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Evidence-biased Antidepressant Prescription : Overmedicalisation, Flawed Research, and Conflicts of Interest / / by Michael P. Hengartner



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Autore: Hengartner Michael P. Visualizza persona
Titolo: Evidence-biased Antidepressant Prescription : Overmedicalisation, Flawed Research, and Conflicts of Interest / / by Michael P. Hengartner Visualizza cluster
Pubblicazione: Cham : , : Springer International Publishing : , : Imprint : Palgrave Macmillan, , 2022
Edizione: 1st ed. 2022.
Descrizione fisica: 1 online resource (355 pages)
Disciplina: 615.78
616.8527061
Soggetto topico: Clinical psychology
Psychiatry
Social medicine
Medical anthropology
Psychology, Pathological
Public health
Clinical Psychology
Medical Sociology
Medical Anthropology
Psychopathology
Public Health
Antidepressius
Prescripció de medicaments
Medicina basada en l'evidència
Soggetto genere / forma: Llibres electrònics
Nota di bibliografia: Includes bibliographical references and index.
Nota di contenuto: 1. Introduction: How did I get here? -- 2. Antidepressants in clinical practice -- 3. Medico-cultural context -- 4. Flaws in antidepressant research -- 5. Conflicts of interest in psychiatry -- 6. Solutions for reform.
Sommario/riassunto: This book addresses the over-prescribing of antidepressants in people with mostly mild and subthreshold depression. It outlines the steep increase in antidepressant prescription and critically examines the current scientific evidence on the efficacy and safety of antidepressants in depression. The book is not only concerned with the conflicting views as to whether antidepressants are useful or ineffective in various forms of depression, but also aims at detailing how flaws in the conduct and reporting of antidepressant trials have led to an overestimation of benefits and underestimation of harms. The transformation of the diagnostic concept of depression from a rare but serious disorder to an over-inclusive, highly prevalent but predominantly mild and self-limiting disorder is central to the books argument. It maintains that biological reductionism in psychiatry and pharmaceutical marketing reframed depression as a brain disorder, corroborating the overemphasis on drug treatment in both research and practice. Finally, the author goes on to explore how pharmaceutical companies have distorted the scientific literature on the efficacy and safety of antidepressants and how patient advocacy groups, leading academics, and medical organisations with pervasive financial ties to the industry helped to promote systematically biased benefit-harm evaluations, affecting public attitudes towards antidepressants as well as medical education, training, and practice. Michael P. Hengartner is a senior researcher and lecturer at the Zurich University of Applied Sciences, Switzerland. He has published over 130 peer-reviewed journal articles and four book chapters. He was an expert evaluator for the European Research Council and the World Health Organization and currently is a member of the Swiss School of Public Health, the German Society for Social Psychiatry,and the European Public Health Association.
Titolo autorizzato: Evidence-Biased Antidepressant Prescription  Visualizza cluster
ISBN: 9783030825874
9783030825867
Formato: Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione: Inglese
Record Nr.: 9910522990003321
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