practices like restraints.Anonymousnoreply@blogger.com