Vol 3 - Iss 1 - Review - Hippocratic Psychopharmacology for Bipolar Disorder: A Proposal #97

Hippocratic Psychopharmacology for Bipolar Disorder: A Proposal S. Nassir Ghaemi MD, MPH Director, Bipolar Disorder Research Program Associate Professor of Psychiatry and Public Health Emory University, Dept of Psychiatry 1841 Clifton Road, Room 449, Atlanta GA 30322 404-728-6393 Fax: 404-728-6269 Assistant, Megan Filkowski: 404-728-6392 Email: nghaemi@emory.edu keywords are "psychopharmacology, Hippocratic, bipolar disorder, ethics" are added by email Word count: 2327. This is the article that the author said he wanted to have it as a short communication, because the rest of his studies has already been published Hippocratic Psychopharmacology for Bipolar Disorder: A proposal S. Nassir Ghaemi MD MPH Introduction Psychiatry has gone from being biological to rejecting to biology and back again. In the process, the original biological psychiatry – that of Kraepelin and the turn of the 20th century German tradition – has been resurrected yet modified (1). It has been modified, at least in the US, by the American pragmatic tradition of doing and acting. Kraepelin’s school was therapeutically nihilistic and biologically deterministic: it saw biological roots to mental illness, mostly in heredity, but did not feel we could effectively intervene with nature. Freud’s school was therapeutically optimistic and psychologically deterministic: it saw psychic, not physical, roots to mental illness, mostly in trauma, and felt that the truth would set us free (1). American psychiatry in the last few decades has combined these two traditions. We are now therapeutically optimistic and biologically deterministic (2). Yes, the roots to mental illness are in the brain, but we now have tools to treat it. Today, the psychopharmacology of bipolar disorder is indeed therapeutically optimistic and biologically-based. The question I wish to address in this review is whether our current practice is balanced or overweening, and if the latter, what approaches best lead to the most safe and effective psychopharmacology. Details   Price: €10.00 Options   Quantity 1 (this product is downloadable)  Add to cart

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