Beyond Boundaries of Biomedicine: Pragmatic Perspectives on Health and DiseaseRodopi, 2003 - Всего страниц: 292 Cultural forces shape much of medicine including psychiatry, and medicine shapes much of our culture. Medicine provides us with beneficial treatments of disease, but it also causes harm, increasingly so in the form of overmedication enhanced by the pharmaceutical industry. The book explores boundaries of medicine and psychiatry in a cultural setting by building bridges between unconnected literatures. Boundaries have to be redrawn since effects of the environment, biological, social and political, on health and disease are undervalued. Potential beneficial effects of diet therapies are a recurrent theme throughout the text, with particular emphasis on omega-3 fatty acids. Deficiencies of these acids in common diets may contribute to many chronic diseases and psychiatric disorders. The book uncovers limitations of evidence-based medicine, which fosters a restrictive view of health and disease. Case studies include: the biology of migraine; limitations of biological psychiatry; conventional versus alternative medicine; science, religion and near-death experiences. |
Содержание
| 12 | |
| 21 | |
| 29 | |
Drugs Psychotherapies and Placebos | 55 |
4 | 61 |
1 | 69 |
Conclusions | 87 |
Fatty Acids Health and Disease | 119 |
Qualifying Quantitative Methods | 153 |
Thought for Food in Psychiatry | 165 |
Conventional Medicine and CAM | 183 |
Medicine and Religion | 203 |
Afterthoughts | 221 |
Author Index | 273 |
Subject Index | 281 |
Drugs Versus Diets | 135 |
Часто встречающиеся слова и выражения
abnormalities alternative medicine analysis antacids antibiotics antipsychotics approach argue associated autoimmune bacterium biological psychiatry biomedical biomedicine blood Boyle brain cancer catatonia causal cause Chapter cholesterol chronic classification clinical common comorbidity concerning Considering conventional medicine Davidoff depression diet dietary disciplines disregarded drug treatments eicosapentaenoic acid environmental evidence Evidence-Based Medicine evolutionary example existing experiences factors fibromyalgia fish oil functional gastric ulcers genes genetic headache health and disease Healy Helicobacter pylori Horrobin idem immune system important infection journal literature malaria medical professionals mental illnesses methodological migraine muscle diseases NDES NSAIDs nutrition omega-3 deficiencies omega-3 fatty acids omega-3 PUFAs omeprazole overmedication particular patients persons pharmaceutical industry phenomena placebo polyunsaturated fatty acids problem processes psychiatric disorders psychological psychosocial psychotherapy randomised controlled trials represent rheumatoid arthritis role schizophrenia scientific Section side effects significant Simopoulos situation Steen studies supplements symptoms syndrome theories therapies vasopressin
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Стр. 90 - A. Both (1) and (2): (1) Recurrent unexpected panic attacks. (2) At least one of the attacks has been followed by 1 month (or more) of one (or more) of the following: (a) Persistent concern about having additional attacks (b) Worry about the implications of the attack or its consequences (eg, losing control, having a heart attack, "going crazy") (c) A significant change in behavior related to the attacks.
Стр. 127 - The scientific evidence about whether omega,3 fatty acids may reduce the risk of coronary heart disease (CHD) is suggestive, but not conclusive. Studies in the general population...
Стр. 256 - A dose-ranging exploratory study of the effects of ethyl-eicosapentaenoate in patients with persistent schizophrenic symptoms.
Стр. 154 - Mary O'Brien Imagine a woman standing by an icy mountain river, intending to cross to the other side. A team of four risk assessors stands behind her, reviewing her situation. The toxicologist says that she ought to wade across the river because it is not toxic, only cold. The cardiologist says she ought to wade across the river because she looks to be young and not already chilled. Her risks of cardiac arrest, therefore, are low. The hydrologist says she ought to wade across the river because he...
Стр. 3 - Given the complex nature of medical practice and the multitude of interventions that each patient receives, a high error rate is perhaps not surprising.
Стр. 221 - Why?' the risk assessors ask. They show her their calculations, condescendingly explaining to her that her risk of dying while wading across the river is one in 40 million. Still the woman refuses to wade across. 'Why?' the risk assessors ask again, frustrated by this woman who clearly doesn't understand the nature of risks. The woman points upstream, and says, 'Because there is a bridge.' The risk assessors in this story are evaluating the risks of only one option: wading across an icy river. The...
Стр. 52 - On the contrary, these settings are crying out for measures to improve the quality of care, not the quality of the patients.52 Throughout the world, those least likely to comply are those least able to comply.
Стр. 4 - the 1950s and 1960s were a time of tremendous optimism. Nearly every week the medical establishment declared another 'miracle breakthrough...
Стр. 52 - [throughout the world, those least likely to comply are those least able to comply . . . these settings are crying out for measures to improve the quality of care, not the quality of...