[Script Info] Title: [Events] Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text Dialogue: 0,0:00:24.00,0:00:28.00,Default,,0000,0000,0000,,I'm going to talk to you about treating psychosis with psychoanalysis. Dialogue: 0,0:00:28.00,0:00:37.00,Default,,0000,0000,0000,,In 1982, we opened the Center for psychoanalytic treatment of young adult psychotics in Quebec, Dialogue: 0,0:00:37.00,0:00:45.00,Default,,0000,0000,0000,,which is referred to by its street address, "388", to keep the anonymity of the Center. Dialogue: 0,0:00:45.00,0:00:50.00,Default,,0000,0000,0000,,What is psychosis? Dialogue: 0,0:00:50.00,0:00:55.00,Default,,0000,0000,0000,,Also known as schizophrenia, psychosis is a severe mental illness Dialogue: 0,0:00:55.00,0:00:58.00,Default,,0000,0000,0000,,that can have devastating effects. Dialogue: 0,0:00:58.00,0:01:05.00,Default,,0000,0000,0000,,Symptoms include delusions, hearing voices, unbearable anguish; Dialogue: 0,0:01:05.00,0:01:11.00,Default,,0000,0000,0000,,Patients will also be mistrusting, or closed off in an imaginary world. Dialogue: 0,0:01:11.00,0:01:16.00,Default,,0000,0000,0000,,They will suffer from severe, sometimes extreme psychological distress, Dialogue: 0,0:01:16.00,0:01:24.00,Default,,0000,0000,0000,,will cut themselves off from other people, and live in solitude. Dialogue: 0,0:01:24.00,0:01:30.00,Default,,0000,0000,0000,,In the early 1980s, psychiatric science was at an impasse with treating psychotics. Dialogue: 0,0:01:30.00,0:01:36.00,Default,,0000,0000,0000,,Treatment at the time consisted of medication and hospitalization. Dialogue: 0,0:01:36.00,0:01:40.00,Default,,0000,0000,0000,,But medication couldn't prevent relapses; Dialogue: 0,0:01:40.00,0:01:49.00,Default,,0000,0000,0000,,so patients would be re-hospitalized more frequently and for longer periods of time. Dialogue: 0,0:01:49.00,0:01:53.00,Default,,0000,0000,0000,,As result, symptoms became chronic. Dialogue: 0,0:01:53.00,0:01:57.00,Default,,0000,0000,0000,,This was known as the "Revolving door syndrome", Dialogue: 0,0:01:57.00,0:02:01.00,Default,,0000,0000,0000,,whereby patients spent more and more time at the hospital, Dialogue: 0,0:02:01.00,0:02:05.00,Default,,0000,0000,0000,,were increasingly marginalized, Dialogue: 0,0:02:05.00,0:02:11.00,Default,,0000,0000,0000,,and placed in health care facilities, often for life. Dialogue: 0,0:02:11.00,0:02:18.00,Default,,0000,0000,0000,,Today, in 2012, not much has changed. Dialogue: 0,0:02:18.00,0:02:20.00,Default,,0000,0000,0000,,Nevertheless, there has been an important one: Dialogue: 0,0:02:20.00,0:02:24.00,Default,,0000,0000,0000,,the chemical dimension of treatment has been strengthened. Dialogue: 0,0:02:24.00,0:02:32.00,Default,,0000,0000,0000,,According to psychiatric biology, psychosis is a brain illness Dialogue: 0,0:02:32.00,0:02:38.00,Default,,0000,0000,0000,,So the psychiatrist, who is also a doctor, Dialogue: 0,0:02:38.00,0:02:46.00,Default,,0000,0000,0000,,will treat the sick brain before taking care of the person in distress. Dialogue: 0,0:02:46.00,0:02:53.00,Default,,0000,0000,0000,,Thoguh it is well known that medication today can alleviate symptoms, Dialogue: 0,0:02:53.00,0:03:00.00,Default,,0000,0000,0000,,they still can cannot prevent relapses from happening. Dialogue: 0,0:03:00.00,0:03:04.00,Default,,0000,0000,0000,,In 1980, when the 388 was first opened, Dialogue: 0,0:03:04.00,0:03:11.00,Default,,0000,0000,0000,,psychotic patients were also at an impasse with traditional psychiatric medicine. Dialogue: 0,0:03:11.00,0:03:13.00,Default,,0000,0000,0000,,They felt ignored, Dialogue: 0,0:03:13.00,0:03:15.00,Default,,0000,0000,0000,,they were afraid of speaking up, Dialogue: 0,0:03:15.00,0:03:20.00,Default,,0000,0000,0000,,afraid of talking about what they were going through. Dialogue: 0,0:03:20.00,0:03:25.00,Default,,0000,0000,0000,,When they did talk, they were told they were insane, delirious Dialogue: 0,0:03:25.00,0:03:30.00,Default,,0000,0000,0000,,that what they said wasn't real and they should forget the imaginary voices. Dialogue: 0,0:03:30.00,0:03:32.00,Default,,0000,0000,0000,,"Ignore the voices". Dialogue: 0,0:03:32.00,0:03:36.00,Default,,0000,0000,0000,,Then patients were given more medication and kept at the hospital for longer Dialogue: 0,0:03:36.00,0:03:43.00,Default,,0000,0000,0000,,until they eventually became quiet, and removed from others. Dialogue: 0,0:03:43.00,0:03:46.00,Default,,0000,0000,0000,,One of the patients talks about this impasse. Dialogue: 0,0:03:46.00,0:03:52.00,Default,,0000,0000,0000,,"I lost my friends... I wasn't feeling well. Dialogue: 0,0:03:52.00,0:03:56.00,Default,,0000,0000,0000,,I was going crazy, I could hear voices, Dialogue: 0,0:03:56.00,0:04:01.00,Default,,0000,0000,0000,,and I always carried a knife with me. Dialogue: 0,0:04:01.00,0:04:05.00,Default,,0000,0000,0000,,I couldn't take it anymore... I wanted to end my own life. Dialogue: 0,0:04:05.00,0:04:07.00,Default,,0000,0000,0000,,I went to see a psychiatrist Dialogue: 0,0:04:07.00,0:04:10.00,Default,,0000,0000,0000,,but he didn't ask me what was wrong-- I didn't get a chance to talk. Dialogue: 0,0:04:10.00,0:04:14.00,Default,,0000,0000,0000,,I asked for some psychotherapy, but he said it really wasn't for me. Dialogue: 0,0:04:14.00,0:04:20.00,Default,,0000,0000,0000,,I started taking pills, and then the medication stopped having an effect on me Dialogue: 0,0:04:20.00,0:04:26.00,Default,,0000,0000,0000,,or on the voices; and on top of that, I was gaining weight. Dialogue: 0,0:04:26.00,0:04:31.00,Default,,0000,0000,0000,,It went on like this for years, until the doctors found a miracle medicine. Dialogue: 0,0:04:31.00,0:04:36.00,Default,,0000,0000,0000,,I felt better for 6 months, even got a job... Dialogue: 0,0:04:36.00,0:04:40.00,Default,,0000,0000,0000,,...and then I had a major psychotic attack at work Dialogue: 0,0:04:40.00,0:04:44.00,Default,,0000,0000,0000,,-- even though I had been taking my medication. Dialogue: 0,0:04:44.00,0:04:47.00,Default,,0000,0000,0000,,I called my psychiatrist and told him that my medication wasn't working; Dialogue: 0,0:04:47.00,0:04:50.00,Default,,0000,0000,0000,,all he did was increase my dosage. Dialogue: 0,0:04:50.00,0:04:54.00,Default,,0000,0000,0000,,I felt like my life was over. Dialogue: 0,0:04:54.00,0:04:58.00,Default,,0000,0000,0000,,I had no purpose, I fell into a deep depression, Dialogue: 0,0:04:58.00,0:05:02.00,Default,,0000,0000,0000,,I wasn't doing anything anymore, not even speaking." Dialogue: 0,0:05:02.00,0:05:10.00,Default,,0000,0000,0000,,Another patient, Mr. F, talks about his isolation: Dialogue: 0,0:05:10.00,0:05:12.00,Default,,0000,0000,0000,,"I feel gentleness, Dialogue: 0,0:05:12.00,0:05:14.00,Default,,0000,0000,0000,,I feel sadness, Dialogue: 0,0:05:14.00,0:05:16.00,Default,,0000,0000,0000,,and I am alone. Dialogue: 0,0:05:16.00,0:05:21.00,Default,,0000,0000,0000,,Life is like a hard lump stuck in my throat." Dialogue: 0,0:05:21.00,0:05:27.00,Default,,0000,0000,0000,,30 years ago, GIFRIC psychoanalysts and psychiatrists Dialogue: 0,0:05:27.00,0:05:33.00,Default,,0000,0000,0000,,were already trying to find alternative ways of treating psychotics. Dialogue: 0,0:05:33.00,0:05:39.00,Default,,0000,0000,0000,,They wanted to give a future to those psychiatry had left out in the cold Dialogue: 0,0:05:39.00,0:05:43.00,Default,,0000,0000,0000,,by offering them a real and dynamic treatment Dialogue: 0,0:05:43.00,0:05:46.00,Default,,0000,0000,0000,,in which they would no longer be passive spectators of their own treatment, Dialogue: 0,0:05:46.00,0:05:52.00,Default,,0000,0000,0000,,as they had been in traditional psychiatry. Dialogue: 0,0:05:52.00,0:06:00.00,Default,,0000,0000,0000,,GIFRIC psychoanalysts wanted to offer an alternative to treatment and hospitalization, Dialogue: 0,0:06:00.00,0:06:03.00,Default,,0000,0000,0000,,to offer a choice of treatment. Dialogue: 0,0:06:03.00,0:06:06.00,Default,,0000,0000,0000,,The alternative was founded on 3 A's: Dialogue: 0,0:06:06.00,0:06:09.00,Default,,0000,0000,0000,,(A)nother place, (A)nother way, (A)longside Dialogue: 0,0:06:09.00,0:06:11.00,Default,,0000,0000,0000,,I'll explain: Dialogue: 0,0:06:11.00,0:06:14.00,Default,,0000,0000,0000,,1. To find another place in the city, other than psychiatric hospitals, Dialogue: 0,0:06:14.00,0:06:17.00,Default,,0000,0000,0000,,and bring psychotics together in their own space Dialogue: 0,0:06:17.00,0:06:21.00,Default,,0000,0000,0000,,as a way of countering their marginalization in society. Dialogue: 0,0:06:21.00,0:06:25.00,Default,,0000,0000,0000,,2. To find a different kind of treatment, using psychoanalysis: Dialogue: 0,0:06:25.00,0:06:30.00,Default,,0000,0000,0000,,allowing us to hear and understand what psychotic patients have to say, Dialogue: 0,0:06:30.00,0:06:35.00,Default,,0000,0000,0000,,and encourage patients to speak about that lump in their throat Dialogue: 0,0:06:35.00,0:06:39.00,Default,,0000,0000,0000,,so that they can get things off their chest. Dialogue: 0,0:06:39.00,0:06:42.00,Default,,0000,0000,0000,,3. To treat alongside psychotic patients, Dialogue: 0,0:06:42.00,0:06:47.00,Default,,0000,0000,0000,,as a partner and main actor of their treatment in their treatment team; Dialogue: 0,0:06:47.00,0:06:53.00,Default,,0000,0000,0000,,to help patients fulfill their dream of being in control of their future, Dialogue: 0,0:06:53.00,0:06:55.00,Default,,0000,0000,0000,,of changing their own lives, Dialogue: 0,0:06:55.00,0:07:01.00,Default,,0000,0000,0000,,and to claim the spot in society that is rightfully theirs. Dialogue: 0,0:07:01.00,0:07:10.00,Default,,0000,0000,0000,,It was a challenge to do all of this in 1982-- and it is still a challenge today. Dialogue: 0,0:07:10.00,0:07:15.00,Default,,0000,0000,0000,,Opening the 388 center was an innovation in psychosis treatment. Dialogue: 0,0:07:15.00,0:07:22.00,Default,,0000,0000,0000,,Let me go back to Mr.D, the first patient, who said "I wasn't even speaking" Dialogue: 0,0:07:22.00,0:07:28.00,Default,,0000,0000,0000,,"I saw an article on the 388 center and figured, why not? Dialogue: 0,0:07:28.00,0:07:33.00,Default,,0000,0000,0000,,I started my analytic treatment. It was not easy and took a lot of hard work. Dialogue: 0,0:07:33.00,0:07:40.00,Default,,0000,0000,0000,,But now, I'm back in school, I talk, and I've got a new lease on life." Dialogue: 0,0:07:40.00,0:07:47.00,Default,,0000,0000,0000,,At the center for psychoanalytic treatment, psychoanalysis is defined as Dialogue: 0,0:07:47.00,0:07:56.00,Default,,0000,0000,0000,,"a set of ethical practices that will promote a space in social relationships Dialogue: 0,0:07:56.00,0:07:59.00,Default,,0000,0000,0000,,for unconscious desires." Dialogue: 0,0:07:59.00,0:08:04.00,Default,,0000,0000,0000,,This new type of psychoanalysis is open to the problems faced by psychotics, Dialogue: 0,0:08:04.00,0:08:12.00,Default,,0000,0000,0000,,and was made possible by the work of Willy Apollon, a psychoanalyst. Dialogue: 0,0:08:12.00,0:08:19.00,Default,,0000,0000,0000,,The center is located in a beautiful house in a bustling neighbourhood Dialogue: 0,0:08:19.00,0:08:25.00,Default,,0000,0000,0000,,in the heart of the of Quebec city. Dialogue: 0,0:08:25.00,0:08:32.00,Default,,0000,0000,0000,,The facilities are open 24 hours a day, all year round Dialogue: 0,0:08:32.00,0:08:34.00,Default,,0000,0000,0000,,There is no medication on the premises, Dialogue: 0,0:08:34.00,0:08:38.00,Default,,0000,0000,0000,,there are no isolation rooms or restraints; Dialogue: 0,0:08:38.00,0:08:44.00,Default,,0000,0000,0000,,The center runs on verbal agreements. Dialogue: 0,0:08:44.00,0:08:50.00,Default,,0000,0000,0000,,Elise says: "What I like about the 388 is that the house promotes social living, Dialogue: 0,0:08:50.00,0:08:53.00,Default,,0000,0000,0000,,that does not marginalize us." Dialogue: 0,0:08:53.00,0:09:00.00,Default,,0000,0000,0000,,The Center was born out of a partnership between an NPO, the GIFRIC, Dialogue: 0,0:09:00.00,0:09:06.00,Default,,0000,0000,0000,,and a public care institution-- currently, the CSSS Vieille Capitale. Dialogue: 0,0:09:06.00,0:09:11.00,Default,,0000,0000,0000,,The budget for the Center was made available by the Dialogue: 0,0:09:11.00,0:09:15.00,Default,,0000,0000,0000,,Ministère de la sante des services sociaux. Dialogue: 0,0:09:15.00,0:09:20.00,Default,,0000,0000,0000,,A complete psychiatric treatment is the first of the treatments offered at the Center, Dialogue: 0,0:09:20.00,0:09:25.00,Default,,0000,0000,0000,,performed by an interdisciplinary team trained in the psychoanalytical treatment. Dialogue: 0,0:09:25.00,0:09:34.00,Default,,0000,0000,0000,,This team, that is ready for anything, is headed by a psychiatrist-psychanalyst. Dialogue: 0,0:09:34.00,0:09:42.00,Default,,0000,0000,0000,,There are beds for treating those crises that used to send patients to the hospital. Dialogue: 0,0:09:42.00,0:09:45.00,Default,,0000,0000,0000,,Having these beds on-site avoids hospitalization. Dialogue: 0,0:09:45.00,0:09:48.00,Default,,0000,0000,0000,,There are also art workshops-- not art-therapy, Dialogue: 0,0:09:48.00,0:09:55.00,Default,,0000,0000,0000,,but workshops with real artists, musicians, ceramists, stage actors, Dialogue: 0,0:09:55.00,0:09:57.00,Default,,0000,0000,0000,,and painters Dialogue: 0,0:09:57.00,0:10:06.00,Default,,0000,0000,0000,,-- to allow psychotics to invent adequate means of expressing what words can't. Dialogue: 0,0:10:06.00,0:10:10.00,Default,,0000,0000,0000,,There are always things that cannot be expressed in words. Dialogue: 0,0:10:10.00,0:10:14.00,Default,,0000,0000,0000,,The Center also houses sociocultural activities: Dialogue: 0,0:10:14.00,0:10:17.00,Default,,0000,0000,0000,,these are group activities that break isolation Dialogue: 0,0:10:17.00,0:10:24.00,Default,,0000,0000,0000,,and favour the creation of strong relationships with others Dialogue: 0,0:10:24.00,0:10:27.00,Default,,0000,0000,0000,,through work and study projects. Dialogue: 0,0:10:27.00,0:10:35.00,Default,,0000,0000,0000,,At the heart of all this are regular, personal sessions with a psychoanalyst. Dialogue: 0,0:10:35.00,0:10:41.00,Default,,0000,0000,0000,,Through psychoanalysis, psychotic patients work on "the thing inside them" Dialogue: 0,0:10:41.00,0:10:46.00,Default,,0000,0000,0000,,-- or "the monster", in their words-- that makes their life unbearable. Dialogue: 0,0:10:46.00,0:10:50.00,Default,,0000,0000,0000,,Patients are guided through their suffering, Dialogue: 0,0:10:50.00,0:10:57.00,Default,,0000,0000,0000,,and go through why their life is insane in their eyes, and in other's eyes. Dialogue: 0,0:10:57.00,0:11:01.00,Default,,0000,0000,0000,,Patients talk about anything with their psychoanalysts; Dialogue: 0,0:11:01.00,0:11:08.00,Default,,0000,0000,0000,,but they talk about their crises in particular: the voices, the delusions, the dreams, Dialogue: 0,0:11:08.00,0:11:11.00,Default,,0000,0000,0000,,the inner demons... Dialogue: 0,0:11:11.00,0:11:14.00,Default,,0000,0000,0000,,They talk about the traumatic experiences in their life Dialogue: 0,0:11:14.00,0:11:17.00,Default,,0000,0000,0000,,and will try to make sense of all of it. Dialogue: 0,0:11:17.00,0:11:24.00,Default,,0000,0000,0000,,Then, patients try to find another way of living with others Dialogue: 0,0:11:24.00,0:11:28.00,Default,,0000,0000,0000,,so that they can give new meaning to their life. Dialogue: 0,0:11:28.00,0:11:35.00,Default,,0000,0000,0000,,The goal is to understand what happened to them, Dialogue: 0,0:11:35.00,0:11:40.00,Default,,0000,0000,0000,,to profoundly change their life. Dialogue: 0,0:11:40.00,0:11:42.00,Default,,0000,0000,0000,,One patient explains: Dialogue: 0,0:11:42.00,0:11:46.00,Default,,0000,0000,0000,,"I understood that psychosis is a language; Dialogue: 0,0:11:46.00,0:11:51.00,Default,,0000,0000,0000,,one that I would be the one to decode, Dialogue: 0,0:11:51.00,0:11:59.00,Default,,0000,0000,0000,,so that I would be able to never use it again." Dialogue: 0,0:11:59.00,0:12:06.00,Default,,0000,0000,0000,,Another patient shares his experience with psychoanalysis: Dialogue: 0,0:12:06.00,0:12:11.00,Default,,0000,0000,0000,,"In my treatment, the long process of de-possession was difficult: Dialogue: 0,0:12:11.00,0:12:17.00,Default,,0000,0000,0000,,breaking free of the psychological jail that confined me to exclusion. Dialogue: 0,0:12:17.00,0:12:25.00,Default,,0000,0000,0000,,Today, I no longer carry the weight of the voices of others like me. Dialogue: 0,0:12:25.00,0:12:32.00,Default,,0000,0000,0000,,In order to do that, I had to find the root of a fissure in my childhood; Dialogue: 0,0:12:32.00,0:12:40.00,Default,,0000,0000,0000,,and when I found that fissure, I could not just plug it up. Dialogue: 0,0:12:40.00,0:12:47.00,Default,,0000,0000,0000,,Now, my work requires that I do something that was completely unknown to me before: Dialogue: 0,0:12:47.00,0:12:49.00,Default,,0000,0000,0000,,Negotiating. Dialogue: 0,0:12:49.00,0:12:56.00,Default,,0000,0000,0000,,You cannot imagine how much human wealth negotiation represents." Dialogue: 0,0:12:56.00,0:13:00.00,Default,,0000,0000,0000,,At the 388, we have results Dialogue: 0,0:13:00.00,0:13:05.00,Default,,0000,0000,0000,,Here is some objective data from the GIFRIC clinical observatory Dialogue: 0,0:13:05.00,0:13:11.00,Default,,0000,0000,0000,,First, we have a significant decline in the number of hospitalizations Dialogue: 0,0:13:11.00,0:13:17.00,Default,,0000,0000,0000,,90% less hospitalization days for a group of patients Dialogue: 0,0:13:17.00,0:13:21.00,Default,,0000,0000,0000,,that had been in treatment for at least 3 years in January 2012. Dialogue: 0,0:13:21.00,0:13:26.00,Default,,0000,0000,0000,,This represents a substantial amount of cost savings. Dialogue: 0,0:13:26.00,0:13:29.00,Default,,0000,0000,0000,,The amount of medication was also reduced, Dialogue: 0,0:13:29.00,0:13:32.00,Default,,0000,0000,0000,,and the quality of life was also improved: Dialogue: 0,0:13:32.00,0:13:36.00,Default,,0000,0000,0000,,life in an apartment room, studies, work, friends Dialogue: 0,0:13:36.00,0:13:38.00,Default,,0000,0000,0000,,an independant lifestyle... Dialogue: 0,0:13:38.00,0:13:45.00,Default,,0000,0000,0000,,and being able to laugh again. Dialogue: 0,0:13:45.00,0:13:52.00,Default,,0000,0000,0000,,Psychotics go from being socially excluded to being full-fledged citizens. Dialogue: 0,0:13:52.00,0:13:56.00,Default,,0000,0000,0000,,They, like you and I, even pay taxes Dialogue: 0,0:13:56.00,0:14:00.00,Default,,0000,0000,0000,,There are 2 types of subjective data for the results Dialogue: 0,0:14:00.00,0:14:07.00,Default,,0000,0000,0000,,(1) Those taken from evaluations conducted in 2002 by Ministry of Health experts Dialogue: 0,0:14:07.00,0:14:11.00,Default,,0000,0000,0000,,In their report, they took an interest in parents Dialogue: 0,0:14:11.00,0:14:18.00,Default,,0000,0000,0000,,who saw their children become more open and express their personality. Dialogue: 0,0:14:18.00,0:14:25.00,Default,,0000,0000,0000,,They did this by progressively going through the stages of social reintegration. Dialogue: 0,0:14:25.00,0:14:29.00,Default,,0000,0000,0000,,The experts also noted that parents particularly appreciated how Dialogue: 0,0:14:29.00,0:14:37.00,Default,,0000,0000,0000,,treatment at the 388 allowed patients to optimize their abilities Dialogue: 0,0:14:37.00,0:14:43.00,Default,,0000,0000,0000,,and reach a state of recovery their families had stopped hoping for. Dialogue: 0,0:14:43.00,0:14:50.00,Default,,0000,0000,0000,,The second type of results are more important to us. Dialogue: 0,0:14:50.00,0:14:54.00,Default,,0000,0000,0000,,(Here's a picture of the green staircase) Dialogue: 0,0:14:54.00,0:15:05.00,Default,,0000,0000,0000,,What we care most about, is when the psychotics are discharged Dialogue: 0,0:15:05.00,0:15:11.00,Default,,0000,0000,0000,,Its who we care about most-- those whose lives were saved by psychoanalysis. Dialogue: 0,0:15:11.00,0:15:13.00,Default,,0000,0000,0000,,One such patient says: Dialogue: 0,0:15:13.00,0:15:17.00,Default,,0000,0000,0000,,"I used to deal to the difficulties I faced in life Dialogue: 0,0:15:17.00,0:15:22.00,Default,,0000,0000,0000,,by locking myself up in my imagination. Dialogue: 0,0:15:22.00,0:15:26.00,Default,,0000,0000,0000,,Sometimes it became nightmarish: Dialogue: 0,0:15:26.00,0:15:29.00,Default,,0000,0000,0000,,nobody wanted to hear about what I had in my soul. Dialogue: 0,0:15:29.00,0:15:32.00,Default,,0000,0000,0000,,My analytical treatment saved me. Dialogue: 0,0:15:32.00,0:15:36.00,Default,,0000,0000,0000,,The analyst accompanied me, without judgement, Dialogue: 0,0:15:36.00,0:15:38.00,Default,,0000,0000,0000,,through the meanders of my thoughts. Dialogue: 0,0:15:38.00,0:15:43.00,Default,,0000,0000,0000,,Now, I can face the challenges life throws at me Dialogue: 0,0:15:43.00,0:15:51.00,Default,,0000,0000,0000,,with the experience I amassed during my treatment." Dialogue: 0,0:15:51.00,0:15:53.00,Default,,0000,0000,0000,,Now I will conclude. Dialogue: 0,0:15:53.00,0:15:57.00,Default,,0000,0000,0000,,A couple years ago, after a visit at the 388, Dialogue: 0,0:15:57.00,0:16:04.00,Default,,0000,0000,0000,,a fellow psychiatrist-- a former director of a psychiatrist hospital in Montreal Dialogue: 0,0:16:04.00,0:16:10.00,Default,,0000,0000,0000,,as well as Canadian representative to the WHO at the time-- Dialogue: 0,0:16:10.00,0:16:13.00,Default,,0000,0000,0000,,wrote the following: Dialogue: 0,0:16:13.00,0:16:17.00,Default,,0000,0000,0000,,"If the 388 did not exist, Dialogue: 0,0:16:17.00,0:16:21.00,Default,,0000,0000,0000,,it would need to be invented." Dialogue: 0,0:16:21.00,9:59:59.99,Default,,0000,0000,0000,,Thank you for your attention.