Dear friends,
Since 2009 we have been fighting our struggle against
coercion in psychiatry with our special psychiatric
advance directive, the PatVerfue, forbidding any
medical doctor to make a psychiatric diagnosis and of
course forbidding him to execute any forced measures,
see: http://www.patverfue.de/en
Since then we always predicted that although this is
only an individual solution and not a new law abolishing
all obnoxious mental health acts, each PatVerfue in use
will fundamentally erode psychiatric power, because
each one undermines the criteria of objectivity. For any
medical illness it is basic that the illness is objectively
detectable. If a criteria of objectivity is not fulfilled, an
alleged "illness" remains esoteric blabla.
So if a PatVerfue, just such a piece of paper, can prevent
a psychiatric diagnosis, one can get this mysterious
illness only if one does not have such a document.
Merely the diagnosis is the illness. An "illness" which
only non-PatVerfue signatories can get, is nothing but
esoteric blabla. [Of course I don't deny anyone a "right
to illness", if he so wishes or has previously agreed in a
personal advance directive also to the use of force.]
The result of our prediction is now to be seen in
Germany: on 25/2/2016 an article was published in one
of the major newspapers in Germany stating that five
psychiatries in charge locally work better without any
locked doors at all. The towns with such non-violent
psychiatries are: Memmingen, Landsberg, Herne,
Heidenheim and Hamm.
Here is the article (unfortunately only in German):
http://www.sueddeutsche.de/gesundheit/medizinpsychiatrie-entwertung-hinter-verschlossenentueren-1.2876702
http://www.sueddeutsche.de/gesundheit/medizinpsychiatrie-entwertung-hinter-verschlossenentueren-1.2876702-2
The same author, the senior physician of the St. MarienHospital
in Hamm, Dr. Beine, also wrote an article in a
scientific psychiatrist magazine, "Psychiatric Practise"
2016 43(02): page 69-70, with the title: Let's Open the
Doors… see here: https://www.thieme-connect.com/
products/ejournals/html/10.1055/s-0042-102279
Surprise, surprise, now a 15-year observational study
also just appeared in the Lancet:
Suicide risk and absconding in psychiatric hospitals
with and without open door policies:
http://www.thelancet.com/journals/lanpsy/article/
PIIS2215-0366(16)30168-7/abstract
with the result that, on the condition that "healing"
is the aim, open doors and no forced treatment is more
successful than locked doors plus forced treatment.
So logically, then "healing" is only a "medical" pretext
and locked doors and forced treatment are mere
repression.
Another one of these five senior physicians, Dr.
Zinkler, in 2012 wrote in an open letter to the federal
minister of justice that he had better results when he
could not forcibly treat people after the supreme court
sentence in 2011 ruling that the use of forced treatment
was never reconcileable with the constitution. Despite
this, the federal law makers made a new law for forced
treatment in 2013. Dr. Zinkler continued his no-forced
treatment policy due to the better results. Recently he
published in Laws 2016, 5(1) this report: http://www.
mdpi.com/2075-471X/5/1/15
Germany without Coercive Treatment in Psychiatry
— A 15 Month Real World Experience
Dr. Zinkler, remaining consequent in his opinion,
has now taken the next step by publicly endorsing the
abolishment of psychiatric forensic units. He wrote
the following application to become a member of the
"Cartel against paragraph 63 penal code". The cartel
is a group of lawyers who have publicly announced
to fight the "insanity defence" in order to abolish all
forensic psychiatric units, see here: http://userpage.fuberlin.de/narrwd/kartell.htm
Dr. Zinkler
Ladies and gentlemen,
I would like to join the cartel against the Paragraph 63
(§ 63 StGB). In Italy, after the abolition of the forensic
psychiatric hospitals, now the insanity defence is also to
be abolished. I consider this to be progress to help Article
12 of the UN CRPD to come into force. In this respect,
according to Paragraph 63, special incarceration in
psychiatric wards instead of prison also has no place.
Of course, prisons need at least equally good
psychiatric and psychotherapeutic treatments such as
those in the community; but the consent of the convicts
to accept these offers should not be in any way associated
with the length of sentence or early release from prison.
Of course, forced treatment should never be used in
custody, just as it should never be used in freedom...
We can only strongly recommend fighting for a law
ruling that medical advance directives are valid for all
medical decisions, no matter in which phase an illness
is. Important is that also any diagnosing can be legally
refuted.
That will bring progress in our whole political struggle!
Best regards,
Rene Talbot
(IAAPA Secretary)
Since 2009 we have been fighting our struggle against
coercion in psychiatry with our special psychiatric
advance directive, the PatVerfue, forbidding any
medical doctor to make a psychiatric diagnosis and of
course forbidding him to execute any forced measures,
see: http://www.patverfue.de/en
Since then we always predicted that although this is
only an individual solution and not a new law abolishing
all obnoxious mental health acts, each PatVerfue in use
will fundamentally erode psychiatric power, because
each one undermines the criteria of objectivity. For any
medical illness it is basic that the illness is objectively
detectable. If a criteria of objectivity is not fulfilled, an
alleged "illness" remains esoteric blabla.
So if a PatVerfue, just such a piece of paper, can prevent
a psychiatric diagnosis, one can get this mysterious
illness only if one does not have such a document.
Merely the diagnosis is the illness. An "illness" which
only non-PatVerfue signatories can get, is nothing but
esoteric blabla. [Of course I don't deny anyone a "right
to illness", if he so wishes or has previously agreed in a
personal advance directive also to the use of force.]
The result of our prediction is now to be seen in
Germany: on 25/2/2016 an article was published in one
of the major newspapers in Germany stating that five
psychiatries in charge locally work better without any
locked doors at all. The towns with such non-violent
psychiatries are: Memmingen, Landsberg, Herne,
Heidenheim and Hamm.
Here is the article (unfortunately only in German):
http://www.sueddeutsche.de/gesundheit/medizinpsychiatrie-entwertung-hinter-verschlossenentueren-1.2876702
http://www.sueddeutsche.de/gesundheit/medizinpsychiatrie-entwertung-hinter-verschlossenentueren-1.2876702-2
The same author, the senior physician of the St. MarienHospital
in Hamm, Dr. Beine, also wrote an article in a
scientific psychiatrist magazine, "Psychiatric Practise"
2016 43(02): page 69-70, with the title: Let's Open the
Doors… see here: https://www.thieme-connect.com/
products/ejournals/html/10.1055/s-0042-102279
Surprise, surprise, now a 15-year observational study
also just appeared in the Lancet:
Suicide risk and absconding in psychiatric hospitals
with and without open door policies:
http://www.thelancet.com/journals/lanpsy/article/
PIIS2215-0366(16)30168-7/abstract
with the result that, on the condition that "healing"
is the aim, open doors and no forced treatment is more
successful than locked doors plus forced treatment.
So logically, then "healing" is only a "medical" pretext
and locked doors and forced treatment are mere
repression.
Another one of these five senior physicians, Dr.
Zinkler, in 2012 wrote in an open letter to the federal
minister of justice that he had better results when he
could not forcibly treat people after the supreme court
sentence in 2011 ruling that the use of forced treatment
was never reconcileable with the constitution. Despite
this, the federal law makers made a new law for forced
treatment in 2013. Dr. Zinkler continued his no-forced
treatment policy due to the better results. Recently he
published in Laws 2016, 5(1) this report: http://www.
mdpi.com/2075-471X/5/1/15
Germany without Coercive Treatment in Psychiatry
— A 15 Month Real World Experience
Dr. Zinkler, remaining consequent in his opinion,
has now taken the next step by publicly endorsing the
abolishment of psychiatric forensic units. He wrote
the following application to become a member of the
"Cartel against paragraph 63 penal code". The cartel
is a group of lawyers who have publicly announced
to fight the "insanity defence" in order to abolish all
forensic psychiatric units, see here: http://userpage.fuberlin.de/narrwd/kartell.htm
Dr. Zinkler
Ladies and gentlemen,
I would like to join the cartel against the Paragraph 63
(§ 63 StGB). In Italy, after the abolition of the forensic
psychiatric hospitals, now the insanity defence is also to
be abolished. I consider this to be progress to help Article
12 of the UN CRPD to come into force. In this respect,
according to Paragraph 63, special incarceration in
psychiatric wards instead of prison also has no place.
Of course, prisons need at least equally good
psychiatric and psychotherapeutic treatments such as
those in the community; but the consent of the convicts
to accept these offers should not be in any way associated
with the length of sentence or early release from prison.
Of course, forced treatment should never be used in
custody, just as it should never be used in freedom...
We can only strongly recommend fighting for a law
ruling that medical advance directives are valid for all
medical decisions, no matter in which phase an illness
is. Important is that also any diagnosing can be legally
refuted.
That will bring progress in our whole political struggle!
Best regards,
Rene Talbot
(IAAPA Secretary)