Peter Roger Breggin (born May 11, 1936) is an American psychiatrist, best known as an advocate of anti-psychiatry and as a critic of biological psychiatry and psychiatric medication. In his many books he advocates replacing psychiatry's "reliance" on drugs and electroshock with a humanistic, caring reliance on psychotherapy, education and broader human services . Opinions on his work are divided, with the psychologist Bertram Karon, Professor of Psychology at Michigan State University, calling Breggin "the conscience of American Psychiatry" while several judges have branded his opinions unscientific and have excluded his testimony as a result.
Breggin is the author of books such as Toxic Psychiatry, Talking Back to Prozac, Talking Back to Ritalin, The Ritalin Fact Book, and The Heart of Being Helpful. His most recent book, the second edition of Brain-Disabling Treatments in Psychiatry, presents research on subjects such as the brain-disabling principle of psychiatric treatment, medication spellbinding, the adverse effects of drugs and electroconvulsive therapy (ECT), the hazards of diagnosing and medicating children, the psychopharmaceutical complex, and guidelines for psychotherapy and counseling.
Breggin now lives in the Finger Lakes Region of Central New York and practices psychiatry in Ithaca, New York, where he treats adults, families and children with their families.
Breggin's background includes Harvard College from which he graduated with honors and Case Western Reserve Medical School. His postgraduate training in psychiatry began with an internship year of mixed medicine and psychiatry at the State University of New York (SUNY) Upstate Medical Center in Syracuse, a first year of psychiatric residency at Harvard's Massachusettes Mental Health Center in Boston where he was a teaching fellow at Harvard Medical School, followed by another two years of psychiatric residency at SUNY. This was followed by a two-year staff appointment to the National Institute of Mental Health (NIMH) where he worked in building and staffing mental health centers and then in mental health in education. He has taught at several universities, including faculty appointments to the Washington School of Psychiatry, the Johns Hopkins University Department of Counseling and the George Mason University Institute for Conflict Analysis and Resolution. Breggin has been in private practice since 1968.
Breggin is a life member of the American Psychiatric Association (that is, a member paying reduced or no dues, for which one becomes eligible when one's age plus total years of membership equal 95.) and an editor for several scientific journals. His opinions have been portrayed both favourably and unfavourably in the media, including Time Magazine and the New York Times. He has appeared as a guest on many radio and television shows, including 60 Minutes, 20/20, Nightline and numerous network news reports.
In 1971, Breggin founded the International Center for the Study of Psychiatry and Psychology (ICSPP), a nonprofit research and educational network. The center is concerned with the impact of mental health theory and practices upon individual well-being, personal freedom, and family and community values. As of July 2008, the center has a board of directors composed of 27 psychiatrists, psychologists, social workers, counselors and other professionals in the mental health field. There is also an advisory council of several hundred more individuals. The center holds annual scientific conferences that are open to the public.
In 1999 he also founded the journal, Ethical Human Sciences and Services (EHSS), renamed Ethical Human Psychology and Psychiatry. The peer-reviewed journal is published by Springer Publishing Company and "is the official journal of the International Center for the Study of Psychiatry".. The stated goal of EHSS is to, "raise the level of scientific knowledge and ethical discourse, while empowering professionals who are devoted to principled human sciences and services unsullied by professional and economic interests. According to the Scopus database, since its inception the most citations it has received in a year is 13. By contrast, respected psychiatry journals attract citation counts in the tens of thousands, e.g. 2007 figures for the Archives of General Psychiatry (33,795), the American Journal of Psychiatry (44,514), and the Journal of Clinical Psychiatry (19,166).
In 2002 Breggin encouraged younger professionals to take over leadership of ICSPP and Ethical Human Psychology and Psychiatry. He continues to speak at annual meetings and to contribute to the journal on a regular basis.
According to Breggin, the pharmaceutical industry propagates disinformation which is accepted by unsuspecting doctors, "The psychiatrist accepts the bad science that establishes the existence of all these mental diseases in the first place. From there it’s just a walk down the street to all the drugs as remedies". He points out problems with conflicts-of-interest (such as the financial relationships between drug companies, researchers, and the American Psychiatric Association). Breggin states psychiatric drugs, "...are all, every class of them, highly dangerous". He asserts: "If neuroleptics were used to treat anyone other than mental patients, they would have been banned a long time ago. If their use wasn't supported by powerful interest groups, such as the pharmaceutical industry and organized psychiatry, they would be rarely used at all. Meanwhile, the neuroleptics have produced the worst epidemic of neurological disease in history. At the least, their use should be severely curtailed."
In his book, Reclaiming Our Children, he calls for the ethical treatment of children and argues that our society's mistreatment of children is a national tragedy including the psychiatric diagnosing and drugging of children whose needs we have otherwise failed to meet. He especially objects to prescribing psychiatric medications to children, because he claims on his website that it distracts from their real needs in the family and schools, and is potentially harmful to their developing brains and nervous systems.
The New York Times has labeled Breggin as the nation's best-known ADHD critic. As early as 1991 he coined the acronym DADD, stating, "...most so-called ADHD children are not receiving sufficient attention from their fathers who are separated from the family, too preoccupied with work and other things, or otherwise impaired in their ability to parent. In many cases the appropriate diagnosis is Dad Attention Deficit Disorder (DADD)". Breggin has written two books specifically on the topic entitled, Talking Back to Ritalin and The Ritalin Factbook. In these books he has made some controversial claims such as, "Ritalin "works" by producing malfunctions in the brain rather than by improving brain function. This is the only way it works". Forbes credited Breggin with "almost single-handedly reenergizing the anti-Ritalin contingent", which lead to a "flurry of lawsuits and news stories".Breggin also testified to Congress with Fred Baughman. In Congress Breggin claimed "that there were no scientific studies validating ADHD, that all these kids needed was "discipline and better instruction", and that therapeutic stimulants "are the most addictive drugs known in medicine today" . PBS Frontline also did a five part TV series entitled 'Medicating Kids', which was specifically about ADHD. Fred Baughman and Breggin were the major critics used in this series. In an interview during this time period he referred to ADHD as a "fiction". This increased critical attention to Ritalin culminated with the Ritalin class action lawsuits against Novartis, the American Psychiatric Association (APA), and CHADD in which the plaintiffs sued for fraud. Specifically, they charged that the defendants had conspired to invent and promote the disorder ADHD to create a highly profitable market for the drug Ritalin. At the time, these cases were considered "the next tobacco" and garnered national media attention. Breggin was a medical expert for only one of these cases, although he claimed to be a medical expert in three of them. All five lawsuits were dismissed or withdrawn before they went to trial.
Although Talking Back to Prozac was widely read at the time with over 40,000 sales in hardback and several hundred thousand in paperback , his pioneering efforts were largely ignored by the media when the FDA confirmed his original research. Prozac Backlash, a critique of SSRIs by Harvard psychiatrist Joseph Glenmullen was widely praised by high-profile media sources. This was addressed by Breggin in a subsequent book, The Antidepressant Fact Book:
Glenmullen has never countered Breggin's assertion and they both presented at the annual conference (in Queens, NY in 2004) of the International Center for the Study of Psychiatry and Psychology. Breggin continues to voice his respect for Glenmullen's work.
Breggin points out that the American Psychiatric Association (APA) and NAMI first began criticizing him after he conducted a successful campaign to stop the return of lobotomy and psychosurgery in the early 1970s. Among other actions, Breggin wrote scientific critiques of psychosurgery, participated in court cases against psychosurgery, and worked with the U.S. Congress to form the psychosurgery commission that declared the treatment experimental and unfit for routine clinical use. Both the APA and NAMI supported lobotomy as a legitimate medical treatment. Their criticism of Breggin escalated after he disclosed in Toxic Psychiatry that both organizations had substantial financial support from the pharmaceutical industry. Fredrick Goodwin is the "former head" of the National Institute of Mental Health who called Breggin an "outlaw." Before he criticized Breggin, Goodwin lost his job as a result of a national campaign conducted by Breggin and his wife Ginger against Goodwin's "violence initiative," a giant federal program aimed at unearthing genetic and biological defects in "inner city" children that supposedly made them violent. In their book, The War Against Children of Color, the Breggin's called Goodwin's programs "racist" and their campaign caused Goodwin to leave the federal government. Funding for the "violence initiative" was stopped.
Although he regularly critiques and has written reviews of the scientific literature, Breggin has not published controlled clinical trials, though this is not a prerequisite of holding a professional medical opinion. Breggin has published numerous theoretical papers, reviews and analyses in peer-reviewed journals such as Primary Psychiatry, Brain and Cognition, Mind and Behavior and the Archives of General Psychiatry to substantiate his claims. He has been accused, by critics, of cherry picking information from the research of others to draw unrelated conclusions. Stephen Barrett of Quackwatch, a retired psychiatrist and critic of Breggin, has stated: "he would like you to believe that his clinical experiences and investigations have enabled him to reach a level of insight that is greater than that of the majority of mental health professionals". Russell Barkley, an expert in ADHD, has also expressed reservations about Breggin's ideas. "...the flaws of both his research methods and his arguments are evident to any scientist even slightly familiar with the scientific literature". Breggin has been very critical of psychologist Barkley's work on the grounds that he exaggerates the benefits of stimulants and minimizes their hazards.
In 1987, NAMI brought a complaint against Breggin with licensure board of the State of Maryland. NAMI was upset about remarks he made on the Oprah Winfrey Show on April 2, 1987. On the TV show, Breggin stated that mental health clients should judge their clinicians in terms of their empathy and support; if they failed to show interest in them and tried to prescribe drugs during the first session, he advised such clients to seek assistance elsewhere. He also pointed out the iatrogenic effects of neuroleptic drugs. He was defended by a diverse group of psychiatrists and others who defended his right to publicly state his critical opinion. Breggin was cleared of any wrongdoing by the Maryland medical board, which thanked him for his contribution to mental health in Maryland. Time magazine has noted that other mental health professionals worry that "Breggin reinforces the myth that mental illness is not real, that you wouldn't be ill if you'd pull yourself up by the bootstraps...his views stop people from getting treatment. They could cost a life."
He has also known to express views that he later rejects, such as that it can be okay for children to have sexual relationships and that the vast majority of women have been sexually abused in childhood.
Breggin testified as an expert witness in the Wesbecker case (Fentress et al., 1994), a lawsuit against Eli Lilly, makers of Prozac. Ultimately, the jury found for Eli Lilly. Breggin later claimed that this was because the plaintiffs and defendants had secretly settled behind closed doors. Breggin alleges that pharmaceutical manufacturers, particularly Eli Lilly, have committed ad hominem attacks upon him in the form of linking him to Scientology campaigns against psychiatric drugs. Breggin acknowledges that he did work with Scientology starting in 1972, but states that by 1974 he "found opposed to Scientology's values, agenda, and tactics", and in consequence "stopped all cooperative efforts in 1974 and publicly declared criticism of the group in a letter published in Reason." Breggin has also stated that he has personal reasons to dislike Scientology since his wife, Ginger, was once a member.
Several judges have questioned Breggin's credibility as an expert witness. For example, a Maryland judge in a medical malpractice case in 1995 said, "I believe that his bias in this case is blinding. . . he was mistaken in a lot of the factual basis for which he expressed his opinion". In that same year a Virginia judge excluded Breggin's testimony stating, "This court finds that the evidence of Peter Breggin, as a purported expert, fails nearly all particulars under the standard set forth in Daubert and its progeny. . . Simply put, the Court believes that Dr. Breggin's opinions do not rise to the level of an opinion based on 'good science'".
In 2002, Breggin was hired as an expert witness by a survivor of the Columbine High School massacre in a case against the makers of an anti-depressant drug. In his report, Dr. Breggin failed to mention the Columbine incident or one of the killers, instead focusing on the medication taken by the other, "...Eric Harris was suffering from a substance induced (Luvox-induced) mood disorder with depressive and manic features that had reached a psychotic level of violence and suicide. Absent persistent exposure to Luvox, Eric Harris probably would not have committed violence and suicide". However, according to The Denver Post, the judge of the case "...was visibly angry that the experts failed to view evidence prior to their depositions" even though they had months to do so. The evidence would have included hundreds of documents including a significant amount of video and audio tape that the killers had recorded. The judge stated, "..lawyers will be free to attack them on the basis of the evidence they haven't seen and haven't factored into their opinions". . The lawsuit was eventually dropped with the stipulation that the makers of Luvox donate $10,000 to the American Cancer Society.
In 2005, a Common Pleas Court disqualified the testimony of Breggin because it did not meet the scientific rigor established by the Frye Standard. The judge stated "...Breggin spends 14 pages critiquing the treatment provided not because it ran counter to the acceptable standards of care, but because it ran counter to Breggin’s personal ideas and ideologies of what the standards ought to be.”