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Overview"Psychiatry today is a barren tundra, writes medical historian Edward Shorter, where drugs that don't work are used to treat diseases that don't exist. In this provocative volume, Shorter illuminates this dismal landscape, in a revealing account of why psychiatry is ""losing ground"" in the struggle to treat depression. Naturally, the book looks at such culprits as the pharmaceutical industry, which is not inclined to market drugs once the patent expires, leading to the endless introduction of new--but not necessarily better--drugs. But the heart of the book focuses on an unexpected villain: the FDA, the very agency charged with ensuring drug safety and effectiveness. Shorter describes how the FDA permits companies to test new products only against placebo. If you can beat sugar pills, you get your drug licensed, whether or not it is actually better than (or even as good as) current medications, thus sweeping from the shelves drugs that may be superior but have lost patent protection. The book also examines the FDA's early power struggles against the drug industry, an influence-grab that had little to do with science, and which left barbiturates, opiates, and amphetamines all underprescribed, despite the fact that under careful supervision they are better at treating depression, with fewer side effects, than the newer drugs in the Prozac family. Shorter also castigates academia, showing how two forms of depression, melancholia and nonmelancholia--""as different from each other as chalk and cheese""--became squeezed into one dubious classification, major depression, which was essentially a political artifact born of academic infighting. An astonishing and troubling look at modern psychiatry, Losing Ground is a book that is sure to spark controversy for years to come." Full Product DetailsAuthor: Edward ShorterPublisher: Oxford University Press Inc Imprint: Oxford University Press Inc Dimensions: Width: 23.60cm , Height: 2.80cm , Length: 15.70cm Weight: 0.567kg ISBN: 9780195368741ISBN 10: 0195368746 Pages: 320 Publication Date: 06 November 2008 Audience: Professional and scholarly , Professional & Vocational Format: Hardback Publisher's Status: Active Availability: To order Stock availability from the supplier is unknown. We will order it for you and ship this item to you once it is received by us. Table of Contents1: Introduction 2: Before Psychopharmacology 3: The First Drug Set 4: Power Play 5: Killer Drugs! 6: Death Sentences 7: This Plague of Affective Disorders 8: Losing Ground 9: What Now? Glossary NotesReviews<br> Excellent...informative and intriguing... --New England Journal of Medicine<br>.. .interesting and provocative... --Doody's<br>.. .Before Prozac is a nuanced, timely, and provocative book written by an incisive thinker at the height of his considerable intellectual powers. Prof. Shorter's powerful arguments demonstrate clearly the value of historical perspectives when evaluating current medical practices, and serve as a sobering reminder of the transitory nature of many psychiatric treatments and, indeed, psychiatric categorisations. --Irish Medical News<br> I saw a patient not long ago with quite paralysing long-term periods of anxiety associated with depression and despair accompanied by suicidal thoughts... If I saw him now I would recommend Shorter's illuminating Before Prozac so he would have the full inside story. --The Lancet<br>.. .engagingly written and informative. --PsycCRITIQUES<br> Writing in a lively, exciting style packed with historical facts, Shorter brings to lif Excellent...informative and intriguing... --New England Journal of Medicine<br> Author InformationEdward Shorter is Hannah Chair in the History of Medicine and Professor of Psychiatry at the University of Toronto. Tab Content 6Author Website:Countries AvailableAll regions |