Nursing Diagnosis Care Plans 4e

serie : behind the psyche - part 2/2 - - so, you want to come back to the law of 5th july 2011? - that's it, i wanted to come back to the lawof 5th july 2011 because i experienced it. up to now, i'd studied it a bit. i'd organised debates about that law, which psychiatristsdidn't come to even though i'd invited them. indeed, i ask myself if they know about it.i know that my psychiatrist didn't know about it. he didn't know that having a lawyer was mandatory. so for me, that's the big change between 1995 and 2015 and the positive side is the patients' rights. so this is my legal experience in the mental health unit, the fourthday of my hospitalisation without my consent.

i didn't know it but, that’s howit was. someone from the administrative service brought me a document entitled "informationand patient's rights." i learn in writing that i'm hospitalised in psychiatric carewithout consent by the decision of the director in application of article l. 3212-1-ii-1erof the public health code and no word is put against that decision. so, effectively, then i became aware that i had undergone 72 hours of observation without being informed.i was told about the list of people that i can contact and the rights that i still have, including the right to seek advice from a doctor or a lawyer of my choice. so i will go in front of the judge of freedom or detainment,i don't know how it works anymore,

and the presence of a lawyer is mandatory.so here, i am very lucky because i am a member of a support networkwhich allowed me to have a very very skilled lawyer who reassured me. because i didn't know when i would leave the mental health unit. so i went before the judge...i found out on the 10th march that the hearing would take place on the 11th march so it was really importantto be in a good shape to act quickly, to not be too manic anyway. i was assisted by my lawyer who'd advised me on what i should say, because effectivelyif i had been alone or with a lawyer who hadn't advised me well, the measuremight not have been lifted. so i was asking that the measure be lifted,agreeing to be monitored by my town

psychologist. then he intervenedpointing out that my observations hadn't been noted during thetransfer to the mental health unit, which is against the law. the measure was not lifted the next day.my lawyer assured me that it would be lifted the following monday, if not we would make an appealbecause there had been a serious fault. that information had been supportive for me. because the psychiatrists leave you... never tell you whenyou will leave. so to have someone tell you3300:03:31,930 --> 00:03:40,900"you will leave on monday or if not we'll make an appeal",i said to myself... as i trusted this lawyer, i said to myself "i'm leavingon monday". so i had a trial departure the friday before the monday. my town doctorfound me leaving but, well, as my trial departure didn't go wellwith my close circle, i stayed until

monday. on the monday morning i calledmy lawyer to say that i wanted to make an appeal. the psychiatrist asked to meet me in the late morning. she authorised me to leave on medical grounds. i went infor medical reasons and i left for medical reasons. get your head around that. however, i didn't have the measure lifted by the judge. i realised this when i had my file - that was when i asked. it's exasperating whenyou're in a state of emergency. that's it, i think i've finished on the subject of thatlaw. well, there'd be a lot to say but then that would call for a debate.- exactly. this writing approach, you've done it for yourself and with the aim to raise awareness among the public year after

year, town after town. you wrote to meduring our correspondence, "we don't have the right to keep quiet about the forced treatmentswhich, to me, may well be criminal." you speak of silence, what have been the consequences of silence for you? why did it take you so long?- for me, i needed debates around these forced treatments, well... about theseforced treatments. for me, it requires reflection anyway... the forced treatments. and in that i don't feel heard once again because i'd organised debates, the psychiatrists didn't come, the councillors didn't come, however there were psychologists. so there, that made me think of the gerard lopez quote which echoeswhat i think, "silence is a form

of complicity and never a neutral position."that's for the councillors. - gerard lopez who is...? - a psychiatrist.. - a psychiatrist?- oh, i don't know if he's a psychiatrist, i've read... perhaps i'll be able to try and rememberlater, he isn't a director... - we'll check.- we'll check, i wonder if he isn't a psychologist as well. but anyway yes, he seemed like a psychiatrist to me, i think that we've tried to think, right?- is forced treatment by involuntary hospitalisation at the request of a third party stillfor you something counter-therapeutic in itself... in every case?- for me it is. on the one hand it's a painful

situation for the third party, it's not easyto ask for a forced hospitalisation. now, each person is unique, but ithink psychiatry should first try to get to know the way the personfunctions. i go back to the time of the fit at the radio station. i think the police officer,he'd found... he'd found the... how do i put it... not the behaviour, perhapsyes the behaviour to adopt to get me out of the frenzy quickly. i think it's important to move around the scene of the fit and to reassure the patient. that's whati've learnt as well, i'd gone to an event in marseille with the rev and therewere foreign psychiatrists who explained that that existed, that you could move around the scene of the fit.

- so actually that's the question i'd like to ask you, "how should one assist a person from the first moments of a psychological collapse, a rather violent fit?"- ah, if the fit is violent, if the person is dangerous to themselves or to others it'smore difficult. i think that if you can get closer to them, you must use humanerestraint and speak. however, if you can't get nearer to them then i admit that's anextreme case, which i don't really know how to respond to but for me the violence of the interventionsthat we see don't seem humanely acceptable to me. i feel likewe condemn people to death without judgement. because, that is, when peopleare dangerous we shoot at them. for me that's

a death sentence without judgement. i findthat society is behind and that we're not looking for a solution to subduesomeone without killing them. because that person should have the right to speak just likecar drivers who cause deaths - they are judged; suicides at work - they are judged. here, there is no judgement. - but in the most extreme cases where you could come across for example someone in the street who is psychologicallydeteriorating, in that moment if there isn't a circle of people who are sensitive to that personif that person is all alone completely isolated in the street, how shouldyou help them if you realise that they are either doing themselves harm or harming someone else? because then

that means the question of enforcedhospitalisation in any case of... of an emergency intervention... it's... it arises at that momentbecause there aren't really very many options, the room for manoeuvreis very... - it's extremely difficult, i experienced it with a friend who deteriorated a great deal. he took his car, he drove off somewhere,he went down a dual carriageway the wrong way, so it was very serious and the doctorhad never forcefully hospitalised, the doctor... however, i think he trusted his doctor, so he went to see him and the doctor ended upconvincing him and telling him, "now you must go and have an appointment with a psychiatristat the mental health unit". but i accept that risks

were taken because i helped so there you are,we could have brought it to attention, we took risks, he could have caused a caraccident, he could have killed himself. i thought the doctor was exceptional. because, well,emails were sent regularly to explain the situation to him and he always responded"tell him that he has an appointment on this day at this time, it's important that he comes tosee me." i think that after, it's only human, how you fear, how you panic or notyou know, how you agree to take risks or not. it's true that it's risk taking.it's not easy. but anyway, i thought about that, but i told myself that inour society no one should be socially isolated. if our society worked well. that's the problem as well, why

are people socially isolated?- we'll come back to that in a bit actually. so, you mention, as well, in the writings that you've been able to forward to me, the cases of families from who nursesask for a lot of investment in caring for psychologically fragile people, which has been very unhealthy you say concerning you. you call out to the professionals by declaring, "watch out for family interference in the proposeddiagnosis that each member of the family looks after their anxieties". could you expandon this remark a little? -well, let’s say that in my case, i think thati was neither suicidal nor dangerous and i believe that my family would’ve had tobe supported. my family was panicking, which i

can understand, then again at that moment it’sthe caregiver’s job to reassure the family. but everyone is panicking, the caregivers are alsopanicking so you can’t get out of it. so, i find family interference potentiallydangerous and that scares me because my psychiatrist from 1995 told me “somefamilies are helpful, others are troublesome.” and hey, that can be dangeroushaving families intervene. i don’t think anything should be said to the familyin the patient’s absence. the patient must be an active participant in his life and not an object spoken aboutin his absence without his knowledge. it’s the patient who, participant in his recovery, isis kept in paranoia if he has not heard everything. and he stigmatises himself,he no longer feels that he is in a safe environment.

and i agree with will hall, that the personcarries the family’s problems. he’s the designated patient, i would even saysociety’s problems. of course it’s subconscious, it’s not intentional,all that is complicated family business, by the way i think thatfamily is complicated…very complicated. - to you some illnesses, whetherpsychological or somatic, may be a kind of reaction to a somewhat unfamiliarenvironment that is familial or… ?- yes of course, absolutely, even with respect to society. we speak a lot about perversion,i think that… but i’ll tell the caregiver later.- so, the different meeting days

that you’ve been involved in within the communitynetworks have allowed you to find, you say, “autonomy, the feelingof being alive again.” they’ve had a healing effect on you. you’ve learnt abouteurope’s vision for the rights of people in mental health and to what extent you canstay in france for help and information, you say you’re extremely shocked thatit’s volunteers who partly ensure some patients’ recovery andyou want this situation to be thoroughly recognised and heard.”- and yes, i think that you’ve said everything - yes hahaha- hahaha - now it happens to be you- hahaha, i stand by

- you stand by what you…- i stand by what i said hahaha, i’m even shocked about seeing the moneyspent on the medicine lobby while volunteers do considerable workwithout being paid and the subsidies diminish more and more. so it’s a political choice- and you were really able, therefore, to find exactly what reinvigorates you in thesesupport networks? actually, you were able to come back a little bit to all these differentnetworks, associations, support groups that exist and…what can we find there? - well for me there isn’t that much ofit. i don’t end up everywhere. - the networks that have really brought yousomething at some point, what

have these places brought you now thatyou’ve not managed to find elsewhere ?- well a listening ear - yes- a listening ear even more in the workshops that i attend now. now i reallywork on myself in these workshops. it’s a group effort, well idon’t know, the fact that participants talk through their problems, that echoesour experiences, we understand better. from the moment that we understand we avoidputting ourselves in a vulnerable situation. then again there aren’t actually a lot of frenchpatients who speak. i think that that’s a problem. it would be great tobe able to find ourselves, to be able…to create

networks.- there aren’t enough of them in france…for you according to what little you have experienced? - there are always foreign participantsat the workshops that i attend… english, american or else psychiatrists they’redutch, brazilian, american. those are who i meet. no frenchpsychiatrists. and since participants have made them shut up, it’s difficult to start speaking againafter, that takes courage and strength. when we’re under treatment wedon’t have that strength, we have difficulty speaking - actually, regarding medicinal treatmentyou say you’re very worried about… about what you now call “very safe medicine”or these are the words that you expressed.

you talk about the danger of medicine when it numbs all sense of responsibility, when it replaces speech, the factthat it’s not questioned at first glance, when there are medical errorsand conflicting opinions among psychiatrists. the medicinal approach remains a questionthat warrants much nuance and subtlety. it can be huge but you go as far assaying that “it’s not the illness that made you schizophrenic but certain medicinethat you were taking that made you want to commit suicide.”- yes, so i’m actually going to take back that part of my statement. let’s say that afterthe 1995 hospitalisation : - yes, so i’m actually going to take back "i was still taking neuroleptics when i started work again. it was torture. i felt like i was disassociated, like my sensitivity had been stripped away. as soon as i got home, i would sleep. i thought it was my illness. i thought that because i had been hospitalised i must be ill."

so it’s normal, this behaviour is normal it’s because i’m sick that i’mlike that. so i don’t know why i say schizophrenic because to me that means nothing it’s the word that came to me "that lasted for months, then one day a colleague exclaimed, "won't you just stop your treatment because you're not the same anymore!"that remark triggered a reaction from me... i stopped my treatment and i rediscovered my love of life, my emotions. so it wasn't the illness that made me schizophrenic, but the treatment. i told my psychiatrist about it, saying, "nothing has ever made me want to commit suicide, but the solian has." he respected my decision and told me that solian (neuroleptic, may be prescribed for certain psychotic states, editor's note) was a medical error in my case." and since that episode it let me managethis treatment. now this was a joint agreement. on the other hand the side effects on the libido were known anyway. to me life no longer exists- you’re still under light treatment? - i’m still under light treatment.

i have several doctors. so i have mypsychiatrist, well he, i believe that it doesn’t matter to him if i stop… i take responsibilitybut it’s me who’s afraid now. afraid of stopping, well i take half a haldoland two tranxen, well to sleep it’s only for sleeping that it’s important to me now.i believe that sleep is important for me. but the half a haldol i dare notstop taking it because i’m afraid of deteriorating again and i’m afraid of forced care.deteriorating doesn’t matter to me because well i notice that i recover, i get betterbut it’s the psychiatrists’ response to the deterioration. i tell myself thati can end up under neuroleptic delays and it’s very frightening for me- do you think that it’s… we’re

going to try and “play” alittle on words but do you talk about what you experience mentally like anillness? would you give it the term illness or not?- me? in my case? - yes- when in crisis yes - okay- yes, yes yes like gastroenteritis - yes- there you go that’s it - but not an illness to the extent of being identified? - no- i notice that there can often be this distinction between for example, havinga somatic illness in those cases they

say “i have” and that actually lastsa while but it’s no longer identified after with that illness but as soon as it’sthe psychological opinion, they don’t say… they say “i have schizophrenia” less they’llsay “i am schizophrenic” more as if from the moment that if it’s somethingthat is established, revealed like that that’s no longer thought of as an episodebut as a permanent state and which actually, in those cases for certain people,can really be understood with a sort of characterisation andcondemnation that they can never get out of.- of course, they’re condemned to that so they can’t recover. i’m schizophrenicthe family now says… oh it’s bipolar

especially. my wife is bipolar, my daughteris bipolar, my son is bipolar, everyone is bipolar. no on the other handi think that it’s that i have a certain resistance to psychiatrists. and it’s becauseof that that i’m happy that i’ve found rev. because i still haven’t foundthat elsewhere, well perhaps in another association- so there’s a small question that naturally i want to ask you, doyou think if we talk about… instead of actually naming the acceptable psychological terms formental illnesses in situations of mental disability, if we just speak about the person fromgreat fragility to great mental torment, do you think…because you spokeabout “resistance” from your perspective

but we can also understand resistancefrom the caregivers’ perspective, is this something that finally… perhapsin the collective subconscious still causes fear, are these states of mentaldisorganisation or mental reorganisation that some people may have…doesthat essentially cause fear? and is it because that causes fear you can put a lot of resistance and you can put a little…- ah yes i believe that causes fear, i believe that causes fear. the friend whom ispoke to you about earlier - who took the 4-lane highway the wrong way - they had convicted him, instead of putting him in the secure unit of a rest home while hegets himself well. fortunately, he

has fought back- and what… it’s not a simple question but what causes fear,what does that reveal about human nature that perhaps sometimes socially we do notnecessarily want to hear or see, what does that reveal?- well that reveals surges to me, that’s it that’s right i wanted to say itearlier - we’re going to expand on that- that’s it - okay- with respect to the question of human nature - while recently discussing your accountwith a nurse we spoke a lot about this famous question of healtheducation. you spoke later

about isolation, social isolation, mentalisolation. health education can be defined by the act of first listening tohow the person speaks about his torment, what he’ s experiencing within himselfin order to adapt and later develop the best possible care with him.therefore it’s something that may be useful as much for the professionals asfor the family and that requires at least an understanding, a developing partnership and ajoint agreement on the measures of care but it’s not clearly evident allthe time on both sides. so the question that we could ask ourselves is that, in order toprevent in advance the phenomenon of depression, which is often associatedwith mental fragility whatever it may be,

do you think that there is still a huge lackof health education in care-giving as well as social practices,be it from early childhood to the work environment even beyond?- well i’m going to tell you that with this question you’ve put me in a bind,because i don’t see any health education- you don’t see any at all? - no. not at all. i just have a smallglimmer of hope now because i have a young girl very close by who learnt aboutrelaxation during a dylw (diploma for youth leaders and workers) work placement which teaches them how to get young people to relax and i think thatit’s the beginning of alternative

therapy, because relaxation can lead tomeditation in the future. it’s a glimmer of hope that that is taughtin education - very little…- but otherwise i don’t see… - very little prevention?- well no, at any rate…no, no i don’t know i’m learning from the beginning when i wasa teacher, i have a friend who had suggested a therapy group to us. so we werein a circle around a psychologist and a single person who was speaking and me, i don’t knowif it was the same for the others, but personally i was calm for3 weeks work-wise and since it was every 3 weeks it was very wellorganised. as far as distress at work was concerned

i found that extraordinary and i thinkthat it was necessary… it’s not difficult to do that. i’ve tried to suggesttherapy groups concerned with what can be called mental illness then again peoplearen’t receptive. - that’s to say?- well the people concerned aren’t so ready to commit to agroup - however…with the phenomenon of social networks,groups are cropping up little by little, or in any case the internet has enabledcertain discussion groups. then there’s the rev association and othertypes of networks but… so it’s something that exists but perhaps it’s notvisible enough yet or broadcasted enough

from a national standpoint.- now in fact it’s the visible word that is well adapted. it’s not visible.and what’s more it’s often taken away because i need to go to paris or…. it’snot obvious, it’s not allowed for everyone. i think that some of it can be donelocally it’s like local products - because when we talk about health education, when we talk about a lack of visibility, we are clearly talking about support measures the state, the government could take given the money available, to try to perhaps set up groups like that, spaces like that,around the country.

i tell you, i don't think it's by chance that psychologists are paid a lot less than psychiatrists. it's by choice. we haven't chosen words... in my opinion. it's a case of money not being made available. it's possible - i see with relaxation therapy where it's organised by a small association so it's not too expensive- and it's true that we have to acknowledge that it's a woman mayor. i believe it's the mayor whofreely makes rooms available. we don't even have to pay the heating. that's excellent. it's exceptional to have town councillors like thatand it's necessary to go to rural areas for that. but as far as i'm concerned that's the future.- yes. so, at a certain point, you decided

to visit an osteopath. you told him about your psychosis. he accepted to work with you. you took up his offerand since then you have been undergoing analysis with a psychologist, performing relaxationtechniques, and practising yoga. how has this physical approach to treatment helped your mental state? -well i tell you, i found out late about these physical therapies and i am amazed by what i am learning and continue to learn. it's really about knowing yourself. i hadn't thought of undergoing analysis witha psychotherapist because i thought that with the psychiatrists... what i was made to do was psychotherapy. i understood nothing.

but well i said to myself it's because i don't talk. it's true. i'm silent with the psychiatrist. but i talk to the psychologist. well psychotherapy, actually all these therapies allow me to anchor my identity and i feel it physically and mentally.it's anchoring yourself to your identity. it allows you to better deal with attacks because i find you are often like a punch bag. you get lots of knocks and for me that can lead to depression. so the fact i can re-centre and anchor myself is very important for me. because it’s both physical and mental. everything is connected. well it helps my energy levels and it also calms me. i sometimes use it at night

when i have insomnia; it lets me get back to sleep.i was shocked by the charlie hebdo massacre and i started to hallucinate a little bit becausemeditating allows me to have an out of body experience withdelirious thoughts and i was aware of it happening. i said to myself: “listen, you are hallucinating”.and another thing, there was a documentary on arte. it was called ‘towards an altruistic world.’- ok - it presented scientific proof that meditation has beneficial effects on the brain. i don’t know if it’s still available on catch-upas it was on over a week ago. - so all these therapies really...- ah well for me, they have changed my life, you know. they are the source of my treatment. they are no longer available because funding has been cut

by the health system. but do you knowwhat they do fund? medication! - is there a particular relaxation exercise that you like to practise? - i recommend a website. if you google“balados passeport santã©â€ on the web. there are exercises on that site. i like the one with david servan-schreiber. it’s a relaxation exercise, a guided relaxation. that's the exercise actually that made me hallucinate. well, you know, now i meditate with a close friend who acts as my guide. because i want to improve at meditation and it isn’t easy to find a guide. but i

think it’s necessary to have a guide.- in one of your letters you wrote “i think i’m doing well but when you have been diagnosed psychotic... there is always a doubt in your mind.”looking back now, how do you feel? i'll answer with will hall's words “the systemteaches people to fear their experiences even more.” you know,that sums up very well what i felt after that last hospitalisation.- yes - loxapac made me tremble when i used to take it.now i tremble from fear. - so how would you define what it is to be human?-hahaha

-hahaha, i'll tell you.-when i saw that question i thought of a story i used to tell the kids: there was a pile of leaves and underneath there werelittle hedgehogs. and for me a human being is a pile of impulses thathas to be moulded by education and love so you end up with a human shape that is well adjusted to live in society, to be sociable and to respect other people's human dignity and especially to showempathy and tolerance while respecting your own identity. i mean you must be able to determine other people's boundaries. for me that's what it means to be human. and to have seen this humanity at the will hall workshop gave me inner strength.that's what i have to say about being human.

that will be in the conclusion i believe.- you say you are still being supervised... - in the world no, umm, yes that's right, sorry - do you want to add something?- the current world - yes, how do you see the world you live in? - well i think the world today is in crisis becausehuman beings have two sides: one side that is negative with its hostile impulses -the world we currently live in - and a positive side that i described just now.and i think that it's no accident that matthieu ricard travelsaround the world. - what do you mean?- well i think he works a lot

at the moment. there are issues he wants tohighlight. i'll talk about this later perhaps. - could you tell me who he is? -he's a tibetan monk who meditates a lot and neurologists have studied his brain. quite rightly, he states that meditation brings kindness, empathy, and understanding, a kind of wisdom. it's certainly a very grandword but it's true that by meditating you can make less impulsivedecisions. - you claim you are still supervised and not given sufficient acknowledgement, that it bothersyou when your psychiatrist still says

"i don't know if what you write is psychotic or not."so, what would you like to say to mental healthprofessionals whose responsibility it is to support the mentally vulnerable? -well, first of all i want to return to what i was saying: "i don't know if what you write is psychotic or not." my psychiatrist hasn't said that to me since i wrote a book, a book i got him to read. he wrote the preface. well i've not made any moneyfrom it. that's not my intention. -is your book finished? - yes.- it's partly a written account... - it's in two parts: the first has otherpeople's stories and the second part

is a very personal account of myown experiences. -ok-so what would i like to say to mental health professionals? well first of all i'dask them to look at this video, maybe even to discuss it; they are entitled to havea different opinion. i accept that. i would say the following: " with a good nurse who is straightforward, the patient can take control of their situation and eventually improve, whilst if the person is taken into medical care without an explanation of their psychiatric condition, i don’t think a recovery is possible." i would ask them to read the small newspaper articlefrom the 20th october 2015 where according to an american study,words are the best way to cure schizophrenia.

i don't recall the name of the study - i'm goingto find it again. in my opinion, doctors make a mistake by not attributing narcissistic disorder to thosesuffering schizophrenia. it just reinforces the delusions of grandeur and pushes the patient into chronic illness.this holds true for the patient's partner and family members.it's also true for authority figures in the health system and colleagues and any social contact the patient has.on the other hand, when you read or hear "narcissistic disorder – avoid it like the plague"this doesn't solve the problem and i think it could be an area for further study in psychiatryand that's important to me. "through this account, i return to the idea supported by eleanor longden, (english clinical psychologist and voice hearer, editor's note), that the important question in psychiatry is not, "what's wrong with you?" but rather, "what's happened to you?"i will add, "how can we prevent it?" yes, give prevention a place. be heard before the psychiatric onslaught." and then i would read them a small poem by victor hugo.

- are you not keeping that for the end?- i have something else for the end. - would you like to read it to us?- yes, i am going to read it now. i'm going to read it to the caregivers... "what right do you have to lock birds up in cages?what right do you have to rid such singers of bocages,of springs, and of dawn, of clouds, and of winds?what right do you have to steal life from these things?(...) the invisible weighing scales have two obscure plates.beware of the dungeons with which your walls are ornate!from the trellis of gold threads the black gates are born;the sinister aviary is mother of the forts."liberty! - victor hugo - you emphasize the importance of transformingtrauma into a happy story. yes well that's not me. it's boris cyrulnik. - it was boris cyrulnik?yes and actually i'll finish with that. -ok- no, i won't finish with that; i'll finish by answering the person

who left the message on facebook. - "transform trauma into a happy story."it's a nice saying and very appropriate. what does that mean for you? - hahaha, that's all we’ve been doing today.- hahaha, pity we can't see it but we can hear it.- that's all we’ve done today, nothing further to add. - certainly yes, someone posted a message on facebook. this approach was used in several facebooksupport groups on the subject of schizophrenia or bipolar and when the trailer for this interviewwas published someone

left some comments and i very much wanted to sharethem with you because i find them very relevant and you can tell us what you think. the comments stated that ... "there are some serious failures in the treatment of psychotics. i have been a direct witness of it but perhaps there are more positive experiences. schizophrenia should not be understood as a type of voyeurism which fuels the instinctual brain of the mass media but more as a ceaseless struggle to not succumb to the devastating urges... because the illness is above all else a way of functioning which cannot fit into to this damn society, where solutions are mixed up with objectives or goodwill is mixed up with hasty conclusions... the current setback is that they are striving to prescribe drugs by the hundreds to calm the symptoms but not doing anything to understand what the psychotic person wants to express.yes, speech does not exist for the one who is suffering every second of every hour, the treatments are just drugs where words are hardly heard or reviewed because you are labelled... so many things to say, to declare, before, in the end, thinking are there really any protocols. there are protocols, but where is the patient?what does the patient say? how does he see the world...?"commentary (anonymous, editor's note) left in a support group on facebook. - i think it sums up well what i said. - i recognize lots of things.- on the other hand, i wasn't aware of protocols because patient rights allowed me tocontact my psychiatrist straight away. so i think... it's not easy, when you arecommitted, to change psychiatrist

and i know a support network that canhelp but there shouldn't be any fear about changingpsychiatrist and to help such a patient i'll read this scientific finding fromboris cyrulnik : "i was a psychiatrist. it was explained to us that when someone is not well, it can be linked to a fall in dopamine, a neurotransmitter that passes between two neurones. that's a fantastic development because you measure it. the logical conclusion is that because dopamine, when it plummets, makes you depressed, i must give you a substance that restores your rate of dopamine. it's logical. now, i take you to the theatre or i take you to the cinema. we are going to watch something that deeply moves you. then, we will go to a restaurant and discuss what moved you. then, we will measure your rate of dopamine after the cinema and the restaurant. we will note that a good film and a good discussion have increased your rate of dopamine even better than a chemical substance. it’s ridiculous - we use this scientific methodology to solve the issues when we can find a solution in cultural human relationships. boris cyrulnik. there you are, when it came to treatmenti chose the second type and i ask that my choice be respected so long as i can choose.because you must have the ability to choose. it's easy to silence people by not giving them the ability to choose.

- well we have come to the last question.based on what you've told me i've noted several things:the importance, no matter what, to respect or even reconnect with your inner child;the need to put into words, to put some sense on those things that escape us; the fact thateveryone has their own story to tell; and, to quote you once again, the importanceof turning one's life around collectively. to finish up and to further unpack this complexidea and everything that involves the mental life, what would be your closing message? what would you like to say? - well i’d say "take your health into your own hands;take your life's progress into your own hands; you

decide but decide with others - nobody canlive isolated in their own corner." i think that alternative therapies⸠as my yoga teacher says, open your heart and they lead to a humanity that hasbecome invisible in these troubled times but which will hopefully become visible again soon.i was watching a video a few months ago, a video by boris cyrulnik that said"while hurt can sometimes build character, if we cannot discuss the hurt then this becomes a second hurt even worse thanthe first and even more debilitating; we must talk so as to transform trauma into a happy story." these words bring back to mewhat i have lived through. speech can be censored

in so many ways. thank you to the collectif l'humain visiblefor giving me the chance to talk and i say "dare to speak so we can shareour experiences." -and thanks very much once again.- thank you. - see you soon.- i hope so. this english translation has been possible thanks to the permondo project : free translation of websites and documents for non-profit organisations. a project managed by mondo agit. translators: alice garrod, stacey thomas and richard comiskey ; proofreader: matt hattam & laura streather>> a big thank you goes to them ! << "many thanks to all the caregivers, i was heeded and respected by them" - mireille. thank you so much for your support your own stories are welcome... copyright â© all rights reserved.