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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. -
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. -
Family Constellation Method of Bert Hellinger in the Context of the Code of Ethics for Psychotherapists
Archives of Psychiatry and Psychotherapy, 2011; 3 : 65–74 Family Constellation Method of Bert Hellinger in the context of the Code of Ethics for Psychotherapists Małgorzata Talarczyk Summary Aim. The article describes the Family Constellation Method in the context of the Code of Ethics for Psy- chotherapists of the Polish Psychiatric Association. The aim of the article is to try to answer the question whether the method fulfils ethical criteria psychotherapists need to comply with. Methods. The Family Constellation Method of Hellinger raises controversies in the Polish body of psy- chologists and psychotherapists. The controversies concern the plausibility of using the method, its con- sequences for the patients as well as answering the question if the Hellinger’s family constellations are psychotherapy. Other controversial issues are teaching the method as well as using it in professional ed- ucational and therapeutic institutions. Results. The analysis of the Family Constellation Method by Bert Hellinger in the context of the Code of Ethics for Psychotherapists indicates that this method does not fulfil many rules of the Code. Conclusions. The Family Constellation Method of Bert Hellinger does not fulfil vital rules of the Code of Ethics for Psychotherapists such as the process, contract, diagnosis, supervision, confidentiality, alterna- tiveness. It also does not fulfil the basic criterion of psychotherapy, which is the process, thus it is difficult to treat this method as psychotherapy. Consequently, it is valid to question using the method by psycho- therapists and offering it in professional therapeutic institutions. family constellations / Bert Hellinger / The Code of Ethics for Psychotherapists INTRODUCTION theoretic approaches and even working in the same organisational structures. -
Body Mind Spirit ®
Michigan’s LARGEST HOLISTIC COMMUNITY MAGAZINE Body Mind Spirit ® For A healthy Body, anGuide Enlightened Mind, and A Renewed Spirit © FREE COPY MAY 2019 Take your power back... Nurture Your Self..Self... ARTICLES • HOROSCOPES • LOCAL EVENTS • CLASSIFIEDS AND MORE... MAY 2019 www.BodyMindSpiritGuide.com Page 1 Family Owned, Locally Grown, & Globally Known!© Golden Galleries | Body Mind Spirit About Us… P. O. Box 85413, Westland, MI 48185 The Body Mind Spirit Guide is a homegrown publication in Michigan! Created by Howard & Penny Golden as a way to spend their retirement enjoying the people and things they love and value. Connect with us at 734-513-6137 or email: [email protected] Hours: Mon-Thu 10:00am: - 6:00pm Our Publication… Our Staff: Highlighting leaders in Michigan from the spiritual and holistic fields. We cover all aspects of wholeness Kathy Henning, Editor from ancient wisdom to modern methods. The Body Mind Spirit Guide is printed and distributed to Susan deCaussin, Office Assistant over 1400 locations throughout SE. Michigan each month. A great place to find humor, inspiration, Howard & Penny Golden, Founders information, local events, products, and professionals that will assist you in enjoying a Healthy Body, an Our Writers are Michigan Leaders, Healers & Enlightened Mind and Renewed Spirit. Experts that are passionate about helping YOU have a healthy body, an enlightened mind and a renewed Spirit! Our Founding Vision… Contributing Writers: “I was standing on the highest mountain of them all, and round about beneath me was Dr. Michael Abramsky the whole hoop of the world. And while I Robert Auerbach stood there I saw more than I can tell and I Chrissie Blaze understood more than I saw; for I was seeing Faith Brower Susan deCaussin in a sacred manner the shapes of all things in Pauline Dettloff the spirit, and the shape of all shapes as they Gwendolyn Esco Davis must live together like one being. -
Pacifica Guide
WELCOME We invite you to explore this Guide and learn more about Pacifica Graduate Institute and its master’s and doctoral degree programs. THE PACIFICA GUIDE Depth Psychological Orientation ................... 2 Pacifica Alumni Stories ...........................4 A Personalized Education ......................... 8 Exceptional Academic Resources .................. 10 A Unique Setting ................................ 12 The Lambert Road Campus .....................14 Tell me, what is it you plan to do The Ladera Lane Campus .......................16 with your one wild and precious life? Special Events at Pacifica .......................18 ~MARY OLIVER Degree Programs Overview ......................20 M.A. in Counseling Psychology ...................22 Psy.D. in Counseling Psychology ..................26 M.A./Ph.D. in Clinical Psychology .................30 M.A./Ph.D. in Depth Psychology with Specialization in Jungian and Archetypal Studies ................34 M.A./Ph.D. in Depth Psychology with Specialization in Community, Liberation, Indigenous, and Eco-Psychologies..............................38 Ph.D. in Depth Psychology with Specialization in Integrative Therapy and Healing Practices ........42 M.A./Ph.D. in Mythological Studies ................46 THE PACIFICA STORY M.A. in Engaged Humanities and the Creative Life ...........................50 Pacifica Graduate Institute is an innovative, employee- That community initiative evolved into a graduate These mentors helped what was then The Human Relations owned graduate school dedicated to the purpose program in counseling psychology. What was then known as the Institute grow into Pacifica Graduate Institute—a respected Faculty and Administration ......................55 and accredited graduate school firmly rooted in the traditions of expressed in its motto: animae mundi colendae gratia— Human Potential Movement influenced both the degree program Board of Trustees .............................58 depth psychology. for the sake of tending soul in and of the world. -
Mental Health in Ukraine
2021 Yale Institute for Global Health Case Competition Mental Health in Ukraine 2021 Yale Institute for Global Health Case Competition Case Writing Team: Sina Reinhard (Chair), Yale School of Public Health Annan Dang, Yale School of Public Health Mitchelle Matesva, Yale School of Medicine Patricia Ryan-Krause, Yale School of Nursing (Faculty Advisor) Special thanks to Marie Brault for review of the case The scenarios, prompt, and vignettes of this case are based on existing initiatives, organizations, and individuals; however, details have been dramatized. Materials beyond the case scenario and prompt are meant to portray an accurate representation of global mental health and Ukraine’s burden of mental illness. The authors have provided facts and figures within the case and appendices to help teams. The data provided are derived from independent sources, may have been adapted for use in this case, and are clearly cited such that teams can verify or contest the findings within their recommendations if it is pertinent to do so. Introduction In January 2020, Ukraine was selected as a priority country for the World Health Organization’s (WHO) Special Initiative for Mental Health (2019-2023). Ukraine carries a high burden of mental illness with a particularly high prevalence of depression in comparison to other countries. Mental disorders are the country’s second leading cause of disability burden in terms of disability adjusted life years and are estimated to affect 30% of the population [100]. Since joining the initiative, Ukraine has experienced a renewed political commitment to mental health policy and service expansion combined with growing public interest in mental health issues. -
Twenty Years of the Critical Psychiatry Network Duncan B
The British Journal of Psychiatry (2019) 214, 61–62. doi: 10.1192/bjp.2018.181 Editorial Twenty years of the Critical Psychiatry Network Duncan B. Double The Critical Psychiatry Network (CPN) was formed in 1999. This editorial attempts to define critical psychiatry and notes some key contributions from members of the CPN. The implications of Keywords critical psychiatry and some differences within the critical History of psychiatry; philosophy; aetiology. psychiatry movement are discussed. Declaration of interest Copyright and usage D.B.D is founding member of the Critical Psychiatry Network. © The Royal College of Psychiatrists 2019. biomedical model and thus does not push the necessary critique Duncan Double is a part-time Consultant Psychiatrist at Norfolk and Suffolk National far enough. By contrast, they called biomedical dogmatism the Health Service Foundation Trust and is currently doing a part-time PhD at Cambridge ‘ ’ ‘ ’ University on ‘The foundations of critical psychiatry’. He blogs on critical psychiatry at hubris position and saw it as dangerous . 5 www.criticalpsychiatry.blogspot.com. As an illustration, George Engel – in proposing his biopsycho- social model – was responding to an article by Ludwig6 entitled ‘The psychiatrist as physician’. Ludwig was concerned about anti-psychi- atric critiques. His response was to accept the vulnerability of psych- iatry to such charges and his solution was to retreat to the medical The Critical Psychiatry Network (CPN) first met in January 1999 model. As far as Ludwig was concerned, psychiatry should deal with because of concern about the potential for increasing coercion in medical illness, including neuropsychiatric and medico-psychiatric the context of reform of the Mental Health Act 1983, which eventu- disorders, rather than non-psychiatric problems, which are more ally led to the 2007 amendments. -
A Narrative Analysis of Personal Stories About Mental Illness Online
University of Calgary PRISM: University of Calgary's Digital Repository Graduate Studies The Vault: Electronic Theses and Dissertations 2015-05-08 Managing the Medicalization of Madness: A Narrative Analysis of Personal Stories about Mental Illness Online Solomon, Monique de Boer Solomon, M. B. (2015). Managing the Medicalization of Madness: A Narrative Analysis of Personal Stories about Mental Illness Online (Unpublished doctoral thesis). University of Calgary, Calgary, AB. doi:10.11575/PRISM/26823 http://hdl.handle.net/11023/2251 doctoral thesis University of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission. Downloaded from PRISM: https://prism.ucalgary.ca UNIVERSITY OF CALGARY Managing the Medicalization of Madness: A Narrative Analysis of Personal Stories about Mental Illness Online by Monique de Boer Solomon A THESIS SUBMITTED TO THE FACULTY OF GRADUATE STUDIES IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY GRADUATE PROGRAM IN COMMUNICATIONS STUDIES CALGARY, ALBERTA May 2015 © Monique de Boer Solomon 2015 Abstract Emancipatory in spirit this thesis asserts personal narratives are an essential and active contributor to the development of meanings in discourse about mental illness and they have an influential role managing medicalization. The medicalization of madness is increasingly contested as people describe and explain how medical approaches and definitions of mental illness at best fail to adequately account for personal experiences of distress, and at worst are the cause of increased physical and psychological trauma. -
Sorgabberleythe Impact of Medicalization on Individuals
A Thesis entitled The Impact of Medicalization on Individuals Labeled with Antisocial Personality Disorder by Abberley E. Sorg Submitted to the Graduate Faculty as partial fulfillment of the requirements for the Master of Arts Degree in Sociology ___________________________________________ Patricia Case PhD, Committee Chair ___________________________________________ Barbara Coventry PhD, Committee Member ___________________________________________ Dwight Haase PhD, Committee Member ___________________________________________ Cyndee Gruden, PhD College of Graduate Studies The University of Toledo August 2019 Copyright 2019, Abberley E. Sorg This work is licensed under a Creative Commons Attribution-NonCommercial- NoDerivatives 4.0 International License. https://creativecommons.org/licenses/by-nc- nd/4.0/ An Abstract of The Impact of Medicalization on Individuals Labeled with Antisocial Personality Disorder by Abberley E. Sorg Submitted to the Graduate Faculty as partial fulfillment of the requirements for the Master of Arts Degree in Sociology The University of Toledo August 2019 Though the literature surrounding antisocial personality disorder (and the associated label, psychopathy) is vast, there remains an almost total absence of the voices of people who have been assigned this label from the discussion. ASPD differs from the majority of medicalized diagnostic labels, in that patients who have been given this label are frequently framed as untreatable. The clinical pessimism surrounding this label has led some researchers to argue that the purpose of the ASPD label is not to provide patients with access to appropriate care, but rather to exclude them from treatment by flagging them as lost causes in their medical records. Utilizing a qualitative analysis of online posts written by individuals diagnosed with ASPD, this project seeks to provide a new perspective on the debate surrounding ASPD and medicalization - that of the patient diagnosed as antisocial. -
How to Distinguish Medicalization from Over-Medicalization?
Medicine, Health Care and Philosophy https://doi.org/10.1007/s11019-018-9850-1 SCIENTIFIC CONTRIBUTION How to distinguish medicalization from over-medicalization? Emilia Kaczmarek1 © The Author(s) 2018 Abstract Is medicalization always harmful? When does medicine overstep its proper boundaries? The aim of this article is to outline the pragmatic criteria for distinguishing between medicalization and over-medicalization. The consequences of considering a phenomenon to be a medical problem may take radically different forms depending on whether the problem in question is correctly or incorrectly perceived as a medical issue. Neither indiscriminate acceptance of medicalization of subsequent areas of human existence, nor criticizing new medicalization cases just because they are medicalization can be justified. The article: (i) identifies various consequences of both well-founded medicalization and over-medicalization; (ii) demonstrates that the issue of defining appropriate limits of medicine cannot be solved by creating an optimum model of health; (iii) proposes four guiding questions to help distinguish medicalization from over-medicalization. The article should foster a normative analysis of the phenomenon of medicalization and contribute to the bioethical reflection on the boundaries of medicine. Keywords Medicalization · Over-medicalization · Boundaries of medicine · Moral evaluation of medicalization · Guiding questions · Pragmatic approach Introduction 1996; Parens 2013) started to appreciate positive aspects of medicalization as well. Therefore, how should we For the purposes of this article, I use the following socio- assess this phenomenon? logical definition of medicalization, according to which The aim of this paper is to outline the pragmatic criteria X is medicalized when it “is defined in medical terms, for distinguishing between medicalization and over-medi- described using medical language, understood through the calization.