Global Initiative on Psychiatry

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Global Initiative on Psychiatry
Formation20 October 1980;42 years ago (1980-10-20)
FounderGérard Bles
Type Non-profit
NGO
HeadquartersLorentzweg 45 B 1221 EE, Hilversum, Netherlands
Fields psychiatry
1986–present Chief Executive
Robert van Voren, Ph.D.
Subsidiaries
  • Working Group on the Internment of Dissenters in Mental Hospitals;
  • Committee of French Psychiatrists Against the Use of Psychiatry for Political Purposes;
  • German Association Against the Political Abuse of Psychiatry;
  • International Podrabinek Fund;
  • Swiss Association Against Psychiatric Abuse for Political Purposes
Website www.gip-global.org

Global Initiative on Psychiatry (GIP) is an international foundation for mental health reform which took part in the campaign against the political abuse of psychiatry in the USSR. [1] The organization is of NGO type. [2]

Contents

Headquartered in Hilversum, GIP has regional centers in Tbilisi, Sofia, and Vilnius, and a country office in Dushanbe. [3]

GIP is a main contributor to improving psychiatric care in countries of the former Soviet Union as well as Central and Eastern Europe. [4] It has expanded its focus and as of 2010 is including projects in Asia, Africa, and the Caribbean. [3]

GIP also focuses on the political abuse of psychiatry throughout the world [5] and human rights monitoring. [6]

History

20 December 1980 saw the formation in Paris of the International Association on the Political Use of Psychiatry (IAPUP) whose first secretary was Dr Gérard Bles of France. [7] Since the Congress in Honolulu in 1978, he has inspired the movement against the use of psychiatry for political ends. [8] The organization campaigned against the political abuse of psychiatry in the Soviet Union [9] by leading efforts within national and international psychiatric organizations to eradicate this systematic abuse. [10] The IAPUP had no connection with any political group nor with antipsychiatry. [11] The organization brought together and coordinated independent groups dedicated to the struggle against political abuse of psychiatry and composed of psychiatrists and human rights activists from Canada, France, the United Kingdom, the Netherlands, Switzerland, and West Germany. [11] During its first two decades IAPUP, investigated the accusations of oppressive exploitation in a number of countries such as Argentina, Bulgaria, Chile, Czechoslovakia, Cuba, Eastern Germany, Hungary, Romania, South Africa, the Netherlands, and Yugoslavia.[ citation needed ] The publication of the IAPUP was Information Bulletin. [12] The IAPUP included the following participating committees: [12]

  1. Working Group on the Internment of Dissenters in Mental Hospitals;
  2. Committee of French Psychiatrists Against the Use of Psychiatry for Political Purposes;
  3. German Association Against the Political Abuse of Psychiatry;
  4. International Podrabinek Fund;
  5. Swiss Association Against Psychiatric Abuse for Political Purposes.

In 1986, Robert van Voren became General Secretary of the IAPUP. [13] After the dissolution of the Soviet Union, the financing of the IAPUP headed by Robert van Voren ceased until it adopted program of broad compromises and, correspondingly, the opposite name of The International Association for the Abolition and Prevention of Political Psychiatry, or Geneva Initiative on Psychiatry. [14] In 2005, the organization was renamed Global Initiative on Psychiatry (GIP). [15] From 1995 to 2000, Chair of the Geneva Initiative on Psychiatry was James Birley. [16]

Leadership

The board is composed of professionals from some twenty countries. [17] Chief Executive of the Global Initiative on Psychiatry is Robert van Voren, [18] a Honorary Fellow of the British Royal College of Psychiatrists and Honorary Member of the Ukrainian Psychiatric Association. [19] In 2005, he was knighted by Queen Beatrix of the Netherlands for his work as a human rights activist. [19] He is a professor of Soviet and post-Soviet Studies in the Ilia State University in Tbilisi (Georgia) and in the Vytautas Magnus University in Kaunas (Lithuania). [20]

Approach

The Global Initiative on Psychiatry uses a local approach to helping the mentally ill in underprivileged countries around the world. In Robert van Voren's words, their idea is that "mental health services should be locally empowered, locally adapted, community based, user oriented, and focused on keeping people with mental illness in society, instead of taking them out." [21] The organization has been involved in deinstitutionalizing mental health services for children in post-Communist countries. [22] The GIP dedicates itself to promoting the necessary reforms to implement "humane, ethical, and effective mental health care throughout the world." [23] Reports by the Global Initiative on Psychiatry are often comprehensive and consider the treatment options. [24] The organization has campaigned with substantial success against poor mental health practices abroad, especially in China and the former communist states. [25] Robert van Voren's contribution to reform of forensic psychiatry in states of the former Soviet Union is widely recognized. [26]

Related Research Articles

<span class="mw-page-title-main">Anti-psychiatry</span> Movement against psychiatric treatment

Anti-psychiatry is a movement based on the view that psychiatric treatment is often more damaging than helpful to patients, highlighting controversies about psychiatry. Objections include the reliability of psychiatric diagnosis, the questionable effectiveness and harm associated with psychiatric medications, the failure of psychiatry to demonstrate any disease treatment mechanism for psychiatric medication effects, and legal concerns about equal human rights and civil freedom being nullified by the presence of diagnosis. Historically critiques of psychiatry came to light after focus on the extreme harms associated with electroconvulsive treatment or insulin shock therapy. The term "anti-psychiatry" is in dispute and often used to dismiss all critics of psychiatry, many of who agree that a specialized role of helper for people in emotional distress may at times be appropriate, and allow for individual choice around treatment decisions.

Sluggish schizophrenia or slow progressive schizophrenia was a diagnostic category used in the Soviet Union to describe what was claimed to be a form of schizophrenia characterized by a slowly progressive course; it was diagnosed even in patients who showed no symptoms of schizophrenia or other psychotic disorders, on the assumption that these symptoms would appear later. It was developed in the 1960s by Soviet psychiatrist Andrei Snezhnevsky and his colleagues, and was used exclusively in the USSR and several Eastern Bloc countries, until the fall of Communism starting in 1989. The diagnosis has long been discredited because of its scientific inadequacy and its use as a means of confining dissenters. It has never been used or recognized outside of the Soviet Union, or by international organizations such as the World Health Organization. It is considered a prime example of the political abuse of psychiatry in the Soviet Union.

<span class="mw-page-title-main">Political abuse of psychiatry in the Soviet Union</span> Misuse of psychiatry for political purposes in the Soviet Union

There was systematic political abuse of psychiatry in the Soviet Union, based on the interpretation of political opposition or dissent as a psychiatric problem. It was called "psychopathological mechanisms" of dissent.

<span class="mw-page-title-main">World Psychiatric Association</span>

The World Psychiatric Association is an international umbrella organisation of psychiatric societies.

<span class="mw-page-title-main">Serbsky Center</span> Hospital in Moscow, Russia

The Serbsky State Scientific Center for Social and Forensic Psychiatry is a psychiatric hospital and Russia's main center of forensic psychiatry. In the past, the institution was called the Serbsky Institute.

Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental conditions. These include various issues related to mood, behaviour, cognition, and perceptions.

Andrei Snezhnevsky was a Soviet psychiatrist whose name was lent to the unbridled broadening of the diagnostic borders of schizophrenia in the Soviet Union, the key architect of the Soviet concept of sluggish schizophrenia, the inventor of the term "sluggish schizophrenia", an embodier of history of repressive psychiatry, and a direct participant in psychiatric repression against dissidents. He was an academician of the USSR Academy of Medical Sciences, the director of the Serbsky Institute for Forensic Psychiatry (1950–1951), the director of the Institute of Psychiatry of the USSR Academy of Medical Sciences (1962–1987), and the director of the All-Union Mental Health Research Center of the USSR Academy of Medical Sciences (1982–1987).

<span class="mw-page-title-main">Anatoly Koryagin</span> Soviet psychiatrist and dissident (b. 1938)

Anatoly Ivanovich Koryagin is a psychiatrist and Soviet dissident. He holds a Candidate of Science degree. Along with others, he exposed political abuse of psychiatry in the Soviet Union. He pointed out Russia constructed psychiatric prisons to punish dissidents.

Political abuse of psychiatry, also commonly referred to as punitive psychiatry, is the misuse of psychiatry, including diagnosis, detention, and treatment, for the purposes of obstructing the human rights of individuals and/or groups in a society. In other words, abuse of psychiatry is the deliberate action of having citizens psychiatrically diagnosed who need neither psychiatric restraint nor psychiatric treatment. Psychiatrists have been involved in human rights abuses in states across the world when the definitions of mental disease were expanded to include political disobedience. As scholars have long argued, governmental and medical institutions code menaces to authority as mental diseases during political disturbances. Nowadays, in many countries, political prisoners are sometimes confined and abused in psychiatric hospitals.

<span class="mw-page-title-main">Independent Psychiatric Association of Russia</span>

The Independent Psychiatric Association of Russia (IPA) is the sole Russian non-governmental professional organization that makes non-forensic psychiatric expert examination at the request of citizens whose rights have been violated with the use of psychiatry. The IPA is not a state institution but a public organization, and its medical reports have not a legal but an ethical significance. There is nowhere to refute one's misdiagnosis in Russia. In recent years, the IPA forces restrictions on patients’ rights and transinstitutionalization of those with mental illness.

<span class="mw-page-title-main">Semen Gluzman</span> Ukrainian psychiatrist

Semen Fisheliovych Hluzman is a Ukrainian psychiatrist and human rights activist.

<span class="mw-page-title-main">Political abuse of psychiatry in Russia</span>

Political abuse of psychiatry is the purported misuse of psychiatric diagnosis, detention and treatment for the purposes of obstructing the fundamental human rights of certain groups and individuals in a society. In other words, abuse of psychiatry including one for political purposes is the deliberate action of getting citizens certified, who, because of their mental condition, need neither psychiatric restraint nor psychiatric treatment. Psychiatrists have been involved in human rights abuses in states across the world when the definitions of mental disease were expanded to include political disobedience. As scholars have long argued, governmental and medical institutions code menaces to authority as mental diseases during political disturbances. Nowadays, in many countries, political prisoners are sometimes confined and abused in mental institutions. Psychiatric confinement of sane people is uniformly considered a particularly pernicious form of repression.

<span class="mw-page-title-main">Mental health in Russia</span>

Mental health in Russia is covered by a law, known under its official name—the Law of the Russian Federation "On Psychiatric Care and Guarantees of Citizens' Rights during Its Provision", which is the basic legal act that regulates psychiatric care in the Russian Federation and applies not only to persons with mental disorders but all citizens. A notable exception of this rule is those vested with parliamentary or judicial immunity. Providing psychiatric care is regulated by a special law regarding guarantees of citizens' rights.

<span class="mw-page-title-main">Struggle against political abuse of psychiatry in the Soviet Union</span>

In the Soviet Union, systematic political abuse of psychiatry took place and was based on the interpretation of political dissent as a psychiatric problem. It was called "psychopathological mechanisms" of dissent.

<span class="mw-page-title-main">Cases of political abuse of psychiatry in the Soviet Union</span>

In the Soviet Union, a systematic political abuse of psychiatry took place and was based on the interpretation of political dissent as a psychiatric problem. It was called "psychopathological mechanisms" of dissent.

Psychiatry is, and has historically been, viewed as controversial by those under its care, as well as sociologists and psychiatrists themselves. There are a variety of reasons cited for this controversy, including the subjectivity of diagnosis, the use of diagnosis and treatment for social and political control including detaining citizens and treating them without consent, the side effects of treatments such as electroconvulsive therapy, antipsychotics and historical procedures like the lobotomy and other forms of psychosurgery or insulin shock therapy, and the history of racism within the profession in the United States.

Campaign Against Psychiatric Abuse was a group that was founded by Soviet dissident Viktor Fainberg in April 1975 and participated in the struggle against political abuse of psychiatry in the Soviet Union from 1975 to 1988.

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References

  1. Donskis 2009 , p. 314; Leygraf 2010; Narayan 2013
  2. Pallot, Piacentini & Moran 2012, p. 234.
  3. 1 2 GIP 2015.
  4. GIP 2015; Voren 2006
  5. Tobin 2013; Voren 2010b
  6. Voren 2009, p. xii.
  7. Bloch & Reddaway 1985, p. 273.
  8. Besse 2006.
  9. Birley 2000.
  10. Mossialos, Murthy & McDaid 2003.
  11. 1 2 Matas 1989.
  12. 1 2 Wiseberg & Sirett 1982, p. 119.
  13. Voren 2010a, p. 111.
  14. Savenko 2009.
  15. Tobin 2013; Voren 2010b
  16. Birley 2004.
  17. Adler, Mueller & Ayat 1993.
  18. Leygraf 2010; Targum, Chaban & Mykhnyak 2013
  19. 1 2 Donskis 2009, p. 314.
  20. Voren 2013; Clark 2014
  21. Levin 2013.
  22. McLeigh & Sianko 2011.
  23. Banerjee 2012.
  24. Buckingham, Schrage & Cournos 2013.
  25. Richmond 2013.
  26. Gordon 2006.

Sources

Further reading