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14 - Integrating theory, practice and economics in psychopharmacology

Published online by Cambridge University Press:  22 August 2009

By
Keh-Ming Lin ,
Chun-Yu Chen ,
Chia-Hui Chen ,
Jur-Shan Cheng  and
Sheng-Chang Wang
Edited by
Chee H. Ng ,
Keh-Ming Lin ,
Bruce S. Singh  and
Edmond Y. K. Chiu
Keh-Ming Lin
Affiliation:
Division of Mental Health and Substance Abuse Research, National Health Research Institutes, Taiwan
Chun-Yu Chen
Affiliation:
Division of Mental Health and Substance Abuse Research National Health Research Institutes, Taiwan
Chia-Hui Chen
Affiliation:
Division of Mental Health and Substance Abuse Research National Health Research Institutes, Taiwan
Jur-Shan Cheng
Affiliation:
Center for Health Policy Research and Development, National Health Research Institutes, Taiwan
Sheng-Chang Wang
Affiliation:
Division of Mental Health and Substance Abuse Research National Health Research Institutes, Taiwan
Chee H. Ng
Affiliation:
University of Melbourne
Keh-Ming Lin
Affiliation:
National Health Research Institutes, Taiwan
Bruce S. Singh
Affiliation:
University of Melbourne
Edmond Y. K. Chiu
Affiliation:
University of Melbourne
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Summary

Critiques and reservations regarding the role and contribution of psychotropic agents in the care of psychiatric patients notwithstanding (Moncrieff, 2001; Healy, 2002), there is little doubt that the advent of modern psychopharmacology in the 1950s has vastly and profoundly altered the landscape of psychiatry. Phenothiazines and related compounds in the past half century have enabled millions of severely mentally ill patients to escape the fate of lifelong confinement. “Antidepressants” and mood stabilizers, equally serendipitously discovered around the same time, often effectively, and at times truly miraculously, lifted millions from various forms of misery. Together they also helped to change (albeit not fast enough and still a long way to go) the public's perception of the mentally ill as well as the professions charged with their care, helping to destigmatize behavioral and emotional problems. Irrespective of the extent of their therapeutic effects, the fact that simple chemical compounds could so profoundly alter behavior was itself inspiring for a new generation of scientists, who helped to usher in a new era of intensive research for the biological substrates of psychiatric phenomena, resulting in the blossoming of biological psychiatry and neuroscience in the last few decades (Carlsson, 1988; Bloom & Kupfer, 1995).

To be sure, examined at closer range, the effect of this “paradigm shift” on the profession and for society is far more complex and nuanced. Advances on the biological front not infrequently have been regarded as threats for our field's expertise in the psychosocial domains.

Type
Chapter
Information
Ethno-psychopharmacology
Advances in Current Practice
 , pp. 158 - 168
Publisher: Cambridge University Press
Print publication year: 2008

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