Jim van Os is a consultant psychiatrist and Professor of Psychiatric Epidemiology at Maastricht University, in The Netherlands.
I wonder, is it possible to conceive of an approach (model of madness) and response system sophisticated enough to allow us to jump straight from Phase 2 to Phase 5 in the model the film describes?
This would mean a jump straight from the 1:00 second mark to the 2:00 second mark in this film and miss as much as possible of the messy, often horrific and, arguably, mostly iatrogenic, two stages in between?
For a more detailed discussion of one possible model of madness that could support the development of a response system, here is a 15 minute film by Jim van Os - Connecting to Madness, TEDxMaastricht
Jim is a psychiatric epidemiologist and has co-authored 198 journal articles since 2013 according to Google Scholar.
He most recent work is published in a leading Dutch newspaper this week, co-authored by other leaders of Dutch psychiatric organisations. In this Click hear, outlining the case that schizophrenia does not exist at http://www.nrc.nl/handelsblad/van/2015/maart/07/laten-we-de-diagnose-schizofrenie-vergeten-1472619 (download and use Google Chrome for instant translation).
Part of this opinion has translated for us by Margreet de Pater, who wrote:
Their declaration includes 12 points
- There is no clear difference between psychotic and other human experiences.
- 15 % of adolescents have psychotic experiences and 80% of these disappears during development.
- 3.5 % of people have psychotic experiences that need help, their diagnosis is psychosis susceptibility syndrome, which is different for every person.
- 20 % of these people have an unfavorable prognosis.[with the right help people with psychosis do bounce back]
- A psychotic experience is often a reaction on trauma, a life event, disappointment, discrimination or humiliation. The thesis that it is a symptom of an underlying brain disease is scientifically not correct, and leads to a negative view [expectation] of recovery.
- Everyone has his own special mix of psychotic symptoms, the classifications which psychiatry makes in schizo- family of diagnoses etc. is incorrect. [But everyone has a different mix of symptoms, and does not fit well in a diagnostic box.
- People with psychotic experiences need hope and a perspective. Recovery is a mental process. People need to cope with their psychosis susceptibility with help of a schooled person with lived experience and if necessary of a doctor and a therapist
- (These services should be there) From the very first moment
- Going back to own environment, work and school is most important also when there are still some symptoms, waiting for complete cure is counterproductive.
- Everyone with psychotic symptoms must be invited to talk about it, the theme of the psychosis is the key to underlying problems
- Everybody with psychotic experience must be offered psychotherapy
- Sometimes anti-psychotic medicines can be useful when experiences are too overwhelming, but they don´t cure.
MHN BEd MMind&Soc
Chair, ISPS Australia
ISPS Australia Conference, 28-29 May 2015 at La Trobe University
New Paradigms and Therapies for Psychosis: The Experience of Listening
NURSE-PHILOSOPHY & PSYCHIATRIC-NURSING at JISCMAIL.AC.UK