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The ERNI Declaration: Making Sense of Distress Without “Disease” 244 The ERNI (Emotions aRe Not Illnesses) declaration is based on the idea that distress does not equate to disease, dysfunction, dysregulation, or chemical imbalance. Signatories believe that there needs to be a shift from illness and diagnosis ideas to personal narratives and understandings. The declaration was created with the appreciation that there are many like-minded people out there who share opinion, research, ideas, and experiences with others within many contexts but are frustrated by subsequent lack of acti...

INTRODUCTION    One of the problems in the present debate about neurochemical imbalances is that almost every word in the English language has at least two meanings, and sometimes four or five.  Some English speakers deplore this state of affairs and regard it as an endless source of confusion.  Others consider it an indication of the richness of the language and its ability to express finely tuned nuances.  Others use it as a tool of obfuscation. In ordinary English, as spoken and written by ordinary people, the terms illness and disease are largely synonymous, and they mean: a malada...

“Psychiatric survivor” says it all. In no other medical specialty do patients feel they survived despite being exposed to that specialty.

Prominent researchers undermine the belief that precision psychiatry can find “the right treatment at the right dose at the right time."

Insane Medicine, Chapter 10: The Paradigm Shift Is Inevitable 2043 Editor’s Note: Over the course of several months, Mad in America is publishing a serialized version of Sami Timimi’s book, Insane Medicine  (available for purchase  In 1961, an Italian psychiatrist called Franco Basaglia started refusing to bind patients to their beds in the Lunatic Asylum of Gorizia. He resisted the established methods of the time and began what is probably the single biggest revolution in modern mental health care that we have so far witnessed. Basaglia had been revolted by what he observed as the con...