Psychiatry has been unwilling or unable to change a problem where people with schizophrenia in nations without psychiatry do better. This is on clinical and social outcomes on some countries and only social outcomes in others.

The interaction between the individual and the healthcare system is obviously a large part of it as are the different cultures in developed and developing world nations.

The interaction is a journey quite unlike other people's journey. It involves getting a negative label about one's being. Schizophrenic is the correct term for the phenotype pathologised by modern psychiatry. The pathologisation is perjorative label which allows change from the phenotype, usually sought to be destroyed using major tranquiliser 'medication but fundamentally there is nothing wrong with schizophrenia.

Then there's the experience of first episode psychosis. It's at this point modern healthcare and social structures fail. This is a continuation of the problem of the Great Confinement which housed but hid the mad in long term asylums. Though that structure has changed with care in the community and medication the confinement hasn't except for those rare individuals who are severely mentally ill but don't take medication. This includes no alcohol or legals drugs because many self medicate or in other weays hide the symptoms which may get them labelled.

A person experiencing first episode psychosis or mania is usually hospitalised and drugged, often using coercion. The truth is there is no alternative in the UK to hospitalisation and drugging. UK psychiatrists seek to find or offer other solutions.

Many people are coerced into taking medication. This can be by law or by subtler means like a doctor saying there's no other option than a lifetime of medication to remove the symptoms.

The truth is there are other alternatives. Low and non-medication strategies have potential. All this experimentation is done outside the UK. While the UK contributes to the ESA and LHC it hasn't yet decided to invest in progress in the treatment of the human condition.

The UK was one of the sites in the WHO IPSS trial which showed people with schizophrenia in some developing nations do better on clinical and social outcomes than those in the UK and US. These are countries without huge and well funded national mental healthcare systems. Their cultures are also different and better suited to the expanse of the human condition.

There needs to be progress in the 'treatment' of schizophrenia. There also needs to be liberation.

There are many examples of people who've made it in life in spite of mental healthcare or without it. Though it can be hard to see at times there is value to the symptoms and the suffering. There is value to all beings and all of the human condition.

In fact few studies show positive results for no treatment, if any. There are enough trials which question the value of the current psychiatric best practice for first episode psychosis.

We need a large alternative paradigm treatment thingie - I don't want to call it a psychiatric hospital -for first episode for psychosis. I feel London makes sense because of the higher rates of diagnosis of schizophrenia as well as a much larger population and, hopefully, larger GP consortia to persuade to fund it. Really I think it's something which needs to come from a national budget though. The hope is using alternative methods in the metropolis can lead to novel options which used in other cities to provide an alternative and hopefully better way to go through a first episode than suffer the trauma which is associated with current psychiatric practice.