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8/12/2019 Against Our Will_UK CAT Shadow Report_speakoutagainstpsychiatry http://slidepdf.com/reader/full/against-our-willuk-cat-shadow-reportspeakoutagainstpsychiatry 1/26 ! Against Our Will Our experience of compulsory psychiatric treatment in the community as torture and inhuman treatment (UK) Speak Out Against Psychiatry 2013 Contact:  Cheryl Prax [email protected]  Report writer: Anne"Laure Donskoy " [email protected] 

Against Our Will_UK CAT Shadow Report_speakoutagainstpsychiatry

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!

Against Our Will 

Our experience of

compulsory psychiatric treatment in the community

as torture and inhuman treatment

(UK)

Speak Out Against Psychiatry 

2013 

Contact: 

Cheryl Prax 

[email protected]  

Report writer: Anne"Laure Donskoy "  [email protected] 

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@

Table of Contents 

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Q

Acknowledgements  

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V9-&= P)' A/&.+0' ?072%.&'17 LVPA?O *-*,-10: &+3 -6-178+- <%8 28+'1.,)'-3 '%-.1 -;9-1.-+2-0

84 E8**)+.'7 $1-&'*-+' P13-105

G-,1& V%)(=-0: 0)16.681 &+3 &2'.6.0': 481 %-1 <8130 84 <.038* &+3 91&2'.2&( &36.2-5

$.+& H.+=8<.'X: 84 '%- E-+'1- 481 I)*&+ F./%'0 84 B0-10 &+3 V)16.6810 84 ?072%.&'17 LEIFBV?:

D-< Y81=O: 481 -+28)1&/.+/ '%.0 0),*.00.8+5

Abbreviations 

G8CB LB+.'-3 D&'.8+0O E8+6-+'.8+ &/&.+0' $81')1-

GVGB E&1- T)&(.'7 E8**.00.8+ 

G2@,B  LB+.'-3 D&'.8+0O E8+6-+'.8+ 8+ '%- F./%'0 84 ?-108+0 <.'% G.0&,.(.'.-0

GCAB  E8**)+.'7 $1-&'*-+' P13-1

WGX2B Z)189-&+ E8+6-+'.8+ 84 I)*&+ F./%'0

1X8B  H-+'&( I-&('% A2'

QGCB  V)9-16.0-3 E8**)+.'7 $1-&'*-+' 

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S

Introduction 

QI'*9 A>. 83*%$). @)O-4%*.(O

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0--= 918'-2'.8+ 84 8)1 1./%'0 &+3 41--38*05 [- 38 +8' 91-'-+3 &+7 -;9-1'.0- .+ '%- (&<: ,)' <- &((

%&6- &+ .+'-1-0' .+ %)*&+ 1./%'0 &+3 %8< '%-0- 1./%'0 &99(7 '8 )05 [- &1- &(( -;9-1'0 ,7

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demonising descriptors (“scroungers”, “feckless”, “lazy” etc.), also repeatedly used .+ '%- 844.2.&(

1%-'81.2 &+3 -2%8-3 .+ '%- 28+0-16&'.6- &+3 989)(.0' press, playing on people’s fears and

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definition of torture includes “a+7 &2' ,7 <%.2% 0-6-1- 9&.+ 81 0)44-1.+/: <%-'%-1 9%70.2&( 81

*-+'&(: .0 .+'-+'.8+&((7 .+4(.2'-3 8+ & 9-108+ 481 0)2% 9)1980-0 … 481 &+7 1-&08+ ,&0-3 8+

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<.'% '%- 28+0-+' 81 &2`).-02-+2- 84 & 9),(.2 844.2.&( 81 8'%-1 9-108+ &2'.+/ .+ &+ 844.2.&( 2&9&2.'7”

LA1'.2(- !O5

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$%- BD V9-2.&( F&9981'-)1 481 $81')1- W)&+ H-+3-X %&0 1-2-+'(7 28**-+'-3 -;9(.2.'(7 8+ '%-

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N

PART ONE: The context 

EY  The UN Convention on the Rights of Persons with Disabilities (and its Optional

Protocol): Current situation in the UK 

EYE 8..'7I.) <O .4' #K 3/&'($7'$. ./ 'D-+>5' I'()/$) 5%*3$/)'5 7'$.*++O %++ 0(/7 4>7*$

(%34.) I(/.'-.%/$) >$5'( .4' #F G2@,

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3-4.+-0 3.0&,.(.'7 '%)0c

“A person (P) has a disability if— 

B)C D 7)% ) 579%2/)- ,( 1'*&)- 215)2(1'*&8 )*"

B#C &7' 215)2(1'*& 7)% ) %$#%&)*&2)- )*" -,*40term adverse effect on P’s ability to

/)((9 ,$& *,(1)- ")90&,0day activities”  

$%- BC Government’s 980.'.8+ ./+81-0 &+3 28+'1&3.2'0 '%- 31&4'.+/ &+3 +-/8'.&'.8+ %.0'817 84 '%-

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&+3 '%- V9-2.&( F&9981'-)1 481 $81')1- <%8 %8(3 '%&' '%- EF?G .0 '%- ,.+3.+/ %)*&+ 1./%'0

0'&+3&13 .+ '%- 28+'-;' 84 *-+'&( %-&('%5

The UK Government’s position also contradicts the welfare legislation which %&0 08 4&1 1-28/+.0-3

*-+'&( .((+-00 &0 & 28+3.'.8+ '%&' 2&+ /.6- 1.0- '8 3.0&,.(.'7 9&7*-+'05 $%- 2%&+/-0 '8 '%- ,-+-4.'0

system however, coming into force in April 2013, sees the disappearance of “disability benefits” '8

,- 1-9(&2-3 ,7 & ?-108+&( U+3-9-+3-+2- ?&7*-+' L?U?O &+3 & B+.6-10&( E1-3.' 070'-*5 A0 '%-

words “disabled”, “disability” are removed from the rhetoric and discourse on disability, therefore

8+ &22-9'&+2- 84 3.6-10.'7 .+ 082.-'7: '%- +-< 1%-'81.2 -+28)1&/-0 & 2%&+/- .+ people’s attitudes

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Z+/(&+3 &+3 Wales that allows people with a ‘mental disorder’ to be admitted to hospital )+3-1

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own laws about compulsory treatment for mental ill health.). The term ‘sectioned’ is used to

3-021.,- & 28*9)(0817 &3*.00.8+ '8 %809.'&(5 ?-89(- <%8 &1- 28*9)(081.(7 &3*.''-3 '8 %809.'&(

are called ‘formal’ or 'involuntary' patie+'05 VPA? 8,0-16-0 '%&' ,8'% '%- $81')1- F&9981'-)1 &+3

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E8**.''-- <%8 stressed that the CRPD is “hard law” (legally binding) and in no way “soft law”

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PYN C').%7/$%') B

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<Y  Jean’s account of being on a CTO: “A danger and a nuisance” ! #$%& '( )*+ ,-  

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($1,$(% ,. ) *'6 W'*&)- X')-&7 !/&8 &, ('5lace the one brought in by Margaret Thatcher’s

government in 1983. Users and survivors understood it wouldn’t be the Mental Health Act

we wanted when Frank Dobson, then Minister for Health, famously pronounced that “the

mentally ill” were “a danger and a nuisance”. 

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that the problem was that people weren’t taking their medication. If only people would

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6,$-" #' .,(/'" &, &):' 1'"2/)&2,* 672-' &7'9 6'(' -232*4 2* &7'2( own homes. “Non0

compliance is not an option.” thundered another minister. 

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we came out to the media, we made music and art and books and films. “Recovery begins

62&7 *,*0compliance” said one placard. We were broadly against coercion and force. We

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The Government just wouldn’t listen to us. I remember going to see my MP, a Labour MP.

He wouldn’t let me speak, and it was clear to me that he didn’t understand the issues at all,

he kept talking about “squaring the circle”, whatever that means. His mind was entirely

 focused on dangerousness. What he couldn’t recognise was that in front of  721 6)% ) %1)--

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who’d always voted Labour, had never hurt a soul, and that as someone with a history of

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because they didn’t understand how important it was to take the medication which was so

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](,1 GOO^02009, I became a revolving door patient. I don’t actually :*,6 7,6 1)*9

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%'(32/'% ('.$%' &, ('/,4*2%' &7'2( /'*&()- (,-' 2* /)$%2*4 &7' &()$1)?

@* GOOV the new legislation was passed. They didn’t make a new Mental Heal &7 !/&8 &7'9

 >$%& )1'*"'" &7' ,-" ,*'?

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 just couldn’t take it in. I have always read and I have always been an active and creative

 5'(%,*?

I didn’t have the energy or the will to argue with the professionals any  1,('? R7'9 &7,$47&

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I*"'( ) LR\ &7' ('-)&2,*%725 #'&6''* ",/&,( )*" 5)&2'*& #'/,1'% &7)& ,. 1)%&'( )*"

%-)3'?

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@ ", 7)3' %,1' (247&%? @ 7)3' &7' (247& &, )55')- &, ) R(2#$*)- ,*/' ) 9')(? R7' R(2#$*)-

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this hour is taken up with the psychiatrist’s evidence. At the end I get about five minutes to#'4 .,( 19 .(''",1?

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 !//,("2*4 & o the Guardian, over 6000 CTO’s were issued in the UK up to 2011. This is ten

&21'% &7' ,(242*)- Q,3'(*1'*& '%&21)&'?

I put this figure to a senior psychiatrist at the hospital. “That’s 6000 people who would

otherwise be being treated in hospital,” he said, “It’s the least restrictive option.”

Maybe it’s 6000 people who would otherwise be free to make their own treatment

"'/2%2,*%8 -2:' )*9 ,&7'( 1'1#'( ,. %,/2'&9?

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 5%9/7,%2% 2* EPPE?

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 Act while behaving in a way considered to be “odd” and distressed to police officers. After a

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suffering from a “bipolar episode” and needed an acute admission. After a three month

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accepting the depot injections. Friends say they haven’t seen him for a week but that he

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Community Nurse but which, they say, hadn’t resulted in any changes to his medication.

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The Mental Health Team decide that they cannot do anything because he isn’t subject to

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Health team argue that because of the “nature” of his illness, it is likely that it will return if

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#)/: 2*?

I believe this is incorrect practice and not what CTO’s were created for. 

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“Appropriate action wil - *''" &, #' &):'* 2. &7' 5)&2'*& #'/,1'% $*6'--8 '*4)4'% 2* 72470

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necessary the conditions of the CTO, should be varied accordingly.”  

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“proportionality” and balance of decision LE)1'.2- -' &(5: #M!!O5 ?18981'.8+&(.'7 .+ -44-2' +8' 8+(7

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are often overridden based on their supposed “best interests”, and where serio$% 32,-)&2,*%

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the doctrine of “medical necessity” as well as the concept of stigmatized identities provide

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medication and “Of the total sample 7.2% had antipsychotic (combined) doses exceeding 100%

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U+ #MMK %- <18'-c

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@ British National Formulary, the medication ‘bible’ for all doctors .+ '%- BC

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#!

)(')% %&($/: #9 %$(42/)- -,#,&,19? W,%& 5%9/7,%$(4'(9 /$&% &7' *'(3' /,**'/&2,*% &, )*"

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/,**'/&2,*% &, &7' %)1' ('42,*%? F2&7'( 6)98 /,12*4 ,( 4,2*48 it’s a lobotomy effect. Thus

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waiting to be slaughtered at the abattoir, Jean’s video testimony recalls how people were confined

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##

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A('%8)/% .+ 91.+2.9(-: 9-89(- &1- &((8<-3: <%-'%-1 '%-7 &1- 68()+'&17 81 .+68()+'&17 9atients’, to

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refusal of treatment are often considered a symptom of the person’s ‘illness’ or evidence of ‘lack

of insight’. This allows coercive measures '8 ,- )0-3 '8 4812- %809.'&( &3*.00.8+ &+3 '1-&'*-+' 8+

9-89(-: &0 <-(( &0 '8 4812- '1-&'*-+' .+ '%- 28**)+.'75 V-2'.8+ #@5@N 84 '%- HIA E83- 84

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 !-&7,$47 &7' WX! 5'(12&% %,1' 1'"2/)- &(')&1'*& .,( 1'*&)- "2%,("'( &, #' 423'* 62&7,$&consent, the patient’s consent should still be sought before treatment, wherever

 practicable. The patient’s consent or refusal should be recorded in their notes, as should the

treating clinician’s assessment of the patient’s capacity to consent.

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principles of medicine”.

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#@

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individual that render them “powerless”, such as when one’s exercise of decision01):2*4

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9-89(- 3-'&.+-3 &+3 '1-&'-3 )+3-1 '%- H-+'&( I-&('% A2' .+ Z+/(&+3” as it has to which does not

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set up as “an additional safeguard for patients who are subject to the Act”.

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#Q

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.+ *.+3 <%-+ considering the UK’s influence over what happens elsewhere in the world.

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$%-1- .0 '%-1-481- & +--3 '8c

U*9(-*-+' '%- 4.+3.+/0 from Rapporteur Mendez’ report LHd+3-X: #M!@Oc

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