For some reason Cork (a county/State in Ireland) in which the Open Dialogue service was based, became an outlier for an alternative approach to mental health for some years and a lot of people who challenged that system came from there like Dr Pat Bracken and Mary Maddock.

There was one challenger from County Limerick – Dr Terry Lynch who wrote ‘Beyond Prozac’ – a book that challenged the drug centred model of mental health care. That book had worldwide fame (I remember seeing it on the bookshelf of someone prominent in the UK) but it received little publicity in Ireland in any mainstream media outlet. Dr Lynch subsequently wrote several other books including ‘The Depression Delusion : The Myth of the Brain Chemical Imbalance’. He apparently received no support from his other medical colleagues in Ireland for his views. (https://www.madinamerica.com/2015/09/terry-lynch-the-doctor-who-stands-for-truth/). Dr Lynch was involved in creating the document with the government organisation that passes for a Health Service – the Health Service Executive (HSE) – called ‘A Vision for Change’. This 2006 document was created with the hope of improving Irish mental healthcare. However after a great fanfare it appears to have been quietly dropped. Ireland has never spent less money on mental health. This was reported in a budget analysis on mental health spending at a lecture at the Critical Voices Network Conference (also held in University College Cork) last year. A follow up analysis by Irish Mental Health Reform back in 2015 on whether any of the provisions of the 2006 document had been put in place showed that little of the recommendations had been implemented apart from some government funding of an off-site counselling services Pieta House for those were actively suicidal and a support site for young people called Spinout.

Since 2015 there have been several scandals in the Irish mental health system – such as South Kerry Child And Adolescent Mental Heath Service where adolescents were given huge doses of anti psychotics and developed worsening physical and mental health issue. The parents of these children became alarmed enough to cause a public outcry about it. The joke of that is that these drugs are commonly prescribed to adults by the Day Hospitals but by that stage the parents are mostly out of the picture and most of these people are on their own so no one cares about them.

Then there was the recent court case of Milly Tuomy a 13 year old girl who killed herself in 2016 while in crisis waiting for a mental health appointment. The Irish judicial system being what it is – a decision in that case was only arrived at in the last few weeks – only eight years to wait for a declaration of system failure for which no one in the HSE will be held accountable.

Most know that the HSE itself is not fit for purpose and yet it clings to its power and bureaucracy – hence the Open Dialogue centre – even though there is great evidence of its success in Finland was closed down. The hierarchy in the mental health system here is primarily concerned with power and operating on the conventional model.

The capital city Dublin only had one real challenger to the status quo in the last 50/60 years – Prof Ivor Browne a tall bearded iconoclast who died in the last few months. He originated the idea of trauma being stored in the body ‘the frozen present’ long before Bessel Van der Kolk and Gabor Maté did but was treated as an attention seeking crank by Irish psychiatry. He was strong enough to withstand the lifelong marginalisation and personal attacks emanating from the College of Psychiatrists of Ireland and operate largely on his own.
He was an extraordinarily brave and far seeing man. I have tried to attach a link to an article showing his strong opposition to the drug centred model of Irish Healthcare which was heavily influenced by large pharma companies being such big employers here. He also also pointed the figure at the Minister for Health at the time – Mary Harney who created the HSE and and directly copied the American model of healthcare. It has been a disaster ever since.

https://web.archive.org/web/20100108093055/http://archives.tcm.ie/businesspost/2008/05/04/story32479.asp. However his reputation was damaged by a formal censure from the same body when he broke confidentiality to the Irish media to protect the mental health of one his long standing patients Phyllis Hamilton. I detail the case of Phyllis Hamilton and what the College of Psychiatrists of Ireland subsequently did to Browne here to show the attitude of the preponderance of conventional psychiatry in Ireland to principles of basic justice and patient care.
Phyllis Hamilton – Dr Brownes patient had been sexually abused by her father and intermittently outsourced to orphanages throughout her childhood. The trauma of this caused her to be committed by her mother aged 14 to the Mental Hospital in which Browne worked and with whom she forged a lifetime bond. She was on record as stating he was the only person who had shown her unconditional kindness. Browne encouraged her to start training as a nurse which she did. Aged 17 she met Fr Michael Clery a well known media priest and started a sexual relationship with him.
Clery was a particularly obnoxious media pet. He had a ‘comedy’ ‘all about life’ routine and used to visit schools up and down the country to perform it. He performed it to my mother in her cossetted private school and years later I was one of the audience in an non fee paying school where for two hours on a Friday afternoon Clery leered at us with dirty little jokes about our budding sexuality while pontificating about the evils of abortion.
Dr Browne cautioned Phyllis Hamilton against starting a relationship with Clery and asked her to think of her nursing career. She became pregnant by Clery however and the child was put up for adoption. Her calls to see her child in the orphanage was dismissed. In distress as a result of this, she again became a patient of Brownes. For the rest of her life she lived as a housekeeper and de facto wife of Cleary. When Clery died the Irish media started to release stories that Cleary had fathered children. Phyllis started to be hounded by the Irish media. Under the stress of this her own mental health and the mental health of her son worsened. Ivor Browne seeing the distress that his long time patient was in in order to protect her and her son from further attacks, broke client confidentiality and gave an interview to a Sunday newspaper that Fr Clery was the father of Phyllis Hamiltons son.
A fitness to practice committee was called by the College of Psychiatrists of Ireland about Ivor Browne. He narrowly avoided being struck off but was formally censured. The censure related to the manner in which the confidentiality was breached – i.e. an interview to the media. How else was he meant to breach it? He did so primarily to protect the mental health of his living patient.

Still his glamour and humanity made him attractive to the Irish media occasionally and sections of the Irish Arts industry. What is left after his passing thought seems to mainly careerist dross who pay lip service to the bio psycho social model while following the DSM and drugging people up.
Common sense and decency don’t seem to mean much to the College of Psychiatrists of Ireland who appear to be incapable of ever admitting wrong doing and recently changed the goal posts by declaring that the serotonin theory was just a ‘figure of speech’. They have to date as far as I know made no admission about the decades long failure to recognise withdrawal from anti-depressant drugs even though the Royal College of Psychiatry across the road from them in the UK has made such an admission and apology. There is no mention anywhere in the College of Psychiatrists of Ireland’s press briefings on their website about the Maudley’s De-Prescribing Guidelines.
Elsewhere anyone who has ever had to use the services of a HSE day hospital will know that it is merely a window dressing exercise where you see a house officer roughly every four to six months for 15 minutes for medication review. These doctors rotate as they are in training so you rarely see the same person twice.

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I agree, but currently we’re dealing with the “mental health professionals,” too many of them at least, seemingly in denial of the fact that their DSM “billing code bible” was debunked, as scientifically “invalid,” ten years ago, by the head of the NIMH.

https://psychrights.org/2013/130429NIMHTransformingDiagnosis.htm

And trying, instead, to commit the most egregious crimes they can think of, to “maintain the status quo.” At least that’s what I’ve dealt with, and am still dealing with, by the systemic child abuse covering up “mental health professionals.”

https://www.indybay.org/newsitems/2019/01/23/18820633.php?fbclid=IwAR2-cgZPcEvbz7yFqMuUwneIuaqGleGiOzackY4N2sPeVXolwmEga5iKxdo
https://www.madinamerica.com/2016/04/heal-for-life/

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