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Psychiatry Under the Influence: Institutional Corruption, Social Injury, and Prescriptions for Reform
Get Free Ebook Psychiatry Under the Influence: Institutional Corruption, Social Injury, and Prescriptions for Reform
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Review
“This is an extraordinary piece of work that should be read by every mental health professional, minimally. The book might also serve well as a supplemental advanced undergraduate or graduate textbook in a psychopathology or even a research methods class. Where research methods courses separate good from bad science, Whitaker and Cosgrove have now provided us with numerous examples of bad science to which we can now add, corrupt science.†(Fred Ernst, Journal of Contemporary Psychotherapy, Vol. 46, 2016)
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"This timely book is a careful and thoughtful analysis of institutional and political influences on the way psychiatry works today, and it provides a scholarly exploration of a problem that has consequences for all of us. Whitaker and Cosgrove's passionate critique gives us the resources to develop solutions and to mobilize voices for an authentically liberating response to questions of mental health." - Ian Parker, Professor of Management, University of Leicester, UK"Psychiatry Under the Influence is a thoughtful and well-researched exposé of the current framing of mental health and illness, using the lens of institutional corruption to examine the dual influence of psychiatry's financial ties to the pharmaceutical industry and professional protectionism. This is a profoundly humanistic critique of how the scientific evidence supporting newer psychiatric drug treatments could be so poor, yet have 'street cred'. This a 'must read' on the medicalization of modern life." - Barbara Mintzes, Faculty of Pharmacy, University of Sydney, Australia
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Product details
Paperback: 256 pages
Publisher: Palgrave Macmillan; 2015 edition (April 23, 2015)
Language: English
ISBN-10: 113750692X
ISBN-13: 978-1137506924
Product Dimensions:
6 x 0.6 x 9 inches
Shipping Weight: 12.8 ounces (View shipping rates and policies)
Average Customer Review:
4.6 out of 5 stars
32 customer reviews
Amazon Best Sellers Rank:
#734,468 in Books (See Top 100 in Books)
This book, and Robert Whitaker's previous book, Anatomy of an Epidemic, are the two most valuable books I've read to date.I rarely bother to write reviews. I'm taking the time to write this one because I've seen firsthand how the drug companies and psychiatric profession have put ego and money first and patient care second.I finally understand why my psychiatric care these last 25 years has been not only ineffective part of the time but has resulted in what unfortunately seems to be permanent brain damage. It is too late for me, but for those who are recently diagnosed or those who have been on psych meds for only a few years there is hope if you take the time to read this book.My wife has also suffered greatly as a result of prescriptions that were inappropriate given the science available at the time. We both face the bleak prospect of living out the final third of our lives trying our best to cope with the damage psych meds have caused.If you, a family member, loved one, or friend are diagnosed with a mental illness, please read this book. Don't make the mistake my wife and I did by assuming psychiatry had our best interests at heart. Drugs are a last resort, not the first.How ironic is was to read that one of my past psychiatrists, Dr. Andrew Nierenberg, is mentioned several times in the book. I had sought out one of the best doctors in the field of bipolar to ensure my medical treatment was optimal. It was an 8 hour round trip drive to his office each month but I felt it was worth it as he was one of the "experts". I was saddened to read about his many close financial ties with the pharmaceutical industry, his defense of those relationships, and his participation in skewing study results.But that's the point of the book. Good doctors can make bad choices without understanding how those choices add up to impact the long-term wellbeing of patients.
This is a technical book but so well written and researched that anyone interested in the field of psychiatry should read it. Some of the facts the authors point out surprised even a skeptic like me. For one thing I didn't realize how brazenly psychiatric researchers manipulated data they presented to the public.The authors contend that changing the psychiatric profession from within will be difficult because psychiatrists and researchers believe they are objective and are doing what is best for patients: their self-serving biases are unconscious. I think this may be true of only some individuals. I worked in the pharmaceutical industry with numerous people who were ethical. But there were also those who believed it was okay to massage data in a way that was favorable to a study drug because it was advantageous to their careers and to the company. Questions of right and wrong were irrelevant. I strongly suspect many psychiatrists also pursue mainly their own interests and are very aware that this is what they are doing, much as they may try to hide it from others.I believe the authors' prescriptions to improve psychiatric research and practices have merit. But, given the fact that Congress and the government have been so corrupted by pharmaceutical dollars, I'm not too optimistic that there will be substantive changes. Although the authors don't go into this, many other medical fields besides psychiatry have been corrupted by drug company money. Just recently, the House of Representatives passed a bipartisan bill (supported by Big Pharma) that would, under certain circumstances, permit individuals to be enrolled in drug trials without their consent and that would loosen the regulatory drug approval process. Combatting an industry that has this much power will not be easy.
I just finished reading this book, which is a real eye opener. It carefully tracks the way in which psychiatrists beginning around 1980 committed to a model which asserts that serious emotional suffering represents physical brain illnesses the primary treatment for which should be drugs, despite a lack of biological or genetic evidence supporting this view. It then traces the ways psychiatrists and researchers systemically distorted the evidence from drug trials to promote constantly increasing diagnoses and drugging of adults and children. This led to the end state we have today, in which the USA, with 5% of the world's population, consumes over 50% of the psychiatric drugs taken worldwide, with no improvement in outcomes or disability for people with mental illness labels.I highly recommend this book for a shocking expose of how psychiatrists have misled the public about the nature and effective treatments for severe emotional distress.
After the publication of this book, any continuation of business as usual by the APA and the associations it colludes with, such as the Mental Illness Policy Org.--one of the critics of this excellent book--is simply more evidence of the accuracy of this publication. I have read more than 40 books by a wide variety of authors on the topics addressed by Whitaker and Cosgrove, and while much of the information in this book can be found elsewhere, one of the great strengths of this book is that it brings this evidence of institutional corruption together within one up-to-date book. The material in this book is well researched and heavily documented. It is damning of the APA, Big Pharma, and, by inference, the various groups who feed off this institutional corruption, as do many consumer groups. I highly recommend it for those who seek the truth about these topics. Contrary ideologues will not like the book. For example, one of the psychiatrists whose participation in this culture of corruption, as described in Psychiatry Under the Influence, wrote a negative review of this book rather than apologize for his corrupting contributions. I, for one, would like to know where he thinks a more fair and balanced treatment of these topics will be found. It sure won't come from those with strong APA guild interests.
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