Intro; Acknowledgments; Contents; Contributors; Chapter 1: What Is Critical Psychiatry?; Introduction; Critiques of Psychiatry; Antipsychiatry; Alternative Services; Postmodernism; Marxist Theory; The Service User Movement; The Critical Psychiatry Movement; Conclusion; Book Chapters; References; Chapter 2: Toward Conceptual Competence in Psychiatric Diagnosis: An Ecological Model for Critiques of the DSM; Introduction; Brief History of the Response to the DSM-5; Structural and Conceptual Competence; Ecological Approach to Critiques; Macro-level Critiques
BenzodiazepinesConclusion; References; Chapter 6: Deprescribing and Its Application to Psychiatry; The Concept of Deprescribing; Deprescribing in Psychiatry; Clinical Situations in Psychiatry When Deprescribing May Be Considered; The Pros and Cons of Deprescribing; The Process of Deprescribing; Persons for Whom Deprescribing Might Be Appropriate; Using Shared Decision-Making in Deprescribing; The Implications of the Psychiatric History for Deprescribing; Appropriate Timing of Deprescribing; Managing Withdrawal Symptoms; The Ethics of Deprescribing; Documentation of Deprescribing
Chapter 4: An Alternative Approach to Drug Treatment in PsychiatryIntroduction: Models of Drug Action; History of Models of Drug Action; Evidence on Drug Action; Research on the Neurochemical Origins of Mental Disorders; Comparisons with Non-Specific Drugs; Animal Studies; Using Drugs According to a Drug-Centred Model; A Drug-Centred Approach to the Treatment of Psychosis; A Drug-Centred Approach to the Treatment of Depression; Conclusion; References; Chapter 5: Clinical Implications of the Drug-Centered Approach; Introduction; The Psychostimulants; Neuroleptic Drugs; Antidepressant Drugs
Did the DSM-5 Inadvertently Function as a Vehicle for High-Profit Patent Extensions?Should SSRIs Be Used Routinely in Children and Adolescents? A Disconnect Between Scientific Evidence and Common Clinical Practice; Do the Randomized Controlled Trial Data Get Codified Accurately in Psychiatric Practice Guidelines?; Can We Trust the Literature When We Read About "Novel" Psychotropic Medications? Another Case Study of the Disconnect Between the Data and What Is Disseminated in the Published Literature; Conclusion; Solutions for Reform; References
Ontology: Biological Reductionism and the Explanatory GapEpistemology: Measuring Madness; Exo-level Critiques; The Social Production of Disorders; Do DSM Diagnoses Travel?; Meso-level Critiques; Microlevel Critiques; Individual-level Critiques; Conclusion; Authors' Reflexivity Statement; References; Chapter 3: The Influence of Pharmaceutical Companies and Restoring Integrity to Psychiatric Research and Practice; Introduction; Institutional Corruption in Psychiatric Research and Practice; Distortions in the Psychiatric Evidence Base
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This book is a guide for psychiatrists struggling to incorporate transformational strategies into their clinical work. The book begins with an overview of the concept of critical psychiatry before focusing its analytic lens on the DSM diagnostic system, the influence of the pharmaceutical industry, the crucial distinction between drug-centered and disease-centered approaches to pharmacotherapy, the concept of "de-prescribing," coercion in psychiatric practice, and a range of other issues that constitute the targets of contemporary critiques of psychiatric theory and practice. Written by experts in each topic, this is the first book to explicate what has come to be called critical psychiatry from an unbiased and clinically relevant perspective. Critical Psychiatry is an excellent, practical resource for clinicians seeking a solid foundation in the contemporary controversies within the field. General and forensic psychiatrists; family physicians, internists, and pediatricians who treat psychiatric patients; and mental health clinicians outside of medicine will all benefit from its conceptual insights and concrete advice.