Электронная книга: Joel Paris «The Use and Misuse of Psychiatric Drugs. An Evidence-Based Critique»
Dr. Paris has written an honest, balanced presentation of the ways in which psychiatric drugs are evaluated and prescribed. He highlights the complexity of the task, the limits of what is known and the mixed picture that research often produces. His conclusions are refreshing because they are built from an even-handed, pragmatic assessment of the empirical evidence. The result is a stimulating look at the world of treatments for emotional disorders that acknowledges the usefulness of both biological and psychosocial explanations where appropriate. His recommendations provide helpful roadmaps for patients, practitioners and researchers alike. The book is sure to serve as a welcome catalyst for the continuing debates about which treatments are likely to produce the best outcomes.—Roger P. Greenberg, Ph.D. Distinguished Professor and Head, Psychology Division Dept. of Psychiatry&Behavioral Science SUNY Upstate Medical University, NY, USA The message of this book is that psychiatrists have some very good drugs, but can expect bad results when they are over-used, prescribed outside of evidence-based indications, or given to the wrong patients. While acknowledging that many current agents are highly effective and have revolutionized the treatment of certain disorders, Joel Paris criticizes their use outside of an evidence base. Too many patients are either over-medicated or are misdiagnosed to justify aggressive treatment. Dr. Paris calls for more government funding of clinical trials to establish, without bias, the effectiveness of these agents. He has written this book for practitioners and trainees to show that scientific evidence supports a more cautious and conservative approach to drug therapy. After describing the history of psychopharmacology, including its early successes, Dr. Paris reviews the relationship between psychiatry and the pharmaceutical industry. This problem has received considerable popular attention in recent years and Dr. Paris documents initiatives to increase transparency and decrease the influence of pharmaceutical marketing on diagnosis and prescribing habits. Dr Paris then examines some major controversies. One is the fact that newer drugs have not been shown to be superior to older agents. Another is that while the number of prescriptions for antidepressants has increased dramatically, meta-analyses show that their value is more limited than previously believed. Still another is the widespread prescription of mood stabilizers and antipsychotic drugs for patients, including children and adolescents, who do not have bipolar illness. Polypharmacy is an especially contentious area: very few drug combinations have been tested in clinical trials, yet many patients end up on a cocktail of powerful drugs, each with its own side effects. Dr Paris briefly considers alternatives to pharmacology and again calls for more clinical trials of these approaches. He also discusses the current trend to medicalizing what many would describe as normal distress and states succinctly: Some things in life are worth being upset about.
Издательство: "John Wiley&Sons Limited"
ISBN: 9780470666623 электронная книга Купить за 4994.38 руб и скачать на Litres
Купить за 4994.38 руб и скачать на Litres
Look at other dictionaries:
Arguments for and against drug prohibition — Arguments about the prohibition of drugs, and over drug policy reform, are subjects of considerable controversy. The following is a presentation of major drug policy arguments, including those for drug law enforcement on one side of the debate,… … Wikipedia
Schizophrenia — MeshName = Schizophrenia MeshNumber = F03.700.750 Schizophrenia (pron en|ˌskɪtsəˈfriːniə), from the Greek roots schizein (σχίζειν, to split ) and phrēn , phren (φρήν, φρεν , mind ) is a psychiatric diagnosis that describes a mental disorder… … Wikipedia
Attention deficit hyperactivity disorder — Attention deficit/hyperactivity disorder Classification and external resources Children with ADHD often find it difficult to do their schoolwork. ICD 10 F … Wikipedia
Attention-deficit hyperactivity disorder controversies — Methylphenidate (Ritalin) 10mg Pill (Ciba/Novartis), a drug commonly prescribed to treat ADHD The causes, diagnosis, and the treatment of attention deficit hyperactivity disorder (ADHD) have been the subject of active debate at least since the… … Wikipedia
Major depressive disorder — For other depressive disorders, see Mood disorder. Major Depressive Disorder Classification and external resources … Wikipedia
Anti-psychiatry — See also: Biopsychiatry controversy Anti psychiatry refers to a post 1960s configuration of groups and theoretical constructs hostile to most of the fundamental assumptions and practices of psychiatry. Its igniting influences were Michel Foucault … Wikipedia
Psilocybin — Psilocybin … Wikipedia
AIDS — For other uses, see AIDS (disambiguation). Acquired immunodeficiency syndrome (AIDS) Classification and external resources … Wikipedia
Domestic violence — Domestic disturbance redirects here. For the 2001 film, see Domestic Disturbance. Domestic violence Classification and external resources eMedicine article/805546 MeSH … Wikipedia