Tarun Sehgal’s Negligence

Tarun Sehgal’s additions to the Framing

©2019-04-11

Dr Romesh Senewiratne-Alagaratnam

I have met “Dr” Tarun Sehgal twice, a month apart. After the second visit on 18 February 2019, he amended a “clinical report” to the MHRT (Mental Health Review Tribunal) that the PA Hospital has been using to oppose my freedom since 2014.

The first amendment is to add to the “primary” diagnosis of “paranoid schizophrenia” two “secondary” diagnoses

  1. Mental and behavioural disorders due to use of cannabinoids, harmful use
  2. Other specific personality disorders

The second amendment is in the section titled “Brief History of Mental Illness” most of which has remained unchanged since 2014, when it was written by the psychiatrist Daniel Varghese who has since left the service. The framing and character-assassination by Daniel Varghese and his registrar David Nguyen has been retained (with spelling and grammatical errors as well as errors of fact) by a series of PA Hospital psychiatrists including Falih Al-Sudani, Justin O’Brien, Jumoke Banjo and Ghazala Watt.

Sehgal has added:

“Last medical review (Dr Tarun Sehgal, Cons) on 18th Feb 2019

He feels he is doing better with the reduction in the dose. He reported sedation from it lasting for the first 4-5 days each time after the depot.

He stated his achievement in terms of having – 10K ‘Linked-in’ connections, – 3.5K ‘Facebook’ friends and several followers on Youtube, Twitter and FB business site. He reported that has not being paid his royalties from APRA (Australian Performing Right Association) because he is a member of APRA. He has submitted around 80-100 songs to APRA and these are performance rights. You tube pays royalties to him but he is not getting from FB or google. He has lost about 5kg in weight. He is eating well and he is a good cook according to him. Sleep is good.

He has never ever had problem with sleep unless when he had viral meningitis at 23 yo. At present, no issues with his neighbours. The only problem is that “being harassed by this hospital”. No admission since Jan 2017. Denies any concerns at present. He reported that the main issue was that he went against his father and it caused the problem. He believed that his father was a key organiser/chair leader for Tamil Tigers. He opposed to Tamil Tigers and his father ‘discredited and dispossessed’ him. Since then his father caused the problem for him. He was a family doctor until 2003 but because of his father he has not been able to get back to same job.

The interview had themes around ongoing discussion on disagreements related to diagnosis, need to take medication, inappropriate treatment by psychiatric services including negligence by MH services. He did not talk about his cannabis use in the appointment. He admitted to ongoing cannabis use in his last appointment. “

The next section “Circumstances leading to the initiation of involuntary treatment” is retained unchanged since 2014.

Sehgal’s only other addition to the report (other than changing and adding “personality disorders” to the diagnosis of ‘paranoid schizophrenia’ on the opening page) is the section “Provide details of the current mental health assessment”:

MSE by Dr Tarun Sehgal (cons) 18/2/19

He presented with average personal hygiene, unshaven, appropriately dressed and rapport was difficult to establish. His speech was normal in tone, vol and rhythm. His mood was euthymic with mildly irritable affect. No delusional or perceptual abnormality reported. Cognitively – he was grossly intact. He lacks to have insight into his mental health condition and need to have treatment.”

It appears that Tarun Sehgal lacks insight into his lack of English literacy as well as psychiatric and medical knowledge. Paranoid schizophrenia, according to psychiatric texts, is a disease characterised by hallucinations and delusions, as well as other problems including flat affect, lack of motivation, lack of social skills, disorganization in thought and speech, superstitiousness and magical thinking. I have never had any of these problems and was well within my rights to debate them with the psychiatrist who was authorising drug treatments against my will under threat of being locked up again if I refuse.

In his “report” Sehgal has left out two important facts. These are that I lent him a copy of my 1997 book “Psychiatric Tales and Words About Life” to read and tried to discuss AIDS with him. His response to my asking him if he thought AIDS is man-made was to refuse to answer. When I pressed him on the matter he said he would be “naïve” to say what he thought. This is the first time anyone has responded in this way to this question, and I have asked it of many people, including the case managers Raghavan Raman and Nigel Lewin, both of who are qualified as nurses. Raghavan Raman said, unequivocally, “yes, it is”, while Lewin said, “it wouldn’t surprise me”.  I think Tarun Sehgal should blame himself if he had difficulty establishing rapport with me. I am very easy to talk to, but I don’t like being pathologised.

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.

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.

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.

 

 

 

 

 

 

 

Evidence against the PA Hospital

At 9.00 am this morning the Indian psychiatric nurse, Raghuvan ‘Raghy’ Raman, who thinks the Tamil Tigers were ‘activists’ rather than terrorists, rang me from the PA Hospital. He told me “your injection is due, what time can I come around?”. He didn’t ask me how I was; if he did I would have told him.

At 11.30 he turned up alone with a bag containing a 100 mg injection of Invega Sustenna (paliperidone) ordered by the Pakistan-trained psychiatrist Ghazala Watt for a cost to the taxpayer (at the Chempro chemists in Buranda, opposite the hospital) of $414.09. The script was written by a Dr A Neligan, who I have never heard of, and is probably Ghazala Watt’s registrar.

Paliperidone is a treatment for schizophrenia and other psychotic ‘disorders’, but I am not in the least bit psychotic or mentally disordered. Ghazala Watt, though, has repeated the diagnosis of a Nigerian psychiatrist named Jumoke ‘Jumi’ Banjo, who kept me locked up on three occasions in late 2016 and early 2017, following complaints to the hospital by my hostile father and next-door-neighbour.

Banjo is a graduate of Ibadan University in Nigeria, and had not been in Australia long. I graduated in medicine many years before either of these psychiatrists, and am senior to them in years as well as experience.

What I wanted to discuss with Raghy Raman on camera was the grossly negligent, inaccurate and defamatory report recently ‘written’ by Ghazala Watt. One of the two modifications she has made to the report claims that “elevated speech” was evidenced by the ‘treating team’, and hence she was increasing the dose of antipsychotic from 75 to 100 mg. After he had asked for the video camera to be turned off and I complied, we discussed this and he admitted it was he who said I had “elevated speech”.

My voice gets louder when I am angry or trying to make a point. I was both. There is also no such thing as “elevated speech” in psychiatric texts – only ‘elevated mood’ and ‘pressure of speech’. Pressure of speech and elevated mood are evidence of mania, rather than schizophrenia, and I do not display either. I am justifiably angry at being misdiagnosed as “mentally ill” and assaulted with injections that are making my physical health deteriorate and are the ONLY CAUSE of my mental distress.

But I am a tough guy, and these people have injected me with even bigger doses in the past, of even worse drugs. And I have survived, though according to the statistics, at 57 I am nearing the end of my expected life, as a mental patient in Australia.

The report of Ghazala Watt was more a character assassination than a legitimate medical report. The bulk of the report was already on the PA Hospital computer, and she changed only two paragraphs, retaining all the misinformation that previous psychiatrists and psychiatry registrars had written for previous MHRT tribunals. She has not even changed the opening statement of the report that I am a “52 yo male”. I am, in fact, a 57-year-old physician and graduate of the University of Queensland, who has four times as many LinkedIn contacts as her, and 10 times as many Facebook friends. Yet she has retained in the report, in the section on Social Networks (there is no section for professional networks) that I have no social support apart from my mother. This is presumably an effort to paint me as a socially withdrawn and inept “schizophrenic”. My appeal to the MHRT is to be heard in a week’s time. In the meantime I’ll try and continue working.

I have many forensic psychologists and forensic psychiatrists among my LinkedIn contacts. I would appreciate their assessments of Ghazala Watt and Raghy Raman from the evidence I have provided, My own assessment is that they are grossly incompetent and systematic violators of human rights in Australia, for which their superiors are also legally responsible.

 

Public Image, Social and Professional Networking and Defying a ‘Schizophrenia’ Label

The PA Hospital psychiatrist Ghazala Watt has claimed, in a report for my upcoming Mental Health Review Tribunal hearing, that I have “paranoid schizophrenia” and that the only social support network I have is my 84-year-old mother. This essay proves her wrong.

The textbook characteristics of ‘schizophrenia’ include social awkwardness, social withdrawal and what was called, when I studied psychiatry in the 1980s, ‘downward social drift’. I have been labelled with schizophrenia, but I reject the diagnosis in myself for several reasons, including my social and professional networking ability and in others because it is a stigmatising misnomer. I do not satisfy diagnostic criteria for the label and the diagnostic criteria themselves are flawed. It is not scientific or rational to believe that people who have auditory hallucinations have the same incurable brain disease as people who are disorganised or socially withdrawn or who believe in telepathy or corporate and government conspiracies. I have never had hallucinations, of any sort, am well-organized in my thinking and actions, am sociable, and have never had telepathic experiences, but I admit to believing in certain conspiracies. These include my long-standing and well-founded conviction that my father conspired with others to have me silenced by getting me locked up and stigmatised me as a ‘mental patient’.

My father is blunt in his terminology when he speaks about me to my mother – “he’s bloody mad, he’s completely bananas” and other invectives. When he writes about me or phones people up he is more discreet, however, and says that I have a “serious psychotic disorder”, concealing his animosity towards me. He refuses to allow me to visit my mother at their house, though she wants me to do so, and he hangs up the phone on me if he answers it rather than my mother. Occasionally he abuses me first, but mostly he hangs up the phone silently or leaves it off the hook without answering my repeated “hellos?”

 

I have appealed to the Queensland Mental Health Review Tribunal (MHRT) for release from a “Treatment Authority” (T/A), previously called an Involuntary Treatment Order (ITO) prior to the change of terminology (but not practice) with the new Mental Health Act of 2017. The hearing is next week. I was put on an ITO a year ago by Dr Jumoke ‘Jumi’ Banjo of the Princess Alexandra Hospital. Dr Banjo, who had recently come to Australia from Nigeria, kept me locked up on three occasions over a few months in late 2016 and early 2017, following complaints to the hospital by my hostile father and next-door neighbour, Jeff Miller. She changed the diagnosis from ‘psychotic diagnosis – not otherwise specified (NOS)’ to ‘paranoid schizophrenia’ and dramatically increased the dose of the Paliperidone injection she ordered from 25 mg to 150 mg.

I contested this diagnosis at a MHRT hearing while I was still an inpatient, but, as I expected, I lost. Refusal to accept the disease label you have been given is routinely regarded as ‘lack of insight’ and further evidence of mental illness, necessitating involuntary treatment. This is despite Banjo writing, of my mental state:

“MSE [mental state examination]

Casually dressed, grey hair and beard, settled and polite with reasonable engagement, no psychomotor agitation.

Spontaneous speech, normal in rate, volume and tone.

Mood is euthymic and affect is reactive.

Thoughts are coherent, no disorder of thought form and does not currently appear preoccupied with previously described delusional content, no depressive cognitions, no suicidal or homicidal ideas.

No evidence of perceptual abnormality.”

This sounds like a normal, mentally healthy person. It is hard to explain, given this assessment, her statement that I have “limited insight into the nature and severity of [my] condition”, which she specified as “paranoid schizophrenia”. It is also hard to reconcile with her denying my liberty by keeping me locked up in the ward and her treatment plan to have me injected every month, indefinitely, with 150 mg of the antipsychotic drug Paliperidone. Her actions were illegal, according to the Mental Health Act, which states that patients can only be confined against their wills if they are and remain a risk to themselves or others. The legal loophole the psychiatric system in Australia uses, to get around these exclusion criteria, is to argue that the patients jeopardise their own health by refusal to take the prescribed drugs. It is also against the law to lock people up for their political or philosophical beliefs, but these laws are routinely violated too.

 

My 1995 theories

 

I had started theorising on the cause and management of schizophrenia before it was first suggested that I myself had the ‘disease’. This suggestion was made by my father, in a letter he wrote to the psychiatry registrar of the Junction Clinic in Melbourne, Noel Barrett, in March 1995:

“I’m not sure why, but I did remark to my wife that I thought his recent adventures into the unknown, the attempts to explain autism, the compulsive eating of obesity (which I’ve had an interest in), sleep, memory disturbances, Alzheimers, schizophrenia etc – was abnormal. I even said, ‘I don’t know whether this is the start of a schizophrenic illness.’ Why I said so (to my wife, of course, and not Romesh) I cannot quite remember but I did notice that the ego boundaries were no longer there.”

It is true that I was developing original ideas about the cause and management of autism, schizophrenia and memory disturbances and was also researching sleep. I was particularly interested in the role of the reticular activating system (RAS), the noradrenergic network of neurones connecting the brainstem with the midbrain and cortex that influences state of alertness and concentration as well as sleep. I hypothesised that the RAS is also involved with attention and mental focus, partly through its connections with the thalamus, which integrates and directs attention through the senses.

My theories on autism included the theory that lack of eye contact was related to lack of trust and fear of adults, which can be addressed by a gentle approach to building trust through play, music and art, with a conscious attempt to encourage eye contact with the child. My theories on schizophrenia, which have changed since then, related to the neurochemistry of dopamine, development of the limbic system and analysis of mental associations. These were only a few of the theories I was working on at the time; others related to the development of aesthetic appreciation in sight and hearing, integrative neuroscience, holistic approaches to health and theories about instincts. I was particularly fond of my insight that communication, curiosity and play are instincts which can be used to develop public health and individual health promotion strategies.

My theories on dementia were related to the relatively uncontroversial theory that curiosity is an instinct. It was based on the assumption that keeping the brain actively learning would help ward off dementia, something I thought was self-evident. I was interested in identifying social factors such as the beliefs that you are “too old to learn” or “too old to change” in contributing to dementia, and thought that encouraging curiosity and ongoing experiential (not necessarily formal) learning could mitigate against it. I later found, when I tried to discuss my ideas with Professor Colin Masters, in charge of Alzheimer’s Disease research at the Mental Health Research Institute in Melbourne, that not everyone thinks that keeping the brain active helps prevent or slow down the progress of dementia.

 

My Father’s Insanity

 

When he wrote to Noel Barrett and his consultant Rajan Thomas in March 1995, my father was clear that he wanted me committed, raising the possibility that I had both schizophrenia and hypomania. He also made it clear that he wouldn’t like to be committed himself. He wrote, in brackets, at the end of the long, handwritten letter:

“(I hope that the above dissertation does not result in someone certifying me!!!)

The preceding sentence in the letter, which was faxed to the Junction Clinic in Melbourne, refers to his activities in drawing attention to what he called “Third World conditions” at the Princess Alexandra (PA) Hospital, where he had worked as a visiting consultant physician since we came to Australia in 1976 (note his use of capital letters);

“ I am having a hectic job here handling a very busy practice and also Consultant Physician at a major hospital to add to this. I’ve recently become the major (in fact, one and only) spokesperson for the Hospital to represent the chaos in the Brisbane hospitals to the government. So I’ve got my work cut out. However, if you feel that I can be of any use in Melbourne – if only to provide the necessary family support – I’ll be delighted to hop on the next plane and head off there”.

This is a self-serving lie. My father did not represent the hospitals to the Queensland government. That was the job of hospital administrators, with whom he was mostly not on good terms. What he did was to agitate the junior staff and non-medical staff that the old hospital was like a “Third World” country like Sri Lanka and approached all the commercial TV stations to give interviews to make this charge. He didn’t mention that his main political activity was lobbying for the Tamil Tigers (LTTE) and the separatist cause in the war in Sri Lanka.

My father has written several letters to psychiatrists about me, but never mentioned Sri Lanka or his political activities in support of the separatist war. However, a review of his own blog (called ‘Brian Senewiratne pages’) and YouTube clips from his own site and the network of LTTE-supporting sites indicates what a serious omission this is. My father’s LinkedIn site, which reveals only that he is an ‘onsultant [sic] physician’, has no photo and no details of his medical work or qualifications but includes a list of his skills, all of which have been endorsed by his network of professional Tamil friends. He has 258 contacts, one of whom he shares with me.

His LinkedIn site also fails to mention what he calls elsewhere his “human rights work” and also his role, since the end of the war (May 2009) as a ‘senator’ of the ‘Transnational Government of Tamil Eelam’ (TGTE). Despite not speaking or understanding Tamil, he was appointed (not elected) as a ‘senator’ by Visuvanathan Rudrakumaran, a Sri Lankan Tamil lawyer in New York who was the legal representative of the LTTE until their defeat in 2009, following which he established the TGTE with himself as “Prime Minister”. The TGTE flies the LTTE flags at its events and commemorates the “martyrdom” of the LTTE fighters including their leader Vellupillai Prabakaran, as well as the organizations many suicide bombers. My father has written recently (2017) that the Tamil people in Sri Lanka are missing the LTTE now that they are gone, and that what most people call a terrorist organization ran a “well functioning de-facto state”, selectively omitting the long list of crimes committed by LTTE against Tamil, Muslim and Singhalese citizens of Sri Lanka over the 30-year conflict.

His public profiles as a doctor and as a political agitator have been kept separate, though he uses his qualification as a doctor to win the respect of his pro-LTTE audiences. My father has defended the fact that he only “preaches to the converted”, responding to this criticism in a YouTube clip where he says that “you have to preach to the converted to keep them converted; otherwise they become unconverted”. What he is intent on “converting” the Tamils to is the belief that they have been subjected to genocide by the Sri Lankan government and that the only solution to this is a separate state for Tamils and division of the country. He also tries to convince his Tamil audiences to support a boycott of Sri Lankan goods and services, as well as sport (cricket) and tourism, which he declares will “bring the Colombo government to its knees”. Back in 2006 he gave an interview in Canada where he said that what is needed, and could be achieved by such a boycott, is “economic exsanguination” of the country. Exsanguination is the act of draining all the blood out – he thought the LTTE could win the war by destroying Sri Lanka’s economy, disregarding the cost to the ordinary people of Sri Lanka, especially the poor.

My father makes it clear that he is not Tamil and makes a point of stressing that he is of Singhalese ethnicity and a “Christian”, whose mother was a “devout Buddhist”. In the same 2006 interview he claimed that he is a “genetic half-Buddhist” as if religion is inherited in the genes. He uses this claim to justify his criticism of the Buddhist clergy, whom he accuses of “ethno-religious chauvinism” and trying to make multicultural Sri Lanka into a “Sinhala-Buddhist” nation. He then says that he has no objection to this, but by the same token the Tamils need their own state – Tamil Eelam. This gained him the support of the separatists, but was a distortion of the actual situation in Sri Lanka, where though Buddhism is protected the State, Hinduism, Islam and Christianity are also respected and celebrated with public holidays. He has claimed that the Tamils were denied their language in 1956, when his uncle SWRD Bandaranaike made Singhalese the only official language, ignoring the fact that for many years the official policy has been to promote trilingualism in Singhala, Tamil and English, and Tamil has been a national language (in addition to Singhala, which was also the official language) since 1958 with the introduction of the Tamil Language Special Provisions Act.

There are many videos of my father on YouTube and also videos made by him. The videos of him include recordings of speeches he has given, always to Tamil Tiger-supporting audiences (in the USA, Canada, UK and Australia) as well as a few interviews he gave for Tamil cable TV channels. These have been uploaded by various supporters of the LTTE. The videos made by him have been uploaded by LTTE supporters and also, relatively recently (2 years ago) he uploaded 3 videos of him talking to the camera while seated at his dining room table. Though the talk was intended as an address to the TGTE, he posted it publicly on his own YouTube channel. These latter videos have had a few hundred views, a few likes and several dislikes (including by myself). The videos of his speeches, in which he shouts his support for the LTTE and “the Tamil Eelam struggle” have also had mainly negative ratings, and up to a few thousand views.

The videos made by my father, available for free on YouTube, but which he had originally hoped to make money out of, include his home-made propaganda videos. These were recorded unprofessionally with my mother turning the video camera on and off. He started making these in 2006, after he was invited to address the expatriate Ilankai Tamil Sangam organization in the USA and offered to make a video to “correct the disinformation campaign by the Sri Lankan government”. My father does not have video editing skills and very few computer skills, but he had access to the expertise of some of his ex-students, now doctors, who supported the LTTE. These took still photos and short video clips from the LTTE propaganda collection and inserted them into the videos, which he subsequently boasted were “a dozen DVDs I have produced on the ethnic conflict in Sri Lanka”. These, he claimed, were a “major contribution” that had worried the Sri Lankan government.

Using his own terminology, my father is an egomaniac. He is also extremely manipulative, as is seen by the titles of his videos, one of the first being “The New Killing Fields of Asia”. He’d hoped to emulate and capitalise on the popularity of the successful and famous movie “The Killing Fields” about the genocide in Cambodia. He was trying to create a mental association to support his claim that the Sri Lankan Tamils were being subjected to a similar genocide. He is not a subtle man.

The ‘New Killing Fields of Asia’ made in 2007, was uploaded 3 years ago by a Tamil separatist and supporter of the Tamil Tigers. Since then it has had only 65 views, and rated 3 dislikes and no likes. Another of his videos, ‘SRI LANKA – THE ETHNIC CRISIS – WHAT THE WORLD MUST KNOW’ was uploaded 10 years ago by another separatist site. It has had 518 views since then (ratings not disclosed). Then there is ‘SRI LANKA GENOCIDE CRIMES AGAINST HUMANITY VIOLATION OF INTERNATIONAL LAW BY BRIAN SENEWIRATNE’. This video has had 215 views in 5 years (one like and 3 dislikes). Despite this obvious lack of interest in and effect from his videos, my father continues to boast to Tamil audiences and members of the Socialist Alliance and Greens Party about his “dozen DVDs” being a “major contribution” he is proud of.

On YouTube there is another bizarre video, also amateur and home-made, of my father professing to be an expert on ‘AFFECTIVE DISORDERS’. This video was uploaded by one of his patients, who had been given the DVD by him. In this video slides have been crudely inserted that cover part of his face, and he slowly reads what is on the slides to reinforce his points. These include that the diagnosis of affective disorder is frequently missed by doctors less perceptive than himself (including psychiatrists), that adult doses of antidepressants should be used in children (saying that the only alternative is shock treatment) and that depression is caused by the neurones in the limbic system “not talking to each other”. He gets these videos copied, in small runs, by his local printer (a Vietnamese gentleman who has also printed his LTTE-supporting propaganda over the years) and hands them out free to his patients. He tells them, though, that the DVDs are in high demand and sell for “50 pounds each in the UK”. (I have heard him say this, when I called him while he was seeing a patient and left the phone off the hook so I couldn’t call back).

 

Yet my father admits elsewhere (when it suits him), that he is not trained in psychiatry. Earlier in the letter 1995 letter to Noel Barrett he has written:

“I’m not sure whether it is even worth recording the opinions of someone such as myself who has no background in psychiatry. My concerns are that he has decided to suddenly throw in his practice without really good reason. I’m also concerned that the ego boundaries seem to have been breached to the extent they are.”

 

Google provides this explanation of ‘ego boundaries’, a term I have never heard psychiatrists use any more, and don’t use myself:

“When the inner boundary is critically weakened or lost, the return of repressed egostates falsifies reality and can result in delusions and hallucinations. When the cathexis of the outer boundary is weakened or lost, the sense of reality is disturbed, and external objects are discerned as unknown, strange, and unreal.”

This is psycho-babble. I like to keep it real and use ordinary language. On a point of fact, I did not decide to “throw in” my medical practice in 1995. I told my parents that I was thinking of selling it to concentrate on research, music and writing. It was a carefully considered decision and not impulsive or indicative of mental illness in any way. After I was locked up, my family got the practice closed down and I lost it without selling it.

 

Ghazala Watt’s claim about my lack of a ‘Social Network’

 

I decided, when confronted with a recent report for the MHRT ‘authored’ by the MSAHMS psychiatrist Ghazala Watt, to prove her wrong. She has claimed, in the section on “Social Networks and the Capacity to Support the Patient”, that:

“Romesh’s only positive relationship was with his mother who supported him and accommodated him in a property which belonged to her. Romesh has a long-term conflict with his father who also antagonises with him. Father often prevents mother from supporting Romesh.”

That’s all Ghazala Watt has written, and to make matters worse, she has repeated it, word for word (along with the grammatical error), from the previous report to the Mental Health Review Tribunal (MHRT) from 20.9.2016. This time the person who claimed to be the author was Jumoke Banjo, a graduate of Ibadan University in Nigeria, and recently employed by the PA Hospital as a consultant psychiatrist. I had been relieved at first to have an African woman to discuss my freedom with, but before long I realised my optimism was unfounded. Let me correct the record, and explain why, though my father and I do not get on, this is not a consequence of mental illness on my part, and most certainly not a sign of ‘schizophrenia’, the serious mental illness label that both Ghazala Watt and Jumi Banjo are trying to pin on me.

The psychiatrists know full well that sociability and good social (and professional) networking skills go against this ‘diagnosis’. Making out that I have no friends is part of the process of pathologising me and stigmatising me. It makes a mockery of the stated values of ‘Metro South Health’, which includes the Metro South Addiction and Mental Health Services (MSAMHS). These, their website proclaims, are “caring for people, leadership, respect, integrity, teamwork and courage”. I think I deserve to be treated with more respect, and so do other patients of the ‘service’. They also show little evidence of integrity, leadership or courage, and what they call a “team” is a hierarchical system where the psychiatrist’s word is law.

My Social Networks and their capacity to support me

 

I get all the support I need from my daughter, my friends and my social networks, especially from Facebook and the positive comments I get on my YouTube sites. Since I was told that Ghazala Watt was increasing the dose of the abusive injections she has ordered, I have also worked on my professional network on LinkedIn, increasing my list of contacts from 200 to over 800 in less than a week. Several of my new contacts are professors, including psychologists and psychiatrists, from many countries, but mainly in Australia, the USA and UK. I have found, over the years, that my scientific opinions are more likely to be accepted by psychologists than psychiatrists, especially the psychologists leaning towards holism, positive thinking, CBT, embracing change and promoting healthy motivation and activities, as well as mindfulness. I am looking out for progressive psychiatrists that will be prepared to countenance criticism of their doctrines without pathologising me. I have also had contact requests accepted by other medical doctors, by lawyers, journalists and authors, environmentalists, film-makers, musicians, engineers (especially sound engineers), art therapists, social workers, nurses, public servants and other professionals.

Unfortunately, increase in sociability and motivation are liable to be pathologised by the medical profession as signs of mental illness, namely ‘hypomania’ and ‘mania’. I was first locked up, in 1995 and again in 1996, following accusations by my father and my sister’s boyfriend Rob Purssey (then a psychiatry registrar) that I had mania.

Sudden change raises alarm bells in people looking out for mania and psychosis, so I have to be careful not to seem “over-sociable” or “overactive”. But I am a sociable man, which is why I have more than 2700 friends on Facebook. These include people living all over the world, and some whom I have known since my childhood in Sri Lanka. I can chat to them whenever I want, but most of the time I am busy working, not socialising.

It is true that not all my Facebook ‘friends’ are people that I know and like. I have accepted friend requests from people I don’t know, though I have refused others, if they were spam. I consciously set out to make friends with people of all the ethnic groups in Sri Lanka – traditionally classified as Singhalese, Tamil, Muslim, Burgher and Veddha. I have no Veddha friends, since they are forest-living people, but I have over a thousand Sri Lankan friends on Facebook, including Singhalese, Tamil, Muslim, Burgher and Chinese Sri Lankans. I went to school with some of these friends and have known them for more than 40 years. I have made a point of making friends with people of every major religion, though I no longer believe in the Anglican Christianity I was brought up with, and lean more towards Buddhism. I have friends who are both Protestant and Catholic Christians, but I have more friends who are Buddhist and Muslim, with a few who are Hindu or Jewish. I rarely ask people about their religion, unless they raise the subject themselves, but I am interested in finding common values in different religions and am interested in their different perspectives.

I also have many friends in the anti-psychiatry movement and the psychiatry reform movement, some of whom I have known for many years, though I have been actively making friends in these movements in recent weeks as well as joining some related groups.

Many of my Facebook friends are musicians, mainly in Australia and Sri Lanka. Some of my Australian friends are personal friends that I have played music with over the past 30 years and one is a guitarist who played with me in my first serious band, Strange Etiquette, back in 1986, who is now a well-connected psychiatric nurse educator and academic. I am also friends with other members of Strange Etiquette, as well as other Brisbane musicians, but I have musician friends all over Australia. This is not the situation of a person who is socially isolated.

I also have Google+ and Twitter accounts, and even an old MySpace site. I have uploaded about 40 documents, including several e-books to my Scribd site, which I have had for about 10 years. These include books I have written on eugenics, holistic health, schizophrenia and music, as well as books of my poetry. I have recently purchased a new WordPress site and am enjoying writing for it and watching the site grow. What I publish on my WordPress blog is automatically shared with my LinkedIn, Facebook and Twitter pages, and I am also able to make links to my YouTube and Scribd sites. My YouTube site has 304 subscribers, which is not a lot, but more than my father (who has only two). My most viewed video has had 20,000 views, this being a documentary I made some years ago on my research into eugenics, biological warfare and AIDS. Though it has the most views and likes (44) it has also had the most dislikes (10). Other popular videos include footage I shot of mimicry by a Pied Butcherbird (7,490 views with 29 likes and 2 inexplicable dislikes) and a clip of me playing the piano and singing “Living in a Bubble”, one of my original songs. I have uploaded 241 videos over 10 years, including my musical compositions, a documentary on the neuroscience of music, my art (and that of my mother) and more clips of birds in my garden.  I have also uploaded some videos about the militarisation of psychiatry, the pineal organ and my research into it, as well as a monologue called “The Pseudoscience of Schizophrenia”. I work long hours on the Internet, but enjoy my work.

With the help of LinkedIn I have been able to compare the professional careers and profiles of the psychiatrists and medical family members who have called me mad with my own work output, networking and public profile. From memory, I have been diagnosed as mentally ill (with various labels) by the following Brisbane psychiatrists, none of whose assistance I sought: Rob Purssey (who was my sister’s boyfriend and a psychiatry registrar) who has a LinkedIn (with more than 500 contacts) and YouTube site (with only 4 subscribers) but no Facebook page; Ghazala Watt (LinkedIn with 353 contacts and Facebook with 200 friends but no YouTube); Jumoke Banjo (no LinkedIn or Facebook); Justin O’Brien (LinkedIn with 250 contacts and Facebook with 1000 friends); Joanna Loftus (LinkedIn with only 36 contacts and no information about her qualifications, experience or background) Daniel Varghese (LinkedIn with only 7 contacts and no Facebook); Subramanian Purushothaman (LinkedIn with 2 contacts and not filled out other than ‘Australia’); Monica Des Arts (no LinkedIn or Facebook) and Paul Schneider (no LinkedIn or Facebook).

I have also been seen by Dr Jill Schilling who said I was not mentally ill after a single visit to my home in July 2015 and took me off the ITO the hospital had put me on; by Ken Arthur, a private psychiatrist who examined me at the request of the MHRT (LinkedIn with only 16 contacts, no details and no photo); by Joan Lawrence (in 1995) who agreed that I should remain locked up at the Prince Charles Hospital under Dr John Bowles and by Brett Emmerson, who certified me in 1995 and got me locked up at Prince Charles Hospital at my father’s request, based on information provided by my father as well as a heated debate I had with him when my father brought him to my parents’ house in 1995 to certify me.

Brett Emmerson and my father now have both LinkedIn pages, but Joan Lawrence has neither. My father has a Facebook page but he doesn’t know how to use it, and has no friends at all. John Bowles has a LinkedIn page that says he is now retired but is an advisor to the MHRT. He has 111 contacts including 10 shared with me. I have also been seen, initially for an examination ordered by the Medical Board of Queensland, and later on my own volition, by Dr Frank New, who I have not seen for a while, but wrote to the Medical Board in 2002 that he was confident that I did not have a mental illness (after a 3 hour interrogation). My father, angered by this, told my mother that Frank New “is not highly regarded”. Frank, who I have considerable respect for, is in private practice. He doesn’t have a LinkedIn or Facebook page.

Brett Emmerson has 274 contacts on LinkedIn, and also features in a single video on YouTube. This was uploaded in 2014 by the Metro North PHN (Primary Health Network) and is of a lecture he gave to junior employees in an auditorium. He is currently the Director of the Metro North Hospital and Health Service, which covers the Royal Brisbane Hospital and the Prince Charles Hospital. I have watched this lecture and found it very boring. It has only had 56 views in 3 years, and rated 3 dislikes and 1 like.

The directors of the PA Hospital and Metro South Health also have LinkedIn pages, namely Michael Cleary (Executive Director of the PA), David Crompton (Director of Metro South) and Balaji Motamarri (Director of the MSAHMS). Professor Crompton’s LinkedIn page says that he is “Professor and Director of the Australian Institute for Suicide Research and Prevention” at Griffith University (since March 2017), “Professor School of Human Services and Social Work” (Griffith University, since December 2013) and “Executive Director Addiction and Mental Health Services” (Metro South Health) from September 2008 to the present. He was a rural general practitioner before he became a psychiatrist and then a medical administrator. He too has 111 contacts including 10 shared with myself.

The website of Metro South Health has a photo of Professor Crompton (OAM) listing his position as ‘Executive Director’ of the ‘Metro South Addiction and Mental Health Services Executive Team’. Dr Balaji Motamarri (with the space for his photo unfilled) is named as ‘Clinical Director of Psychosis Academic Clinical Unit’. The ‘Chief Executive’, who I had not heard of until I checked the website today, is Dr Stephen Ayre, a graduate like me of the University of Queensland who did general practice before getting a Masters in Health Administration from the University of New South Wales. He was previously Executive Director of Medical Services at Prince Charles Hospital (2008-2014) before being appointed ‘Executive Director’ of Princess Alexandra Hospital and QEII Jubilee Hospital Health Network in May 2014. He was appointed Chief Executive of Metro South Health in July 2017. Stephen Ayre, like Robert Purssey and myself (but unlike all the others mentioned) has over 500 LinkedIn contacts.

The psychiatrist in charge of the MSAHMS “psychosis unit” and the man who is responsible for the hospital’s atrocious, negligent and disrespectful treatment of me is Balaji Motamarri, who has refused to speak to me, even on the phone, though I have been locked up several times under his authority. His LinkedIn and Facebook pages do not suggest a man with academic skills or computer literacy, which are essential for a man in his position in this day and age. He clearly does not know how to use Facebook, which 13-year-old kids can handle. Not knowing how to have a private chat with his friend Manju, he has written on his wall, for all to see:

“Hi Manju My apologies for not replying earlier. As you can understand we are “recovering” from our trip – the trip of “Telangana Bandhs.” Hyderabad has become a city of uncertain nightmares. And to add to the issue, our daughter’s school is starting in 2 days time and you know the dramas associated with this – just imagine ‘school after 10 weeks of holidays’ – what a nightmare to the parents.”

This was posted in January 2010 and he hasn’t posted anything since.

Academia is competitive, business is competitive and medicine is competitive too. I have opted to compete with my detractors on an uneven playing field, in which I was at a disadvantage, with the stigma of having been, as my father puts it, “in and out of mental hospitals”. I think I have won the competition for social and professional networking, as well as work output and public response to that work. I have also disproved the allegation that I have schizophrenia.

Romesh Senewiratne-Alagaratnam Arya Chakravarti

HUB Forensics

25.2.2018