Walter Keim

Dignity in mental health—examining the dynamics of mental health stigma: a narrative review
The UN’s Declaration of Human Rights should be supported, and professionals should be helped to have an ethical responsibility to address stigma at every level.
www.academia.edu/2997-9196/2/...

Medication-free treatment in mental health care. How does it differ from traditional treatment?
The findings provide insights into how a medication-free treatment service might work and show that it can be a viable alternative for people who are not comfortable
www.researchsquare.com/article/rs-3...

#41 - Robert Whitaker / Hvorfor forteller ikke media oss det vi trenger å vite om psykisk helse? - Mad in Norway Stadig flere har forstått at psykiatriens fortelling om psykiske vansker ikke holder mål. Likevel er media restriktive med å omtale funn som slår beina under den sykdomsmodellen.

Robert Whitaker / Hvorfor forteller ikke media oss det vi trenger å vite om psykisk helse?
Stadig flere har forstått at legemiddelindustriens og psykiatriens fortelling om årsaker til psykiske vansker ikke holder mål. Media ofte svært restriktive å informere
www.madinnorway.org/2023/11/41-r...

Tolv av de største landsdekkende mediene «hadde ikke plass til» alternative synspunkter på psykiatrien - Mad in Norway Frykt for søksmål, frykt for tap av annonseinntekter og journalister som mangler kompetanse til å vurdere faglig kvalitet. Det er momenter psykolog og seniorforsker Geir Smedslund trekker fram som mul...

Tolv av de største landsdekkende mediene «hadde ikke plass til» alternative synspunkter på psykiatrien
SÆRINTERESSER: Frykt for søksmål og frykt for tap av annonseinntekter nevnes som grunner til at media ikke slipper til psykiatrikritiske stemmer.
www.madinnorway.org/2025/10/tolv...

Antipsychotics Do Not Provide a Clinically Meaningful Benefit Over the Short-Term: A Review of the Evidence

Seventy years of RCTs have failed to provide evidence that antipsychotics provide a clinically meaningful benefit for treating acute psychotic episodes.

www.madinamerica.com/2025/06/anti...

A crisis-focused cognitive behavioural informed
approach to formulating experiences of psychosis in
acute mental health
A crisis-focused CBTp-informed approach is outlined,
which can be used to underpin brief therapy strategies for people experiencing a psychosis
www.cambridge.org/core/service...

Bringing together the World Health Organization's QualityRights initiative and the World Psychiatric Association's programme on implementing alternatives to coercion in mental healthcare: a common goa... Stakeholders worldwide increasingly acknowledge the need to address coercive practices in mental healthcare. Options have been described and evaluated in several countries, as noted recently in major ...

Bringing together WHO and WPA to promote alternatives to coercion
We conclude that persons with lived experience, families, mental health professionals and policy makers are now coming together promoting human rights and addressing coercion in mental health services.
www.academia.edu/143784444/Br...

Relapse in Schizophrenia: A Systematic Review of Criteria for Clinical Studies and International Consensus Guidelines to Improve Them | American Journal of Psychiatry Objective: Relapse prevention is a major goal of schizophrenia treatment. However, there is no standard definition of relapse. To address this, the authors reviewed recent approaches and developed con...

Relapse in Schizophrenia: Systematic Review of Criteria for Clinical Studies and International Consensus Guidelines
There are limitations and heterogeneity in current definitions of relapse. Consensus for a standardized approach improves validity and reliability
psychiatryonline.org/doi/abs/10.1...

Network-pluralistic psychiatry: linking genetics, brain connectivity, and psychosocial context
Improves our overall understanding. Future research must focus on validating the model’s components and testing the clinical benefits of interventions integrated principles
www.academia.edu/2997-9196/2/...

En rystende fortelling fra den amerikanske psykiatrien - Mad in Norway - Skal du bare lese én bok om helse i den nærmeste fremtid, så anbefaler jeg deg å velge denne. Hilde Marie Rekstad lot seg imponere av en «brutalt opprørende og samtidig fantastisk håpefull og innsik...

En rystende fortelling fra den amerikanske psykiatrien

Evidensgrunnlaget er de reneste forfalskninger, og man kan undre seg over at myndigheter ikke verner borgerne sine mot et hav av kjemikalier som ingen vet konsekvensene av

www.madinnorway.org/2025/10/en-r...

Cognitive behavioral therapy for insomnia in people with schizophrenia: a systematic review and meta-analysis Cognitive behavioral therapy for insomnia (CBT-I) is the first-line treatment for insomnia in general population, but only recently has it begun to be…

Cognitive behavioral therapy for insomnia in people with schizophrenia: a systematic review and meta-analysis
This meta-analysis found that CBT-I may improve insomnia symptoms among people with schizophrenia but its effect on other schizophrenia remained unclear
www.sciencedirect.com/science/arti...

Strategic and tactic use of antipsychotic medications in schizophrenia: a perspective on current prescription practice - Discover Mental Health Antipsychotic medications (APs) are pivotal in treating schizophrenia, alleviating symptoms like delusions, hallucinations, and disorganized behavior. APs can induce extrapyramidal symptoms and sedation, complicating chronic use but aiding in acute management. AP-induced metabolic syndrome, a primary factor in reduced life expectancy, is not a major concern during short-term treatment. Studies on APs efficacy yield mixed results, leading to trial-and-error prescribing practices. Meta-analyses indicate clozapine, amisulpride, olanzapine, and risperidone as effective in acute settings, with olanzapine and haloperidol beneficial for SZ-related agitation. Empirical observations suggest higher potency APs, like olanzapine and haloperidol, are more effective in acute psychosis, with zuclopenthixol also advantageous for its sedative properties. Cariprazine, lurasidone, low-dose amisulpride, brexpiprazole and aripiprazole showed a favorable side effects profile and a potential benefit on negative symptoms. My proposal in this perspective paper is to consider schizophrenia as a relapsing–remitting disorder, requiring a different pharmacological approach in the acute and maintenance phases. In the initial phase a high-dose, high-potency and fast-titrating AP should be used, for rapid symptoms’ control (i.e. haloperidol, olanzapine, risperidone, high-dose amisulpride, zuchlopenthixol), defined as a tactic AP. Once the acute phase resolved, patients should be gradually switched towards a medication with fewer side effects (i.e. metabolic syndrome, extrapyramidal symptoms, hyperprolactinemia) and a potential efficacy on negative symptoms and personal functioning (i.e. cariprazine, low-dose amisulpride, lurasidone, aripiprazole, brexpiprazole), to be continued in the long term, defined as a strategic AP. This approach aligns with empirical observations and aims to refine schizophrenia care through phase-specific APs use, necessitating further studies to validate its efficacy.

Strategic and tactic use of antipsychotic medications in schizophrenia: a perspective on current prescription practice
Patients should be gradually switched towards a medication with fewer side effects (i.e. metabolic syndrome, extrapyramidal symptoms)
link.springer.com/article/10.1...

The efficacy of psychotherapies and pharmacotherapies for mental disorders in adults: an umbrella review and meta-analytic evaluation of recent meta-analyses - PubMed Mental disorders represent a worldwide public health concern. Psychotherapies and pharmacotherapies are recommended as first line treatments. However, evidence has emerged that their efficacy may be o...

The efficacy of psychotherapies and pharmacotherapies for mental disorders in adults: an umbrella review
The effect sizes of psychotherapies and pharmacotherapies are limited. A paradigm shift in research seems to be required to achieve further progress.
pubmed.ncbi.nlm.nih.gov/35015359/

Blir medisinhistoriens største skandale fortiet i mediene? Når så mange liv verden over har blitt ødelagt over så mange år for at en gruppe mennesker skal få høyere status og tjene mer penger, kan det med rette kalles for den største skandalen i medisinens hi...

Blir medisinhistoriens største skandale fortiet i mediene?

Når så mange liv verden over har blitt ødelagt over så mange år for at en gruppe mennesker skal få høyere status og tjene mer penger, kan det med rette kalles for den største skandalen i medisinens historie.
agendamagasin.no/debatt/blir-...

PSYKOSOSIAL REVIEW 04 2025
Urokkelig forkjemper for en
humanistisk antipsykiatri
Peter Lehmann fyller 75 år og ser tilbake på sine 45 år med engasjement i en ny bok. Christoph Müller snakker med forfatteren, bokforleggeren og aktivisten.
peter-lehmann.de/docu/lehmann...

How can citizen science enhance mental
health research quality
It allows continued formation of a community of
practice around citizen mental health science and should
be reviewed, as greater knowledge is developed on how
citizen mental health science creates change.
bmjopen.bmj.com/content/bmjo...

Studie: Terapi handlar om mer än symtomlindring - Mad In Sweden Klienter värdesätter självförståelse, relationer och egenmakt mer än symtomlindring i terapi, visar ny studie i The Lancet Psychiatry.

Studie: Terapi handlar om mer än symtomlindring

En ny metaanalys i The Lancet Psychiatry visar att psykoterapi ger klienter långt mer än symtomlindring. Självförståelse, relationer och känslan av egenmakt lyfts fram som centrala resultat
madinsweden.org/2025/09/stud...

What is behind the 17-year life expectancy gap between individuals with schizophrenia and the general population? - Schizophrenia Schizophrenia - What is behind the 17-year life expectancy gap between individuals with schizophrenia and the general population?

What is behind the 17-year life expectancy gap between individuals with schizophrenia and the general population?
Schizophrenia is associated with significantly increased premature mortality, primarily due to preventable physical illnesses and violent deaths.
www.nature.com/articles/s41...

(PDF) Altitudes adaptation and development: Content analysis of experiences and preferences for a digital intervention to support early psychosis caregivers in the United States PDF | Purpose Family involvement in Coordinated Specialty Care (CSC) can enhance engagement and improve outcomes for young people with First Episode... | Find, read and cite all the research you need ...

Altitudes adaptation and development: Content analysis of experiences/preferences for a digital intervention to support FEP caregivers in the US
Interventions aiming to promote mental health in the US should incorporate evidence-based information about psychosis
www.researchgate.net/publication/...

How “Garbage-In-Garbage-Out” Academic Psychiatry Research Has Become Even More Ridiculous, and How Taking It Seriously Impoverishes Critical Thinkers An interview with a leading academic psychiatrist reveals that psychiatric researchers are clueless about the scientific method.

How “Garbage-In-Garbage-Out” Academic Psychiatry Research Has Become Even More Ridiculous, and How Taking It Serious

Today, academic psychiatry’s unscientific “garbage-in-garbage-out” research has deteriorated to “nonsense-in-nonsense-out.”
www.madinamerica.com/2025/09/how-...

Antipsychotic prescriptions in people with dementia in primary care: a cohort study investigating adherence of dose and duration to UK clinical guidelines This study highlights how antipsychotic prescribing in dementia is discordant with current NICE guidelines on both duration and dose. More than half of those who discontinued their treatment then rest...

Antipsychotic prescriptions in people with dementia in primary care: a cohort study investigating adherence of dose and duration to UK clinical guidelines
These findings emphasise a persistent gap between clinical guidelines and real-world prescribing
www.thelancet.com/journals/lan...

Antidepressants Linked to Insomnia in Children and Adolescents, Meta-Analysis Finds Sertraline (Zoloft) showed the highest risk, with odds of insomnia more than doubling compared to placebo.

Antidepressants Linked to Insomnia in Children and Adolescents, Meta-Analysis Finds

Sertraline (Zoloft) showed the highest risk, with odds of insomnia more than doubling compared to placebo.

Antidepressants are linked to insomnia in children and adolescents.
www.madinamerica.com/2025/09/anti...

Kvalitetsløft samvalg i henhold til nye anbefalinger for legemiddelbehandling av psykoser
Oppdatering av samvalgsverktøy ignorere «Nye anbefalinger for legemiddelbehandling av psykoser» med referanse til WHO 2023 (mhGAP) guideline underslås i Selvdeklaringsskjemaet
wkeim.bplaced.net/files/samval...

The problem with rights in mental health: how law and rights undermine efforts to end coercion in psychiatry This paper proposes a critical analysis of the role of law and rights in the use of coercive practices in psychiatry, which are increasing in Global N…

The problem with rights in mental health: how law and rights undermine efforts to end coercion in psychiatry

Use of coercion in psychiatry on the increase
Rights-based approach presented as a means of improvement
Rights to treatment justifies coercion
www.sciencedirect.com/science/arti...

The Only Medical Specialty That Survives on Lies ⋆ Brownstone Institute If you have a mental health issue, don’t see a psychiatrist. It might turn out to be the biggest error you made in your entire life.

The Only Medical Specialty That Survives on Lies
My advice to patients is: If you have a mental health issue, don’t see a psychiatrist. It is too dangerous and might turn out to be the biggest error you made in your entire life. Don’t look up a family doctor
brownstone.org/articles/the...

Polypharmacy in clozapine-treated patients: A retrospective analysis of 667 patients in Ottawa, Canada Clozapine is the gold standard for treatment-resistant schizophrenia (TRS), yet only 40 % of patients respond. Clinicians often add other psychotropic…

Polypharmacy in clozapine-treated patients: A retrospective analysis of 667 patients in Ottawa, Canada
Clozapine polypharmacy was found in over 80 % of TRS patients in this sample.
Polypharmacy correlated with comorbid diabetes and respiratory disease.
www.sciencedirect.com/science/arti...

Rights, laws and tensions: A comparative analysis of the Convention on the Rights of Persons with Disabilities and the WHO Resource Book on Mental Health, Human Rights and Legislation Background: Good mental health legislation is essential for ensuring high quality mental health care and protecting human rights. Many countries are attempting to bring mental health legislation in li...

Rights, laws and tensions: A comparative analysis of the Convention on the Rights of Persons with Disabilities and the WHO Resource Book on Mental Health, Human Rights and Legislation
The UN-CRPD has evolved from disability research and strong advocacy organisations
www.academia.edu/36474760/Rig...

Psychotherapies of Depth, Insight, and Relationship for Psychosis: Listening with the Intent to Understand the Psychological Meaning of Psychotic Symptoms Biologically-oriented clinicians generally consider patients given a diagnosis of schizophrenia (psychosis) to be suffering from a genetically-determined brain disease best treated with medication....

Psychotherapies of Depth, Insight, and Relationship for Psychosis: Listening with the Intent to Understand the Psychological Meaning of Psychotic Symptoms
Biologically-oriented clinicians generally consider patients given a diagnosis of psychosis to be suffering
www.tandfonline.com/doi/full/10....

Factors shaping the decision-making process to
continue or discontinue antipsychotics:
exploratory qualitative study
The decision-making process is driven by motivators that were found to be linked to the concept of personal recovery, and proactive discussions
www.cambridge.org/core/service...

Real-World Evidence on Low-Dose Olanzapine (≤1.25 mg) for Personalized Antipsychotic Dosing
Low doses of olanzapine have clinical benefits in providing appropriate dosing and a reduced metabolic side effects. These findings support personalized antipsychotic treatment
www.mdpi.com/2075-4426/15...