Mark Taylor Won’t Budge

I went to see Associate Professor Mark Taylor again today. I went prepared, but was disappointed in the result. Though not surprised.

It was I who made the appointment, on my last visit to the new Woolloongabba Community Health Service building, of which the second floor is fully occupied by the Metro South Addiction and Mental Health Services (MSAMHS), supposedly a “service” to the people of Brisbane. The 2nd floor operation is effectively an outpatient clinic of the Princess Alexandra (PA) Hospital, and most of the patients were previously inpatients in one of the locked wards in Building 19.

I have been locked up many times in Building 19, usually in ‘West Wing Ward’ but also in ‘East Wing Ward’ and the euphemistically-named ‘Acute Observation Area’ (AOA) also called the High Dependency Unit (HDU). This is a double-locked ward that holds about 10 patients and is a hellish place. I was locked up there for 2 weeks in 2011, which is when I met Raghavan ‘Raghy’ Raman, who has now been appointed my ‘Case Manager’, responsible for “monitoring” my mental state for MSAHMS and recording and reporting his observations. Raghy Raman sat in on my interview with Mark Taylor, though he wasn’t present when I was last injected. This was about two weeks ago and was done by a very nice student nurse, who was polite enough to offer her hand to be shaken at the end of our encounter.

The nurse was learning to give injections in what is called the “Treatment Room”. Music and art are not among the treatments, needless to say. It is a tiny room with a set of scales, two fridges and cupboards with boxes of pre-filled depot injections, each with the name of a reluctant “client”. They now call patients “clients” to their faces but patients are referred to in the PA Hospital literature as “consumers”.

A couple of years ago Nigel Lewin, the British case manager who has been replaced by Raghy, told me that he thought I would make a “great consumer advocate”. I told him my objections to this manifestation of the “consumer culture”. I am not a consumer of psychiatric “services” or drugs – they are being forced into me by injection against my will. I am a victim and a survivor and I am also an extremely patient patient. The term patient has a long history and the term describes the attitude necessary for those who sought “treatment”.

The student nurse was nervous, so I didn’t alarm her by telling her that it was an assault. I had already told Raghy Raman, Nigel Lewin and the other case managers that I was submitting myself to be what is a monthly assault because if I refuse I will be taken back to the hospital by police, held down by security guards and injected anyway. Then I would be locked up again. For this reason I have allowed them to assault me every month for the past two years.

When I checked in at the long desk at the MSAMHS to be injected I introduced myself by saying “I’m here to be assaulted again”. The guy at the desk laughed. I’ve known him for many years and he doesn’t think I’m mad (and has told me so). He told me that Raghy was away but I’d have my injection given by the “Injection Nurse”. This was a hideous, grim woman who spends her day injecting “client” after “client” with neurotoxic drugs ordered by the doctors. She does not believe in talking to the patients, doesn’t smile or tell you her full name. She wears rubber gloves and doesn’t shake people’s hands before injecting them. On the second visit – in front of the student nurse – she asked me a few questions about my mood, eating and sleeping and recorded down my complaint about side-effects.

The student nurse was completely different in her attitude. When I told them that I was writing a book about music and the brain she said “how exciting”. She asked me if it was OK if she gave the injection and that I could give her “tips”. I told her that it was important to let the alcohol dry after swabbing the skin. “That stops it stinging”. The older nurse said “I do that too”, but she lied – the last time, when it was she who injected me she said “I won’t keep you waiting, so let’s get on with it” and hurried through the injection. I pointedly told the student to inject slowly, because that caused less tissue damage. The student nurse thanked me for the tips and extended her hand when I was leaving. There is hope for the future of nursing. But better still if they were confident enough to publicly disagree with the doctors.

I prepared for the interview with Mark Taylor by bringing with me four folders of my work. I told him I had brought some of my work to show him and prove my sanity.

“Oh good,” he said, but carried on typing, while looking at the screen and not at the folders.

I put the first one on the desk. It was my work-in-progress on psychoimmunology which I said was my short-term project.

“There’s a lot of interest in that,” he said, but he didn’t look through the 40-pages I have written so far.

I then showed him my long-term project, a book titled “Music, Instincts and Health”, telling him that I had written 350 pages so far and also had folders of research from the Internet on the topic, as well as folders of original theoretical work. He glanced at the contents and returned to his typing.

I then showed him a folder for HUB Music, including promotions of my music on Soundcloud, YouTube and Facebook. He asked me what I meant by “my music”. I explained that I had been recording my musical compositions for 30 years and had posted it on the net over many years. I told him that, however, my most watched videos on YouTube were not my music but my documentaries on eugenics and AIDS.

“I didn’t know you had researched eugenics and AIDS” he said, to my surprise. Either he has a poor memory or a selective one. In 2001 he wrote in the notes of the Alfred Hospital that my beliefs about “the eugenics of AIDS” were delusional and indicative of psychosis. He also wrote, at this time, that before I became “psychotic” I had a “paranoid and narcissistic personality”. It was a thorough character-assassination. I reminded him of this the last time we met, which was about 6 weeks ago.

“I saw you only recently” he said “A month ago. Nothing has really changed”.

I showed my the fourth folder I had brought with me, which was my current networking on Linkedin, where I have almost 6000 professional contacts around the world, from a wide range of academic disciplines including medicine and mental health. He wasn’t interested. One of numerous Mark Taylors, his own Linkedin page has only 10 contacts and he is not active on it. He has not even updated his current employment or uploaded a photo of himself.

“How have you been in your mental health?” he asked. I told him again about the fact the the injection was sterilizing me, making me salivate and making me sleep in the day. “You told me that last time”. I objected that though I told him he hadn’t budged on lowering the drug.

I told him that I had been watching YouTube clips of psychiatrists who were much more critical of the overuse of psychiatric drugs than himself. “Oh good” he said again. I named Daniel Carlat (who he had not heard of). Pat McGorry (who he had), Sami Timimi (who he had heard of but dismissed as “radical” and mistakenly thought was a woman), and Robert Whitaker. He had heard of Robert Whitaker and I told him that he was one of my friends on Facebook. “He’s not a psychiatrist, though”, he said.

“I wanted to ask you that – how much time do you spend in front of your computer?”

I knew he was trying to pathologise my behaviour. I said I spend only a couple of hours a week on Facebook but more time on Linkedin and Youtube. He said he did not follow “social media” and asked me how well known I am.

“Are you say one of the five best known people in Brisbane?”

This was another trap. He was looking for grandiosity.

“Of course not”, I laughed. “Most people wouldn’t know me from a bar of soap”.

“Do you get the recognition you deserve?” he asked, looking for evidence of me being what psychiatrists call “entitled”.

“I’m not looking for recognition, but it is nice to be appreciated”.

Conveniently forgetting his character-assassination of me in 2001, and his role in having me falsely incarcerated, Taylor said “The doctors at CFOS say you have posted things that are defamatory about me”. He said he hadn’t seen them himself but that he had been told about it by CFOS – which he pronounced as “see-fos”. This is a new organization called the “Community Forensic Outreach Service” – which I have been told by Raghy Raman is part of the health department and not the court system, but that he couldn’t tell me more about it other than that I had been referred to CFOS because he felt obliged to “escalate the matter” of my posting material about the “Queensland Health staff” on what he calls “the social media”. He is furious that I posted footage of him assaulting me in my own home on YouTube.

It was Raghy who informed me, by email and phone, that I had been referred to CFOS. I wanted to know what powers this new body had over me, and asked him who they were. He said he didn’t know and the decision to “escalate the matter” of my refusing to take down the YouTube clips was made by the “team leader” a woman called Sharon Locke. I have spoken to Locke on the phone but never met her and have now been told that she is no longer the team leader. Mark Taylor said I had refused to meet CFOS when we had last met and I told him I was prepared to talk to them on the phone or communicate with them over the net but would not come in to be interviewed (and framed, though I didn’t use the term) in the Woolloongabba Community Health Centre.

I told Taylor that Professor Pat McGorry has said that the antipsychotic drugs used to be used at 10 times the necessary dose and now are used at 2 to 3 times the necessary dose. His retort was “did you know that Pat McGorry has accepted payments from many drug companies?” I said I did. “Do you think Ibuprofen (an anti-inlammatory and alalgesic drug that is available over the counter) is over-used?”

“I’m sure it is. Many drugs are over-prescribed. The drug companies’ primary motive is money. They bribe those doctors who are prepared to accept bribes.”

“You haven’t answered. Did you post defamatory things about me?” he persisted.

I answered that I had posted things about him on Facebook, Linkedin and YouTube and explained that I had discussed his links with the drug companies, pointing to a video of him presenting his conflict of interest at a lecture in Scotland some years ago. I called it “accepting bribes”. Some people might interpret that as defamatory.

“That was about 7 years ago, and I think it is a good thing to disclose information,” he said, then saying that it was a private lecture and should not have been posted (though he knew who it was). In this clip he says, in reference to a statement by one of his psychiatric colleagues that “when it comes to industry you are either abstinent or promiscuous – you can see on which side I fall”. He then showed a slide disclosing that he had accepted “fees and/or hospitality” from 5 different drug companies. His audience laughed, but it was posted on YouTube by an audience member who wasn’t amused.

Taylor asked me if I had ever accepted a sandwich from a drug company – “that’s included in hospitality”. He also challenged Pat McGorry’s assertion that Cognitive Behaviour Therapy (CBT) should be used ahead of drugs in the treatment of psychosis, saying that “the problem is that CBT doesn’t work in psychosis”. When I contested this he claimed that it has been proved by “Cochrane”, meaning the Cochrane Collaboration. I said that I had discussed this with Peter Gotszche, the Director of the Nordic Cochrane Collaboration, who had written books about the ineffectiveness and harmfulness of psychiatric drugs including dopamine blockers and SSRI antidepressants.

“What do you hope to achieve by blocking my dopamine receptors?” I asked.

“We want you to remain stable and not have mood fluctuations”. He raised the risk of suicide. I told him that I had never been suicidal, though I lied. I have entertained fleeting thoughts of suicide on two and only two occasions in my life. One was when I was 34 and locked up at the Royal Park Hospital in Melbourne and the other time was when I was 55 and locked up at the psychogeriatric Grevillea Ward of the Princess Alexandra Hospital. In both instances it was a response to being disbelieved, locked up and drugged.

Mark Taylor said he wanted me to be “stable” over time and that he would “think about” lowering the dose. He said he didn’t want to see me for 3 months and that our time had run out. In contrast, the private psychiatrist Frank New spent 3 hours with me before writing a 13-paged report stating that he was confident that I did not have a mental illness and why he formed this well-considered opinion. But that was many years ago and the PA Hospital has been reluctant to speak to any doctors who do not agree that I am mad.

Raghy Raman stayed silent throughout the interview until I raised the fact that it was he who reported that I had “elevated speech” to Ghazala Watt, resulting in Watt, who trained in Pakistan and Britain, to abusively increase the dose of Paliperidone (ironically called Invega) from 75 to 100 mg. Raghy flew into a rage. “Why do you keep going back to this, over and over?” he shouted. “I said you had elevated mood but I retracted it and apologised. But you keep on raising this over and over. I apologised! And what I said had nothing to do with you being injected. No! The doctors make their own decisions. It had nothing to do with me”.

I pointed out that Ghazala Watt had written to the Mental Health Review Tribunal that the injection was increased “because the treating team reported elevated speech” – and that the same report recorded the “treating team” as only Watt and Raghy Raman. I also pointed out that it was Raghy that was getting angry and not me and that I have a very stable mood. I told Taylor that I am not prone to depression but have been said to have an elevated mood at times.

He said he had observed that I was talkative and laughed a lot – he didn’t need to mention that these are “symptoms” of “hypomania”, mania and mood elevation. I explained that this was my personality – I have been like that since I was a child. Though I can be shy when I first meet people I enjoy conversations and laugh a lot in conversation.

Mark Taylor had to admit that Raghy was angry so he said “we’d better end the inteview now”. He stressed again that he didn’t want to see me for 3 months. In the meantime that’s 3 more injections, each at the cost of more that $400 to the taxpayer.

Taylor said I should consider what to say at the next Mental Health Review Tribunal (MHRT). I pointed out that claiming not to be ill is immediately interpeted as “lack of insight” and that the MHRT discharges less than 5% of patients and inevitably sides with the hospitals. Losing a MHRT hearing is just another trauma. Right now I can’t be bothered appealing.

Case against the Alfred Hospital

©2018 Dr Romesh Senewiratne-Alagaratnam

  1. Between 1999 and 2002 I was locked up and assaulted with injections of antipsychotic drugs several times at the Alfred Hospital (Prahran, Melbourne).
  2. I was not suffering from a diagnosable mental illness at the time but I was punitively diagnosed with several serious mental disorders including “schizo-affective disorder” by two psychiatrists (Kym Jenkins and Robert Shields), and “psychotic disorder (Schizomanic type) superimposed on narcissistic and paranoid personality disorder” by another (Mark Taylor).
  3. These disease labels seriously damaged my personal and professional reputation.
  4. Psychiatrists at the Alfred Hospital also contacted the Medical Board of Victoria claiming that I had “schizoaffective disorder”, in an effort to stop me from working as a doctor.
  5. The Director of Psychiatry at the Alfred (Dr Peter Doherty) also provided selected documents to the Medical Board of Queensland in 2002 in a further effort to stop me from working as a doctor.
  6. When I was locked up between 1999 and 2002 I provided ample evidence of my sanity in the form of my writings and publications but these were pathologised and misrepresented as “hypergraphia” and evidence of mental illness.
  7. My claim to be doing research on the brain was also described as a grandiose delusion.
  8. My concern about the Stolen Children, human rights abuses against Aboriginal people and the role of eugenics in causing genocide were misrepresented and presented as evidence of mental illness.
  9. My support of the allegation (first made by others) that HIV (Human Immunodeficiency Virus) was developed as a biological weapon was pathologised and referred to as further evidence of mental illness and “paranoid delusions”.
  • My concern that the medical system and government were dominated by Freemasons was pathologised by the psychiatrist Mark Taylor as evidence of mental illness.
  • My concern about the possible role of the Mossad and a cabal of Jewish psychiatrists in persecuting me and calling me mad/mentally ill was pathologised as evidence of paranoid delusions by psychiatrists at the Alfred (including Peter Braun and David Lowenstern who are Jewish).
  • My concern about the possible role of MI5 in my incarceration was likewise pathologised as evidence of mental illness and paranoid delusions by Mark Taylor and Kym Jenkins, who are both British; Kym Jenkins went on to become the President of the Royal Australian and New Zealand College of Psychiatrists (RANZCP); Mark Taylor moved to Scotland in 2002 but is now working in Brisbane and has been made my “treating psychiatrist” by Metro South and the Princess Alexandra (PA) Hospital.
  • My claim that my father was a supporter of terrorism for his support, propaganda and lobbying efforts for the Tamil Tigers (LTTE) was likewise pathologised as evidence of mental illness.
  1. The repeated false claims of my hostile father that I was “paranoid” and “psychotic” were uncritically acted upon by the hospital CATT team (Crisis and Assessment Team) without checking the veracity of his and my claims.
  2. During each admission my behaviour and observations of it were not consistent with the claims of the admitting doctors, but I was still held for several days in the LSA (Low Stimulus Area) and unnecessarily (and abusively) injected with short-acting Zuclopentixol Accuphase injections, which caused involuntary spasms in my back and legs as well as difficulty speaking (a single injection only on three of the admissions).
  3. Despite the fact that I have never suffered from hallucinations, I was recorded to have ‘thought disorder’ by some, but not other, psychiatrists.
  • My justified anger at being abducted from my home and locked up for no good reason was pathologised as an “irritable mood” and “hostility”.
  • My statement that I was talking legal action against the hospital for deprivation of my rights was pathologised as well, with records that I was “litigious”.
  • My 40-point Peace Plan for Timor was pathologised as an “extremely thought-disordered letter sent to Kofi Annan of the UN”; it was a list of proposals not a letter and was not sent anywhere (I gave a copy to the Jewish GP who had employed me to do sessions for him at what he called “Melbourne Wholistic Medicine”, Abraham “Abe” Mass – it was Mass who referred me to the Alfred Hospital on 16 September 1999 with the claim that I had “schizoaffective disorder”).
  1. The hospital recorded that Abraham Mass was my GP and not my colleague, though the psychiatrists referred to the fact that I had been referred in by a “GP colleague”.
  2. I stopped working for Mass at this stage and the hospital recorded that I was an “unemployed medical practitioner” qualifying that it was “as of last week”.
  • Mass attempted to change from being my employer to being my doctor after the first admission (which he arranged) though I had not and would not seek his medical advice.
  • On discharge from the Alfred Hospital I was ordered to attend Dr Peter Braun of the Waiora Clinic (an outpatient clinic of the Alfred); I confronted Braun with my suspicion that he was working for the Mossad, which he did not deny but wrote to the Mental Health Review Board that my concern that “doctors” work for the Mossad were evidence of mental illness and paranoia. Braun also confirmed during our discussions that the Israeli military had trained both sides in the war in Sri Lanka, but defended this action on their part.
  • In 2001, following another report about me my father (and a resultant admission), the decision was made to start me on injections of a depot antipsychotic – Zuclopenthixol (Clopixol) to be given every 2 weeks under as Community Treatment Order (CTO); this decision made me leave the State of Victoria and seek safety back in Queensland, where I went to school and graduated as a doctor, despite the fact that my father lives here; I hoped, at this stage, to convince him of my sanity.

    Particulars:

Admission from 16 September 1999 to 27 September 1999.

16.9.1999 – Referral by Abraham Mass of 257 Tucker Road, Ormond

Abducted by Ian Katz and Victoria Police from 149 Bambra Road, Caulfield and taken in handcuffs to the Alfred Hospital

House was rented from Avi Jawarowski via real estate agent Hiam Sharp of Caulfield. Avi Jawarowski’s brother Sol is a psychiatrist, who worked previously for the Alfred Hospital but has now returned to Israel. Avi Jawarowski who is a chemist is listed in the Burnet Institute Annual Report as a Senior Lecturer at the institute. The Burnet Institute is located at the Alfred Hospital and part of the Alfred Medical Research and Education Precinct (AMREP).

Katz wrote (in all capitals):

39 YO SINGLE UNEMPLOYED MEDICAL PRACTITIONER, ADM INVOL VIA ISCATT

BACKGROUND/

PSYCHOTIC DISORDER, VARIABLE DIAGNOSES (BIPOLAR, DELUSIONAL DISORDER ETC)

ADM (Admissions) X 5       1995 X 2

1998 X 3

HOPC (History of Presenting Complaint)

2-3/7 OF PARANOID IDEAS, IRRITABLE, LITIGIOUS, HYPER-GRAPHIA, GRANDIOSE

NON-COMPLIANT RECENTLY

ΨTRIST – DR PROCTOR

REFERRED VIA COLLEGUE GP

DR (Omits the name – Abraham Mass)

MSE/ HYPERAROUSED, IRRITABLE STOCKY MAN OF DARK COMPLEXION IRRITABLE, THOUGHT DISORDERED, GRANDIOSE, BIZARRE PERSECUTORY DELUSIONS OF POLITICAL/SCIENTIFIC THEMES, NO INSIGHT, PRESSURE OF SPEECH

ASST (Assessment)/

EXAC (Exacerbation) OF PSYCHOSIS

?SCHIZOAFFECTIVE

ADM INVOL (Admit Involuntarily)

MEDICAL BOARD INFORMED AS PER STAT LEGAL REQUIREMENT

I KATZ

Seen by Kym Jenkins (psychiatrist) who wrote:

STAT REVIEW

39 yo unemployed (as of this week) medical practitioner. Referred to CAT team by a medical colleague [again omits name]

Recommended under MH Act [by Ian Katz] because of grandiose and persecutory delusions

PΨHx (past psychiatric history) – delusional disorder/hypomania

MSE/

Well groomed

suspicious

hostile

verbally aggressive

speech pressured

some flight of ideas

Content of thought:

Delusional belief that he is persecuted by a Jewish mafia, British colonial regime

Belief that he is involved in research into the brain – grandiose delusions re this

Delusional belief that Alfred Hospital staff responsible for disseminating HIV to 3rd World, East Timor and sending letter to Kofi Annan at UN [This is a misrepresentation of my views and behaviour – I did not send a letter to Kofi Annan or anyone else – I was working on my 40-point Peace Plan for Timor but had not sent it to anyone; the reference to Alfred Hospital staff “disseminating” HIV to Third World countries this was a reference to my writings on the Burnet Institute which had recently relocated to the premises of the Alfred Hospital – details can be found in my book ‘Eugenics and Genocide in the Modern World’]

?disorders of perception

Insight: nil. Thinks he is in hospital as part of plot/persecution

Imp (Impression): psychotic episode hypomanic presentation

ΔΔ (differential diagnosis)

Schizoaffective disorder/Bipolar Affective Disorder

Plan/

Certification upheld

Patient informed of this & has “rights” leaflets

Very close observation LSA

At risk to others if absconds

Collateral Hx – Private Ψ

Length of psychosis

Past treatments and response

Medical Board to be informed

Commence antipsychotic Rx – rispiradone 2mg nocte

Needs full organic work up – admits to cannabis usage

Needs mood stabilizer ?not been on lithium

Kym Jenkins

 

17.9.1999

Seen again by Kym Jenkins while being kept in the “LSA”

She wrote:

Remains hostile, guarded ++, thought disordered, speech less pressured, totally insightless.

Believes there is a political plot against him and continues to have grandiose and persecutory delusions.

Stat dose 100 mg Zuclopenthixol (Acuphase)

Romesh would like a 2nd opinion.

 

 

 

 

 

20.9.1999

Seen again by Kym Jenkins with registrar Tejpal Singh

After the interview Jenkins wrote:

Romesh presents :- much less elevated

More pleasant

Not openly hostile

Speech not pressured

Thought stream slowed – no flight of ideas

Apologising for previous insulting behaviour on admission

Decrease in grandiose and persecutory ideation

Impression/    Hypomanic episode resolving

Plan/

Can be nursed in open ward

Needs close obs (absconding risk)

Continue rispiradone

Reassess MSE tomorrow – may be masking psychotic Sx [symptoms]

Discharge planning – will need assertive follow up to ensure compliance

Address issues re medical registration.

 

To be continued…..

High-handed treatment by the PA Hospital

I am angry. After giving him the benefit of the doubt, despite our history, Professor Mark Taylor has betrayed my trust in him and his considered judgement. I should have been more wary – in 2001 he wrote that I had a psychotic illness when I said (and wrote) that AIDS is man-made. At the time, he opined that before I became “ill” I had a paranoid, narcissistic personality disorder. This character assassination and drugging was at the Alfred Hospital in Melbourne and I had hoped that the last 17 years would have improved Mark Taylor’s judgement and medical practice. A competent psychiatrist can ascertain whether a person is mad or sane in a few minutes, and can do it over the phone.

Last week I received a note in the mail from Raghavan ‘Raghy’ Raman who has been appointed my “case manager” since the English nurse Nigel Lewin went on long-service leave a few months ago. Lewin had been injecting me on the orders of a succession of psychiatrists at the PA since 2012, when I was locked up for 2 months for maintaining that my father was a supporter of Tamil Tiger terrorism and had worked as a lobbyist of the organization. The hospital refused to look at the evidence that I provided of my claims and put me under the authority of an Indian Tamil psychiatrist many years my junior who is known to my father.

The note Raghy sent informed me that “my” injection will be due today but that he would be on leave for two weeks. I was asked to come in for the injection, to be given by one of the other 200 staff of the MSAMHS. I was given a number to ring – that of the “psychosis team”.

I rang the number and asked to speak to Balaji Motamarri, the long-time director of MSAMHS, who also qualified in India, before coming to Australia in 1998. “We don’t have a Dr Motamarri working here”. I said that he was the director of the organization and I was put through, instead to Sharon Locke, the “team leader”. I have spoken to this woman many times in the past, and expressed my objections to the PA Hospital’s negligent, high-handed treatment of its patients, including myself. She listens and notes things down, but says she can’t comment on matters that I need to “discuss with the doctor”, including my diagnosis and need for treatment.

When I met Mark Taylor after 17 years I had 24-hours notice to prepare. I had been phoned by Raghy Raman the day before to say that rather than Ghazala Watt, I would be seeing “Dr Taylor”. I told him that Mark Taylor had been responsible for locking me up in Melbourne in 2001, and was one of the psychiatrists I had named in the Statement of Claim I sent to the hospital, but was not accepted by the courts. The hospital psychiatrists referred to this as my being “litiginous” and further evidence that I was mentally ill.

In 2001 Mark Taylor wrote that I was deluded about “AIDS, eugenics etc” and misrepresented my statement to him that my father was a supporter of Tamil Tiger terrorism, and was trying to stop me from asking him what he knew about biological warfare. Taylor wrote that I believed that my father was spreading AIDS and that he is a “biological terrorist”. He wrote that these beliefs (about AIDS, eugenics and my father) were evidence of schizophrenia and recommended that I be injected with zuclopenthixol (Clopixol) against my will under a “Community Treatment Order” (CTO). I successfully appealed against the CTO was was released from forced treatment by the Alfred Hospital, but now Mark Taylor has turned up again, and has been given power over me.

I answered Mark Taylor’s questions about me honestly but did not get a chance to show him any of the evidence of my sanity that I had carefully packed in my briefcase to show him. The opportunity never arose, since he was sitting in front of the computer screen and typing my responses to his interrogation of me. He was particularly interested in my drug intake but also asked general questions about my health. I was relieved to speak to somebody who was fluent in English and encouraged by his assessment that I was “no longer” psychotic and his promise that would consider reducing the injections.

After I expressed my concerns to Sharon Locke last week, Mark Taylor phoned me back and asked how he could help me. This is a first from psychiatrists at the PA Hospital. I said he had said he would think about stopping or reducing the injection. He agreed he had done so, but wanted to be sure that I was “stable” fiirst. I assured them that I was, and the only problem I have is side-effects from the 100 mg of paliperidone that Ghazala Watt had insisted be injected into me when my father contacted the “service” complaining about me again.

Rather than assessing my mental state over the phone, Mark Taylor said he wanted to “check with your case manager Raghy”. This is ridiculous and negligent. I have already told Taylor how Raman, who is an Indian Tamil with poor English skills, thought that the Tamil Tigers were “activists” rather than terrorists, and was clearly sympathetic to the terrorist organzation I have long been opposed to and my father supported. Today I told Sharon Locke more disturbing facts about Raghy Raman that I had not shared before, since he asked me to keep his confidence. These related to his own medical problems, including the cause of his psoriasis and hypertension. He was blaming the antihypertensives he was on for worsening his psoriasis, but I suggested that maybe stress was a common factor in both. He agreed that he was stressed, but blamed his wife’s behaviour towards him as the cause of the stress, and that there was nothing he could do about it. He then told me he expected to commit suicide when he was forced by his age to retire. This man is not in a position to judge the sanity of me or anyone else.

The injections don’t need to be reduced, they need to be stopped. It is patently obvious that I don’t have schizophrenia, if the the term is to be understood by the contents of psychiatric texts.

Evidence against Princess Alexandra Hospital, Wooloongabba, Brisbane

via Threats by the PA Hospital

Debating Psychiatry with the PA Hospital

 

This is a debate from two years ago (February 2016) between me and Nigel Lewin, an English psychiatric nurse from the Princess Alexandra (PA) Hospital.

Nigel had been appointed my ‘case manager’ and I was being made a “medical case” and “mental case” by my medical colleagues at the hospital that empoyed my father from 1976, when my family migrated to Australia from Sri Lanka. I was 15 then and remember staying in a house on the grounds of the hospital when we first arrived. Later, I avoided the hospital where my father and sister worked, and had a poor opinion of it, reinforced by my father’s claims (for which he was eventually sacked) that the hospital was “in chaos”. This was in 2001 and he got me locked up at the “chaotic” hospital (in his own written opinion) in 2002. In fact, he got me locked up 5 times in 4 months, culminating in my rib and finger being broken by security guards and male “nurses” immobilising me so that I could be injected with a drug called Zuclopenthixol, a treatment for ‘schizophrenia’ and other ‘psychotic disorders’

I began my debate with Nigel by asking him what he thought about “Psychotic Disorder – Not Otherwise Specified”, the label the hospital was trying to pin on me at the time, after revising the diagnosis from one of schizophrenia. Now, under the treatment of Jumoke Banjo (from Nigeria) and Ghazala Watt (from Pakistan) the diagnosis has been changed back to “paranoid schizophrenia”. Nigel Lewin has now gone on long service leave and a new case manager, an Indian man by the name of Raghy Raman, has been appointed. Raghy has expressed the opinion that the leader of the Tamil Tigers, Vellupillai Prabakaran was an “activist” rather than a terrorist, and described me as having “elevated speech” when I debated with him about the Tamil Tigers. In response to this, the psychiatrist Ghazala Watt increased the dose of depot antipsychotic she has abusively ordered.

 

 

 

 

 

 

 

Considering ‘Insight’

©2018 Romesh Senewiratne-Alagaratnam (MD)

Being insightful is considered a virtue. It is similar to being thoughtful, but insight implies intuitive knowledge and perception of truth. There has been much study of insight in psychology in recent years, mainly looking at the phenomenon from the perspective of problem solving. It has been found that insight is promoted by good mood and sleep, which help solve problems. An insight is described as an “aha moment”, “penny-drop moment”, “eureka moment” or epiphany.

However, ‘insight and judgment’ mean something quite different in psychiatry – in this medical specialty, insight specifically means willingness to accept that you are, and have been, mentally ill. This is problematic and constitutes a widely used circular argument – that refusal to agree you are mentally ill is itself evidence of mental illness. It means that mentally healthy people who are mistakenly admitted as psychiatric patients harm their chances of discharge if they maintain that they are not mentally ill.

 

The Positive and Negative Syndrome Scale (PANSS), widely used in evaluating antipsychotic drugs for schizophrenia, is explicit about this. Section G12, titled “Lack of Judgment and Insight” states that ‘extreme’ (grade 7) lack of insight is to be recorded due to:

“Emphatic denial of past and present psychiatric illness. Current hospitalization and treatment are given a delusional interpretation (e.g., as punishment for misdeeds, as persecution by tormentors etc.), and the patient may thus refuse to cooperate with the therapists, medication or other aspects of treatment.”

 

Good judgment involves the ability to make sound decisions, based on knowledge of what is true and what is false. It is insulting to accuse someone of poor judgment, and uncalled for if the accusation is based on reasonable refutation of an incurable mental illness label. People can make sound judgments about many things, but not be convinced that they are mentally ill, especially if the illness is claimed to be due to unmeasurable chemical imbalances in their brains that are of uncertain origin, the dominant paradigm in psychiatry.

 

This item in the PANSS is one of 16 items taken from the older Brief Psychiatric Rating Scale (BPRS), which was developed in the USA in the 1960s and used to evaluate “general psychopathology”, as well as to evaluate psychoactive drugs. The PANSS also includes 7 “positive symptoms” and 7 “negative symptoms” for a total of 30 items that are evaluated. This results in a score from 30 to 210. “Improving” scores on the PANSS constitute the main claims for efficacy of the newer antipsychotic drugs; the older drugs were evaluated by the BPRS and other scales, usually when compared to the “benchmark drugs” chlorpromazine and haloperidol, rather than placebo.

 

A glaring problem with the PANSS and BPRS is the fact that known side-effects of dopamine-blocking drugs, such as “flattened affect” are described as signs of schizophrenia, rather than the treatment of the condition. Other signs such as hostility and uncooperativeness can be explained as legitimate objection to being called mad (or insane), by whatever name.

Predictably, people with some mental illness diagnoses resist the label of “illness” more than others. People with phobias, anxiety and depression often come to see doctors for help and so do people with auditory hallucinations (usually diagnosed as schizophrenia or schizo-affective disorder). In these people the diagnosis of illness can be a relief, and they accept drug treatment without objection. In other cases, patients resist the label of illness vehemently, especially when they are said to have elevated mood (diagnosed as hypomania and mania) or delusions.

It is not surprising that many people accused of having an elevated mood resist the judgement. The BPRS grades “moderately severe” elevated mood (rating 5 on a scale from 1 to 7) as:

“Reports excessive or unrealistic feelings of well-being, confidence or optimism inappropriate to circumstances, much of the time. May describe feeling ‘on top of the world’, ‘like everything is falling into place’ or ‘better than ever before’. OR several instances of marked elevated mood with euphoria”.

Needless to say, people who feel on top of the world, better than ever before, or for whom everything is falling into place, are often not inclined to think they are mentally ill, and with good reason. Likewise people with an increase in goal-directed activities, increased zest for life those who see connections they didn’t see before and have insights. Ironically, the process of coming to conclusions through insight, especially if they are unique or ‘idiosyncratic’, is itself viewed as a sign of mental illness.

The Young Mania Rating Scale (YMRS) rates elevated mood on a scale from 1 to 5, with grade 3 being:

“Definite subjective elevation; optimistic, self-confident, cheerful, inappropriate to content.”

The key to the diagnosis is the subjective evaluation of what is “inappropriate to content” or “inappropriate to circumstances”. This is done by the interviewer, and depends on his or her own belief system, judgement and understanding of the patient’s circumstances.

Persecution by Tormentors and Punishment for Misdeeds

 

The belief that one is persecuted is not necessarily delusional. Many people, over the ages, have been persecuted, for various reasons including their race, their ‘caste’ and their beliefs. People are sometimes tormented by the families, or by their peers (for example victims of bullies at school or work). Siblings sometimes torment each other, and so do cousins and other relatives. Sometimes it is neighbours who do the tormenting. People often gang up against people who are stigmatised as strange, mad, crazy or odd and this can amount to persecution. Children are often punished for disobedience and it is not unreasonable for people to regard their imprisonment as mental patients a punishment. This is not helped by a punitive culture in the mental health systems of many nations.

 

There are many dysfunctional families, and family dysfunction comes in many forms. Some families are very competitive and sibling rivalry, as well as competition between parents and children, can be a problem. Some parents, especially fathers, are very authoritarian and demand obedience from their children. Disobedient children are labelled as “difficult” and taken to doctors for diagnosis and treatment. Here the power imbalance is obvious. The child has little power to resist being labelled as the “problem”, however much the doctors protest that they can’t help their behaviour because they have a chemical imbalance in their brains. When the children misbehave it is inevitable that the adults and siblings blame the “illness” and ask if they are complying with taking their their tablets.

The adults in this situation include parents and other family members as well as teachers. Some teachers are inclined to suspect their students of having “attention deficit disorder” when they are not interested in their lessons, and become visibly bored, restless and fidgety. Teachers provide a large number of the referrals for ADD and ADHD. It is rarely asked as to whether the teacher is to blame for being boring and failing to engage the student. This requires introspection, which is sometimes lacking in any profession, including teaching.

Apart from scape-goating a particular family member, there are problems with looking for a chemical solution or “magic bullet” to life’s difficulties. This can form a pattern of behaviour in the child and in their carers and family. When they are down, rather than looking for activities and experiences that will bring them back up, the tendency is to take an antidepressant. When they are anxious, instead of listening to music or going for a walk, or any of a wide range of actions that can lessen anxiety, they look for a benzodiazepine.

It is also a problem when children are medicated for what is basically disobedience. The drugs that are used for ADHD are stimulants, related to amphetamines, known on the street as ‘speed’. Though they can improve concentration and keep you awake when you are tired, it has been known for over a century that amphetamines are addictive, and can also cause psychosis. Despite this they were widely used as weight loss drugs and “pep pills” in the 1960s and were again promoted in the 1990s for the newly-named “mental disorder” known as ADHD (Attention Deficit Hyperactivity Disorder). In the 1980s it was said that only 1 in 200 children had ADD; this rocketed up to 1 in 20 with the new label, with a corresponding explosion in prescriptions for stimulant drugs. This was in the 1990s, and was a precursor to the explosion in addiction to amphetamines a decade later. Many of the youth who are addicted to metamphetamine (‘ice’) were initially diagnosed as having ADHD and given stimulant drugs.

 

Family abuse occurs at all ages. Children and the elderly are especially vulnerable and can easily be pathologised for being “difficult”. Rebellious adolescents are also vulnerable to being given a disease label for their behaviour, as well as young people who reject the religious beliefs of their parents and embrace other philosophies and religions.

 

The concept of insight should be considered holistically. There is a difference between insight (introspection) and insights (epiphanies). One aspect of introspection is to be able to look critically at our own mistakes, flaws, vices and poor judgements in the past. It requires us to challenge our indoctrination from various sources as we grew up. The process of growing up and learning from our environment (including family and school) inevitably results in some false beliefs and delusions. Some of our beliefs are not congruous with reality, and it is a challenge, throughout life, to rid ourselves of such delusions. Sometimes, when one realises ones previous error, especially about long-held beliefs, it comes as an insight. Such insights are often pleasant, and can be exciting. They can elevate the mood.

Seeing connections you didn’t notice before and making new associations can also be exciting and elevate the mood. Elevating the mood itself has the effect of increasing insights and insightful thinking. How many potentially beneficial insights have been suppressed or destroyed by the practice of regarding “gaining insight” as a synonym for accepting that you are mentally ill?