Walter Keim
wkeim.bsky.social
Walter Keim
@wkeim.bsky.social
I am a netizen who fights for freedom of information, freedom of speech and human rights, on holidays from civilization in Rindal/Trollheimen
A secondary exploratory study of associations between patient- and clinician-reported clinical outcomes and fidelity for four EBP treatments
Despite some improvements in outcomes over 6 to 12 months, we found no positive associations between outcomes and fidelity
link.springer.com/article/10.1...
A secondary exploratory study of associations between patient- and clinician-reported clinical outcomes and fidelity for four evidence-based psychosis treatments - BMC Psychiatry
Background Implementation of evidence-based practices (EBPs), measured as fidelity to the EBP model, is generally expected to yield significant positive clinical outcomes. However, this association ha...
link.springer.com
December 1, 2025 at 7:37 AM
Fidelity to the first episode psychosis coordinated specialty care model
Higher fidelity at the item and subscale level was found to be related to lower emergency department visits, higher client satisfaction, and improved quality of life.
www.sciencedirect.com/science/arti...
Fidelity to the first episode psychosis coordinated specialty care model in Massachusetts: Comparison to clinical outcomes and national programs
Measuring fidelity to the components of the coordinated specialty care (CSC) model is a critical step in understanding the success of first episode of…
www.sciencedirect.com
November 29, 2025 at 7:30 AM
Are People Worse Off in a Mental Health Treatment Paradigm Where Medication Is Deemphasised?
Findings suggest that MFT is not associated with inferior short-term outcomes. These results may reassure clinicians in supporting patient choice and may assist patients
journals.sagepub.com/doi/10.1177/...
Are People Worse Off in a Mental Health Treatment Paradigm Where Medication Is Deemphasised? A Naturalistic Noninferiority Trial of an Initiative to Improve Patient Choice - Kari Standal, Ole André So...
Background: Norwegian health authorities have established dedicated units for medication-free mental health treatment (MFT) to enhance patient choice. These ser...
journals.sagepub.com
November 27, 2025 at 7:08 PM
Short- and long-term associations between antipsychotic treatment patterns and functional outcomes schizophrenia: A 10-year study
One-month lag_polypharmacy was positively associated with GAF scores.
One-month lag_LAI was positively associated with GAF scores.

www.sciencedirect.com/science/arti...
Short- and long-term associations between antipsychotic treatment patterns and functional outcomes in chronic schizophrenia: A 10-year retrospective study using lagged mixed-effects modeling
The longitudinal relationship between antipsychotic treatment patterns, such as polypharmacy and use of long-acting injectable (LAI) antipsychotics, a…
www.sciencedirect.com
November 26, 2025 at 8:38 AM
A Survey of 1144 ECT Recipients, Family Members and Friends: Does ECT Work?
Absence of evidence that ECT is more effective than placebo, and the known long-term adverse effects on memory, these survey findings lead us to recommend suspension of ECT
onlinelibrary.wiley.com/doi/10.1111/...
A Survey of 1144 ECT Recipients, Family Members and Friends: Does ECT Work?
The last placebo-controlled ECT trial for depression occurred in 1985. While awaiting trials that meet today's standards of evidence-based medicine, this paper presents the responses, to an online su...
onlinelibrary.wiley.com
November 24, 2025 at 9:03 AM
Barriers and Facilitators of Implementing Cognitive Behavioral Therapy: A Systematic Review Based on the Consolidated Framework for Implementation
Strengthening clinician training, increasing institutional support, and leveraging digital solutions can enhance
www.proquest.com/openview/b97...
Barriers and Facilitators of Implementing Cognitive Behavioral Therapy: A Systematic Review Based on the Consolidated Framework for Implementation - ProQuest
Explore millions of resources from scholarly journals, books, newspapers, videos and more, on the ProQuest Platform.
www.proquest.com
November 18, 2025 at 8:30 AM
Metacognitive and Related Approaches in the Treatment of Schizophrenia-Spectrum Disorders
Disruptions in metacognition—skill in reflecting upon one's own and other's thought processes—have increasingly been viewed as a core foundation of these features of SSD.
www.annualreviews.org/content/jour...
Metacognitive and Related Approaches in the Treatment of Schizophrenia-Spectrum Disorders
Schizophrenia-spectrum disorders (SSD) are characterized by interruptions in one's sense of self, cognitive dysfunction, disorganized thinking, belief inflexibility, and unusual experiences such ...
www.annualreviews.org
November 18, 2025 at 8:26 AM
Early Dose Reduction or Discontinuation vs Maintenance Antipsychotics After First Psychotic Episode Remission
This RCT found that DRD posed risks of relapse over the first year but yielded better researcher-rated functioning at the third and fourth year
jamanetwork.com/journals/jam...
Reduction or Discontinuation vs Maintenance Antipsychotics
This randomized clinical trial compares early dose reduction or discontinuation vs maintenance treatment of antipsychotic medication for patients remitted from first-episode psychosis in the Netherlan...
jamanetwork.com
November 16, 2025 at 9:30 AM
New Evidence in Support of Tapering Protocols for First-Episode Psychosis
Treatment guidelines generally support trying to discontinue antipsychotics in patients diagnosed with FEP after one or two years, but these guidelines also advocate preventing relapses
www.madinamerica.com/2025/11/new-...
New Evidence in Support of Tapering Protocols for First-Episode Psychosis
The study shows that tapering can be successfully and relatively safely done by most people after first-episode psychosis.
www.madinamerica.com
November 16, 2025 at 9:17 AM
Antipsychotics “As Needed”: An Understudied but Widespread Self-Managed Medication Use Pattern
Future studies should investigate self-managed PRN antipsychotic use to medication strategies that are not sufficiently captured by the term “nonadherence.”
pmc.ncbi.nlm.nih.gov/articles/PMC...
Antipsychotics “As Needed”: An Understudied but Widespread Self-Managed Medication Use Pattern
An official website of the United States government
pmc.ncbi.nlm.nih.gov
November 16, 2025 at 9:04 AM
Therapists’ and patients’ experiences with electronic patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs)
PROMs and PREMs can be implemented successfully in mental healthcare when care is taken to identify and overcome barriers
link.springer.com/article/10.1...
Therapists’ and patients’ experiences with electronic patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) before and during treatment in community mental health ...
Background The implementation of electronic patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) in community mental healthcare is a complex experience for both t...
link.springer.com
November 16, 2025 at 9:00 AM
Insight differences between deficit and non-deficit schizophrenia: a systematic review and meta-analysis
Insight differences linked to primary negative symptoms and neurocognitive impairments.

Cognitive and metacognitive interventions may enhance insight in DS.
www.sciencedirect.com/science/arti...
Insight differences between deficit and non-deficit schizophrenia: a systematic review and meta-analysis
Patients with deficit schizophrenia (DS) have been reported to have lower levels of insight than those with non-deficit schizophrenia (NDS). However, …
www.sciencedirect.com
November 16, 2025 at 8:54 AM
The World Psychiatric Association calls for action on supporting alternatives to coercion in mental health care
The World Psychiatric Association (WPA) advocates for a practical approach implementing alternatives to coercion in mental health care according to CRPD
link.springer.com/article/10.1...
The World Psychiatric Association calls for action on supporting alternatives to coercion in mental health care - neuropsychiatrie
The World Psychiatric Association (WPA) advocates for a practical approach to implementing alternatives to coercion in mental health care. It adopted a Position Statement and Call to Action in 2020 th...
link.springer.com
November 14, 2025 at 8:17 AM
Why Lawsuits about Psychiatric Malpractice Are Difficult to Win
When people under psychiatric care commit suicide or homicide, or are killed or seriously harmed, because of medical malpractice, it is extremely rare. Supreme Court decisions2 are being ignored.
brownstone.org/articles/why...
Why Lawsuits about Psychiatric Malpractice Are Difficult to Win ⋆ Brownstone Institute
We must educate judges so they can rule in lawsuits related to psychiatry. Judge Picard’s biases in this verdict were one of factors.
brownstone.org
November 12, 2025 at 8:50 AM
Dignity in mental health—examining the dynamics of mental health stigma: a narrative review
The UN’s Declaration of Human Rights should be supported, and professionals should be helped to have an ethical responsibility to address stigma at every level.
www.academia.edu/2997-9196/2/...
Dignity in mental health—examining the dynamics of mental health stigma: a narrative review - Academia.edu
www.academia.edu
October 30, 2025 at 2:12 PM
Medication-free treatment in mental health care. How does it differ from traditional treatment?
The findings provide insights into how a medication-free treatment service might work and show that it can be a viable alternative for people who are not comfortable
www.researchsquare.com/article/rs-3...
Medication-free treatment in mental health care. How does it differ from traditional treatment?
Background: Norwegian health authorities have implemented treatment units devoted to medication-free mental health treatment in all health regions to improve people’s freedom of choice. This article e...
www.researchsquare.com
October 27, 2025 at 11:15 AM
Robert Whitaker / Hvorfor forteller ikke media oss det vi trenger å vite om psykisk helse?
Stadig flere har forstått at legemiddelindustriens og psykiatriens fortelling om årsaker til psykiske vansker ikke holder mål. Media ofte svært restriktive å informere
www.madinnorway.org/2023/11/41-r...
#41 - Robert Whitaker / Hvorfor forteller ikke media oss det vi trenger å vite om psykisk helse? - Mad in Norway
Stadig flere har forstått at psykiatriens fortelling om psykiske vansker ikke holder mål. Likevel er media restriktive med å omtale funn som slår beina under den sykdomsmodellen.
www.madinnorway.org
October 23, 2025 at 8:54 PM
Tolv av de største landsdekkende mediene «hadde ikke plass til» alternative synspunkter på psykiatrien
SÆRINTERESSER: Frykt for søksmål og frykt for tap av annonseinntekter nevnes som grunner til at media ikke slipper til psykiatrikritiske stemmer.
www.madinnorway.org/2025/10/tolv...
Tolv av de største landsdekkende mediene «hadde ikke plass til» alternative synspunkter på psykiatrien - Mad in Norway
Frykt for søksmål, frykt for tap av annonseinntekter og journalister som mangler kompetanse til å vurdere faglig kvalitet. Det er momenter psykolog og seniorforsker Geir Smedslund trekker fram som mul...
www.madinnorway.org
October 23, 2025 at 8:50 PM
Antipsychotics Do Not Provide a Clinically Meaningful Benefit Over the Short-Term: A Review of the Evidence

Seventy years of RCTs have failed to provide evidence that antipsychotics provide a clinically meaningful benefit for treating acute psychotic episodes.

www.madinamerica.com/2025/06/anti...
October 20, 2025 at 4:37 PM
A crisis-focused cognitive behavioural informed
approach to formulating experiences of psychosis in
acute mental health
A crisis-focused CBTp-informed approach is outlined,
which can be used to underpin brief therapy strategies for people experiencing a psychosis
www.cambridge.org/core/service...
www.cambridge.org
October 17, 2025 at 7:08 AM
Bringing together WHO and WPA to promote alternatives to coercion
We conclude that persons with lived experience, families, mental health professionals and policy makers are now coming together promoting human rights and addressing coercion in mental health services.
www.academia.edu/143784444/Br...
Bringing together the World Health Organization's QualityRights initiative and the World Psychiatric Association's programme on implementing alternatives to coercion in mental healthcare: a common goa...
Stakeholders worldwide increasingly acknowledge the need to address coercive practices in mental healthcare. Options have been described and evaluated in several countries, as noted recently in major ...
www.academia.edu
October 15, 2025 at 9:23 AM
Relapse in Schizophrenia: Systematic Review of Criteria for Clinical Studies and International Consensus Guidelines
There are limitations and heterogeneity in current definitions of relapse. Consensus for a standardized approach improves validity and reliability
psychiatryonline.org/doi/abs/10.1...
Relapse in Schizophrenia: A Systematic Review of Criteria for Clinical Studies and International Consensus Guidelines to Improve Them | American Journal of Psychiatry
Objective: Relapse prevention is a major goal of schizophrenia treatment. However, there is no standard definition of relapse. To address this, the authors reviewed recent approaches and developed con...
psychiatryonline.org
October 11, 2025 at 1:26 PM
Network-pluralistic psychiatry: linking genetics, brain connectivity, and psychosocial context
Improves our overall understanding. Future research must focus on validating the model’s components and testing the clinical benefits of interventions integrated principles
www.academia.edu/2997-9196/2/...
Network-pluralistic psychiatry: linking genetics, brain connectivity, and psychosocial context - Academia.edu
www.academia.edu
October 8, 2025 at 11:16 AM
En rystende fortelling fra den amerikanske psykiatrien

Evidensgrunnlaget er de reneste forfalskninger, og man kan undre seg over at myndigheter ikke verner borgerne sine mot et hav av kjemikalier som ingen vet konsekvensene av

www.madinnorway.org/2025/10/en-r...
En rystende fortelling fra den amerikanske psykiatrien - Mad in Norway
- Skal du bare lese én bok om helse i den nærmeste fremtid, så anbefaler jeg deg å velge denne. Hilde Marie Rekstad lot seg imponere av en «brutalt opprørende og samtidig fantastisk håpefull og innsik...
www.madinnorway.org
October 8, 2025 at 9:59 AM
Cognitive behavioral therapy for insomnia in people with schizophrenia: a systematic review and meta-analysis
This meta-analysis found that CBT-I may improve insomnia symptoms among people with schizophrenia but its effect on other schizophrenia remained unclear
www.sciencedirect.com/science/arti...
Cognitive behavioral therapy for insomnia in people with schizophrenia: a systematic review and meta-analysis
Cognitive behavioral therapy for insomnia (CBT-I) is the first-line treatment for insomnia in general population, but only recently has it begun to be…
www.sciencedirect.com
October 4, 2025 at 2:03 PM