Как психиатрией будет Medicating нация
Пятница 17-ое апрель 2008Парикмахер Charles автора обсуждает придумки американцов' нереалистичные о счастье. Мы имеем medicalized множество вопросами жизни не будут умственные болезни.
Пока мы теперь были accustomed к заграждению реклам снадобья рецепта на основн-времени TV, он jarring для того чтобы выучить что это рекламируя законно только в Соединенных Штатах и Новой Зеландии. Фармацевтическая промышленность не справедливые американцы цели сразу, но также тратит грубо $25.000 в врача в год. С помощью информации от горнодобывающих компаний данных, фармацевтический представитель знает точно how many рецепты для что лекарство доктор писал, позволяющ индустрию индивидуально пристрелть их.
Как американцы пришли к этому чреватому отношению с фармацевтическая промышленность и свои снадобья - определенно антидепрессанты - вопрос книги парикмахера Charles новой, Удобно онемело. Ветеран умственных программ здоровья в укрытиях бездомные как и lecturer в психиатрии на школе университета Yale микстуры, парикмахер тренируют его глаз к стечению науки и культуры которые вели к widespread предписывать лекарств раз резервируемых в самые серьезные случаи.
Пока поле нейронауки продолжается churn вне новые данные о дороге наша работа мозгов, парикмахер быстро remind мы больше должно пока быть понятым. Парикмахер недавн поговорил с AlterNet о как более менее sexy обработки как социальные интервенции и терапии могут быть справедливы как эффективно в изменять мозг.
Onnesha Roychoudhuri: Вело вас написать книгу?
Парикмахер Charles: Когда я начал в умственном поле здоровья in the late 80's не было реально имени для я сделал. Если я поговорил к профессиональным, educated людям, то они не поняли психиатрические диагнозы или лекарства. После этого, 10 лет более поздно, люди находились очень вверх на диагнозах, они были участливы к я делал, и было теперь имя для поля: умственное здоровье. Много из их принимали такие же лекарства что мои клиенты были. Были серии случаев над последними 80's и предыдущими 90's установили вс вверх по. Главным образом вещь Prozac и своими кузенами Paxil и Zoloft, которое стали полно mainstream; the TV advertising of drugs in the mid-’90s, well-known figures going public with their clinical depression, and a lot of subsequent pop culture stuff: The Sopranos and A Beautiful Mind, for example. All of this brought psychiatry, particularly medications, into the fore.
OR: Can you talk about your involvement in the mental health field and what it has enabled you to observe?
CB: I fell into the field for a lot of different reasons. I worked in psychiatric homeless shelter programs for about 10 years in New York — Bellevue being the most well-known. So I was working with the really seriously mentally ill, many of whom had been in and out of prisons and state psychiatric facilities and homeless shelters. What I found was that psychiatry, at least for certain diagnoses, has confused the really serious forms of the illness with the far lesser forms. The best example is depression. Many of the folks that I worked with suffered from severe depression. I make the distinction in the book between big “D” depression and small “d” depression. In its severe forms, it’s an absolutely brutal, horrific and malevolent illness where people are at dire risk of hurting themselves.
It’s jarring to go to a cocktail party and hear people talking about being bummed out or hear that they’re going through a divorce, and their family doctor put them on an antidepressant. There has been a confusion and conflation of this diagnosis that confuses serious disorders with far lesser conditions or, in many cases, life problems. We’ve medicalized a lot of life issues that are not mental illnesses.
OR: Just to be clear, this book is not about medication as a “bad” thing.
CB: Absolutely not. I think I make clear in the book that for serious disorders, I’ve seen the medications work really, really well. However, there are often side effects that the field has overlooked and is becoming more aware of these days. And these medications still don’t work a good percentage of the time for people with serious disorders. My critique is that the further you get away from serious or moderate disorders, where you’re treating nondisorders or marginal disorders with medication, the risk/reward calculus of the medications becomes more iffy — particularly antidepressants.
When the SSRI (selective serotonin reuptake inhibitor) antidepressants like Prozac and Zoloft and Paxil first came out, they were considered pretty much side-effect-free, largely because the previous generation of antidepressants had a lot of side effects. But in the past few years, people have become more aware that they have more side effects. These effects are seen most when people are getting on and off the drugs.
OR: You write that, in 2002, more than 11 percent of American women and five percent of American men were taking antidepressants. I was struck by the high percentages, but also the fact that more than 1 in 10 women are on these medications.
See More:Health News USA NewsHave Your Say: How Psychiatry Is Medicating a Nation
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This entry was posted on Thursday, April 17th, 2008at 9:48 pmand is filed under Surveillance, Civil Liberties & Human Rights News, Culture. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.
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