Yearly Archives: 2008

Size Matters

Sometimes it’s big

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Sometimes small

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Always immense

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Every once in a while it’s Julia Fractal Zoom

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It is always just what it is

gilfronsdal_thenatureofallthings.mp3

(From http://www.audiodharma.org/talks-gil.html)

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From the Eugene Register Guard

_The Register-Guard_, Eugene, Oregon, USA

16 March 2008 – Commentary – Guest Viewpoint

http://www.mindfreedom.org/kb/psychiatric-drugs/antipsychotics/
areford-neuroelptics

Antipsychotic drugs are doing harm

By Chuck Areford

[It is essential to note at the outset that suddenly stopping or
reducing psychiatric medications can be hazardous. Adjustments in
medication are best done under the supervision of a medical
professional.]

In the early 1990s, a new class of drugs promised to revolutionize
the treatment of schizophrenia and other mental disorders. Known as
atypical antipsychotics, drugs such as Clozaril, Zyprexa and
Risperdal largely replaced older medications such as Thorazine,
Haldol and Prolixin. Research and advertising sponsored by the
pharmaceutical industry led to the widespread belief that the newer
medications were indisputably safer, more effective and well worth
additional billions of dollars in taxpayer money. Pharmaceutical
profits soared.

Since then, the life expectancy of those treated in community mental
health centers has plunged to an appalling 25 years less than
average. Life expectancy may have fallen by as much as 15 years since
1986. Indications are that the death rate continues to accelerate in
what must be ranked as one of the worst public health disasters in
U.S. history.

The toxicity of antipsychotic medications, also known as
neuroleptics, is thoroughly documented. Atypical antipsychotics
initially seemed less hazardous because they produce fewer movement
disorders. We now know that the newer drugs lead to more
cardiovascular disease, which is by far the leading killer of those
in the public mental health system.

People who need mental health services already suffer from high rates
of cigarette smoking, lack of exercise, substance abuse, poor
nutrition, homelessness and poor access to health care. Adding
medications pours gasoline on a fire. This lethal combination is
almost certainly driving the spiraling death rate.

Advances in brain imaging techniques show that antipsychotic
medications cause brain damage. Animal and human studies link the
drugs to shrinkage of the cerebral cortex, home to the higher
functions. One study of monkeys given either older or newer
neuroleptic medication in doses equivalent to those given humans
showed an 11 percent to 15 percent shrinkage of the left parietal
lobe. Drugs that cause brain damage almost invariably reduce life
expectancy.

Marketing campaigns for atypical antipsychotic drugs target new
groups of patients, including the elderly and children. Public
television recently reported that as many as 1 million children have
been newly diagnosed with bipolar disorder, and thus may receive
neuroleptic medication. This does not include children treated with
antipsychotics for other disorders.

The damage to developing brains cannot be overemphasized. Years ago,
the Soviet Union was condemned for giving neuroleptic medication to
political dissidents. We now are giving a more lethal form of this
medication to our children. Where is the outcry?

Recent studies published in the New England Journal of Medicine and
elsewhere demonstrate that the newer drugs are no more effective than
the older ones in reducing psychotic symptoms. Patients stop taking
the new drugs at the same high rate as the old ones because they do
not like the way the drugs affect their lives.

While medications are effective in relieving symptoms in the short
run, research indicates that people suffering from psychosis recover
more quickly and completely without medication. Incredibly, one study
showed that those not taking medications had eight times the recovery
rate of those who remained medicated. Research in Finland shows that
immediate psychosocial interventions achieve far better results than
those in this country. It simply makes sense that people recover
better when not treated with medication that causes brain damage and
shortens their lives.

Yet professionals and the public widely believe that it is unethical
to treat serious mental disorders without antipsychotic medication.
The reasons for this are complex, but foremost is the enormous
profitability of the pharmaceutical industry. In the early 1990s, the
top 10 drug companies earned more profit than all the other Fortune
500 companies combined. The sheer volume of money corrupts medical
research, and misinformation is fed to professionals, clients and the
public.

The deplorable conditions at the Oregon State Hospital are,
unfortunately, just one more indication of the failure of psychiatry
as a whole. I know many of the psychiatric professionals in Lane
County, and they are intelligent and compassionate people who want
the best for their clients. There will always be a place for
medication in the treatment of emotional disorders, yet there must be
public acknowledgement that the long-term use of antipsychotic
medication, particularly the atypicals, is a costly mistake. Silence
truly equals death.

The Oregon Department of Addictions and Mental Health has the
responsibility to confront the terrible inadequacies of the current
system and to fund the development of alternatives. We owe this to
the taxpayers, to society and especially to those who suffer from
mental illness.

#

Chuck Areford of Eugene has worked in the public mental health system
for the past 25 years.

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Tomorrow is my birthday.

Today I was in a meeting with a roomful of people with from state government, colleges, think-tanks etc. I’m on the executive committee for the state Behavioral Healthcare Workforce Development Task-force. One of the proposals discussed was to dismantle the committee. I don’t think it will dismantle, though, but may evolve instead.

Simplified bird’s eye rundown- Reason for dismantling: It hasn’t accomplished anything. Reason to keep it: it hasn’t accomplished anything.

Big problem: people entering the workforce as MSW’s etc. are unprepared for the work asked of them in the community. Turnover is ridiculously high. These things are getting worse. There is a need for people to come together with some vision to change the direction things are going.

This is our current draft mission statement:

Addiction and Mental Health Division (AHM) Behavioral Health Workforce Development (BHWD)

Revised Mission Statement

In order to assure that every Oregonian with a mental or substance use disorder has the necessary support to be in recovery, we must have a behavioral health workforce that is consistently prepared to implement evidence-based practices (EBPs), practices informed by indigenous knowledge and interventions consistent with a multi-faceted definition of recovery.

To realize such a vision we need to create or coordinate with a sustainable entity that brings together consumers and families, executive level personnel from behavioral health preparation sites, recovery agencies and prevention programs, and government institutions, to provide ongoing leadership that promotes integration and alignment of science (EBPs), consumer and family choice, workforce development, cultural appropriateness, and state policy.

To that end, the Behavioral Health Workforce Development (BHWD) Committee will plan and implement strategies to meet the following objectives:

Career Development for People in Recovery

1. Significantly expand the role of individuals in recovery.

2. Design and develop career pathways for people recovering from mental illness and family members.

Professional Development and Retention

1. Service providers and academic settings must work together to stay current with issues in service and be active in exchanging knowledge.

2. Clinicians, clinical supervisors and managers must demonstrate their mastery of competencies related to recovery, staff development and agency administration.

3. Staff retention strategies must be implemented and sustained system wide including clinical supervision, coaching and mentoring.

4. Well-articulated career ladders must be established, articulated and sustained, including management and leadership skills.


Graduate Behavioral Health Workforce Training

Undergraduate, graduate and residency programs will prepare students to practice in contemporary service environments using EBPs (Evidence Based Practices) of consumer choice with the goal of initiating, enhancing and sustaining recovery.

Meanwhile the state is spending a bazillion dollars on 2 new Psych Hospitals- with nothing set aside to implement effective community programs.

sad.

Oh, and don’t even get me started on evidence based practice, the catch phrase of the year/ decade (?). It begs the questions: whose evidence? for what exactly? One answer is that the “evidence” is never aimed at discovering how people can lead happy, self-directed lives.

Today’s stupid animated gif:

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Maybe one more:

the_pope_discusses_mortality_with_his_chef.gif

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2 more days

to my birthday.

I am going to the beach.

silly animated gif:

my_weekend_on_the_farm_with_aunt_ruth.gif

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MindFreedom News Release

NEWS RELEASE – 4 March 2008 – PsychRights – MindFreedom
Media contacts: Daniel Hazen – 315-528-3385 dan@psychrights.org
Krista Erickson – 541-345-9106 krista@mindfreedom.org

More info & download PDF of news release:
http://www.mindfreedom.org/shield/psychrights

~~~~~~~~~~~~

“Forcing Psychiatric Drugs Can Increase Violence,” Warns
New Task Force on Mental Health Legal Advocacy & Activism

Promising to fight what they call pervasive and harmful violations of
mental health clients who are involuntarily drugged and
electroshocked in the United States, The Law Project for Psychiatric
Rights (PsychRights) and the MindFreedom Shield Campaign announced
today a joint Task Force on Mental Health Legal Advocacy & Activism.
The new partnership of law and nonviolent direct action has an
initial focus in the states of California, Massachusetts and New York.

PsychRights’ President Jim Gottstein declared, “People’s rights in
forced drugging proceedings are ignored as a matter of course,
resulting in great harm to them and decreased public safety.” David
Oaks, Director of MindFreedom International (MFI), noted, “Violence
by a few individuals labeled ‘mentally ill’ has led to a backlash
calling for a massive increase in forced psychiatric drugging.”

Mr. Gottstein added, “Contrary to public perception, forcing people
to take psychiatric drugs can often increase violence, rather than
decrease it. If people were warned that both taking and withdrawing
from these drugs can at times contribute to committing terrible acts,
they and their loved ones can be alert to the possibility and
tragedies averted.”

Krista Erickson, MFI board member and Chair of the MFI Shield
Campaign, said, “I’m excited about MFI and PsychRights expanding our
partnership and focusing the combined power of legal advocacy and
activism on specific cases.” The MFI Shield Campaign supports the
wishes of a member to be free of involuntary mental health
intervention with an international “Solidarity Network” of advocates.
The new Task Force plans to use both the court of law and the court
of public opinion.

Task Force organizers say the combination of PsychRights’ expertise
for strategic litigation and the “people power” of MindFreedom
activists around the country will bring a synergy and geographic
reach to their demands for people’s legal and human rights. Daniel
Hazen, Northeast Coordinator with PsychRights, added, “In the United
States the ‘mental health’ industry is a labeling system that often
dismisses self- determination, legal capacity and alternatives.
‘Treatment’ can be forced through the court systems. People ought to
‘have their day in court’ but this is often far from what actually
occurs.”

MFI is an independent nonprofit coalition defending human rights and
promoting humane alternatives in mental health. The Law Project for
Psychiatric Rights is a public interest law firm devoted to the
defense of people facing what they call the “horrors of unwarranted
forced psychiatric drugging and other forced psychiatric procedures.”
PsychRights office is in Anchorage, Alaska: http://
www.psychrights.org. The MFI office is in Eugene, Oregon: http://
www.mindfreedom.org

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Various news items

First- (personal update):
We are still unpacking but slowly finding a sense of place in our new townhome/ apartment. Several issues to deal with- mostly monetary (getting health care premiums paid, re-establishing household supplies, 2 broken vacuum cleaners…). We have a bed- donated by May T from Meeting. Food is being brought to us by strangers- nice strangers. Most animals are back- except the white cats are still at my sister’s house.

From Common Dreams:

Bush The Torturer, The Tyrant, The Disgrace

by Pierre Tristam

On Saturday, Mr. Bush vetoed a bill that would have outlawed the CIA’s use of torture in interrogations (a bill, it should be noted, John McCain, alleged opponent of torture, voted against). He had the temerity, our Dear Leader, to begin his official endorsement of torture in his radio address this morning with these words: “Good morning.” Good for him and his kind of delusional sadists, maybe. Not so good for this country, whose reputation today takes one more plunk toward the abyss of rogue and less than ordinary nations. Not so good for the rest of the world, either, whose nations have been disbelievingly howling, in Babels of translations, that most American of plaints: “Say it ain’t so.” This spring training for terrorist-interrogators (for torture is terrorism at its distilled worst), it very much is so. The United States is officially, proudly, the land of torturers. It’s true that the United States has been at this for years. But the difference here is not only that the president is endorsing torture, but that he’s doing it so openly and willfully. It isn’t arrogance anymore. It isn’t even hubris. Arrogance and hubris suggest that at least some awareness that public perceptions still matter. In Bush’s mind, perceptions are for the birds. This is pure tyranny. His statement embracing torture, a study in mendacity, is worth a line-by-line look.

“This week,” he began, “I addressed the Department of Homeland Security on its fifth anniversary and thanked the men and women who work tirelessly to keep us safe.” Really? As of last May 1, Homeland Security, the Washington Post reported, “had 138 vacancies among its top 575 positions, with the greatest voids reported in its policy, legal and intelligence sections, as well as in immigration agencies, the Federal Emergency Management Agency and the Coast Guard.” It got so bad that a panicky report was sent to the House committee overseeing the department-the department led, as we unfortunately know, by the intrepidly dismal Michael Chertoff, who captained the agency through its finest hour: its spectatorship of Hurricane Katrina’s aftermath.

“Because the danger remains,” Bush continued, “we need to ensure our intelligence officials have all the tools they need to stop the terrorists.” All the tools. Not the necessary tools, but all the tools. The most effective way not to worry about crossing the line into the dark side is not to have a line at all. For the Dear leader there is no question of nuance, of the difference between right and wrong. It is all right as long as he declares it so. By all means necessary (although I hate to soil Malcolm’s fine line, given its context, with the Dear Leader’s criminal intent). But by that reasoning, nuking Kandahar would be justified. Aren’t nuclear weapons also tools in the fight against “terrorism”? One day, the question may well be answered. Especially if the country insists on electing John McCain (and liberals who personally despise the black one or the bitch, as their prejudices couch them, insist on helping along the reactionaries).

Where Bush Lies Like a Nixonian Sweat Bead

“The bill Congress sent me would take away one of the most valuable tools in the war on terror — the CIA program to detain and question key terrorist leaders and operatives.” The bill, of course, does no such thing. It does not take away the CIA’s right to detain anyone. It does not take away the CIA’s right to question anyone. It only forbids the CIA to employ waterboarding and other forms of torture or degrading and dehumanizing treatment of inmates-inmates, we should always, always remember, who aren’t terrorists, but alleged terrorists. Until they are proven so, it is only their incarcerators who are the demonstrably proven terrorists.

Bush then lists a series of supposed terrorist attacks the interrogations foiled. We have to trust him on that one, as several of them have never been mentioned before. Trusting Bush at this point, of course, is an exercise best left to the pathologically cretinous. One example from the plots Bush does mention-the supposed attack on the Library Tower in Los Angeles. It’s an old story, peddled by his administration since 2002. But when even the Voice of America, which is barely two radio waves removed from Radio White House, gives credence to doubts about the Dear Leader’s story, it’s time to give his fictions a chance to get sold as the latest memoir. “Micheal Scheuer, who was the leading al-Qaida expert in the CIA’s counter-terrorism center in 2002,” VOA reported in 2006, “says he is not aware of any such serious threat against the West Coast in 2002. As the man in the CIA who knew more about Osama bin Laden and al-Qaida than perhaps any other agency officer, he says it is unlikely that he would not have been kept informed on such a plot. “It could be that it was very closely held, but I think that’s unlikely,” he said. “It could be just a function of my failing memory. But this doesn’t sound like anything that I would recall as a major threat, or as a major success in stopping it.’”

Brutality’s Euphemisms

Bush in his radio address then moves on to euphemizing torture as “specialized interrogation procedures to question a small number of the most dangerous terrorists under careful supervision.” It’s a little disingenuous for the man who turned extraordinary renditions into a secret competitor of Disney’s Vacation Club, the man who replaced the Soviet Union’s gulags with a secret gulag of his own (using, cleverly, the Soviet Union’s old prisons in some cases, as in Poland and Romania), the man under whose careful supervision the likes of Khaled el Masri and Maher Arar were wrongly imprisoned, tortured in Afghanistan and Syria, and released without apologies long after the CIA knew they had the wrong men-it’s a little disingenuous for that man now to claim “careful supervision” in torture chambers.

And to characterize torture as “these safe and lawful techniques.” Safe? When, by 2006, more than 100 individuals in American detention had been murdered by their captors? Lawful, when this very veto the Dear Leader is bandying about is an attempt to evade the law? But here’s his reasoning: limiting the CIA to interrogation techniques allowed only by the Army field manual would be wrong because the field manual deals with soldiers. The CIA deals with terrorists. Just as Bush on March 8 officially placed the United States as a champion of torture, Bush on this day also placed the United States as a champion of separating the race between legitimate human beings and sub-human creatures-”hardened terrorists.” The circular argument gives the appearance of perfect logic-if you’re willing to accept the notion that some human beings are not quite human beings. And isn’t that the notion once peddled in the United States about blacks-excuse me, about niggers? Isn’t that the notion peddled about Indians, at least while there were enough of them around that a distinction mattered? Isn’t that the kind of distinction some conservatives attempted to write into the Constitution with their prohibition of “oriental” immigrants at the turn of the last century?

Some things don’t change. Once a bigoted nation, always a bigoted nation. But this goes beyond bigotry. Bush is projecting an interpretation of human beings that links up with the sort of distinctions Nazi and apartheid regimes were known for, when they, too, facilitated the torture and murder of “enemies” by dehumanizing them in the eyes of the public. This is no different. He may be speaking the language of Anglo-Saxon civilization. He may be doing so from the august rooms of the White House. What he’s saying makes him no different in these regards than the tyrants of the 20 th century. His rhetoric is another chain-link to his actions: he dehumanizes in words in order to dehumanize in deeds.

Last month Michelle Obama was criticized for saying that finally, she can be proud of the United States, the implication being that she hadn’t been proud of it before Barack Obama’s hopeful run. She may want to rethink her newfound pride. There’s nothing to be proud of when the president reduces this country to rank criminality while calling it, of all things, a “higher responsibility” that is “keeping America safe.” No one should envy the next Americans to be taken prisoner by rogue nations and terrorists, now that we’re no better than either.

Now for something completely different- Big Bang/ Universe Expansion diagram:

resizenowmap.jpg

Today’s Rumi:

The way of love is not a subtle argument.

The door there is devestation.

Birds make great sky-circles of their freedom.

How do they learn it?

They fall, and falling

they’re given wings.

Check out

Better Bees than Bears- my older son’s blog.

http://secretvoln.blogspot.com/

Silly animated gif:

revolving.gif

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Moved in

We are moved into the new home. It’s weird- a townhome I think they call it. I’ve not lived in an apartment kind of place in, oh, 25 years or more.

News items- not that new but still of note:

A bitter pill

This article was first published on guardian.co.uk on Tuesday February 26 2008. It was last updated at 13:39 on February 26 2008.
Antidepressants (Fluoxetine)

Capsules of Fluoxetine, the generic name for Prozac. Photograph Joe Raedle/Getty Images

“Perhaps the next time half a million people gather for a protest march on the White House green,” wrote Elizabeth Wurtzel in her bestselling book Prozac Nation, “it will not be for abortion rights or gay liberation, but because we’re all so bummed out.”

Or it might be to protest that the antidepressants so many of them had been prescribed might, after all, be dud.

Today, a major new study shows that Prozac, taken by 40 million people worldwide, does not work and nor do similar types of drugs. For a profession normally diplomatic, the words today of one of study’s authors are damning. “Given these results”, Professor Kirsch of Hull University says, “there seems little reason to prescribe antidepressant medication to any but the most severely depressed patients.”

But prescribed they have been. If Wurtzel called America the United States of Depression, statistics published last year cast the UK as the “Unhappy Kingdom”. According to mental health charity MIND, using information supplied by the NHS, 31 million batches of Prozac were prescribed in 2006 in England alone, up 6% on the year before.

Spread evenly over the UK’s 37 million people of working age, that’s nearly one prescription per adult.

And what does it cost? Antidepressant prescriptions cost the health service £3.3bn last year. One thirty-fifth of the entire NHS budget.

The class of drug called selective serotonin reuptake inhibitors (SSRIs), which includes Prozac, became available in the late 1980s. By 1994 the taking of such drugs was widespread and Wurtzel’s book marked the point at which they completed the journey from the shrink’s couch to the living room sofa where they have stayed. Since the early 90s the Mental Health Foundation says the number of prescriptions written for antidepressants has tripled.

GPs seem to recognise the problem. Responding to a recent survey by the Mental Health Foundation, 57% of GPs said that antidepressants were over-prescribed and that even though they had been recommended not to by the National Institute for Clinical Excellence, 55% of them used the drugs as their first response to mild or moderate depression.

More than three-quarters of GPs said they had prescribed an antidepressant in the last three years, despite believing that an alternative treatment might have been more appropriate, most commonly because there was a long waiting list for the alternative.

Oliver James, who has worked as a clinical psychologist both on and off television screens for over 30 years, doesn’t think such ready Prozac prescription will fall in the future.

He argues that diminished government funding for mental health services may explain the rise in prescriptions. “There is nothing else [GPs] can do. There just isn’t any alternative in too many parts of the country. The government try to use cognitive behaviour therapy. This just isn’t enough.”

It’s hard to tell how a Wurtzel of 14 years ago or even a Britney Spears of today would respond to being told to go for a bracing walk, but GPs are now being encouraged to prescribe “ecotherapy” instead of drugs. On this there seems to be progress.

The Mental Health Foundation claims that 22% of GPs now prescribe exercise therapy as one of their most common treatments for depression compared with only 5% three years ago.

Marjorie Wallace, chief executive of the mental health charity SANE, wants to see more evidence before discarding SSRIs, drugs that she says were once the “great hope for the future” allowing people release from the “crippling effect of the old tricyclic antidepressants which could be fatal”. If the research is validated in future Wallace fears psychological therapies will become the new prescription of choice, even though they do not work for everyone.

“These findings could remove what has been seen as a vital choice for thousands in treating what can be a life threatening condition.”

For now, Wallace pleads for sufferers to carrying on taking their medication.

Todays animated gif:

East Portland Ladie’s Club

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Update

Things have been a little overwhelming and I’ve had some psychiatric symptoms complicating things. It’s all okay, though. I’m going to be fine. And I know how to cope. I’ve been through worse.
Snook Fire/ Disaster News-
As you may already know, I was laid off  3 days after losing our home to fire. It hasn’t been a very good year so far. Except, I must say, for the support we have received from friends- that has been a blessing.
It’s been tough on Matt (our 18 year old- he was very attached to some stuff that was lost in the fire- things from when his sister was alive- he has a touch of OCD when it comes to things he associates with Erin).
The animals are mostly accounted for and safe. My sister is sitting for the two white cats (Blizzard and Annie). The humane society is boarding Mike and Noel. Daisy is being cared for by some neighbors who are “bird people” and don’t seem to mind her at all. Ruth has gone missing- cabn’t find her- but she’s probably around the old house somewhere, just freaked out.
Many people have helped us move stuff into storage and helped with clean-up and disposal of our former possessions. Julie has been working mostlyt and we both have been searchging for a home every spare minute. Matt is back to work at WallMart as of today.
We found a place to live- It’s a townhouse/ duplex near 122nd and Holgate. It has 2 bedrooms and a lot of stairs. It’s the first place where they didn’t tell us to take a hike (losing a job is not a good start to getting a rental).
We have a trustee account set up but the bank doesn’t want us to post it on the internet. If you can help, write me a comment or email me at dwellintheheart@yahoo.com or call me.
May T., Clerk of Oversight Committee at the Multnomah Monthly Meeting is the trustee- she’ll be able to access the funds for things we need like-
moving costs- deposits, getting utilities set up again,
replacing stuff we lost (e.g. Julie’s and my bedroom was gutted),
misc. expenses hard for us to pay because I just got laid off
(Re getting laid off- if anyone has a digital copy of my resume that would be great, because my copy was on the basement computer that was where the fire started.)

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Burning down the house!

My house burned down last night. No shit. Everything goner in a matter of minutes. Makes you think about what’s important. (Everybody’s okay- even the damn bird.)

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MLBM, tonight’s Rumi

Mad Liberation

By MOonLight

KBOO Radio 90.7 FM

1- 2 a.m. Late Friday night

(yes, I know that it is technically Saturday morning– relax, it’s just a radio show)

February 22, 2008

Dedicated to Everyone

who has ever been given a psychiatric label, to anyone who

experiences mental health challenges and to anybody who

has the misfortune (or good fortune) of being awake at that

hour.

You can participate!

 

Call in at (503) 231-8187

Friday nights from 1 am to 2 am following the full-moon, will be a

segment on KBOO radio (90.7 on your fm dial, to the left of NPR),

also streamed on the internet on their website,

http://www.kboo.fm/index.php will be time for of Mad Lib by

Moonlight. The program is part of the usual Friday night show, The

Outside World.

Your Radio really is talking to

 

 

you. Join the conversation.

 

 

 

Rumi: Birdwings

Your grief for what you’ve lost lifts a mirror

Up to where you are bravely working

Expecting the worst, you look, and instead

Here’s the joyful face you’ve been wanting to see.

Your hand opens and closes.

If it were always a fist or always stretched open,

You would be paralyzed.

Your deepest presence is in every small contracting

and expanding,

The two as beautifully balanced and coordinated

As birdwings

and a silly animated gif (dalerwalkenshoes):

dalerwalkenshoes.gif

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