w eek 9: f amily a dvocacy psrt 4271: the family role in rehabilitation 1
TRANSCRIPT
1
WEEK 9: FAMILY ADVOCACYPSRT 4271: The Family Role in Rehabilitation
2
FIRST, SOMETHING NOT SO UNRELATED…Electroconvulsive Therapy Considerations
(as undertaken this week by a family…)
3
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
4
ONE FLEW OVER THE CUCKOO’S NEST
5
SHOCK THERAPY!
6
HOW IT USED TO BE…
7
ELECTROCONVULSIVE THERAPY (1986)
20 minute clip: http://www.medclip.com/index.php?page=videos§ion=view&vid_id=109703
8
ECT TODAY
Also: http://www.psychodyssey.
net/?page_id=1931
Carol Kivler
9
RESEARCH
10
WHAT TO DO?...
11
FAMILY ADVOCACY
12
THE RECENT HISTORY
13
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
14
1960S: DEINSTITUTIONALIZATION BEGINS
California: from 37,000 in 1950s… …to ~19,000 by 1969
15
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
16
EARLY 1970S
A “Psychiatric Titanic”
17
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.
18
1972: NATIONAL SCHIZOPHRENIA FELLOWSHIP(UNITED KINGDOM)
John Pringle’s 1970 Letter to The Times…
19
1974: PARENTS OF ADULT SCHIZOPHRENICS
Eve Oliphant
20
1975: TONY HOFFMAN PUSHES LOCAL ADVANCES
CA: Legislation puts two family members on every county mental health board
21
DR. H. RICHARD LAMB COLLABORATES
22
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."
23
LATE 1970S: STATEWIDE ORGANIZATION
1979: California Association Families of the Mentally Ill ( 1982: CAMI)
24
LATE 1970S: THE MOVEMENT GROWS
Other parents organize in other states
25
1979: EVE OLIPHANT ADDRESSES THE APA
26
1979: NAMI FOUNDED
Harriet Shetler and other mothers in Wisconsin invite all to unify…
27
28
THE NJ ADVOCACY LANDSCAPE
29
…, 2
30
NAMI ADVOCACY
National
State
31
…, 2
Local
Resources: http://www.psychodyssey.net/?page_id=3304
32
NJ BUDGET: A QUICK LOOK… (走馬看花 )