1 Introduction to the Study: Unveiling the Problematic
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Polypharmacy and the Senior Citizen: the Influence of Direct-To-Consumer Advertising
2021;69:19-25 CLINICAL GETRIATRICS - ORIGINAL INVESTIGATION doi: 10.36150/2499-6564-447 Polypharmacy and the senior citizen: the influence of direct-to-consumer advertising Linda Sperling, DHA, MSN, RN1, Martine B. Fairbanks, Ed.D, MA, BS2 1 College of nursing, University of Phoenix, Arizona, USA; 2 College of doctoral studies, University of Phoenix, Arizona, USA Background. Polypharmacy, or taking five or more medications dai- ly, can lead to poor medication compliance and an increased risk for adverse drug-to-drug interactions that may eventually lead to death. The study was designed to explore the questions of how age, the re- lationship between the physician and patient, and television, radio, magazines and modern electronic technology, such as the Internet, affect patients’ understanding of their medical care. Two main areas addressed in this research study included the pharmaceutical indus- try’s influence on consumer decisions to ask a physician for a particular medication, and the prescribing practices of the physician. Methods. This qualitative phenomenological study began with pre- screening volunteer residents in a nursing home to discover poten- tial participants who met the criteria of using five or more medicines daily. We then interviewed 24 participants who met the criteria, using semi-structured interview questions. Results. Four core themes emerged from this study: professional trust, professional knowledge, communication deficit, and direct-to-consum- Received: April 30, 2020 er advertising. Participants reported trusting their doctors and taking Accepted: November 2, 2020 medications without question, but most knew why they were taking the Correspondence medications. Participants also reported seeing ads for medications, but Linda Sperling DHA, MSN, RN only one reported asking a physician to prescribe the medication. -
Involuntary Civil Commitment of the Mentally Ill: a System in Need of Change
Volume 29 Issue 2 Article 2 1983 Involuntary Civil Commitment of the Mentally Ill: A System in Need of Change John E. B. Myers Follow this and additional works at: https://digitalcommons.law.villanova.edu/vlr Part of the Law and Psychology Commons Recommended Citation John E. Myers, Involuntary Civil Commitment of the Mentally Ill: A System in Need of Change, 29 Vill. L. Rev. 367 (1983). Available at: https://digitalcommons.law.villanova.edu/vlr/vol29/iss2/2 This Article is brought to you for free and open access by Villanova University Charles Widger School of Law Digital Repository. It has been accepted for inclusion in Villanova Law Review by an authorized editor of Villanova University Charles Widger School of Law Digital Repository. Myers: Involuntary Civil Commitment of the Mentally Ill: A System in Nee 1983-84] INVOLUNTARY CIVIL COMMITMENT OF THE MENTALLY ILL: A SYSTEM IN NEED OF CHANGE JOHN E. B. MYERSt Table of Contents Introduction .................................................. 368 I. THE RISE OF INSTITUTIONS ............................. 368 II. DEVELOPMENT OF INVOLUNTARY COMMITMENT LAW... 375 A. HistoricalDevelopment ..................... .......... 375 B. The Authority of the State to Impose Involuntay Commit- ment-The Parens Patriae Power ..................... 380 III. THE DEINSTITUTIONALIZATION MOVEMENT ............. 388 A. HistoricalDevelopment ................................ 388 B. The Contribution of the Courts to Deinstitutionah'zation.... 394 C. Treatment in the Least Restrictive Environment ........... 400 IV. FAILINGS OF THE DEINSTITUTIONALIZATION MOVEMENT ......................................................... 40 3 A. The "Community's" Failure to Provide Adequate Commu- nity-Based Treatment Resources ......................... 403 B. The Shortcomings of Denstitutionah'zationare Exacerbated by Restrictive Commitment Laws ........................ 409 V. ALTERNATIVES FOR CHANGE IN THE SYSTEM OF INVOL- UNTARY TREATMENT OF THE MENTALLY ILL .......... -
Psychiatry and Anti-Psychiatry: History, Rhetoric and Reality
2 (4) 2018 DOI: 10.26319/4717 Daniel Burston, Psychology Department, Duquesne University, Pittsburgh PA [email protected] Psychiatry and Anti-psychiatry: History, Rhetoric and Reality Abstract: The term “anti-psychiatry” was coined in 1912 by Dr. Bernhard Beyer, but only popularized by Dr. David Cooper (and his critics) in the midst of a widespread cultural revolt against involuntary hospitalization and in-patient psychiatry during the 1960s and 1970s. However, with the demise of the old-fashioned mental hospital, and the rise of Big Pharma (with all its attendant evils), the term “anti-psychiatry” has outlived its usefulness. It survives merely as a term of abuse or a badge of honor, depending on the user and what rhetorical work this label is expected to perform. Those who use the term nowadays generally have a polemical axe to grind, and seldom understand the term’s origins or implications. It is time that serious scholars retire this term, or to restrict its use to R.D.Laing’s followers in the Philadelphia Associates and kindred groups that sprang up in the late 1960s and 1970s. Keywords: psychiatry, anti-psychiatry, psychoanalysis, DSM V, Big Pharma, normalization, psychopolitics On November 16, 2016, Dr. Bonnie Burstow, Associate Professor of Adult Education and Community Development at the Ontario Institute for Studies in Education, which is affiliated with the University of Toronto, launched the first (and thus far, only) scholarship in North America to support doctoral theses on the subject of “anti-psychiatry.” Predictably, this bold gesture garnered praise in some quarters, but provoked a barrage of criticism from both in and outside the university. -
Misrepresented Sources in the Rosenhan Hoax
University of Montana ScholarWorks at University of Montana Global Humanities and Religions Faculty Publications Global Humanities and Religions 7-2021 Below the Line: Misrepresented Sources in the Rosenhan Hoax Stewart Justman University of Montana - Missoula, [email protected] Follow this and additional works at: https://scholarworks.umt.edu/libstudies_pubs Part of the Arts and Humanities Commons Let us know how access to this document benefits ou.y Recommended Citation Justman, Stewart, "Below the Line: Misrepresented Sources in the Rosenhan Hoax" (2021). Global Humanities and Religions Faculty Publications. 13. https://scholarworks.umt.edu/libstudies_pubs/13 This Article is brought to you for free and open access by the Global Humanities and Religions at ScholarWorks at University of Montana. It has been accepted for inclusion in Global Humanities and Religions Faculty Publications by an authorized administrator of ScholarWorks at University of Montana. For more information, please contact [email protected]. Below the Line: Misrepresented Sources in the Rosenhan Hoax Abstract Though footnotes may seem like technicalities in the sciences, work in these disciplines is by no means independent of textual sources. How often are sources checked? In the unique case of D. L. Rosenhan’s celebrated—and as we now know, fabricated—study ‘On Being Sane in Insane Places’, a review of any of several listed sources (or even an ordinarily attentive reading of the text itself) would have suggested strongly that something was not right. Had readers examined Rosenhan’s sources with ordinary care, so many misrepresentations would have been uncovered that the credibility of the entire performance would have come into question. -
Guardian's Authority to Involuntarily Hospitalize the Incompetent Ward JOHN L
Guardian's Authority to Involuntarily Hospitalize the Incompetent Ward JOHN L. SULLIVAN, J.D.,LL.M.* A Guardian may give any consents or approvals that may be necessary to enable the ward to receive medical or other professional care, counsel, treatment or service. Section 5-312(a) (3) Uniform Probate Code If Section 5-312(a) (3) is accepted as a composite or representative definition of a guardian of the person's state law statutory authority to deal with the care and custody of his incompetent ward in matters relating to medical management, any private hospital could admit, on the signature of the guardian, any so-called "lucid" incompetent. The limitation to a consideration of private hospital admission is made because it is almost universal practice for state or governmental hospitals to demand a civil commitment order before admitting an involuntary patient, whether declared incompetent or not. The so-called "lucid" incompetent is the adjudicated incompetent who still can be heard to protest the decisions made for him by his guardian. The labeling and attendant distinction of the "lucid" incompetent is useful in categorizing those cases where courts have been called upon to render judgments relating to radical medical procedures such as experimental psychosurgery 1 or kidney transplants2 or negative medical procedures such as a discontinuance of medical suppon systems. 3 In such cases it has readily been seen that the bare authority of a guardian under state statutes is not sufficient to authorize medical procedures or cessation of them. It has been agreed that specific coun authority is required, and probably that of a court exercising equity jurisdiction. -
The Cuckoo's Nest: an Examination of the National Commission Report on Psychosurgery Steven C
Hofstra Law Review Volume 6 | Issue 4 Article 3 1978 Return to the Cuckoo's Nest: An Examination of the National Commission Report on Psychosurgery Steven C. Spronz Follow this and additional works at: http://scholarlycommons.law.hofstra.edu/hlr Recommended Citation Spronz, Steven C. (1978) "Return to the Cuckoo's Nest: An Examination of the National Commission Report on Psychosurgery," Hofstra Law Review: Vol. 6: Iss. 4, Article 3. Available at: http://scholarlycommons.law.hofstra.edu/hlr/vol6/iss4/3 This document is brought to you for free and open access by Scholarly Commons at Hofstra Law. It has been accepted for inclusion in Hofstra Law Review by an authorized administrator of Scholarly Commons at Hofstra Law. For more information, please contact [email protected]. Spronz: Return to the Cuckoo's Nest: An Examination of the National Commi NOTES RETURN TO THE CUCKOO'S NEST: AN EXAMINATION OF THE NATIONAL COMMISSION REPORT ON PSYCHOSURGERY One Flew Over the Cuckoo's Nest' describes the use of psychosurgery to rid MacMurphy, an inmate-patient who chal- lenged the authority of his "keepers" in a psychiatric institution, of his allegedly violent tendencies. The operation transformed him into a human vegetable. His friend, the "Chief," another patient at the hospital, recognized that MacMurphy's life was now without meaning and mercifully suffocated him. The author's indictment of abuses in mental institutions was published in 1962, when the practice of psychosurgery was waning in the United States. 2 Cuckoo's Nest should belong to a bygone era, one replaced by an age in which more humane treatments are administered. -
Visioning a Recovery Oriented Alaska Mental Health
Visioning a Recovery Oriented Jim Gottstein Alaska Mental Health System Jim Gottstein Law Project for Psychiatric Rights http://PsychRights.Org Renewable Resources 2009 Alaska Mental Health Recovery Education Conference May 12, 2009 Fear and Absolution Why Has Society Fear Myth: People Diagnosed with Mental Illness Are Violent Accepted Dubious Absolution By Accepting “Medical Model,” No one is Medical Model? Responsible May 12, 2009 Alaska Recovery Education Conference Psychiatric Symptoms Are Responses If Not Defective Brain, What? to Events/Experiences Examples: Multiple Personalities Other Responses to Trauma Mental Map Reorganization Hearing Voices Common Phenomenon Mania Icarus Project – Time Magazine Last Week May 12, 2009 Alaska Recovery Education Conference May 12, 2009 Alaska Recovery Education Conference 1 While Some People find Didn’t Ascribe Bad Motives to Neuroleptics Helpful . Psychiatrists, but at this Point . Quality of Life Tremendously With Recent Revelations No Longer Plausible Diminished Otherwise Cause Massive Deniability Amount of Harm Why Do They Still Insist on the Drugs Even Life Spans Now 25 Years Shorter Though they Are Largely Ineffective and Greatly Reduce Recovery Always Harmful? Rates Psychiatrists No Longer Know Anything But 6-fold Increase in Mental Illness Disability Rate the Drugs Hugely and Unnecessarily Expensive Huge Unnecessary Human What to Do? Toll May 12, 2009 Alaska Recovery Education Conference May 12, 2009 Alaska Recovery Education Conference Successful Peers Are The Real Experts Recovery – JG Definition Many examples of recovery from “incurable” mental illness. Getting past a diagnosis of mental illness to a Value of Insights Need to point where a person enjoys meaningful activity, Be Recognized has relationships, and where psychiatric Unique ability to relate to people going through the symptoms, if any, do not dominate or even play same thing. -
Abolishing the Concept of Mental Illness
ABOLISHING THE CONCEPT OF MENTAL ILLNESS In Abolishing the Concept of Mental Illness: Rethinking the Nature of Our Woes, Richard Hallam takes aim at the very concept of mental illness, and explores new ways of thinking about and responding to psychological distress. Though the concept of mental illness has infiltrated everyday language, academic research, and public policy-making, there is very little evidence that woes are caused by somatic dysfunction. This timely book rebuts arguments put forward to defend the illness myth and traces historical sources of the mind/body debate. The author presents a balanced overview of the past utility and current disadvantages of employing a medical illness metaphor against the backdrop of current UK clinical practice. Insightful and easy to read, Abolishing the Concept of Mental Illness will appeal to all professionals and academics working in clinical psychology, as well as psychotherapists and other mental health practitioners. Richard Hallam worked as a clinical psychologist, researcher, and lecturer until 2006, mainly in the National Health Service and at University College London and the University of East London. Since then he has worked independently as a writer, researcher, and therapist. ABOLISHING THE CONCEPT OF MENTAL ILLNESS Rethinking the Nature of Our Woes Richard Hallam First published 2018 by Routledge 2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN and by Routledge 711 Third Avenue, New York, NY 10017 Routledge is an imprint of the Taylor & Francis Group, an informa business © 2018 Richard Hallam The right of Richard Hallam to be identified as author of this work has been asserted by him in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. -
Chapter 8 – Civil Commitments
GENERAL DISTRICT COURT MANUAL CIVIL COMMITMENTS Page 8-1 Chapter 8 – Civil Commitments Civil Commitments include involuntary admissions of mentally ill/intellectual disability and medical emergency temporary detention. Civil mental illness/intellectual disability proceedings and medical emergency consent proceedings may be heard by a judge of the general district or juvenile and domestic relations district court or a special justice appointed by the chief judge of the applicable judicial circuit. Va. Code § 37.2-803. The involuntary mental commitment process begins when a petition is filed, and alleges a person is mentally ill and in need of hospitalization. For proceedings in this chapter, whenever the term “mental illness” appears, it shall include substance abuse. Va. Code § 37.2-800. The process may begin with a referral to the localities’ Community Service Board, or may be initiated at the magistrate’s office. Some clerk’s offices will only receive paperwork after the proceedings and hearings are over, while in some offices the judges themselves may hold the hearing. These are the procedures for filing and indexing under each circumstance. Transportation of a person who is the subject of an emergency custody order, temporary detention order, and a person under an involuntary commitment order may be provided by a family member or friend, representative of the Community Services Board (CSB), or other alternative transportation provided with staff trained to provide transportation is a safe manner. No person who provides alternative transportation pursuant to these sections shall be liable to the person being transported for any civil damages for ordinary negligence in acts or omissions that result from providing such alternative transportation. -
Donzelot, Anti-Sociology
An Anti- sociology JACQUES DONZELOT What was it that brought a man, one day, to stretch out on the analyst's couch to relate the details of his life? This is in a sense the question Michel Foucault raised in Madness and Civilization. In order to solve this problem, Foucault described an historical sequence of three centuries during which time the division separating madness and normality was plotted. The results of his investigation show psychoanalysis to be situated at the outermost point of the confinement trappings without foregoing its fundamental implications: "Freud did deliver the patient from the existence of the asylum within which his 'liberators' had alienated him; but he did not deliver him from what was essential in this existence ... he created the psychoanalytical situation in which, by an inspired short-circuit, alienation becomes disalienation, but the doctor as alienating figure remains the key to psychoanalysis." Yes, one could tell his life history on the couch. But in such conditions as this, Foucault wonders, what was to be understood? Foucault's impertinent conclusion directed at psychoanalysis was to please Gilles Deleuze and Felix Guattari to such an extent that they used it as a starting point for their own book and were able to systematically demolish psychoanalysis, construct a new theory of desire and, while they were at it, sketch the evolution of mankind from its origins to the present day. Each of these three aspects has been spoken about differently. The first aspect has been overly discussed, owing, it would D&G systematically seem, to the book's satirical demolish psychoanalysis, style aimed at ridiculing construct a new theory of psychoanalysis. -
Medicalisation and Overdiagnosis: What Society Does to Medicine Wieteke Van Dijk*, Marjan J
http://ijhpm.com Int J Health Policy Manag 2016, 5(11), 619–622 doi 10.15171/ijhpm.2016.121 Perspective Medicalisation and Overdiagnosis: What Society Does to Medicine Wieteke van Dijk*, Marjan J. Faber, Marit A.C. Tanke, Patrick P.T. Jeurissen, Gert P. Westert Abstract The concept of overdiagnosis is a dominant topic in medical literature and discussions. In research that Article History: targets overdiagnosis, medicalisation is often presented as the societal and individual burden of unnecessary Received: 2 May 2016 medical expansion. In this way, the focus lies on the influence of medicine on society, neglecting the possible Accepted: 23 August 2016 influence of society on medicine. In this perspective, we aim to provide a novel insight into the influence of ePublished: 31 August 2016 society and the societal context on medicine, in particularly with regard to medicalisation and overdiagnosis. Keywords: Medicalisation, Overdiagnosis, Society Copyright: © 2016 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http:// creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. *Correspondence to: Citation: van Dijk W, Faber MJ, Tanke MA, Jeurissen PP, Westert GP. Medicalisation and overdiagnosis: Wieteke van Dijk what society does to medicine. Int J Health Policy Manag. 2016;5(11):619–622. doi:10.15171/ijhpm.2016.121 -
The Problem of Power in ADHD: a Scoping Review
The Problem of Power in ADHD: A Scoping Review Abraham Joseph Student number 211190287 Supervisor’s Name: Marina Morrow Advisor’s Name: Mary Wiktorowicz Supervisor’s Signature: Date Approved: June 10, 2020 Advisor’s Signature: Date Approved: June 10, 2020 A Research Paper submitted to the Graduate Program in Health in partial fulfillment of the requirements for the degree of: Master of Arts Graduate Program in Health York University Toronto, Ontario M3J 1P3 Defend date: June 10, 2020 1 Table of Contents Table of Contents 2 Abstract 4 Introduction 5 Background 6 Research Goals 12 Theoretical Frameworks/Methodology 14 Research Paradigm 14 Scoping Review Method 17 Search Strategy 18 Inclusion and Exclusion Criteria 20 Data Extraction and Analysis 20 Findings and Discussion 21 Nature of Evidence 21 Places of Psychiatric Power 23 Patterns of Psychiatric Power 26 Problems of Psychiatric Power 38 Strengths and Limitations 55 Implications and Conclusions 57 2 Acknowledgements 59 References 60 Appendix A – Database Search Flow Chart 71 Appendix B – Scoping Review Charting Summary 72 3 Abstract Attention deficit hyperactivity disorder (ADHD) has become the most diagnosed mental health issue for children worldwide. There are substantive critiques of the psychiatric basis for the conceptualization, diagnosis, and treatment that dominate the ADHD context. ADHD discourse and practice are largely influenced by the biomedical framework of mental health and illness. The pervasive, continued acceptance of the dominant biomedical ADHD narrative is problematic in terms of addressing mental health care needs as well as illustrative of the influence and power that psychiatry wields with respect to the ADHD landscape.