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Archive for September, 2011

the obvious…

How the community mental health movement, the coming of managed care, the rise of the other mental health disciplines, the problems funding psychiatric training, the abuses that Dr. Szasz talks about, the paradigm battles within the specialty itself, the changing attitudes towards social welfare programs, the neuroleptic medications becoming available, and many other things all […]

how best to help…

In the US, we’ve been so focused on psychopharmacology in the last three decades that one wonders what psychiatrists even thought about before Prozac came along in 1987. One of those things actually had roots in early psychopharmacology era – the Community Mental Health Movement. Prior to the 1950s and the coming of Lithium [1949] […]

rule #1…

rule #1: never accept an invitation to go crazy… I made up this rule for living in my early days of dealing with those patients we call Borderline [because of their propensity to achieve outlier status no matter how you approach them]. As it turned out, it was a better rule than I knew – […]

Corrigendum III…

I can see that I’m redefining this word to fit my own needs. Corrigendum is going to mean "something else I’ve learned about that earlier topic I didn’t know very much about." That’s a long way from "printer’s error" [but I’m pretty sure that the people I picked it up from weren’t using it right […]

like old men often do…

I am not a neuropsychopharmacologist or a even neuroscientist – certainly not a clinical neuroscientist. By my own estimate, I’m not included among Dr. Stahl’s "pharmascolds, scientologists, and antimedication crowd who believe either there is no such thing as mental illness, that medication should not be used, or both." I haven’t personally been harmed or […]

Corrigendum II…

I’m still using the term Corrigendum all wrong. I picked it facetiously, after the recent post about the Risperdone augmentation studies where this five dollar word for benign printing errors was used to correct things that may well have been deliberate ommission or mis-statement – covering one’s tracks. I’m misusing it by proxy to say […]

Corrigendum I…

As best I can tell, a Corrigendum is an error that gets corrected in a later edition or article. Corrigendum is a brand new word for me, and it doesn’t yet just roll off the tongue. I think it’s publication-ese for "whoops" – not a way to cover up for previous deceit but rather to […]

unconscious…

To see a world in a grain of sand, And a heaven in a wild flower, Hold infinity in the palm of your hand, And eternity in an hour…         Auguries of Innocence 1803         William Blake Watching Dr. Healy last night [david healy and robert whitaker…], I was awed by his encyclopedic grasp of the topic […]

david healy and robert whitaker…

The CASPER ConferenceCommunity Action on Suicide Prevention, Education, and ResearchDr. David Healy and Robert Whitaker It’s almost three hours long, but worth the investment to hear these guys in person. Healy talks about suicidality with the antidepressants and Whitaker focuses on the long-term use of psychotropics.

ethical…

Harvard Doctors Accept Fewer Speaking Engagements As Restrictions Tighten The Harvard Crimson By Tara W. Merrigan September 09, 2011 The total amount of money pharmaceutical companies paid Massachusetts doctors promoting their products decreased in recent years—indicating that beefed-up conflict of interest policies are shutting down the profitable circuit of speaking engagements for Harvard doctors and […]