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Loren Mosher

January 01, 1970

Loren Richard Mosher (September 3, 1933, Monterey, California – July 10, 2004, Berlin)[1][2] was an American psychiatrist,[2][3]: 21  clinical professor of psychiatry,[1][4][5] expert on schizophrenia[4][5] and the chief of the Center for Studies of Schizophrenia in the National Institute of Mental Health (1968–1980).[1][2][4] Mosher spent his professional career advocating for humane and effective treatment for people diagnosed as having schizophrenia[2] and was instrumental in developing an innovative, residential, home-like, non-hospital, non-drug treatment model for newly identified acutely psychotic persons.[1]

Loren Mosher
Born(1933-09-03)3 September 1933
Monterey, California, US
Died10 July 2004(2004-07-10) (aged 70)
Berlin, Germany
NationalityAmerican
Alma materStanford University, Harvard University
Known forCreating Soteria, founding Schizophrenia Bulletin
Scientific career
FieldsPsychiatry
InstitutionsYale University, National Institute of Mental Health, Uniformed Services University of the Health Sciences, University of California, American Psychiatric Association, MindFreedom International, Mosher's consulting company Soteria Associates
Websitewww.moshersoteria.com

In the 1970s, Mosher, then Chief of the newly formed Center for Schizophrenia Research, wrote a grant to obtain funding for a novel idea for treating people diagnosed with schizophrenia; an intensive psychosocial milieu-based residential treatment known as the Soteria Project. The results of the study were remarkable and showed that people with schizophrenia did in fact recover from the illness without the use of neuroleptics in a supportive home-like environment.[6]

Progressively vocal in his opposition to the prevailing psychiatric practices of the time and the increasing reliance on pharmaceuticals for treatment, Mosher managed to anger and isolate himself from many of his colleagues at the National Institute of Mental Health, and was finally dismissed from his position in 1980.[5] Disillusioned with the field, he wrote a very public letter of resignation from the American Psychiatric Association in 1998, stating that "After nearly three decades as a member it is with a mixture of pleasure and disappointment that I submit this letter of resignation from the American Psychiatric Association. The major reason for this action is my belief that I am actually resigning from the American Psychopharmacological Association. Luckily, the organization's true identity requires no change in the acronym."[7][8]

Biography edit

Loren Mosher was born on September 3, 1933, in Monterey, California, to the married couple of a teacher and boat builder.[1] He earned his undergraduate degree from Stanford University and his medical degree from Harvard University,[4] starting work at NIMH in 1964.[5] He undertook research training at the Tavistock Clinic in London from 1966 to 1967 and developed an interest in alternative treatments for schizophrenia.[2]

Before conceiving Soteria, Mosher supervised a ward in a psychiatric hospital at Yale University as its assistant professor, prescribed neuroleptics and was not against them. But by 1968, the year Mosher received the position of director of the Center for Schizophrenia Studies at the NIMH, he became convinced that the benefits of neuroleptics were overhyped.[9]

The house, known as Soteria, was opened in an area of San Jose, California, in April 1971.[3]: 22  Mosher believed that the violent and controlling atmosphere of psychiatric hospitals and the over-use of drugs hindered recovery. Despite its success (it achieved superior results than the standard medical treatment with drugs[10]), the Soteria Project closed in 1983 when, according to Loren Mosher and Robert Whitaker further funding was denied because of the politics of psychiatry that was increasingly controlled by the influence of pharmaceutical companies.[11]

Mosher is said to have had a far more nuanced view of the use of drugs than has been generally thought, and did not reject drugs altogether but insisted they be used as a last resort and in far lower doses than usual in the United States.[2]

After dismissal from NIMH, he taught psychiatry at the Uniformed Services University of the Health Sciences in Bethesda and became the head of the public mental health system in Montgomery County, Maryland.[5] In Washington, D.C., he started a crisis residential home called Crossing Place, the first of its kind in the United States. In Maryland, he started a crisis house in Rockville, McAuliffe House, based on Soteria principles.[5]

During the Ritalin phenomenon of the 1990s, he was often featured as a dissenting view in scores of articles. He was the founder and first editor in chief of Schizophrenia Bulletin.[2][12]

Mosher edited or co-authored some books, including Community Mental Health: A Practical Guide, and published more than 100 reviews and articles.[1][13] He held professorships and ran mental health programmes on both the US coasts.[1] Mosher also headed his own consulting company, Soteria Associates, providing research, forensic and mental health consultation[1] and cooperated for years with numerous advocacy groups, including the psychiatric survivor group MindFreedom International.[2] He wrote a preface to Peter Lehmann's book Coming off Psychiatric Drugs (2004).[14]

In 1996, he left Washington for San Diego.[5] He worked as a clinical professor of psychiatry for the University of California at San Diego medical school.[5]

He was married to, and later divorced, Irene Carleton Mosher.[5]

At the time of his death, he was in Berlin for experimental cancer treatment.[5]

Among survivors are his wife, Judy Schreiber, three children from the first marriage, a granddaughter, and two brothers.[5]

Mosher archive edit

His work is archived at Stanford University and can be accessed via their website. Anyone interested in further pursuing his work can arrange to have it brought to the Stanford Green Library.[15]

See also edit

References edit

  1. ^ a b c d e f g h Redler, Leon (July 28, 2004). "Loren Mosher: US psychiatrist whose non-drug treatments helped his patients (Obituary)". The Guardian.
  2. ^ a b c d e f g h Lenzer, Jeanne (August 21, 2004). "Obituary: Loren Mosher". British Medical Journal. 329 (7463): 463. doi:10.1136/bmj.329.7463.463. PMC 514223.
  3. ^ a b Bentall, Richard (2009). Doctoring the mind: is our current treatment of mental illness really any good?. NYU Press. pp. 21–23. ISBN 978-0-8147-9148-6.
  4. ^ a b c d Aderhold, Volkmar; Burti, Lorenzo; Ciompi, Luc; Estroff, Sue; Hendrix, Voyce; Oaks, David; Warner, Richard (2004). "Loren Mosher: In Memoriam" (PDF). Schizophrenia Bulletin. 30 (4): vi–vii.[dead link]
  5. ^ a b c d e f g h i j k Bernstein, Adam (July 20, 2004). "Contrarian Psychiatrist Loren Mosher, 70". The Washington Post. pp. B06.
  6. ^ Bola, John; Mosher, Loren (April 2003). "Treatment of acute psychosis without neuroleptics: Two year outcomes from the Soteria Project" (PDF). The Journal of Nervous and Mental Disease. 191 (4): 219–229. CiteSeerX 10.1.1.564.2860. doi:10.1097/01.nmd.0000061148.84257.f9. PMID 12695732. S2CID 1095393.
  7. ^ (PDF). Psychology Today. Vol. 32, no. 5. September–October 1993. pp. 219–229. Archived from the original (PDF) on May 1, 2012. Retrieved January 16, 2014.
  8. ^ Mosher, Loren (December 4, 1998). "Letter of resignation from the American Psychiatric Association". Soteria site. Retrieved January 16, 2014.
  9. ^ Robert, Whitaker (2002). Mad in America: Bad Science, Bad Medicine, and the Enduring Mistreatment of the Mentally Ill. Philadelphia: Basic Books. pp. 220–26. ISBN 9780465020140.
  10. ^ Calton, Tim; Ferriter, Michael; Huband, Nick; Spandler, Helen (January 2008). "A systematic review of the Soteria paradigm for the treatment of people diagnosed with schizophrenia". Schizophrenia Bulletin. 34 (1): 181–192. doi:10.1093/schbul/sbm047. PMC 2632384. PMID 17573357.
  11. ^ Video December 21, 2017, at the Wayback Machine of Robert Whitaker and Loren Mosher discussing the evidence for the Soteria model.
  12. ^ Woods, Angela (Winter 2012). "Rethinking "patient testimony" in the medical humanities: The case of Schizophrenia Bulletin's first person accounts". Journal of Literature and Science. 6 (1): 38–54. doi:10.12929/jls.06.1.03. ISSN 1754-646X. PMC 3928561. PMID 24563663.
  13. ^ List of works on Google Scholar Citations
  14. ^ Jensen, Karl; Lehmann, Peter (2004). Coming off psychiatric drugs: Successful withdrawal from neuroleptics, antidepressants, lithium, carbamazepine and tranquilizers. Berlin: Peter Lehmann Publishing. pp. 15–17. ISBN 978-0-9545428-0-1.
  15. ^ "Guide to the Loren R. Mosher Papers (in Stanford University Libraries)". The Board of Trustees of Stanford University. 2008. Retrieved August 17, 2010.

Some research papers edit

  • Mosher, Loren (March 1999). (PDF). Journal of Nervous and Mental Disease. 187 (3): 142–149. doi:10.1097/00005053-199903000-00003. PMID 10086470. Archived from the original (PDF) on February 29, 2012.
  • Mosher, Loren; Menn, Alma (November 1978). "Community Residential Treatment for Schizophrenia: Two-Year Follow-up". Hospital and Community Psychiatry. 29 (11): 715–723. doi:10.1176/ps.29.11.715. PMID 700610. S2CID 19296318.
  • Mosher, Loren; Menn, Alma; Matthews, Susan (April 1975). "Soteria: Evaluation of a home-based treatment for schizophrenia". American Journal of Orthopsychiatry. 45 (3): 455–467. doi:10.1111/j.1939-0025.1975.tb02556.x. PMID 238399.
  • Mosher, Loren; Keith, Samuel (1980). "Psychosocial treatment: Individual, group, family, and community support approaches". Schizophrenia Bulletin. 6 (1): 10–41. doi:10.1093/schbul/6.1.10. PMID 6102787.
  • Gunderson, John; Mosher, Loren (September 1975). "The cost of schizophrenia". The American Journal of Psychiatry. 132 (9): 901–906. doi:10.1176/ajp.132.9.901. PMID 168788.
  • Bola, John; Mosher, Loren (April 2003). "Treatment of Acute Psychosis Without Neuroleptics: Two-Year Outcomes From the Soteria Project". Journal of Nervous and Mental Disease. 191 (4): 219–229. CiteSeerX 10.1.1.564.2860. doi:10.1097/01.nmd.0000061148.84257.f9. PMID 12695732. S2CID 1095393.
  • Mosher, Loren; Pollin, William; Stabenau, James (May 1, 1971). "Identical Twins Discordant for Schizophrenia: Neurologic Findings". Archives of General Psychiatry. 24 (5): 422–430. doi:10.1001/archpsyc.1971.01750110034006. PMID 5581266.
  • Mosher, Loren (December 1983). "Alternatives to psychiatric hospitalization: Why has research failed to be translated into practice?". The New England Journal of Medicine. 309 (25): 1579–1580. doi:10.1056/NEJM198312223092512. PMID 6419102.
  • Mosher, Loren; Keith, Samuel (May 1979). "Research on the psychosocial treatment of schizophrenia: A summary report". The American Journal of Psychiatry. 136 (5): 623–631. doi:10.1176/ajp.136.5.623. PMID 219718.
  • Mosher, Loren (February 1982). "Italy's revolutionary mental health law: an assessment". American Journal of Psychiatry. 139 (2): 199–203. doi:10.1176/ajp.139.2.199. PMID 7055290.
  • Mosher, Loren (October 1983). "Recent developments in the care, treatment, and rehabilitation of the chronic mentally ill in Italy". Hospital and Community Psychiatry. 34 (10): 947–950. doi:10.1176/ps.34.10.947. PMID 6629349.

External links edit

  • Mosher, Loren (April 2004). (PDF). Mental Health Today: 18. PMID 15131954. Archived from the original on May 9, 2008.{{cite journal}}: CS1 maint: unfit URL (link)
  • De Wyze, Jeanette (January 9, 2003). "Still Crazy After All These Years". San Diego Weekly Reader. Vol. 32, no. 2.
  • Video of Robert Whitaker and Loren Mosher discussing the evidence for the Soteria model.
  • "Loren Mosher M.D. talks about Soteria Project and non-drug treatments for schizophrenia (video)". youtube.com. Archived from the original on December 15, 2021. Retrieved August 14, 2010.
  • Volkmar Aderhold, Peter Stastny & Peter Lehmann (2007). Soteria: An Alternative Mental Health Reform Movement (In honor of Loren R. Mosher). In Peter Stastny & Peter Lehmann (Eds.), Alternatives Beyond Psychiatry (pp. 146–160). Berlin / Eugene / Shrewsbury: Peter Lehmann Publishing. ISBN 978-0-9545428-1-8 (UK), ISBN 978-0-9788399-1-8 (USA).

January 01, 1970
loren, mosher, loren, richard, mosher, september, 1933, monterey, california, july, 2004, berlin, american, psychiatrist, clinical, professor, psychiatry, expert, schizophrenia, chief, center, studies, schizophrenia, national, institute, mental, health, 1968, . Loren Richard Mosher September 3 1933 Monterey California July 10 2004 Berlin 1 2 was an American psychiatrist 2 3 21 clinical professor of psychiatry 1 4 5 expert on schizophrenia 4 5 and the chief of the Center for Studies of Schizophrenia in the National Institute of Mental Health 1968 1980 1 2 4 Mosher spent his professional career advocating for humane and effective treatment for people diagnosed as having schizophrenia 2 and was instrumental in developing an innovative residential home like non hospital non drug treatment model for newly identified acutely psychotic persons 1 Loren MosherBorn 1933 09 03 3 September 1933Monterey California USDied10 July 2004 2004 07 10 aged 70 Berlin GermanyNationalityAmericanAlma materStanford University Harvard UniversityKnown forCreating Soteria founding Schizophrenia BulletinScientific careerFieldsPsychiatryInstitutionsYale University National Institute of Mental Health Uniformed Services University of the Health Sciences University of California American Psychiatric Association MindFreedom International Mosher s consulting company Soteria AssociatesWebsitewww wbr moshersoteria wbr com In the 1970s Mosher then Chief of the newly formed Center for Schizophrenia Research wrote a grant to obtain funding for a novel idea for treating people diagnosed with schizophrenia an intensive psychosocial milieu based residential treatment known as the Soteria Project The results of the study were remarkable and showed that people with schizophrenia did in fact recover from the illness without the use of neuroleptics in a supportive home like environment 6 Progressively vocal in his opposition to the prevailing psychiatric practices of the time and the increasing reliance on pharmaceuticals for treatment Mosher managed to anger and isolate himself from many of his colleagues at the National Institute of Mental Health and was finally dismissed from his position in 1980 5 Disillusioned with the field he wrote a very public letter of resignation from the American Psychiatric Association in 1998 stating that After nearly three decades as a member it is with a mixture of pleasure and disappointment that I submit this letter of resignation from the American Psychiatric Association The major reason for this action is my belief that I am actually resigning from the American Psychopharmacological Association Luckily the organization s true identity requires no change in the acronym 7 8 Contents 1 Biography 2 Mosher archive 3 See also 4 References 5 Some research papers 6 External linksBiography editLoren Mosher was born on September 3 1933 in Monterey California to the married couple of a teacher and boat builder 1 He earned his undergraduate degree from Stanford University and his medical degree from Harvard University 4 starting work at NIMH in 1964 5 He undertook research training at the Tavistock Clinic in London from 1966 to 1967 and developed an interest in alternative treatments for schizophrenia 2 Before conceiving Soteria Mosher supervised a ward in a psychiatric hospital at Yale University as its assistant professor prescribed neuroleptics and was not against them But by 1968 the year Mosher received the position of director of the Center for Schizophrenia Studies at the NIMH he became convinced that the benefits of neuroleptics were overhyped 9 The house known as Soteria was opened in an area of San Jose California in April 1971 3 22 Mosher believed that the violent and controlling atmosphere of psychiatric hospitals and the over use of drugs hindered recovery Despite its success it achieved superior results than the standard medical treatment with drugs 10 the Soteria Project closed in 1983 when according to Loren Mosher and Robert Whitaker further funding was denied because of the politics of psychiatry that was increasingly controlled by the influence of pharmaceutical companies 11 Mosher is said to have had a far more nuanced view of the use of drugs than has been generally thought and did not reject drugs altogether but insisted they be used as a last resort and in far lower doses than usual in the United States 2 After dismissal from NIMH he taught psychiatry at the Uniformed Services University of the Health Sciences in Bethesda and became the head of the public mental health system in Montgomery County Maryland 5 In Washington D C he started a crisis residential home called Crossing Place the first of its kind in the United States In Maryland he started a crisis house in Rockville McAuliffe House based on Soteria principles 5 During the Ritalin phenomenon of the 1990s he was often featured as a dissenting view in scores of articles He was the founder and first editor in chief of Schizophrenia Bulletin 2 12 Mosher edited or co authored some books including Community Mental Health A Practical Guide and published more than 100 reviews and articles 1 13 He held professorships and ran mental health programmes on both the US coasts 1 Mosher also headed his own consulting company Soteria Associates providing research forensic and mental health consultation 1 and cooperated for years with numerous advocacy groups including the psychiatric survivor group MindFreedom International 2 He wrote a preface to Peter Lehmann s book Coming off Psychiatric Drugs 2004 14 In 1996 he left Washington for San Diego 5 He worked as a clinical professor of psychiatry for the University of California at San Diego medical school 5 He was married to and later divorced Irene Carleton Mosher 5 At the time of his death he was in Berlin for experimental cancer treatment 5 Among survivors are his wife Judy Schreiber three children from the first marriage a granddaughter and two brothers 5 Mosher archive editHis work is archived at Stanford University and can be accessed via their website Anyone interested in further pursuing his work can arrange to have it brought to the Stanford Green Library 15 See also edit nbsp Psychiatry portal Soteria Schizophrenia Bulletin John Read psychologist References edit a b c d e f g h Redler Leon July 28 2004 Loren Mosher US psychiatrist whose non drug treatments helped his patients Obituary The Guardian a b c d e f g h Lenzer Jeanne August 21 2004 Obituary Loren Mosher British Medical Journal 329 7463 463 doi 10 1136 bmj 329 7463 463 PMC 514223 a b Bentall Richard 2009 Doctoring the mind is our current treatment of mental illness really any good NYU Press pp 21 23 ISBN 978 0 8147 9148 6 a b c d Aderhold Volkmar Burti Lorenzo Ciompi Luc Estroff Sue Hendrix Voyce Oaks David Warner Richard 2004 Loren Mosher In Memoriam PDF Schizophrenia Bulletin 30 4 vi vii dead link a b c d e f g h i j k Bernstein Adam July 20 2004 Contrarian Psychiatrist Loren Mosher 70 The Washington Post pp B06 Bola John Mosher Loren April 2003 Treatment of acute psychosis without neuroleptics Two year outcomes from the Soteria Project PDF The Journal of Nervous and Mental Disease 191 4 219 229 CiteSeerX 10 1 1 564 2860 doi 10 1097 01 nmd 0000061148 84257 f9 PMID 12695732 S2CID 1095393 Are psychiatrists betraying their patients PDF Psychology Today Vol 32 no 5 September October 1993 pp 219 229 Archived from the original PDF on May 1 2012 Retrieved January 16 2014 Mosher Loren December 4 1998 Letter of resignation from the American Psychiatric Association Soteria site Retrieved January 16 2014 Robert Whitaker 2002 Mad in America Bad Science Bad Medicine and the Enduring Mistreatment of the Mentally Ill Philadelphia Basic Books pp 220 26 ISBN 9780465020140 Calton Tim Ferriter Michael Huband Nick Spandler Helen January 2008 A systematic review of the Soteria paradigm for the treatment of people diagnosed with schizophrenia Schizophrenia Bulletin 34 1 181 192 doi 10 1093 schbul sbm047 PMC 2632384 PMID 17573357 Video Archived December 21 2017 at the Wayback Machine of Robert Whitaker and Loren Mosher discussing the evidence for the Soteria model Woods Angela Winter 2012 Rethinking patient testimony in the medical humanities The case of Schizophrenia Bulletin s first person accounts Journal of Literature and Science 6 1 38 54 doi 10 12929 jls 06 1 03 ISSN 1754 646X PMC 3928561 PMID 24563663 List of works on Google Scholar Citations Jensen Karl Lehmann Peter 2004 Coming off psychiatric drugs Successful withdrawal from neuroleptics antidepressants lithium carbamazepine and tranquilizers Berlin Peter Lehmann Publishing pp 15 17 ISBN 978 0 9545428 0 1 Guide to the Loren R Mosher Papers in Stanford University Libraries The Board of Trustees of Stanford University 2008 Retrieved August 17 2010 Some research papers editMosher Loren March 1999 Soteria and other alternatives to acute psychiatric hospitalization a personal and professional review PDF Journal of Nervous and Mental Disease 187 3 142 149 doi 10 1097 00005053 199903000 00003 PMID 10086470 Archived from the original PDF on February 29 2012 Mosher Loren Menn Alma November 1978 Community Residential Treatment for Schizophrenia Two Year Follow up Hospital and Community Psychiatry 29 11 715 723 doi 10 1176 ps 29 11 715 PMID 700610 S2CID 19296318 Mosher Loren Menn Alma Matthews Susan April 1975 Soteria Evaluation of a home based treatment for schizophrenia American Journal of Orthopsychiatry 45 3 455 467 doi 10 1111 j 1939 0025 1975 tb02556 x PMID 238399 Mosher Loren Keith Samuel 1980 Psychosocial treatment Individual group family and community support approaches Schizophrenia Bulletin 6 1 10 41 doi 10 1093 schbul 6 1 10 PMID 6102787 Gunderson John Mosher Loren September 1975 The cost of schizophrenia The American Journal of Psychiatry 132 9 901 906 doi 10 1176 ajp 132 9 901 PMID 168788 Bola John Mosher Loren April 2003 Treatment of Acute Psychosis Without Neuroleptics Two Year Outcomes From the Soteria Project Journal of Nervous and Mental Disease 191 4 219 229 CiteSeerX 10 1 1 564 2860 doi 10 1097 01 nmd 0000061148 84257 f9 PMID 12695732 S2CID 1095393 Mosher Loren Pollin William Stabenau James May 1 1971 Identical Twins Discordant for Schizophrenia Neurologic Findings Archives of General Psychiatry 24 5 422 430 doi 10 1001 archpsyc 1971 01750110034006 PMID 5581266 Mosher Loren December 1983 Alternatives to psychiatric hospitalization Why has research failed to be translated into practice The New England Journal of Medicine 309 25 1579 1580 doi 10 1056 NEJM198312223092512 PMID 6419102 Mosher Loren Keith Samuel May 1979 Research on the psychosocial treatment of schizophrenia A summary report The American Journal of Psychiatry 136 5 623 631 doi 10 1176 ajp 136 5 623 PMID 219718 Mosher Loren February 1982 Italy s revolutionary mental health law an assessment American Journal of Psychiatry 139 2 199 203 doi 10 1176 ajp 139 2 199 PMID 7055290 Mosher Loren October 1983 Recent developments in the care treatment and rehabilitation of the chronic mentally ill in Italy Hospital and Community Psychiatry 34 10 947 950 doi 10 1176 ps 34 10 947 PMID 6629349 External links editMosher Loren April 2004 Lone voice Loren Mosher is still standing out against the psychiatric establishment Interview PDF Mental Health Today 18 PMID 15131954 Archived from the original on May 9 2008 a href Template Cite journal html title Template Cite journal cite journal a CS1 maint unfit URL link De Wyze Jeanette January 9 2003 Still Crazy After All These Years San Diego Weekly Reader Vol 32 no 2 Video of Robert Whitaker and Loren Mosher discussing the evidence for the Soteria model Loren Mosher M D talks about Soteria Project and non drug treatments for schizophrenia video youtube com Archived from the original on December 15 2021 Retrieved August 14 2010 Volkmar Aderhold Peter Stastny amp Peter Lehmann 2007 Soteria An Alternative Mental Health Reform Movement In honor of Loren R Mosher In Peter Stastny amp Peter Lehmann Eds Alternatives Beyond Psychiatry pp 146 160 Berlin Eugene Shrewsbury Peter Lehmann Publishing ISBN 978 0 9545428 1 8 UK ISBN 978 0 9788399 1 8 USA Retrieved from https en wikipedia org w index php title Loren Mosher amp oldid 1179855463, wikipedia, wiki, book, books, library,

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