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…..

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

The Pseudoscience of Schizophrenia

The Pseudoscience of Schizophrenia looks in detail at the theory that schizophrenia is primarily an iatrogenic problem which is worsened by the current disease model in psychiatry.

The term “schizophrenia” was coined by a Swiss psychiatry professor named Bleuler who declared that the young people whom his rival the German psychiatry professor Emil Kraepelin had classified as “suffering from dementia praecox” had, in fact, a “split mind”. This was later discussed ad nauseum – was there, in fact, a split between “thought” and “affect” as the Eugen Bleuler has postulated in 1911, or is it a misnomer but still a valid label?

When I studied medicine at the University of Queensland in the early 1980s we were taught that though the term “schizophrenia” is a misnomer, it is, in fact, a “real illness”. This was said to be a developmental disorder that was partly inherited and characterized by “chemical imbalances” in the brains of people, many young people, who heard voices, had hallucinations, and held delusional beliefs. These beliefs, we were told, included such things as belief in magic, UFOs and that thoughts can be put into ones head by remote means (with no mention of the TV’s potential to do so).

This book questions this and associated jargon and doctrines of the medical branch of the mind sciences – the doctors who profess to have expertise in “mind treatment” (psyche+iatros=psychiatry) rather than “mind knowledge” (psyche+logos=psychology).

Talk therapies and words that are used in therapy (and by the media and wider society) have profound effects on the health of individuals and nations. The use of pseudo-scientific terms that rapidly become terms of abuse has a long history in medicine – take the terms idiot, moron, cretin and mongol, for example.

Nowadays people are abused as “schizos” and “being mental”. Yet the entire focus for what passes as “mental health promotion” is centred on convincing more people that they are mentally unhealthy and need to consult their doctor. The doctors themselves are groomed to prescribe at the drop of a hat.

Though there is a growing market in “antipsychotic” drugs the biggest money-spinners are the “anti-depressants”, especially the SSRI drugs. Depression is also amenable to talk therapies and non-drug approaches such as music, creative activity, building interests and social activity. Strategies for promotion of mental health without the use of drugs (or ECT) are explored in later chapters of this book.

 

https://www.scribd.com/document/71008178/The-Pseudoscience-of-Schizophrenia-by-Dr-Romesh-Senewiratne-2011