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, by Niall McLaren
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Product details
File Size: 2096 KB
Print Length: 404 pages
Simultaneous Device Usage: Unlimited
Publisher: Future Psychiatry Press (October 23, 2018)
Publication Date: October 23, 2018
Sold by: Amazon Digital Services LLC
Language: English
ASIN: B07JM5SS9Z
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It takes an unusual person to critique their chosen profession... but as Niall points out he's trying to improve it... not destroy it.Niall makes a strong case for Anxiety as the root cause of a lot of mental illnesses. He also proposes a coherent model that can be used for diagnosis. Currently the problem is that no coherent model exists... and this results in poor outcomes.Niall is particularly well qualified to critique the psychiatric profession having studied to be a neurosurgeon then gone on to do a PhD in psychiatry and the philosophy of science.Niall focuses on the patient history... as this is often the way to establish why the patient is anxious. You can then treat the problem. The majority of the book is a series of case studies... which were interesting... often sad and sometimes funny.Its nice to hear that some psychiatrists medicate as a last resort. Niall points out the side effects of psych meds in ways that it's hard to ignore. The huge weight gain, loss of libido, reduction in lifespan, etc... These are tragic... and we shouldn't take it lying down. Yet we do! Yes a Royal Commission into Psychiatry would be about as popular as the Banking Royal Commission... but it might uncover some of the dark secrets of psychiatry?I wish Niall had referenced the book a bit more extensively... as this would have enhanced the writing. He does provide a Bibliography. Bibliographies are meant to direct further reading and have fallen out of favour. Pity, as a good bibliography can be quite illuminating.The treatment section was particularly interesting... even though Niall seems to have given that a more cursory treatment than many of the other chapters. If he had combined the cases and treatments it would have led to slightly more detail... which would have made the chapters conclude better.It's unusual to find individual patient costings in a book... but Niall's frustration is obvious. We are wasting billions of dollars on treatments that are destructive... while silencing critics who would like to improve things.Niall's apparent rejection of all aspects of the biological is problematic... as patients who are SAD often do have an underlying Vit D deficiency. Crazy patients sometimes do have a detectable nutrient deficiency e.g. B12, B3 (Pellagra), magnesium (known to relieve anxiety), etc... We virtually never test for deficiencies (or if we do we run inappropriate tests?) so it's not surprising we don't find many? Any anxiety will only be exacerbated by a deficiency? Medicating people rarely fixes anything ...and often simply creates new problems?Niall is very critical of ECT (which is relatively harmful)... while dismissing other non-harmful electronic treatments as ineffective. These newer devices "first do no harm", are not addictive, are generally only used for short periods of time, are often quite cheap and the research shows a clear clinical benefit in conditions like PTSD e.g. Look up AlphaStim, Neurostar and NET?Niall complains loudly and frequently about DSM 5 (and all the previous DSM's) adding one more voice to a torrent of complaints from around the world. Virtually anyone could be diagnosed as crazy using the criteria in the handbook. It's criteria are much too subjective... and a result we give too much power to psychiatrists... and they abuse it regularly.Niall points out that as psychiatric drugs have increased suicides have also increased (how many people have noticed?). Likewise the number of medicated people have also increased to about 20% of the adult population. That's a ridiculously high number!!! It also suggests that the drugs are driving the trend (suicide is one of the known risks of many of these drugs)... not improving it?Niall concludes the book complaining about the ability of anonymous complaints to be made, heard anonymously without the right to know what the complaint is or who made it. If he's right about the statutes protecting this behaviour then this a terrible abuse of natural justice (which requires the complainant be identified). This kind of persecution is unfortunately increasingly common in many fields not just psychiatry. It allows professionals to be bullied by their licensing bodies. It typically costs large sums of money to mount a successful legal defence. Too often the process is abused by the anonymous accuser or can be used by the profession to discipline critical voices.You might not agree with everything Niall says... but the world would be a better place if he were allowed to say it more prominently... and we reduced the amount of medication we're feeding the public! A more conservative approach to diagnosis and particularly medication is warranted.Unfortunately there is a fair bit of repetition in the book with the case studies being repeated twice... once in the chapter under the condition being treated and again at the end where the treatments for all the patients is summarised. It would have been better to combine the case studies and treatment in the same place? He would have eliminated one entire chapter this way... and it would have been more interesting?The use of gender in the book is annoying. When dealing with topics where gender was irrelevant use gender neutral terms? What's worst the book doesn't stick with one gender and changes regularly. It feels like a series of people edited the book and each person only got one chapter. That might explain the choppy style? A good grammar checker would have picked this up?I'm glad Niall wrote this book... I had trouble putting it down.:-)
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