April 29, 2008

China Bans Inhumane Psych Surgery Procedure

The Chinese government has banned an inhumane form of psychiatric surgery--or neurosurgery if you prefer--that first gained international attention last fall when Nicholas Zamiska, a reporter in the Wall Street Journal's Hong Kong bureau, exposed the practice. It's somewhat analogous to a lobotomy--surgeons drill holes in the skull and then burn sections of a victim's brain. The surgery, which is only rarely used in the US and only then for very, very severe chronic depression (and even then I'm not sure I approve), was being used far more broadly in China to "cure" depression, schizophrenia, OCD and so on. Quite a few patients were left disabled by the procedure.

In a follow up piece, Zamiska reports that the government has now banned the practice in schizophrenia (link is subscription only, but the first link is a freebie).

"A page-one article in The Wall Street Journal in November exposed the relatively widespread use of the procedure in China. Government officials including members of the Ministry of Health and the People's Liberation of Army, which also oversees some hospitals that offered the surgery, met in January to evaluate the practice. Participants at the meeting concluded that the government needed to regulate the use of the procedure, called ablative surgery.

"Friday's announcement appears to be the culmination of the effort to draft regulations. Hospitals must now first seek approval to operate on patients with 'serious obsessive-compulsive symptoms, depression and anxiety disorders that cannot be cured' by other means and where the surgery's benefits are 'indisputable among the international medical community,' according to the Xinhua report.

"Xinhua also said 'neurosurgical operations should not be used to treat schizophrenia.' Military hospitals have performed the procedure on hundreds, possibly thousands, of patients with schizophrenia."

Keep in mind that Chinese health authorities have likely known about this barbarous procedure for years, but it took a reporter at an English language paper and victims' families he interviewed to do something about it. Yes, we sure don't need print reporters around anymore, now do we?

I don't want to sound like too much of a judgmental Westerner here, but China's track record on treating the mentally ill is rotten and makes much of what we complain about here in the US and Western Europe look like a tea party by comparison. It's nice to see China deciding to get its human rights act together for once. I hope that the paper's editors realize that there is much else on the mental health front to be written about in China and let Zamiska go for it.

I won't hold my breath for the Chinese to free Tibet, however.

Posted by Philip Dawdy at April 29, 2008 12:05 AM
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Comments

The post reminds me of the popular "Russian psychiatry was political but American psychiatry is not" falsehood. By criticizing specific procedures you imply agreement that others are bona fide treatments for a medical illness, and I reject this implication as totally erroneous.

For a few brief moments I had some faith in this blog, but sadly both the writer and majority of those leaving comments seem to strongly believe in mental illness and all of the dire consequences that ugly concept entails. It wouldn't surprise me if China frees Tibet long before American citizens are no longer subjected to coercive psychiatry.

Sincerely,
Ted

Posted by: Ted at April 29, 2008 10:44 AM

I don't get the comment up above. How can you NOT believe in mental illness if your living it 24/7.

And what is wrong with reporting another wrong. Like I said. I don't get the above comment at all. Sorry Ted.

Posted by: Mark Krusen at April 29, 2008 01:14 PM

Brain damage doesn't cure depression any more than it cures schizophrenia or anything else. Brain damage is brain damage. Same problem as with ECT and as with long term use of anti-psychotics, all cause brain damage. We are causing brain damage in millions of Americans as we speak. We also execute about as many folks as China per capita, we just don't charge the families for the bullet nor steal their organs, yet. I don't want to live in China, but the U.S. is becoming more and more like it. We also imprison more folks than any other Western country by far, for non-violent offenses other countries have the sense to deal with differently. But we have to feed the prison-industrial complex and private prisons and rural areas that want jobs even if it means locking other folks up to create the jobs. Same as with rebuilding large institutions--jobs and money for poor areas of the country. I think we should take a look around our own country first.

Posted by: Alison Hymes at April 29, 2008 02:23 PM

Alison,

We may not charge the families for the bullet directly, but they pay.

Mark,

Believing you're living with mental illness 24/7 is believing you're living with mental illness 24/7, sort of like believing in space aliens or the dogma of a particular religion, it's a belief you're free to have, that you choose to have. Beliefs unlike facts are subject to change.

Posted by: Sally at April 29, 2008 04:11 PM

Welp, could it be I've spotted a certain problem around this joint?

By criticizing specific procedures you imply agreement that others are bona fide treatments for a medical illness

Does Dawdy imply or do the trolls infer?

Posted by: flawedplan at April 29, 2008 04:24 PM

"but it took a reporter at an English language paper and victims' families he interviewed to do something about it. "
Yeap!

I once wrote to ssristories.com asking why they only reported cases from USA and UK and they told me they had access but to stories written in English. They even asked me if I could translate anything from Brazil. I have to tell them that the media in Brazil does not report anything claiming that SSRI is involved. Even suicides are not on papers for people are still afraid of "Werther effect".

I also had written to Robert Whitaker when he published "Mad in America" for I have reading an article about the book that in third world countries mental ill people were not taking medicines and were much better.
I told him that as far as Brazil is concerned we have all the "global psychiatric drugs".
He was kind enough to answer me but said that the data in which he based his was from WHO.
I hope that in this next book he can give a much broad view of the problem.

Even in Islamabad and New Delhi, I have some connections with young people of around 20 years, they are being told to take psychiatric drugs.
I don't care about which country under what regime abuses mental illness people humans rights.
Lobotomy is inadmissible and a hideous crime. Chemical lobotomy too.
I believe that Philip made that very clear in his post that what he care is beyond north, south, east or west.

I believe we have enough "politics" involved on all this psychiatry scandal.
Old treatments and drugs are beyond nations, regimes, continents... you name it.
We need Global Justice to mental health cases.
In 2006 Brazil was condemned for Humans Rights violations by Inter-American Court in the Damião Ximenes case. He was murdered in a mental hospital.
His family was advised to go to this court for in Brazil it would be another case and nothing was going to happen.

The case is in this link:
http://www.global.org.br/english/damiaoximenescase.html
or searching for " Damião Ximenes case" in Google there are other links.

Posted by: Ana at April 29, 2008 04:47 PM
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