W EEK 9: F AMILY A DVOCACY PSRT 4271: The Family Role in Rehabilitation 1.
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Transcript of W EEK 9: F AMILY A DVOCACY PSRT 4271: The Family Role in Rehabilitation 1.
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WEEK 9: FAMILY ADVOCACYPSRT 4271: The Family Role in Rehabilitation
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FIRST, SOMETHING NOT SO UNRELATED…Electroconvulsive Therapy Considerations
(as undertaken this week by a family…)
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WHAT WAS PROPOSED…
Age: 27 (male) Diagnosis: Dual Sensitivity: some meds Complaint: Voices Situation: Level 4
21 days so far Time running out?
Plan: Rehab Residential
ECT Treatment: “a few seconds” Seizure: ~15 minutes 6-12 sessions
2 more weeks inpatient Anesthesia, relaxant Outcome? “Whispers” Follow-up: “Maintenance”
“Nicholson will go to hell for his movie…”
Background Proposal
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ONE FLEW OVER THE CUCKOO’S NEST
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SHOCK THERAPY!
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HOW IT USED TO BE…
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ELECTROCONVULSIVE THERAPY (1986)
20 minute clip: http://www.medclip.com/index.php?page=videos§ion=view&vid_id=109703
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ECT TODAY
Also: http://www.psychodyssey.
net/?page_id=1931
Carol Kivler
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RESEARCH
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WHAT TO DO?...
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FAMILY ADVOCACY
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THE RECENT HISTORY
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1955: THE PREVAILING THEORY
“When a domineering, nagging and hostile mother...is married to a dependent, weak man...the weak parent...becomes antagonistic and hostile toward the children...”
Silvanio ArietiInterpretation of Schizophrenia, 1955
National Book Award - 1975
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1960S: DEINSTITUTIONALIZATION BEGINS
California: from 37,000 in 1950s… …to ~19,000 by 1969
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1969: LANTERMAN-PETRIS-SHORT ACT (LPS)
California Community Mental Health Services Act
Involuntary: 17 days only LPS: “unholy alliance” (Torrey, 2008)
Lanterman: “conservative curmudgeon” antipsychiatry
Petris: ultra-liberal civil rights
Legacy From 19,000 7,000 by 1973
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EARLY 1970S
A “Psychiatric Titanic”
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EARLY 1970S: ARTICLES BEGIN TO APPEAR…
Appleton, W. S. (1974). Mistreatment of patients' families by psychiatrists. The American Journal of Psychiatry, 131(6), 655-657.
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1972: NATIONAL SCHIZOPHRENIA FELLOWSHIP(UNITED KINGDOM)
John Pringle’s 1970 Letter to The Times…
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1974: PARENTS OF ADULT SCHIZOPHRENICS
Eve Oliphant
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1975: TONY HOFFMAN PUSHES LOCAL ADVANCES
CA: Legislation puts two family members on every county mental health board
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DR. H. RICHARD LAMB COLLABORATES
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1977: EVE OLIPHANT AT WORLD CONGRESS OF PSYCHIATRY
“We failed to understand why parents of a child with leukemia were treated with
sympathy and understanding, while parents of a child with schizophrenia were treated with scorn and condemnation."
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LATE 1970S: STATEWIDE ORGANIZATION
1979: California Association Families of the Mentally Ill ( 1982: CAMI)
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LATE 1970S: THE MOVEMENT GROWS
Other parents organize in other states
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1979: EVE OLIPHANT ADDRESSES THE APA
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1979: NAMI FOUNDED
Harriet Shetler and other mothers in Wisconsin invite all to unify…
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THE NJ ADVOCACY LANDSCAPE
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…, 2
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NAMI ADVOCACY
National
State
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…, 2
Local
Resources: http://www.psychodyssey.net/?page_id=3304
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NJ BUDGET: A QUICK LOOK… (走馬看花 )