The Use and Misuse of Psychiatric Drugs: An Evidence-Based Critique / Edition 1

The Use and Misuse of Psychiatric Drugs: An Evidence-Based Critique / Edition 1

by Joel Paris
     
 

View All Available Formats & Editions

ISBN-10: 0470745711

ISBN-13: 9780470745717

Pub. Date: 10/12/2010

Publisher: Wiley

"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

Overview

"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.

Product Details

ISBN-13:
9780470745717
Publisher:
Wiley
Publication date:
10/12/2010
Pages:
224
Product dimensions:
4.90(w) x 7.70(h) x 0.60(d)

Related Subjects

Table of Contents

Foreword.

Introduction.

Part I OVERVIEW.

1 The History of Psychopharmacology.

2 The Science of Psychopharmacology.

3 The Pharmaceutical Industry.

Part II DRUGS IN PRACTICE.

4 Antipsychotics: For Better or For Worse.

5 Mood Stabilizers and Mood Instability.

6 Antidepressants.

7 Prescribing for Children and Adolescents.

8 Polypharmacy.

Part III PERSPECTIVES.

9 Alternatives to Drugs.

10 Medicalizing Distress.

11 The Future of Psychopharmacology.

References.

Index.

Customer Reviews

Average Review:

Write a Review

and post it to your social network

     

Most Helpful Customer Reviews

See all customer reviews >