ordinarily well the case for antidepressants

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Ordinarily Well

Author : Peter D. Kramer
ISBN : 9780374280673
Genre : Medical
File Size : 85. 78 MB
Format : PDF, ePub, Docs
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Do antidepressants actually work, or are they just glorified dummy pills? How can we tell one way or the other? InOrdinarily Well, the celebrated psychiatrist and author Peter D. Kramer addresses the growing mistrust of antidepressants among the medical establishment and the broader public by taking the long view. He charts the history of the drugs' development and the research that tests their worth, from the Swiss psychiatrist Roland Kuhn's pioneering midcentury discovery of imipramine's antidepressant properties to recent controversial studies suggesting that medications like Prozac and Paxil may be no better thanplacebos in alleviating symptoms. He unpacks the complex "inside baseball" of psychiatry--statistics--and reveals the fascinating ways that clinical studies and their results can be combined, manipulated, and skewed toward a desired conclusion. All the while, Kramer never loses sight of the patients themselves. He writes with deep empathy about his own clinical encounters over the decades as he weighed treatments, analyzed trial results, and considered the idiosyncrasies each case presented. AsKramer sees it, we must respect human complexity and the value of psychotherapy without denying the truth--that depression is a serious and destructive illness that demands the most effective treatment available.

Listening To Prozac

Author : Peter D. Kramer
ISBN : 185702284X
Genre : Social Science
File Size : 45. 64 MB
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`Anthony Crouch examines the internal and subjective reality of being a counsellor. Using a series of vignettes, rather than case studies, Crouch builds in all participant perspectives, counsellor, client and supervisor... [the book] proves to be eminently readable, like a good novel. And like a good novel, as opposed to merely a "good read", it takes the reader into the world of its characters so that we might understand them. From the outset, Crouch asserts that the effective counsellor is one who can enter the intimate subjectivity of the client and use that reality as a catalyst for change and growth. By the same token the counsellor should grow through that interaction. The book also contains a series of challenging personal development exercises which the author invites the reader to undertake' - Counselling and Psychotherapy, The Journal of the British Association for Counselling and Psychotherapy This innovative and creative book explores the experience of becoming and being a counsellor, and engaging in the therapeutic process. The book enters the internal, subjective world of counselling through its characters: students, counsellors, clients, supervisors and the author himself. It weaves together their perspectives and uses `talk' as its main medium - the talk of counselling and supervision sessions, training groups, workshops and students' journals. In so doing, the book breaks away from traditional methods and conventions to present complex theories, difficult concepts and serious information in an engaging, focused and manageable way. The book encourages readers to think subjectively, to question theories that come solely from outside, and to stay with and use their internal world as the main focus of counselling work. It also provides personal development exercises to help readers access long-forgotten feelings.

Should You Leave

Author : Peter D. Kramer
ISBN : 9781476737102
Genre : Psychology
File Size : 72. 19 MB
Format : PDF
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In his phenomenal bestseller Listening to Prozac, Peter Kramer explored the makeup of the modern self. Now, in his superbly written new book, he focuses his intelligent, compassionate eye on the complexities of partnerships and why intimacy is so difficult for us. With the art of a novelist and the skill of a brilliant psychiatrist, Kramer addresses advice seekers struggling with such complex questions as: How do we choose our partners? How well do we know them? How do mood states affect our assessment of them and theirs of us? What does “working on a relationship” truly entail? When should we try to improve a relationship, and when should we leave? Equally at home with Shakespeare, Emerson, and Kierkegaard as it is with Freud and Jung, Should You Leave? is a literary tour de force from a uniquely insightful observer and a profoundly resonant and helpful approach to resolving dilemmas of the heart.

Against Depression

Author : Peter D. Kramer
ISBN : 9781101201145
Genre : Self-Help
File Size : 74. 43 MB
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In his landmark bestseller Listening to Prozac, Peter Kramer revolutionized the way we think about antidepressants and the culture in which they are so widely used. Now Kramer offers a frank and unflinching look at the condition those medications treat: depression. Definitively refuting our notions of "heroic melancholy," he walks readers through groundbreaking new research—studies that confirm depression's status as a devastating disease and suggest pathways toward resilience. Thought-provoking and enlightening, Against Depression provides a bold revision of our understanding of mood disorder and promises hope to the millions who suffer from it.

The Antidepressant Era

Author : David Healy
ISBN : 0674039580
Genre : Medical
File Size : 67. 12 MB
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Against a backdrop of changing ideas about medicine, this book details the origins of the pharmaceutical industry, the pressures for the regulation of drug companies, and the emergences of the idea of a depressive disease. This historical and neurochemical analysis leads to a clear look at what antidepressants reveal about both the workings of the brain and the sociology of drug marketing.

Ending Medical Reversal

Author : Vinayak K. Prasad
ISBN : 9781421417721
Genre : Health & Fitness
File Size : 50. 99 MB
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We expect medicine to progress in an orderly fashion, with good medical practices being replaced by better ones. But some tests and therapies are discontinued because they are found to be worse, or at least no better, than what they replaced. Medications like Vioxx and procedures such as vertebroplasty for back pain caused by compression fractures are among the medical "advances" that turned out to be dangerous or useless. What Dr. Vinayak K. Prasad and Dr. Adam S. Cifu call medical reversal happens when doctors start using a medication, procedure, or diagnostic tool without a robust evidence base—and then stop using it when it is found not to help, or even to harm, patients. Drs. Prasad and Cifu narrate fascinating stories from every corner of medicine to explore why medical reversals occur, how they are harmful, and what can be done to avoid them. They explore the difference between medical innovations that improve care and those that only appear to be promising. They also outline a comprehensive plan to reform medical education, research funding and protocols, and the process for approving new drugs that will ensure that more of what gets done in doctors’ offices and hospitals is truly effective.

What Doctors Feel

Author : Danielle Ofri
ISBN : 9780807073339
Genre : Medical
File Size : 80. 60 MB
Format : PDF, Kindle
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A look at the emotional side of medicine—the shame, fear, anger, anxiety, empathy, and even love that affect patient care Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But doctors’ emotional responses to the life-and-death dramas of everyday practice have a profound impact on medical care. And while much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. In What Doctors Feel, Dr. Danielle Ofri has taken on the task of dissecting the hidden emotional responses of doctors, and how these directly influence patients. How do the stresses of medical life—from paperwork to grueling hours to lawsuits to facing death—affect the medical care that doctors can offer their patients? Digging deep into the lives of doctors, Ofri examines the daunting range of emotions—shame, anger, empathy, frustration, hope, pride, occasionally despair, and sometimes even love—that permeate the contemporary doctor-patient connection. Drawing on scientific studies, including some surprising research, Dr. Danielle Ofri offers up an unflinching look at the impact of emotions on health care. With her renowned eye for dramatic detail, Dr. Ofri takes us into the swirling heart of patient care, telling stories of caregivers caught up and occasionally torn down by the whirlwind life of doctoring. She admits to the humiliation of an error that nearly killed one of her patients and her forever fear of making another. She mourns when a beloved patient is denied a heart transplant. She tells the riveting stories of an intern traumatized when she is forced to let a newborn die in her arms, and of a doctor whose daily glass of wine to handle the frustrations of the ER escalates into a destructive addiction. But doctors don’t only feel fear, grief, and frustration. Ofri also reveals that doctors tell bad jokes about “toxic sock syndrome,” cope through gallows humor, find hope in impossible situations, and surrender to ecstatic happiness when they triumph over illness. The stories here reveal the undeniable truth that emotions have a distinct effect on how doctors care for their patients. For both clinicians and patients, understanding what doctors feel can make all the difference in giving and getting the best medical care.

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