There must be something in the water in Scandinavian countries that produces some strange treatment modalities for serious mental illnesses. The latest is drug free units within psychiatric hospitals in Norway. Previously, we had (and still do) the open dialogue program in Northern Finland which claims to cure almost all of schizophrenia drug free.
This program has been touted for years by the anti-medication/anti-psychiatry proponents of the US journalist Robert Whitaker and his adherents in Mad in America. I wrote about this program in Huffington Post back in 2013 and pointed out that there is almost no research showing it to be effective. A Finnish psychiatrist confirmed that “most mental health professionals in Finland would agree with your view that Open Dialogue has not been proven to be better than standard treatment for schizophrenia. However, it is also a widespread view that the programme is attractive due to its client-centredness and empowerment of the service user, and that good studies are urgently needed to establish the effectiveness of the programme. Before it has been established to be effective, it should be seen as an experimental treatment that should not (yet?) be clinical practise.”
At the time, some of my critics on social media attacked me for actually asking a Finnish psychiatrist what mainstream shrinks in Finland thought of the program. Just recently, I received a message from someone on Linkedin asking me if I was still negative about Open Dialogue as there is now new research showing how good it is. I replied that I was negative but would love to seen the research. I never heard from her again.
More recently (in 2015), Dr Dawson also wrote about Open Dialogue in this blog. He commented that “Even if some form of two year intensive counseling/therapy/group therapy worked as well as four weeks of Olanzapine, what on earth would be the justification for withholding the Olanzapine?” And he pointed out that “the psychiatrist and director of Open Dialogue in Finland, in interview, acknowledged that she prescribes neuroleptic medication for “about 30 percent” of their patients.”
Now, Norway has added to this anti-drug position and “By 2017 all health regions in Norway have established medication-free treatment services in mental health care, following a direct requirement from the Ministry of Health and Care Services.” (from correspondence from the Norwegian health ministry).
What is being offered is that “All the drug-free units emphasize creating recovery processes based on patients’ own experiences and wishes. Most services create treatment plans in collaboration with patients. The treatment in Vestre Viken HF in the South-Eastern Regional Health Authority and Vegsund DPS in the Central Norway Regional Health Authority have fixed schedules. Common treatment approaches of the drug-free units are psychotherapy; both individual therapy and group therapy, environmental therapy, art therapy, Illness Management and Recovery (IMR),psychoeducation, physical and social activity, exposure therapy, and networking; both in regards to relatives and work/education.”
Even though this program was first introduced starting in 2015 at the insistence of “user organizations” (and what they are is not defined), no evaluations have been done comparing those who do not get medication to those who do. That research is just recruiting patients and is not expected to have results until 2023.
The issue to me is should this drug free experiment have ever been begun in the first place and the answer is no. The evidence based consensus guidelines for the treatment of schizophrenia all recommend that anti-psychotics should be used in the acute phase and that they should be used in order to prevent relapses once the patient is stable. Not using accepted treatment for serious mental illnesses is as stupid, in my opinion, of oncology centres forgoing standard cancer treatment and allowing patients to try the type of quack remedies you find in alternative medicine.
The one survey that has been done is of psychiatrists and their view of this experiment. The research conducted by a Norwegian hospital was reported on by Mad in America who said “The research, which was funded by a grant from the Stavanger University Hospital, found that psychiatrists carried negative opinions of this initiative. They understood the programs to be unscientific and rooted in the perspectives of dissatisfied service-users within a patient group that “lacks insight” into their problems. These recent findings were published in the Journal of Psychopharmacology.”
Needless to say that Mad in America disagrees with the criticisms and argue that :
When we remember an event we are synthesizing bits of information and feelings into a plausible whole, and when we speak that memory we organize those bits into a narrative to suit the present context.
We adults may catch ourselves in an implausible narrative and then correct it. (It could not have been my sister because she was not yet born and we still lived in the farmhouse in Harrisburg.)
But if the current context reinforces that narrative, responds to it positively, then it becomes memory and the basis for the next elaboration, especially for children and teens.
I have been thinking about this because of two very removed events: Though I have known about the culpability of my profession in the transformation of a device of fiction (dual or multiple personality) into a diagnostic category, I was not aware, until recently, of the role a Canadian psychiatrist played in fomenting the pandemic of “satanic ritual child abuse and sacrifice” that caused so much grief to parents and child care workers in the 1980’s/90’s. (Please note that though hundreds of parents and professionals were accused of this, and some sent to jail, it did not happen; there is absolutely no evidence it ever happened in North America in the 20th century) . These were all creative tales spun by children under the influence of naive and prurient therapists.
I remember almost falling off my chair when I heard, at the time, a prominent child psychiatrist pronounce that “Children don’t lie”. Not only do children and teens lie but they are especially susceptible to the implications of their context, the perceived wishes of the interviewer, the adult in the room, and to including bits of information from story books, folk tales, TV, film, video games along with actual experience to formulate a narrative. And the child and adolescent brain is not good at screening for implausibility.
Which brings me to Donald Trump and some of his most recent statements. The first is an interview in which he substituted the word “orange” for “origin” several times without, apparently, hearing himself do this. The second is his repeated story of his father being born in Germany, “a …wonderful.. place in Germany”. You can almost hear his brain struggling with some cliches such as “a little village” before leaving it at “wonderful”. (His father was born in New York City in 1905).
Two possibilities for that first one: Either he does not hear himself when he speaks, or his narcissism won’t allow him to catch and correct: “Did I say orange? I meant or i gin.”
For the second, well, he tells whatever story he feels will reap kudos, admiration, and praise from his current audience and he sticks with it because he has a child’s screening process for implausibility and no one, apparently, except the “fake news”, will point these falsehoods out to him.
By Susan Inman Guest Blogger with an Introduction by Marvin Ross
On Monday, I discussed the recognition that Erin Hawkes-Emiru is receiving from British Columbia via their Courage to Come Back designation. As I pointed out, Erin was able to recover in large part because of forced treatment which she credits with saving her life. I was then going to write about the United Nations convention on the rights of people with disabilities which does not allow for the policies that saved Erin and saved countless others. However, Susan beat me to it in her article on the changes being proposed in BC which should concern us all as similar attempts are always being proposed in other jurisdictions. This is what Susan has to say:
BC Ombudsperson’s recommendations for improving involuntary treatment:
mostly good but also alarming
BC Ombudsperson Jay Chalke has released a new report: Committed to Change: Protecting the Rights of Involuntary Patients under the Mental Health Act. Most of its recommendations for protecting the rights of involuntary psychiatric inpatients are sensible. Chalke’s investigation, which led to this report, revealed that too often many of the procedures prescribed in the BC Mental Health Act aren’t being followed. Most of these involved failures to complete necessary legal documentation. Chalke’s plans call for retraining of hospital staff and physicians on these protections and regular audits of hospitals to ensure compliance is occurring.
However, Chalke has moved far beyond ensuring that current procedures are followed. He is now proposing that we introduce lawyers into involuntary care in ways that will likely be disastrous for many of the vulnerable people he is trying to protect. The new policy would see patients not just receive information about their options in regard to involuntary care, but actual advice (Recommendations #21 – #24). The supposedly independent staff supplying rights information and advice and then eventual legal counsel will be the taxpayer-funded services of the Community Legal Assistance Society (CLAS) , a branch of the Legal Services Society (Legal Aid BC). CLAS is not “independent” as the Ombudsperson requires. CLAS has a record of extreme opposition to contemporary, evidence-based psychiatry and therefore cannot give unbiased advice as required.
Last year, CLAS released a document about involuntary treatment, Operating in Darkness, that Chalke references in his report. A careful reading of the CLAS document shows how it is informed by an anti-psychiatry belief that involuntary treatment violates human rights. CLAS is the group, in the current charter challenge to BC’s Mental Health Act, that argues that all involuntary medical treatment of psychiatric patients, both inpatient care and mandated outpatient care, should be abolished. CLAS falsely claims, as will be discussed below, that proven antipsychotic medications are ineffective in helping recovery from psychosis and aiding release from involuntary hospitalization.
Chalke is clearly knowledgeable about mental illnesses. He writes that people who are detained are “suffering and in need of immediate treatment but, perhaps because of that illness, are unwilling or unable to accept it. In these situations, the state can step in with the greatest power it has – the right to remove a
person’s liberty by detaining and treating them.”
CLAS’s approach to severe mental illnesses is different than Chalke’s. In its 181-page document, it never acknowledges the existence of people who, when they become psychotic, are unable to understand that they need treatment. It is people with psychotic disorders, often schizophrenia or bipolar disorder, who often end up needing involuntary treatment at certain points as they try to manage these severe brain disorders.
CLAS’s approach to mental illnesses
CLAS’s Operating in Darkness strongly supports the controversial interpretation of the UN Convention on the Rights of Persons with Disabilities (CRPD) and its opposition to involuntary treatment. This interpretation is made by the CRPD Committee that is overseeing its implementation. Readers may think that because Canada ratified this document, provincial mental health acts that allow involuntary treatment are defying its principles. CLAS fails to mention that since Canada’s 2006 ratification, it has continued to maintain the right to use substitute decision makers (such as physicians) in cases where a person lacks the capacity to make a decision.
CLAS also never mentions that the CRPD Committee calls for the elimination of all mental health acts. CLAS never grapples with the consequences of these kinds of policies, which are the increasing incarceration of people with mental illnesses. The CRPD Committee goes even further and calls for the elimination of the “not criminally responsible” defense. This would mean that forensic hospitals, which treat people whose mental illnesses are understood to have caused their crimes, would be eliminated. Anyone convicted of crimes leading to incarceration, no matter how mentally ill they were or are, would be regarded as fully responsible for their actions and forced into the general prison population.
CLAS’s descriptions of medical treatments for mental illness do not reflect the neutral position the Ombudsperson wants. CLAS implies that medical treatments are worse than useless. It argues that anti-psychotic medications “do not combat psychosis like antibiotics combat bacteria” and instead are just used to “have a sedative effect that alters behavior.” This description fails to mention that antipsychotic medications are used to get people out of psychosis.
Psychosis is a condition characterized by delusions, hallucinations, and disorganized speech, thoughts or behavior that can make it impossible for people to manage daily life. CLAS’s source for its information is a psychiatrist for madinamerica, a site that rejects standard, evidence-based psychiatric practices. It focuses on the views of “psychiatric survivors,” people who believe they suffered from encounters with psychiatry and medications they didn’t need. CLAS’s approach to mental illnesses resembles the ideas promoted by this group. Its advice will encourage patients to reject involuntary treatment and to use CLAS’s legal services in review panels and in court challenges.
Vast research supports the benefits of antipsychotic medications to help people manage to live with severe psychotic disorders. One of the largest longitudinal studies (over 8,000 people) and longest (20 years) was recently conducted in Finland. In following up on patients treated for first episode schizophrenia, researchers found that “The lowest risk of re-hospitalization or death was observed for patients who received antipsychotic treatment continuously….”
Besides ignoring research that doesn’t fit with madinamerica’s views, CLAS also ignores testimony of people living with schizophrenia. While its document is full of comments from selected patients who don’t want involuntary treatment, it fails to include testimony from the growing number of people living with psychotic disorders who describe how involuntary treatment benefitted them. Some like Joseph Bowers ( have been learning to live with their illness over many years. Bowers writes,
I’m near seventy, healthy, a husband and father who is retired with enough money coming in. None of this could have happened without involuntary treatment. My civil liberties were not taken away when force medicated and treated. I was instead liberated from the tyranny of serious psychosis.
Vancouver based peer support worker and author Erin Hawkes recounts in her article “Forced Medication Saved My Life” the agony of her psychotic episodes before antipsychotic medication restored her sanity.
In this BC Schizophrenia Society educational video, Vancouver peer worker Bryn Ditmars describes what it was like to be psychotic and believe he was the messiah. Ditmars and a psychiatrist from Vancouver’s Early Psychosis Intervention program, as well as a parent, offer the kind of information that madinamerica and CLAS avoid.
Bowers, Hawkes and Ditmar, like many people in psychosis, had anosognosia, a brain based inability to understand that they were ill. Anosognosia is the reason psychotic people usually don’t want treatment. CLAS and madinamerica writers won’t acknowledge the existence of this condition, because once it is accepted, the flawed thinking in using a human rights argument to ban involuntary treatment can be seen. Leaving people trapped in psychosis and untreated is not a policy that a just, responsible society adopts; it ignores people’s rights to be treated and recover.
CLAS does mention the lack of adequate psychosocial treatments in psychiatric units. Introducing people to these additional treatments during this time can not only make the stay in the hospital more therapeutic, but can give them ideas about what to pursue in the future. However, CLAS supports the inclusion of the Hearing Voices Network. The Vancouver Hearing Voices Network’s study group, funded by taxpayers, studies the works favoured by those who agree with madinamerica’s approaches. For instance, this announcement advertises the kind of writer the group favours, in this case Will Hall. Hall is best known for explaining why and how people should stop taking anti-psychotic medications.
While CLAS’s anecdotes reject or minimize the value of antipsychotic treatment, my experiences in the community are very different. Antipsychotics, and brief involuntary treatment when needed, have allowed my daughter and her friends who live with schizophrenia to enjoy stable lives.
Why we need to learn from the US’s mistakes
The current situation in BC is part of a larger struggle in Canada, the US and internationally. Influential but misguided human and disability rights groups, with perspectives like those of CLAS, have exerted a wide influence on mental health legislation, policies and services. The US provides the most extreme example of what happens when these perspectives are allowed to be in control of federal government policies.
Despite its mandate to provide care for people with serious mental illnesses when it was established in 1992, the US Substance Abuse and Mental Health Services Administration (SAMHSA) experimented with promoting an increasingly de-medicalized approach to mental illnesses. It actively supported anti-psychiatry groups and policies. When a Congressional committee began investigating SAMHSA after the Sandy Hook massacre, it was headed by a lawyer. The investigations revealed that SAMHSA hadn’t include any psychiatrists or physicians among its over 500 federal employees; this discovery led to it appointing its first Chief Medical Officer, Dr. Elinore McCance-Katz. McCance-Katz eventually quit and wrote an expose ( in which she described the alternative beliefs, similar to those that CLAS supports, that dominated this powerful organization. In her article, “The Federal Government Ignores the Treatment Needs of Americans with Serious Mental Illness,” she wrote:
There is a perceptible hostility toward psychiatric medicine: a resistance to addressing the treatment needs of those with serious mental illness and a questioning by some at SAMHSA as to whether mental disorders even exist—for example, is psychosis just a “different way of thinking for some experiencing stress?”
The policies at SAMHSA had resulted in much less access to treatment for serious mental illnesses. The consequences are that individuals with serious mental illnesses like schizophrenia and bipolar disorder are now ten times more likely to be incarcerated than in a hospital bed. Finally, during the end of the Obama administration, Congress took action that resulted in the establishment of an Assistant Secretary of Health and Human Services. Appointed to that position, McCance-Katz now heads SAMHSA and a major goal is the treatment of serious mental illnesses. McCance-Katz not only recognizes the existence of anosognosia, but educates the workforce and the public about it.
One of SAMHSA’s major focuses now is the development of Assisted Outreach Treatment (AOT) programs, the extensively researched programs that reduce homelessness, re-hospitalizations and interactions with the criminal justice system. This is exactly the kind of program that CLAS actively opposes. In its challenge to the BC Mental Health Act, it made clear that it not only wants to stop any inpatient involuntary treatment, but opposes mandated outpatient treatment programs that now operate under extended leave services. People in these programs have shown that they need this additional support to avoid continual relapses. Participants are regularly assessed to see if mandated treatment is still needed.
In the US, prisons have gradually become the new mental institutions and federally funded legal advocates contributed to this problem. In its inception in 1986, the US Protection and Advocacy for Individuals with Mental Illness Act (PAIMI) was designed to protect this population from all kinds of abuses. It operates in the kinds of roles suggested for CLAS in the Ombudsperson’s recommendations. However, despite the intention, legal advocates focused on and became very skillful at blocking efforts to provide mandated treatment. PAIMI legal advocates persuade ill people who have been hospitalized to avoid treatment. In front of a Congressional committee, Joe Bruce ) explained how PAIMI legal advocates in Maine persuaded and assisted his very psychotic son to reject medications and get out of the hospital. The son went home and killed his mother whom he believed to be an al Qaeda operative. Once he was treated with medications he’d previously been persuaded he didn’t need, he came out of psychosis. He talked to reporters about how he misses his mother.
What Should Happen
The BC Ombudsperson’s recommendation for funding CLAS to provide rights advice to involuntary inpatients is dangerous. CLAS’s opposition to all involuntary psychiatric treatment will surely mean that they won’t simply provide information on rights and options for appeal. When we see how CLAS views contemporary psychiatry, we can understand how vulnerable people will be persuaded to resist treatments they need. Clinicians, like social workers and nurses, who have a background in working with patients with mental illness, can be trained to provide this service in a neutral manner. This would be much easier and less expensive than trying to train lawyers and legal advocates about severe mental illnesses if they are already ideologically opposed to involuntary treatment.
If, as recommended in the Ombudsperson’s report, legislation is proposed to hire CLAS to supply legal advocates to provide advice, to argue at every review panel, and to pursue court challenges of review panel decisions, there should be extensive publicity about these plans. Impartial lawyers on review panels are already present to ensure legal procedures are followed.
Investing significant funds to greatly expand the role of lawyers in mental health care will come at the expense of already underfunded mental health services.
For instance, for several years there has been great interest in having evidence-based cognitive remediation programs implemented in BC. The common cognitive losses accompanying schizophrenia and other psychotic disorders are extensively researched; these losses frequently appear before any other symptoms or any treatments begin. Cognitive losses include difficulty with concentration, problem-solving, short term and working memory, and judgment. It is these losses that are considered to be the biggest factors in the ongoing and widespread disability of this population.
The many families that I know who are supporting people with severe mental illnesses did not hear about any consultations that occurred in creating these alarming recommendations. Family caregivers for people with severe mental illnesses should be consulted about the services they want protected, those that need to be implemented, and their opinions about those that pose dangers. People struggling with severe illnesses are part of a population who are unable to represent themselves in contentious public debates, and they are certainly not represented by the psychiatric-survivor community with whom CLAS communicates.
Life is hard for people who, through no fault of their own, develop serious brain disorders. The larger community must ensure that misguided policies don’t make life even harder.
Erin is the second Bridgeross author to win this award. Sandra Yuen Mackay (My Schizophrenic Life) was the first. Sandra went on to become one of the 5 faces of mental illness in Canada as well.
Erin is an amazing young woman (and all my authors are). The promo for her book describes her life up to the time the book was published as:
The true story of a young woman studying neuroscience who, in her final undergraduate year, has a psychotic break, attempts suicide and ends up in hospital. Her struggles to get well and to pursue her PhD are described in this book. Her story is geared to people from a variety of backgrounds. As a neuroscientist, Erin reaches out to the medical community who need to hear this side of the patient. As a schizophrenic, she reaches out to others struggling with this disorder, hoping to draw alongside and offer empathy and hope. Finally, she wants the general public, family and friends of people with schizophrenia to be better able to understand and sympathize with those afflicted.
Since the book came out, Erin has begun work as a counsellor in the Vancouver Assertive Community Treatment and giving talks to doctors, nurses, students and families. Two of the recommendations she was given for the award were quoted in the Vancouver Courier.
Leanne Maylam, a nurse who met Erin when she was very ill said that I “met Emiru in the mid-2000s and consistently saw Emiru at her worst. Emiru was dubbed “Houdini” because of her uncanny ability to free herself from the restraints needed to prevent her from self-harming.”
The pair now work together on the ACT team and Leanne added “I admire Erin. Through her courage, strength and tenacity, she has turned her struggle with her own mental health into a symbol of hope for those with their own struggles. Erin is not a ‘schizophrenic,’ she is a wife, a daughter, a sister, an aunt, a colleague… she is my friend.” .
One of her clients said “Erin understands me like I never thought anyone ever could. She is so kind and patient and compassionate and with her help I have been able to finally learn that my best is OK and to live a useful life.”
It is not just an irony but also a lesson when we find the province of Canada most endowed with a religious past, the province with years of government entanglement, even co-dependency, with the Catholic Church, the province that still has a sculpted image of a crucified man hanging behind the Speaker’s Chair in the Legislative Assembly, that it is that Province that has passed a law banning the display of religious symbols by public workers.
Extremism breeds extremism.
As an old atheist, and one who can claim to be at least three generations away from any serious belief in an all mighty, I had been pleased to see, year after year, statistics Canada reporting a gradually increasing percentage of us with no church affiliation. This didn’t just mean less magical belief in the incredibly flawed messages of the bible, the infallibility of priests and popes, but an increasing faith in our own ability as a democratic nation to choose the nature of our own social contract, and allow it to evolve with increasing heart and generosity, fairness and inclusivity.
And I must admit, as the numbers of atheists grew and the churches emptied, I was dismayed to see a whole new set of religious symbols walking our streets and pandering to another ancient text as flawed as the bible. But, but, I thought, give them time, a generation or two, a broad liberal education, a chance to see how we can come together and form a generous, safe, enriching social contract of our own, without the need of old myths and the purgatory of absolute moralities.
And that social contract, as contrary as this idea seems, should and must include the freedom to wear harmless religious symbols.
My Quebec friends, you are taking the wrong path. Outlawing such symbols gives them more amulet status, more symbolic power. It hardens the heart.
A head scarf is just a head scarf until you pass a law that it either must or must not be worn.
And if that is not enough: why I am ready for legalized marijuana? :
Kenney in Alberta flirts with a proposal that smells a lot like “Stand your Ground.”
I have no idea what Philpott, Wilson-Raybould or Trudeau have done or are doing, or why they are doing it.
The Republicans launch investigations into the investigation.
Brunei decrees Stoning as punishment for gay sex.
Michael Avenatti is Breaking Bad.
The social media world is upset someone cut a bagel differently.
British politicians stumble drunkenly toward a cliff marked Bloody Obvious.
B.C. has given close to half a million dollars to an anti-vaccination group.
Betsy and Donald want to cut funding for Special Olympics.
Caitlan Coleman met Joshua Boyle in a Star Wars forum.
Female astronauts can’t go for a walk together because they’ve got nothing to wear.
30% of the citizens of the Congo think the Ebola virus is a hoax.
The FAA delegated airline safety certification to Boeing.
Everyone keeps telling me what a wonderful site Pinterest is and the value of posting information there and of advertising. Frankly, I find it totally confusing but I decided to try it out and set up a Bridgeross Communications board (or is it a pin?). And then I thought I would create an ad which comprised a cover of the Trump book, a link to the Amazon kindle sales page and a brief explanation.
That explanation also comprise a quote from the write up of out two new books from the Hamilton Spectator which said the book “is a fascinating, insightful, often humorous, usually chilling plunge into the coral folds of the brain under that Cheeto-coloured scalp”.
I thought I would test with a $10 limit and, as a publisher, I’ve done these types of ads on both google and facebook.
Much to my surprise, about a day after submitting the ad, I received a rejection from Pinterest that said, in part, that it “didn’t meet our advertising guidelines.”
We want to keep Pinterest a safe place for discovering possibilities, so we don’t allow divisive or disturbing ads that could trigger users. We don’t allow language or imagery that is:
• Offensive or profane (censored or not)
• Excessively violent or gory
• Sickening or gross
• Sexually suggestive
• Politically, culturally or racially insensitive
Unless paired with educational or charitable information, we also don’t allow:
• Content that capitalizes on recent controversial or tragic events
• References to sensitive health and medical conditions
They then offered me the chance to revise the ad.
Like I’m going to do that but since when is it offensive to criticize a politician or any public figure. Libel laws protect people from invalid comments but where is the freedom of speech in the US these days? Where is the 1st amendment?
To date, the book has sold in North America, the UK and Australia and has been bought by libraries in the US, Germany and the Netherlands. But, I guess that it is too sensitive for the poor souls who inhabit Pinterest. Pity!
And God said, “Let them be mean, nasty, and stupid so that I will be entertained.” And thus it came to be.
Four thousand years later I am watching the beginning of the 2020 race for the title of POTUS whilst thinking our campaign for Student Council President in grade 9 was conducted with more maturity and civility.
But, but, then I find myself wishing Justin had learned a little from the intuitive cunning of Donald Trump.
He, Justin, is allowing SNC-Lavalin to take on the gravitas and baggage of Hillary’s emails. He should be asking himself not what would Jesus do, but what would Donald J. Trump do? Well, not exactly what Donald would do. But leaving out the twitter excesses and inanities, the name calling, the non sequitars, while adding a touch of literacy, he could adopt the basic strategy of Donald.
What would that look like?
Something like this I think: “SNC-Lavalin is a great Canadian company doing engineering projects around the world, contributing to jobs and wealth in Canada, just like Nortel and Massey-Ferguson once did. And they know that do do business in most of this world bribes must be paid to government officials even though it would break a Canadian law. They did this in Lybia. They paid bribes to Lybian government officials. That is how business is conducted in at least three quarters of this world.
They got caught. Fair enough. For the sake of a future world with the social contracts and enlightened laws of a few western nations today, we need to punish Lavalin. But we should do that without punishing either the employees of Lavalin or our own economy.
My office lobbied our justice department to do just that.
Big Deal. Jobs and prosperity for all Canadians. NO COLLUSION!
Perhaps in High School the curriculum should discard all ancient history, the dreary lives of Mesopotamians, the bible stories, the British Empire, the kings of this country and that country, and instead focus on recent history. The realities of recent history. How we lived and what we knew, and didn’t know, with special emphasis on the last 100 years.
I know for most teenagers, surviving and living in the present is paramount. They have little use for things that don’t seem to impact their own lives at this moment. But we could try.
And we could try to preserve that history and keep it visible. Perhaps in front of the city hall we should do away with statues of old queens and put up instead reminders of the epidemics of polio, measles, small pox, pertussis, chicken pox, the things and luxuries people didn’t have a mere 75 years ago, methods of communication and ways of living.
The names of wealthy donors now take the place of the names of pioneers of yesterday. In Hamilton the Henderson Hospital is now the Juravinski. Nora Henderson was a local pioneer in maternal, prenatal and perinatal care. At the time, in this rich part of the world, the infant mortality and maternal mortality rates were equal to those of present day poorest African nations. We should not forget this.
Over the past 150 years there have been many eureka moments in the advancement of medicine and the maintenance of health. Dramatic discoveries with incontrovertible evidence that something works. To name a few: treatment for some cancers, antibiotics, clean water supply separated from sewage, fluoridating water, iodizing salt, and vaccinations, with vaccinations being perhaps the biggest and broadest reaching discovery of them all. (the discovery that dead or attenuated viruses and bacteria can provoke our immune systems to prevent the same live viruses and bacteria from harming us).
And there have been remarkable improvements in the treatment of many chronic conditions such as Cystic Fibrosis, AIDS, some leukemias, hepatitis, serious mental illness, seizure disorders, trauma and injury….
All of these improvements have been the product of science and medicine, not homeopathy or naturopathy.
Dramatic eureka moments have become scarce. More often today medicine struggles with the equations of early detection, invasive treatment, the balance of positive effects vs negative effects of intervention, genetics and life style: e.g lowering blood pressure by a few points by engaging in the right amount and kind of exercise, losing an inch of waist size, to salt or not to salt food, and which is best at which age: two to four alcohol drinks per day or none? vs. taking pills to lower blood pressure.
My left knee is a candidate for replacement, or, or, I could keep my weight down and ride my bicycle almost every day.
For the first time in a century the children born today in North America do not have longer life expectancy than their parents. Some suggest this may actually decrease. The causes for this are obesity, life style, social determinants of health (poverty), addictions, and increase in suicide rate. And, even more dramatically, if the trend continues, the cause of much lower life expectancy for the babies born today will be the anti-science and anti-vaccination attitudes.
Right at this moment nurses and doctors are using a vaccine developed in Canada to stop the spread of Ebola, a disease that has the potential of spreading world wide and causing the kind of population decimation previously caused by the black plague and small pox.
There will always be young men whose sense of unfairness, disappointment, failure, and loss can be shaped into a delusional world view, a fantasy of causation, of blame, of a specific enemy, and of their own fantasized role righting these wrongs.
At what stage in this progression can we act to prevent tragedy? At what stage in this progression do we actually have the tools to prevent tragedy?
1. The asocial, narcissistic, vulnerable young man.
2. Social reinforcement of the delusional solution.
Not long ago this would mean reading pamphlets and joining a group, or a clandestine group, a rebel group. But today such groups are readily available on our computer screens. And my guess is that joining a “rebel group” in real life brings about some reality checks and some socialization, (ISIS excepted), while joining an internet group does not.
3. Avoidance of social groups that could counter the developing delusion.
Perhaps easier to achieve now than 50 years ago, with more and more young people staring at a screen all day, and with the development of silos or bubbles of manufactured reality and personalized news feeds.
4. Finding information to support one’s developing delusion.
In the past this might have entailed reading some history and philosophy, attending talks in basements. Today it is shouted at us in podcasts.
5. Finding “heroes” to emulate or imitate.
Again we no longer need prowl through libraries and read history. The exploits of others are readily available at our fingertips.
6. Being encouraged by the careless words of leaders (Presidents) and opinion leaders.
These words, careless or self-serving, or downright racist, are no longer found on a second page column, but repeated in endless news cycles and social media.
Many serious crimes follow a period of desensitization through the commission of smaller crimes. It is a way of managing anxiety and fear. Again, today, a perfect desensitization process can be found in First Person Shooter video games, with the “targets” becoming more life-like every year.
8. Secrets must be shared.
After each mass killing we find bread crumb clues, shared ideas, internet postings, and full manifestos that hint at what is to come,
9. Acquisition of serious weapons, assault rifles, ammunition.
The weapon available can make the difference between a couple of injuries and 49 deaths.
I hate to do the old man thing of “when I was a kid” but I’ve just seen another study demonstrating that vaccinations don’t cause autism. That was followed by a report in my local paper that a 7 week old baby almost died from whooping cough before she could get her shot because so many are not vaccinated.
No end of studies showing the lack of connection between vaccines and autism will convince these dumb sods nor will heart wrenching stories of cute little kids almost dying from old diseases. That is where the old man thing comes in. These morons need to go back in time to when I was a little kid.
Just about every one of us got measles, mumps, chicken pox and German measles. I missed German measles but got all the others. They were bad but there were always houses in our neighbourhoods with quarantine signs for scarlet fever and whooping cough.
And that wasn’t even the worst. There was polio! Hot summers resulted in polio epidemics where mothers’ would not let us go to the beach or to the annual Canadian National Exhibition at the end of August. Returning to school in September often found classmates missing – dead, wearing huge braces on their legs from the weakened muscles of a polio attack, or in hospitals in iron lungs so they could breathe.
Then a miracle happened. Jonas Salk came up with a vaccine which was followed by an oral concoction so no one had to get a needle. Polio left and is now only in some very poor third world countries. The same for smallpox which was declared eradicated in 1980 as the result of a World Health Organization (WHO) immunization campaign.
When I first went to Europe, it was mandatory to show proof of having had a smallpox vaccination and it was not unusual to see people with vaccination scars on their arms. This is no longer needed thanks to the WHO. As an aside, when I first went to Europe, you could not drink the water or at least it was suggested you don’t. Then, thanks to the right wing Ontario government of Mike Harris and the removal of regulations, people in Walkerton, Ontario got ill and some died from e-coli in the water supply back in 2000.
And then there is the water supply in Flint Michigan.
If only we could send those anti-vaccine parents back in time so they could see a world before most vaccines were around. I can’t think of anything that would convince them.
After drafting all of this, I came across a report of a 6 year old in Oregon who had been vaccinated for nothing and developed tetanus. This is what happened to him:
The child had to be sedated. A tracheostomy was performed so that he could be put on a mechanical ventilator to help him breath. He remained on the ventilator for more than five weeks. Because of the pain caused by the spasms, he required muscle relaxants as well as drugs to stabilize his blood pressure in addition to the medications to counter the tetanus toxins.
The boy spent 54 days in hospital — 47 of them in intensive care.
The bill for the hospital care came to $811,929, and that didn’t include the cost of the air ambulance, the stay in the rehabilitation facility, or follow-up care that was needed.
The parents should have been charged with failure to provide the necessities of life to their son and made to reimburse whoever paid for all that care. If parents are charged criminally and sent a bill for the needless services, more might actually vaccinate. But then again, probably they still would not.