Posted by europerep on August 17, 2010, at 13:56:42
In reply to Unhinged, posted by emmanuel98 on August 16, 2010, at 21:15:55
hmm, I only read the amazon product description, but it sounds interesting..
knowing that I might be naive, I do think though that the general forum population here is slightly (!) less affected by the things that dr. carlat attacks.. it does not seem to be all against the drug industry only, but also against individual psychiatrists who prefer giving out meds and don't give a damn about talk therapy and stuff (of course there the drug industry is playing a role too, but it's still individuals who do nothing but prescribe drugs).. and about the problematic relation between DSM and science.. I say that some people here might be a little less affected by some of these problems here, is, for example, because most do know that a successful approach to treatment should be multi-disciplinary (i.e. involving psychologists).. also, it's because people here have an idea what drugs are there, which ones have a good reputation and which do not (although that can well lead the refusal of a drug that would help, so it's a little difficult).. I think people who are the most affected by this are the ones who go to ONE psychiatrist, having perfect faith and confidence and him, and do not (or aren't able to because of age, illness, ...) do some researching on their own.. a doc will never say "well there are MAOIs but I don't prescribe them, because, well, I don't know.. I don't know too much about 'em, you know?" if one isn't inquiring into these kinds of things, because one doesn't have a clue of which drugs are there, then one cannot see if a psychiatrist is absolutely incompetent.. I really feel bad for the people who are treated by the psychiatrist at the university clinic that I used to go to.. she was not just dumb and a bitch, she also didn't know stuff.. "what about phenelzine?" -"hmm, phenel... hmm" -"it's an MAOI" "oh, well, we hardly use those anymore.. we've had a patient two years ago who took it, but... well, I could look into whether we can do this in outpatient treatment" -"there's a two week washout period" "yeah I think so too, right..yeah..we'll see about that next time you're here ok?"...grrr..
oh well, I notice I digressed.. but it's similar, if one doesn't know about the sometimes superior efficacy of psychotherapy, then one won't have the idea and ask for it.. one *shouldn't* have to, but unfortunately one has..
poster:europerep
thread:958884
URL: http://www.dr-bob.org/babble/20100811/msgs/958923.html