A "thought-provoking" look at the psychiatric profession, the overprescribing of pharmaceuticals, and the cost to patients' health ( Booklist). I will say.. One concept that stood out to me was the difference between the disease-centered model and the drug-centered model. James Davies quotes Dr. Joanna Moncrieff as she explains the difference, “In the disease-centred model, people are assumed to have a mental disease, a problem in their brain. And drugs are thought to be effective because they rectify or reverse that underlying brain problem in some way… But the drug-centred model… rather emphasises that drugs are drugs; they are chemical substances that are foreign to the human body but which affect the way people think and feel. They have psychoactive properties, just like recreational drugs do, which alter the way the body functions at a physiological level.” (103) James Davies gained his PhD in social and medical anthropology from the University of Oxford in 2006. He is also a qualified psychotherapist, who has worked in organisations such as the NHS. James is a Reader in social anthropology and mental health at the University of Roehampton, London. He has published four academic books for presses like Stanford University Press and Routledge, and has delivered talks at many universities such as Harvard, Yale, Oxford, Brown, CUNY (New York), and The New School (New York). James has also written for The Times, The Guardian, The New Scientist and Salon. He is the co-founder of the Council for Evidence-based Psychiatry, now secretariat to the All-Party Parliamentary Group for Prescribed Drug Dependence. A particularly interesting chapter is about a young psychiatrist who is targeted by a drug company to be trained and spruik their wares and also an exposition of the relevant sales strategies and methods. One might say that these are legitimate methods designed to sell a product (although I have my doubts) without dealing with whether they actually work.

Twitter. It’s what’s happening / Twitter Twitter. It’s what’s happening / Twitter

It is exposed this week in a new book that should be read by every doctor, and also by everyone in politics and the media, not to mention any concerned citizen.” I can't believe that drug companies can have this type of relationship with health professionals--effectively paying them to use and aggressively promote their products to patients. Of course, the professionals are then going to prescribe these drugs, no one is immune to this kind of monetary temptation. Reading this book was eye-opening and pretty scary. If taken literally I can imagine that no one would be able to trust any health professional at all. He uses sensationalism in places that I felt was unnecessary to get the point across. His main point is that the health profession is turning the stresses and strains of everyday life into treatable illnesses for monetary gain. His focus is on mental health which cannot be measured biologically in the same way that physical/visible illness can. He has a valid point with 48 million anti-depressant prescriptions in England in just one year! Davies also writes about the conflicts of interest that have become endemic to the field recently. Namely, a large number of medical professionals, universities, and medical associations collect bountiful fees from large pharmaceutical companies; in the form of pro-drug speaking fees, donations, consultancy work, and other assorted compensations and incentives for prescribing and advocating for these controversial medications. I also didn't really find any plausible evidence for the author's statement that drugs have horrible side effects - his examples were all symptoms of the diseases the drugs are meant to treat, so how does he know they're caused by the drugs, but not by the illness that is basically left untreated if, as he suggests, the drugs aren't actually effective in curing the person?I wonder how extensive Mr. Davies' literature search was; if he needs evidence of the biological root of schizophrenia look at the life work of Professor Eve Johnstone. As a scientific venture, the theory that low serotonin causes depression appears to be on the verge of collapse. This is as it should be; the nature of science is ultimately to be selfcorrecting. c) The training of future psychiatrists must install greater awareness of psychiatry's scientific failings and current excesses as well as how to manage patients outside the medical model. Everytime we take a pill for something there will be consequences of some sort as it is not a natural way to treat our bodies. Our job is to determine whether the consequence of the drug is worse than the initial problem. The scandal is that we are often not informed about the potential consequence or alternative approaches which may be more effective and less harmful.

Cracked: Why Psychiatry is Doing More Harm Than Good

Many of the symptoms of mental conditions that are now pathologized; such as anxiety and depression - can be effectively moderated with a combination of non-pharmaceutical interventions; like Cognitive Behavioral Therapy, as well as a holistic approach that includes a healthy balanced diet, regular vigorous exercise, adequate and quality sleep time to maintain a circadian rhythm, and ensuring vitamin D levels are not deficient. James Davies obtained his PhD in medical and social anthropology from the University of Oxford. He is also a qualified psychotherapist (having worked in the NHS), and a senior lecturer in social anthropology and psychology at the University of Roehampton, London. He has delivered lectures at many universities, including Harvard, Brown, CUNY, Oxford and London, and has written articles about psychiatry for the New Scientist, Therapy Today and the Harvard Divinity Bulletin.At what point does the medicalization begin to undermine the health of the population? At what point does it begin to turn what should be a matter for spiritual, philosophical or political understanding and action into an issue that can be managed by medicine alone?’ (p.43). Dr Davies said, “by sedating people to the causes and solutions for their socially rooted distress – both literally and ideologically – our mental health sector has stilled the impulse for social reform, which has distracted people from the real origins of their despair, and has favoured results that are primarily economic while presiding over the worst outcomes in our health care system”. I've read a bit around this topic over many years and wondered at first whether I really needed to have this book to read, in that the general issues: credibility of the DSM, big pharma, the increasing use of medication for dealing with the expanding label of depression and so on, are fairly well established, not that there's been much change as a response to the evidence and perspectives presented. For myself, the experience of being held in a psychiatric unit was in itself a source of distress, and just being given tablets to cure me was dehumanising. It ignored my very human experiences and suffering. Instead I felt like some sort of broken object, sat waiting to be fixed like a car that needs its spark plugs changing. It’s almost laughable now to think of those endless ward rounds when the psychiatrists would scratch their heads and wonder why my depression hadn’t lifted. But all they would consider doing would be to give me more tablets. I went years without being able to swim in the sea or listen to an orchestra, and I certainly never felt I was treated with respect. I recovered after many years, and countless tablets and treatments, when somebody decided to talk to me and listen. In Chapter 9, he discusses the utterly immoral process whereby pharmaceutical companies pay psychiatrists and universities to sell their product, and how it is near impossible for any patient to find out if their psychiatrist is being paid to promote the drug they are being prescribed. He discusses what he terms as ‘psychiatric imperialism’ in Chapter 12. In this chapter, he discusses how the West has exported their pathologizing of distress to countries more likely to see it as a result of social or psychological problems. A way forward from this crisis in psychiatry