ordinarily well the case for antidepressants

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Ordinarily Well

Author : Peter D. Kramer
ISBN : 9780374280673
Genre : Medical
File Size : 57. 38 MB
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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 : IND:30000100203383
Genre : Fluoxetine
File Size : 72. 25 MB
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The therapeutic encounter is at the core of counselling and psychotherapy training and practice, regardless of therapeutic modality. This book introduces a cross-modality approach to the client-therapist encounter, drawing from humanistic, psychoanalytic, systemic, and integrative approaches. Chapters introduce a range of client themes - the refusal to join in, the battle for control, the emotionally unavailable etc - and shows how these are enacted in the relationship. The authors invite you, as therapist, to interact creatively with the client, engaging directly in the drama. In this way, they provide a coherent framework within which to understand both the therapeutic relationship and the principles of their approach. This book is highly recommended for any counselling and psychotherapy trainee, regardless of modality. It is a must-read, with each chapter directly addressing essential teaching and trainee concerns. David Bott is the Director of Studies of Counselling and Psychotherapy at the University of Brighton and a UKCP registered Systemic Psychotherapist. Pam Howard is Course Leader of the MA Psychotherapeutic Counselling at the University of Brighton and a UKCP registered Psychoanalytic Psychotherapist

Against Depression

Author : Peter D. Kramer
ISBN : UOM:39015060818054
Genre : Psychology
File Size : 38. 58 MB
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Examines depression from a historical and scientific perspective, challenging cultural beliefs about depression and calling for a greater awareness of its devastating impact, as well as renewed efforts to provide curative treatments.

Should You Leave

Author : Peter D. Kramer
ISBN : 9781476737102
Genre : Psychology
File Size : 76. 64 MB
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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.

Ending Medical Reversal

Author : Vinayak K. Prasad
ISBN : 9781421417721
Genre : Health & Fitness
File Size : 61. 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.


Author : David A. Kessler
ISBN : 9781443444965
Genre : Psychology
File Size : 85. 28 MB
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Dr. David A. Kessler, the dynamic and controversial former FDA commissioner known for battling the tobacco industry, has spent the past two decades studying how certain addictive substances influence our behaviour. In his first two books, Dr. Kessler explored the ways in which tobacco and food can exert control over our thoughts and actions; in Capture, he broadens this conversation exponentially, exploring the very underpinnings of why we suffer from any mental affliction—such as addiction, depression, anxiety, neurosis and panic—under which our logical minds and better intentions feel as though they have been hijacked by something we cannot control. Capture draws upon the latest thinking in psychology, medicine and neuroscience to examine the common mechanism by which this range of mental disorders takes hold in the mind; it also offers a sweeping narrative history of the role of “capture”—the term Dr. Kessler coins for the phenomenon by which the mind is taken hostage—throughout literature, philosophy, religion and art. From Aristotle’s belief in the triumph of human virtue to William James’ concept of selective attention to Freud’s model of repressed desire, Kessler traces the history of Western thought on capture. In doing so, he illuminates history’s most valuable contributions as well as its shortcomings in understanding and treating mental distress. Kessler argues that to truly understand the nature of capture, we must view it not only through the lens of intellect, but also our own human experiences—and so the book begins with stories, and continues to offer narratives of people who are, or were at some point, in capture’s throes; stories that offer an incredibly evocative, almost palpable viewpoint of anguish. This includes candid conversations and raw accounts of substance abuse, anorexia, obsessive love, gambling and sexual compulsions in everyday people; the words of writers such as David Foster Wallace, Franz Kafka and Anne Sexton, who elucidated their own despair with urgency and eloquence; and portraits of those cases of capture that have become infamous for their violent outcomes—including Sirhan Sirhan and Ted Kaczynski. Through this storytelling Kessler offers an extraordinary portal into the realm of capture, a chance to better understand its manifestations, and a way of considering how it can seize our attention and overtake our behavior in ways that can be benign, tragic or—for some—transcendent. The closer we can come to fully comprehending this mechanism, Dr. Kessler argues, the better chance we stand at being able to both alleviate its deleterious effects and, ultimately, overcome its grip by changing our thoughts and behaviour. More than twenty years in the making, this impeccably researched book is nothing less than a successful effort to inform everything from the smallest action to the largest life aim, a unified field theory of human activity that draws in how we form thoughts, manage trauma and even try to reconcile will and cause. “A fascinating account of the science of human appetite, as well as its exploitation by the food industry.” —MICHAEL POLLAN, AUTHOR OF IN DEFENCE OF FOOD, ON THE END OF OVEREATING

Let Them Eat Prozac

Author : David Healy
ISBN : 0814773001
Genre : Psychology
File Size : 81. 85 MB
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Prozac. Paxil. Zoloft. Turn on your television and you are likely to see a commercial for one of the many selective serotonin reuptake inhibitors (SSRIs) on the market. We hear a lot about them, but do we really understand how these drugs work and what risks are involved for anyone who uses them? Let Them Eat Prozac explores the history of SSRIs—from their early development to their latest marketing campaigns—and the controversies that surround them. Initially, they seemed like wonder drugs for those with mild to moderate depression. When Prozac was released in the late 1980s, David Healy was among the psychiatrists who prescribed it. But he soon observed that some of these patients became agitated and even attempted suicide. Could the new wonder drug actually be making patients worse? Healy draws on his own research and expertise to demonstrate the potential hazards associated with these drugs. He intersperses case histories with insider accounts of the research leading to the development and approval of SSRIs as a treatment for depression. Let Them Eat Prozac clearly demonstrates that the problems go much deeper than a side-effect of a particular drug. The pharmaceutical industry would like us to believe that SSRIs can safely treat depression, anxiety, and a host of other mental problems. But, as Let Them Eat Prozac reveals, this “cure” may be worse than the disease.

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