Posted by yxibow on March 24, 2007, at 16:01:36
In reply to ethics of ap's, posted by tessellated on March 24, 2007, at 13:48:53
> ok, sorry. i'm was expressing a strong personal belief in the questionable ethics to use of AP's/dopamine antagonists.
They're certainly not perfect by any means but what else do we have for serious cases?
> i've worked in public clinics with rooms full of boxes and boxes of AP's. and whole populations doing the "haldol shuffle".
Shuffling and stereotypy can occur without medication as well.
But until we have better public health (in the US), we also have the "population shuffle." Intake followed by outtake or AMA, followed by repeated visits, no consistency, etc.
> i've also seen benefits to the medications.
Indeed for the most deeply afflicted, catatonic, patients it can bring them into some form of lucidity they never knew sitting on the pavements of cities with a sign.
> personally i believe the dsm iv-r vastly over simplifies schizo/bipolar/borderline personality in regards to treatment. in my experiences in public clinics i've seen AP's used as population control.Well perhaps we've seen or heard of different public clinics and the quality of care. First of all, "population control" violates medical ethics.
Yes, an ICD or DSM code may vastly oversimplify certain disorders, but that's all it is. The code, the term, isn't the most important thing. Its what you, the patient, as it is known, the consumer takes out of things.
> i'm only simply argueing thematics from foucault's "madness and civilization", (not sure how to specify citation). the term dementia praecox came before schizophrenia and was even more general.
>
> i think schizophrenia is an obsolete term that oversimplifies numerous etiologies for the sake of establishing a formula for doctor patient liability.
>
> medicine is not a science, its a business.
> i apologize for the jaded rant, i've just happen to feel passionate about these issues and the way in which our "american" society deals w/them.
You're fine to have a jaded rant but the dictionary definition of medicine is science, and that verges on gross generalization. I realize you're trying to describe the practice of medicine in certain countries but it can be interpreted also that medicine itself is not a science which is in the land of the absurd.
poster:yxibow
thread:741709
URL: http://www.dr-bob.org/babble/20070320/msgs/743742.html