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&section=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 )