HLTHAGE 2G03 Lecture 10: Lecture 10

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Lecture 10: The Psychopharmaceutical Revolution: Past and Present
Guest Speaker-AJ
Legal Criteria required to find someone incapable
o Something that stops them (patients) from understanding or appreciating treatment options
o Doctors can then find them incapable
Lecture:
Pharmaceuticals- second largest industry in the world
o Second to armaments industry
More money is spent on advertising drugs then researching drugs
More prescriptions written than seconds in the day
)n , Canadians …
Psychotropic drugs were the leading driver of this increase and SSRIs are the major drug
Psychiatry Pre-1950
Dominated by psychoanalysts
Crowded asylums, long-term custodial care
Somatic treatments relatively ineffective or dangerous, primarily for severe mental illness
Psychiatry distant from medicine
The psychopharmaceutical revolution destroys all of this, changes
Chlorpromazine-the antipsychotic wonder Drug
Born from (enri Laborit’s search for anesthesia
unaware of safety, had psychiatrists try it on patients. Whispters about a new wonder drug
evidence to support it through patients who calmed down
Why such a wonder drug?
More effective and less dangerous (ex. Lobotomy, ECT)
People were more willing to continue pursing care
o Patients tolerated drug more than other treatments, more likely to stay on it
Repercussions of Chlorpromazine
Pinel all over again? Straightjackets removed, patients set free.
There had never been anything like this before- for many patients their positive symptoms were entirely
gone in a matter of weeks
Talk of people ..
Psychiatry’s Penicillin
End of massive institutions
End of psychiatrists as custodians
End of psychoanalysis as dominant approach in psychiatry
o Event happened to you in past and this was what was causing mental illness
o Focus on the mind
o These ideas were replaced with a greater focus on the brain
o Huge shift to genetics, neurotransmitters: biological/medical model
o Psychiatrists gained a new confidence
They were able to demonstrate that they made people beter: real doctors
The search for New & Old Drugs
An explosion of curiosity in neurochemistry and the biological component of mental illness
o Lithium (which had existed for dozens of years already) put to use with maniac patients after an
Australian psychiatrist noticed that it calmed down
The other miracle drug
Chlorpromazine a miracle drug in psychiatric circles, But miltown (a minor tranquilizer) the blockbuster
drug in a popular sense
o Launched in , enormously popular until s. Pharmacies couldn’t keep up the supply, even
the might of American industry could not keep up with rising
Marketed for Ladies
o Appeared in Cosmo, Newsweek, time, etc
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find more resources at oneclass.com
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Document Summary

Lecture 10: the psychopharmaceutical revolution: past and present. Legal criteria required to find someone incapable: something that stops them (patients) from understanding or appreciating treatment options, doctors can then find them incapable. Pharmaceuticals- second largest industry in the world: second to armaments industry. More money is spent on advertising drugs then researching drugs. More prescriptions written than seconds in the day. Psychotropic drugs were the leading driver of this increase and ssris are the major drug. Somatic treatments relatively ineffective or dangerous, primarily for severe mental illness. The psychopharmaceutical revolution destroys all of this, changes. Born from (enri laborit"s search for anesthesia. Unaware of safety, had psychiatrists try it on patients. Evidence to support it through patients who calmed down: patients tolerated drug more than other treatments, more likely to stay on it. People were more willing to continue pursing care gone in a matter of weeks. Straightjackets removed, patients (cid:498)set free. (cid:499) (cid:498)psychiatry"s penicillin(cid:499)

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