Evidence-biased Antidepressant Prescription


Book Description

This book addresses the over-prescribing of antidepressants in people with mostly mild and subthreshold depression. It outlines the steep increase in antidepressant prescription and critically examines the current scientific evidence on the efficacy and safety of antidepressants in depression. The book is not only concerned with the conflicting views as to whether antidepressants are useful or ineffective in various forms of depression, but also aims at detailing how flaws in the conduct and reporting of antidepressant trials have led to an overestimation of benefits and underestimation of harms. The transformation of the diagnostic concept of depression from a rare but serious disorder to an over-inclusive, highly prevalent but predominantly mild and self-limiting disorder is central to the books argument. It maintains that biological reductionism in psychiatry and pharmaceutical marketing reframed depression as a brain disorder, corroborating the overemphasis on drug treatment in both research and practice. Finally, the author goes on to explore how pharmaceutical companies have distorted the scientific literature on the efficacy and safety of antidepressants and how patient advocacy groups, leading academics, and medical organisations with pervasive financial ties to the industry helped to promote systematically biased benefit-harm evaluations, affecting public attitudes towards antidepressants as well as medical education, training, and practice.




Psychiatry


Book Description

This book was the end product of life experiences, thoughts and intellectual wanderings of the author, who through his career and for the last twenty years was always serving all the three aspects of a Psychiatrist: He is a clinician, a researcher and an academic teacher. The book includes a comprehensive history of Psychiatry since antiquity and until today, with an emphasis not only on main events but also specifically and with much detail and explanations, on the chain of events that led to a particular development. At the center of this work is the question ‘What is mental illness?’ and ‘Does free will exist?’. These are questions which tantalize Psychiatrists, neuroscientists, psychologists, philosophers, patients and their families and the sensitive and educated lay persons alike. Thus, the book includes a comprehensive review and systematic elaboration on the definition and the concept of mental illness, a detailed discussion on the issue of free will as well as the state of the art of contemporary Psychiatry and the socio-political currents it has provoked. Finally the book includes a description of the academic, social and professional status of Psychiatry and Psychiatrists and a view of future needs and possible developments. A last moment addition was the chapter on conspiracy theories, as a consequence of the experience with the social media and the public response to the COVID-19 outbreak which coincided with the final stage of the preparation of the book. Their study is an excellent opportunity to dig deep into the relation among human psychology, mental health, the society and politics and to swim in intellectually dangerous waters.




The Rise and Fall of the Biopsychosocial Model


Book Description

Developed in the twentieth century as an outgrowth of psychosomatic medicine, the biopsychosocial model is seen as an antidote to the constraints of the medical model of psychiatry. Nassir Ghaemi details the origins and evolution of the BPS model and explains how, where, and why it fails to live up to its promises. He analyzes the works of its founders, George Engel and Roy Grinker Sr., traces its rise in acceptance, and discusses its relation to the thought of William Osler and Karl Jaspers.




Public Mental Health: Global Perspectives


Book Description

This book will provide readers with an overview of the core knowledge and issues in public mental health, and a guide for students and practitioners on the evidence and tools available to help them develop Public Mental Health programs that work in practice.




Civilian Lunatic Asylums During the First World War


Book Description

This open access book explores the history of asylums and their civilian patients during the First World War, focusing on the effects of wartime austerity and deprivation on the provision of care. While a substantial body of literature on ‘shell shock’ exists, this study uncovers the mental wellbeing of civilians during the war. It provides the first comprehensive account of wartime asylums in London, challenging the commonly held view that changes in psychiatric care for civilians post-war were linked mainly to soldiers’ experiences and treatment. Drawing extensively on archival and published sources, this book examines the impact of medical, scientific, political, cultural and social change on civilian asylums. It compares four asylums in London, each distinct in terms of their priorities and the diversity of their patients. Revealing the histories of the 100,000 civilian patients who were institutionalised during the First World War, this book offers new insights into decision-making and prioritisation of healthcare in times of austerity, and the myriad factors which inform this.




Forensic Psychiatry


Book Description

An international panel of experts from diverse specialties examine the idea of "evil" in a medical context, specifically a mental health setting, to consider how the concept can be usefully interpreted, and to elucidate its relationship to forensic psychiatry. The authors challenge the belief that the concept of "evil" plays no role in "scientific" psychiatry and is not helpful to our understanding of aberrant human thinking and behavior. Among the viewpoints up for debate are a consideration of organizations as evil structures, the "medicalization" of evil, destruction as a constructive choice, violence as a secular evil, talking about evil when it is not supposed to exist, and the influence of evil on forensic clinical practice. Among the highlights are a psychological exploration of the notion of "evil" and a variety of interesting research methods used to explore the nature of "evil."




Psychiatrist in the Chair


Book Description

Born in Dublin in 1942, Anthony Clare was the best-known psychiatrist of his generation. His BBC Radio 4 show, In the Psychiatrist’s Chair, which ran from 1982 to 2001, brought him international fame and changed the nature of broadcast interviews forever. Famous interviewees included Stephen Fry, Anthony Hopkins, Spike Milligan, Maya Angelou and Jimmy Savile, each of whom yielded to Clare’s inimitable gentle yet probing style. Clare made unique contributions to the demystification and practice of psychiatry, most notably through his classic book Psychiatry in Dissent: Controversial Issues in Thought and Practice (1976). This book, the first, official biography of this much-loved figure, examines the man behind these achievements: the debater and the doctor, the writer and the broadcaster, the public figure and the family man. Using extensive public and family records, we ask: Who was Anthony Clare, really? Were there just one Anthony Clare, or many? What drove him? And what is to be learned from his life, his career, and his unique, sometimes controversial legacy to our understanding of the mind? This is the remarkable story of a remarkable person.




Clinician's Guide to Posttraumatic Stress Disorder


Book Description

Praise for Clinician's Guide to Posttraumatic Stress Disorder "Rosen and Frueh's important book takes a huge leap toward clarity. The chapters are authored by leading experts in the field, and each addresses one of the pressing issues of the day. The tone is sensible and authoritative throughout, but always with a thoughtful ear toward clinical concerns and implications." —George A. Bonanno, PhD Professor of Clinical Psychology Teachers College, Columbia University "All clinicians and researchers dealing with anxiety disorders should have a copy of Rosen and Frueh's Clinician's Guide to Posttraumatic Stress Disorder on their shelves. Moreover, they should read it from cover to cover. This compilation . . . is authoritative, very readable, and extremely well crafted. The issues are looked at from many vantage points, including assessment and treatment, cross-cultural, cognitive, and categorical/political." —Michel Hersen, PhD, ABPP Editor, Journal of Anxiety Disorders Dean, School of Professional Psychology, Pacific University Clinician's Guide to Posttraumatic Stress Disorder brings together an international group of expert clinicians and researchers who address core issues facing mental health professionals, including: Assessing and treating trauma exposure and posttraumatic morbidity Controversies and clinical implications of differences of opinion among researchers on the definition and diagnosis of the condition Treating the full range of posttraumatic reactions Cross-cultural perspectives on posttraumatic stress




Clinical Staging in Psychiatry


Book Description

Clinical staging is a solution to transform psychiatric diagnosis and improve mental health outcomes.