
My time as a teenage psychiatric patient
Morrison's review of Stock's exposé of William Sargant and 1960s psychiatry reinforces my sense of good fortune, against all the odds at the time.
My relatively benign experience of psychiatric drugs was initially high doses of Largactil, which knocked me out, so were quickly reduced. But the 'dark alchemy of drugs and electricity' was all around, and my terror that I might be subjected to electroconvulsive therapy treatment and the dire post-treatment after-effects that I witnessed in my fellow inpatients never left me. That it was acceptable for a vulnerable adolescent to be subjected to this speaks itself for the barbarism of those with influence and power in mental health practice at the time.
Stock's calling out of the horrors is, I suspect, the tip of the iceberg. William Sargant is not alone in his being 'possessed' of self-interested furor therapeuticus – 'the rage to heal'. It's a universal driver that gives priceless energy and motivation, but needs vigilant and collaborative professional regulation to function safely – along with committed investment for child and adolescent mental health services as well as adult mental health services, whose waiting lists sadly lengthen every day.Alison Tudor HartLondon
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The Guardian
a day ago
- The Guardian
I'm one of many Palestinian doctors in Israel. We're being persecuted – but we won't abandon our oath
Medicine is a humanistic profession, grounded in ethical values of justice, beneficence and the commitment to do no harm. It is a vocation of healing, of saving lives and of easing physical and emotional suffering. Being a doctor requires inner strength – the ability to see another's pain, to feel it and to respond with empathy and compassion, alongside the knowledge and professionalism the role demands. I believe a physician also bears a critical responsibility in advocating for their patients' right to health and in upholding the principle of justice. In that sense, every doctor is, to me, a leader. I explored these ideas in a new Guardian documentary, The Oath. I tell my story as a Palestinian doctor living in Israel and working within its healthcare system. Made over the past year, the film portrays the struggles and challenges I have faced in that time. However, since I was first filmed in March 2024, the situation in Gaza, and the position we are in as doctors, has only worsened – day by day, hour by hour. As a Palestinian doctor living and working in Israel, in the midst of a longstanding conflict, I learned during my studies and work that injustice has been done to many populations living here. The occupation and coercion that Israel exercises over the Palestinian population in the occupied territories and the policy of discrimination against the Palestinian minority living within Israel cause serious harm to the right to health of these populations. Control over territories, expulsion, dispossession, violence, restriction of movement, establishment of settlements and apartheid cause great suffering to the population, prevent access to medical care and directly affect their health. Already as a medical student, I decided that I could not sit on the sidelines in the face of all that. I joined Physicians for Human Rights – Israel in order to fight for the health of the populations under Israeli control, together with many partners. When we began filming the documentary, five months had already passed since Israel's assault on Gaza began. At that point, thousands had been killed and widespread destruction had taken place. Still, I could not have dreamed that for the next year and a half we would continue to witness daily bombings, mass death – including thousands of children – millions displaced, starvation and the unprecedented decimation of Gaza's health system. Hospitals, schools, mosques, churches, universities and entire neighbourhoods have been wiped off the map. The scale of devastation is unlike anything I have seen elsewhere. This is not merely a humanitarian crisis, it is what many international legal scholars and human rights organisations have begun to describe as a genocide in progress. My personal story is inseparable from this struggle. Marwan, the brother of my sister-in-law, a paramedic, was killed in the line of duty on 7 October 2023. These past two weeks were even more tragic for his family: their tents in a camp in Gaza were bombed, killing 10 relatives, among them Abdullah, an eight-year-old boy full of life and dreams of becoming a doctor, murdered in his sleep. Little Marwan, seven years old, lay unconscious in a hospital for a week due to a severe head injury, but was denied proper treatment due to the severe shortage of medical staff and resources. Since that tragic day, more than 1,500 Palestinian medical personnel have been killed. Many have been detained, subjected to ongoing persecution and humiliation. Some have died by torture and neglect in Israeli detention facilities. All this takes place under deafening silence from the Israeli healthcare establishment and many of my fellow physicians, who too often choose silence over basic ethics and morality. Only very few voices were heard among some in the Israeli healthcare system against targeting their colleagues in Gazan hospitals. Amid all this, I try to speak with restraint, to choose my words carefully, out of fear and understanding that my voice might be seen as dangerous. Since 7 October, Palestinian staff in the Israeli healthcare system have faced persecution, slander and paralysis. Anti-Palestinian sentiment is surging, even among patients and colleagues. Slogans such as 'there are no innocents in Gaza' or 'burn Gaza to the ground' are neither rejected nor punished by the system. Any expression of sympathy for victims – women, children, innocent civilians – is seen as support for terror, and puts the speaker at risk of dismissal or disciplinary action. A fellow physician, a partner in our struggle, was recently fired for delivering a brief speech in which he criticised the crimes committed in Gaza. The silencing and persecution are only intensifying. Medicine, once assumed to be a neutral profession, has become politically and morally fraught. To treat an injured child in Gaza is no longer merely a medical duty – it is a profound moral declaration. The oath to provide equal care to all shatters against the brutal reality in which doctors and children are killed, patients are arrested, voices are suppressed and dreams – like Abdullah's – collapse. And still, I continue to fight. Because as long as we remain silent, our oath is hollowed out, and the right to health becomes a fantasy too far to reach. Yet, as long as I have a voice, I will use it: for my patients, for justice, for the oath we all swore. Lina Qasem Hassan is a Palestinian doctor working in the Israeli healthcare system and is chairwoman of Physicians for Human Rights - Israel. Photograph of Lina Qasem Hassan by Fadi Amun Do you have an opinion on the issues raised in this article? If you would like to submit a response of up to 300 words by email to be considered for publication in our letters section, please click here.


The Guardian
3 days ago
- The Guardian
Texas sues New York official for refusing to take action against abortion provider
Texas has sued a New York official for refusing to take action against an abortion provider, teeing up a state-versus-state battle that is widely expected to end up before the US supreme court. Ken Paxton, Texas's attorney general, has petitioned the New York state supreme court to order a county clerk to enforce a fine against Dr Margaret Carpenter, a New York doctor accused of mailing abortion pills across state lines. Paxton accused Carpenter last year of mailing abortion pills to a Texas woman in defiance of Texas's ban on virtually all abortions. After Carpenter failed to show up in a Texas court, a judge ordered her to pay more than $100,000 in penalties. But the acting Ulster county clerk, Taylor Bruck, in New York has twice rejected Paxton's efforts to levy that fine. Under New York's 'shield law', state law enforcement officials are blocked from complying with out-of-state prosecutions against abortion providers who ship pills to patients, even if those patients are located outside New York state. 'No matter where they reside, pro-abortion extremists who send drugs designed to kill the unborn into Texas will face the full force of our state's pro-life laws,' Paxton, a Republican, said in a statement announcing Monday's filing. Bruck, 34, said that he was just following New York state law. 'I'm just proud to live in a state that has something like the shield law here to protect our healthcare providers from out-of-state proceedings like this,' Bruck said. 'This has the potential of getting appealed up and up and up.' Paxton's petition marks the latest escalation in the burgeoning clash between states that protect abortion rights and those that do not. In the three years since the supreme court overturned Roe v Wade, abortion opponents in red states have repeatedly tried to push for legislation and litigation that would curtail people's ability to cross state lines for abortions or to receive abortion pills in the mail. Meanwhile, blue states, including New York, have enacted an array of shield laws to preserve people's abortion access. The US supreme court will probably be forced to step in to settle these debates between states, legal experts say. 'Ultimately, it's a states' rights argument,' Bruck said, adding that he remains 'still stunned by the whole thing'. 'It's not something I was really expecting, coming into this role,' Bruck said. 'It's really unprecedented for a clerk to be in this position.' The best public interest journalism relies on first-hand accounts from people in the know. If you have something to share on this subject you can contact us confidentially using the following methods. Secure Messaging in the Guardian app The Guardian app has a tool to send tips about stories. Messages are end to end encrypted and concealed within the routine activity that every Guardian mobile app performs. This prevents an observer from knowing that you are communicating with us at all, let alone what is being said. If you don't already have the Guardian app, download it (iOS/Android) and go to the menu. Select 'Secure Messaging'. SecureDrop, instant messengers, email, telephone and post See our guide at for alternative methods and the pros and cons of each.


Times
24-07-2025
- Times
Up all night with ravers, nuns and shiftworkers
Arifa Akbar is scared of the dark. Her British-Pakistani parents told her horrifying tales of creatures that appeared at night, stories 'of djinns capable of immense violence, of daayans with feet on backwards, disembowelling their victims with their bare hands'. She sleeps with a curtain open to let the light of the street lamps stream through the window and travels with a plug-in nightlight. As the Guardian's chief theatre critic Akbar often has to work late into the night. In Wolf Moon, her lyrical examination of the world between dusk and dawn, she acknowledges the ridiculousness of her night-time anxieties. 'But if there really is nothing to fear, why do I feel so viscerally afraid as the dark levitates towards me, everything and nothing thrumming inside it?' The book is part reporting, part memoir. Akbar writes about her father, who was a security guard, first on the railways and then at the Courtauld gallery in London, working night shifts in both jobs. Akbar observed how his work seemed to change him, 'his skin growing sallower by the day as if he were jaundiced, his thinking confused. He was always on the brink of an unarticulated panic.' He now lives in a care home and has dementia, a health risk linked to nocturnal working. At night he can be distressed — a phenomenon called sundowning when those with dementia begin to hallucinate as the day darkens. 'There are times when he holds on to my hand tightly as if he fears being sucked under by quicksand, and tells me the sky is spinning.' There are about nine million night shift workers in Britain. As well as causing dementia, working at night can cause cardiovascular disease, obesity and depression. The work is also more likely to be low-paid and insecure. Akbar speaks to some of these late-night workers. At a care home in Hertfordshire the carers describe how after their night shift they take their children to school, then pick them up later with barely time to sleep during the day. At New Spitalfields Market in Leyton, east London, she watches hundreds of HGVs queue at midnight to unload fruit and vegetables — 'a lush, vegetative oasis within the city'. She spends the night at the Convent of Poor Clares in Ellesmere, Shropshire, rising with the nuns at midnight to sing matins and again for lauds at 6:30am. • 12 exceptional memoirs from the past 30 years to read next However, some people come alive at night. Akbar goes to Berghain, an LGBT nightclub in Berlin, and dances with a Brazilian trans woman who has been attending for 13 years and an Austrian postman who often stays in the club from Saturday through to Monday. Akbar feels transfigured in the club's darkness. 'I am no longer a responsible homeowner, journalist and carer of elderly parents,' she writes. 'I am no more or less than my silver-black dress and gold eyelashes.' She meets the poet and playwright Debris Stevenson who has been a raver for decades. 'You're less self-conscious in the dark, more embodied and there's a wildness to dancing outside,' Stevenson says. Yet at raves she has been catcalled and filmed without permission and has had to intervene in dangerous situations. She says the sight of men forcing kisses on unconscious women is commonplace. In Lahore, where Akbar spent some of her childhood, she watches a late-night comedy show. After the performance some of the female dancers sell sex to the audience members. An elderly sex worker describes how the work has become more dangerous as stricter laws force them to travel to meet clients in unknown locations. While djinns and daayans may be imagined, the threat of violence at night is real. Sarah Everard's twilight abduction, rape and murder sparked a wave of protests about the risk of walking the streets at night as a woman. But it was hardly a new danger. Akbar attends one of the popular Jack the Ripper tours that trace the murder spots of east London. I went on one of these tours once and a man in my group commented on which of the murdered women was the most attractive. These threats aren't just abstract to Akbar. Her sister Fauzia, whose death was the subject of her first book, Consumed, struggled as a teenager with compulsive eating. She would bribe Akbar and her brother to go to a supermarket at night to buy her food. In her twenties she fell into a depression and became homeless. • Read more book reviews and interviews — and see what's top of the Sunday Times Bestsellers List At her hungriest Fauzia would go through bins on the streets. After her death by undiagnosed tuberculosis Akbar's family agonised over how she had contracted the disease. They wondered if it happened in this dark and desperate time of her life. What might otherwise feel like a random collection of vignettes is threaded together by Akbar's grief for her sister and her anxiety for her father. Wolf Moon is a celebration of the exuberance of night-time and a moving portrait of the dangers of the dark. Wolf Moon: A Woman's Journey into the Night by Arifa Akbar (Sceptre £16.99 pp256). To order a copy go to Free UK standard P&P on orders over £25. Special discount available for Times+ members