cowpies and roadkill are excluded from this offer
analysis had been suppressed

Lordy. The mental health industry exists to help people. But I don't have a lot of faith in it when I read stuff like this, or consider the current emphasis of medication over talk therapy - they seem more interested in just drugging people rather than help them solve their problems. The article doesn't mention this, so I may be mistaken, but my understanding is that the FDA doesn't require clinical trials of antidepresants for teenagers before allowing doctors to prescribe them to minors - drug companies only need to demonstrate that Prozac, et al, are regarded as safe for adults in the general population, so, inductively, the drugs are safe for teens.

Posted by McChris at September 13, 2004 10:00 PM
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Yeah, drug companies' control of research in any branch of medicine is a huge problem.

My understanding of the medical issue, though, is that psychotropic medications are tricky things and the same drug that helps in many instances can make matters worse in others. Sometimes people have to try several drugs at a number of dosages before they get it right. Good shrinks monitor their at-risk patients closely during that process. Adolescence can't make that job any easier.

"Just drugging people rather than help them solve their problems" is a gross oversimplification. The intent is that psychiatrists give people drugs in order to help them solve their problems. Sure the drug companies have an economic incentive to push meds. Old-guard practitioners of the talking cure had an economic incentive to resist pharmacological psychiatry, too. The studies I keep hearing about show that for most people in many categories of mental illness, a combination of medication and therapy beats either of them alone. And for all the horror stories, the impression I get is that the new generations of drugs have provided major relief to millions of people. The industry, despite the usual capitalist excesses, is demand-driven.

A couple of books, one I've read and one I haven't: Listening to Prozac by Peter Kramer, a very thoughtful psychiatrist who asks what the new drug treatments tell us about personality and identity; and Of Two Minds by T.M. Luhrmann, an anthropologist's look at the struggle within psychiatry between the psychotherapeutic and biological models.

Posted by: Prentiss Riddle at September 14, 2004 03:29 PM
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