3. DSM Diagnoses Schizophrenia (with a number of subtypes) Schizoaffective disorder Bipolar disorder (with subtypes) Mood disorders with psychotic features Delusional Disorders

4. Psychotic Experiences and Behaviors Delusions Hallucinations Mania (or other apparently “bizarre” affect) Delusions of Grandeur Paranoia Catatonia (bizarre movement or lack of movement)

5. Genetic disorder Biochemical Imbalance Faulty brain structure Virus A disease of the brain likely to be caused by a...

6.  Encourage the person to let go of serious aspirations and generally “lay low”  Encourage “insight” that they have a “mental illness” (i.e., lifelong brain disease)  Encourage a lifelong regimen of antipsychotic drug use, resorting to coercion if necessary

7. Unfortunately, no. This is a lifelong degenerative brain disease. But if one diligently remains on their meds, they can manage their symptoms and reduce the risk of full relapse.

8. WHO study covering 13 countries Using their strictest criteria for recovery Global DAS (Excellent/Good)

9. WHO study covering 11 countries U.S. and N.Z have the 2 highest rates and are the only Western nations allowing direct-to-consumer drug advertising

10. Graph as printed in “Anatomy of an Epidemic” by Robert Whitaker

11. U.S. NIMH 15-year Outcome Study Better long-term outcomes for those discontinuing drug treatment for all mental health conditions assessed

12. *Rates of disability due to mental health conditions have increased radically, in direct correlation with the increase in psychiatric drug treatment (*For adults age 18-64)

14. Organismic Wisdom: All living organisms have the innate desire and capacity to survive and thrive

15. Needs Assessment Emotion / Motivation To meet one’s needs Response / Action in an attempt to meet one’s needs Organismic Process:

18.  Resources are simply unavailable

19.  Resources available but unable to be utilized  Lack of self connection (to one’s needs)  Limiting beliefs preventing nourishment (i.e., Nourishment Barriers )

22. Needs Assessment Emotion / Motivation To meet one’s needs Response / Action in an attempt to meet one’s needs Misinformation (fixation on “disease” rather than needs)

23. Needs Assessment Emotion / Motivation To meet one’s needs Response / Action in an attempt to meet one’s needs Suppression of Emotion / Motivation

24. Needs Assessment Emotion / Motivation To meet one’s needs Response / Action in an attempt to meet one’s needs “Killing the Messenger” (fixation on suppressing experience rather than listening to its message and targeting the needs)

25. Needs Assessment Emotion / Motivation To meet one’s needs Response / Action in an attempt to meet one’s needs Support person in identifying the unmet need(s)

26. Needs Assessment Emotion / Motivation To meet one’s needs Response / Action in an attempt to meet one’s needs Foster healthy relationship with one’s inner world experiences and emotions

27. Needs Assessment Emotion / Motivation To meet one’s needs Response / Action in an attempt to meet one’s needs Support person in developing effective, sustainable strategies for meeting their needs

30. Unresolved Peace/Existence Dialectic

31. Unable to maintain the experience of a secure and stable sense of self living in relatively secure and predictable world. “I don’t have a right to exist” “The world is not safe enough” “I don’t know who I am and what my needs and values are” “There is something fundamentally wrong with me” Unresolved Peace/Existence Dialectic

32. Unresolved Autonomy/Connection Dialectic

33. Unable to feel secure with both one’s autonomy and one’s belonging & connection with others. “I don’t belong here” “I am ashamed of who I am” “Others don’t love and accept me for who I am” “My needs are not as important as those of others” “I don’t matter” Unresolved Autonomy/Connection Dialectic

34. “I have a right to exist” “The world is safe enough” “I know who I am and what my needs and values are” “I am intrinsically a whole person” To arrive at the experience of myself as a relatively secure and stable self living in a relatively secure and predictable world… Resolved Peace/Existence Dialectic

35. “I belong here” “I love and accept myself for who I am” “I am loved and accepted by others for who I am” “My needs are just as important as those of others” “I matter!” To arrive at a way of being in which I am loved and accepted for who I am: Resolved Autonomy/Connection Dialectic

36. Recovery Factors Finding hope Connecting with one’s aliveness Finding meaning in life Arriving at a more hopeful understanding of their psychosis Developing healthy relationships; Healing or distancing from unhealthy relationships Harm from the psychiatric system hindering recovery Factors supporting recovery Factor hindering recovery

38. Prioritise Health over Profit: Remove corporate and private interests from health care system—a true common-owned nonprofit health care system. Redefine Our Priorities

39. From the Mind/Brain Debate to a Holistic Systems Perspective  An organism consists of many systems working synergistically:  Social  Physiological  Psychological  Overwhelming distress on any one system can affect the whole, leading to various psychological disturbances and potentially even psychosis…  Spiritual  Ecological

40. Ensure that everyone’s basic needs are met:  Healthy food  Clean water  Adequate shelter  Education (without industry sponsorship)  Meaningful work/activity  General health and relationship support Prevention & Maintenance

41.  Noncoercive  Holistic needs-based  Honoring expertise via “lived experience”  Individual and relationship-based support  Empathy-based noncoercive residential facilities  Freely available in every community Empathy-based Crisis Support

42. A healthier use of drugs:  Accurate information about the short and long- term harms and benefits  Only as a last resort & for minimum duration  Never without consent  Support with tapering Drugs take the back seat…

43. A Continuum of Care Ordinary Psychosocial Support Ordinary Human Distress Full Psychotic Process Intensive Outpatient Support Peer support Traditional therapy (individual, family, group) Making peace with the experiences (CBT, ACT, Trauma- focused, Somatic/ Mindfulness) Intensive Residential or Family support Soteria homes Peer Respite Open Dialogue etc.

44. Full Dissertation: gradworks.umi.com/34/54/3454336.html Website: RethinkingMadness.com