This book can help people with mental health issues to survive and return to a normal life. Citizens believe, and the science shows, that medications for depression and psychosis and admission to a psychiatric ward are more often harmful than beneficial. Yet most patients take psychiatric drugs for years. Doctors have made hundreds of millions of patients dependent on psychiatric drugs without knowing how to help them taper off the drugs safely, which can be very difficult. The book explains in detail how harmful psychiatric drugs are and gives detailed advice about how to come off them. You will learn: • why you should not see a psychiatrist if you have a mental health issue • that psychiatric drugs are addictive • that the biggest lie in psychiatry is the one about a chemical imbalance being the cause of psychiatric disorders • that psychiatric diagnoses are unscientific and that doctors disagree widely when making diagnoses • that psychiatric drugs can lead to permanent brain damage • that psychiatric drugs should never be stopped abruptly because withdrawal reactions can be dangerous • why psychotherapy and other psychosocial interventions should be preferred over drugs • why you should generally not believe what doctors tell you about psychiatric disorders and their treatment • why volunteers have found the book so important that they have translated it into French, Portuguese and Spanish "Peter Gøtzsche has written a very personal account of his battle to get the institution of psychiatry to accept that its drugs are not the 'magic pills' they are made out to be. Every medical practitioner who prescribes them, and every person who takes them, should read this book and be warned." -- Niall McLaren, author of Anxiety: The Inside Story "Peter Gøtzsche's new book meets patients' need to get tools on how to deal with psychoactive drugs and, above all, not to start them. Gøtzsche is very clear about the role of GPs in medicalizing grief, misfortune, opposition, and bad luck. In this he finds the American emeritus professor of psychiatry and chairman of the DSM-III committee, Allen Frances, at his side. Both Gøtzsche and Frances have repeatedly stated that psychoactive drugs should not be prescribed by GPs because they lack experience in their use. And above all, unhappiness, grief, and bad luck are not signs of brain disorders, they belong to daily life." Additionally, Gøtzsche reveals that most psychoactive drugs do not work - 'they might only achieve statistically significant differences compared to placebo, but that's not what patients need.'" -- Dick Bijl, former GP, epidemiologist, and current president of the International Society of Drug Bulletins. "Peter C. Gøtzsche wrote this book to help people with mental health problems survive and return to a normal life. His book explains in detail how psychiatric drugs are harmful and people are told how they can safely withdraw from them. It also advises on how people with mental health problems can avoid making a 'career' as a psychiatric patient and losing 10 or 15 years of their life to psychiatry. You will find precious material to help plan and accompany this process of liberation from psychiatry." - Fernando Freitas, PhD, Psychologist, Full Professor and Researcher at the National School of Public Health (ENSP/FIOCRUZ). Co-editor of Mad in Brazil "In this work, addressed to people affected by the risk of being caught in the system of attention to mental health issues, Dr. Gøtzsche succinctly exposes, without beating about the bush, the damage caused by psychiatric medications, demonstrates that their widespread use is not based on evidence, which is mainly driven by commercial pressures that have nothing to do with the recovery of patients, and present safe ways to dispose of them, always gradually and under supervision of trustworthy people to minimize the syndrome of abstinence and successfully overcome all the difficulties that the process involves." -- Enric García Torrents, writing for Mad in Spain Learn more at www.scientificfreedom.dk From the Institute for Scientific Freedom
Now in its fourth edition, Rational Diagnosis and Treatment: Evidence-Based Clinical Decision-Making is a unique book to look at evidence-based medicine and the difficulty of applying evidence from group studies to individual patients. The book analyses the successive stages of the decision process and deals with topics such as the examination of the patient, the reliability of clinical data, the logic of diagnosis, the fallacies of uncontrolled therapeutic experience and the need for randomised clinical trials and meta-analyses. It is the main theme of the book that, whenever possible, clinical decisions must be based on the evidence from clinical research, but the authors also explain the pitfalls of such research and the problems involved in applying evidence from groups of patients to the individual patient. For this new edition, the sections on placebo and meta-analysis and on alternative medicine have been thoroughly updated, and there is more focus on insufficient reporting of harms of interventions. The sections on different research designs describe advantages and limitations, and the increased medicalisation and the effects of cancer screening on health people are noted. A section on academic freedom when clinicians collaborate with industry and ghost authors is added. This essential reference work integrates the science and statistical approach of evidence-based medicine with the art and humanism of medical practice; distinguishing between data, sets of data, knowledge and wisdom, and their application. Such an intellectually challenging book is ideal for both medical students and doctors who require theoretical and practical clinical skills to help ensure that they apply theory in practice.
This book gives plenty of examples of ad hominem attacks, intimidation, slander, threats of litigation, deception, dishonesty, lies and other violations of good scientific practice. For some years I kept a folder labeled Dishonesty in breast cancer screening on top of my filing cabinet, storing articles and letters to the editor that contained statements I knew were dishonest. Eventually I gave up on the idea of writing a paper about this collection, as the number of examples quickly exceeded what could be contained in a single article.' From the Introduction The most effective way to decrease women's risk of becoming a breast cancer patient is to avoid attending screening. Mammography screening is one of the greatest controversies in healthcare, and the extent to which some scientists have sacrificed sound scientific principles in order to arrive at politically acceptable results in their research is extraordinary. In contrast, neutral observers increasingly find that the benefit has been much oversold and that the harms are much greater than previously believed. This groundbreaking book takes an evidence-based, critical look at the scientific disputes and the information provided to women by governments and cancer charities. It also explains why mammography screening is unlikely to be effective today. All health professionals and members of the public will find these revelations disturbingly illuminating. It will radically transform the way healthcare policy makers view mammography screening in the future. 'If Peter Gotzsche did not exist, there would be a need to invent him ...It may still take time for the limitations and harms of screening to be properly acknowledged and for women to be enabled to make adequately informed decisions. When this happens, it will be almost entirely due to the intellectual rigour and determination of Peter Gotzsche.' From the Foreword by Iona Heath, President, RCGP 'If you care about breast cancer, and we all should, you must read this book. Breast cancer is complex and we cannot afford to rely on the popular media, or on information from marketing campaigns from those who are invested in screening. We need to question and to understand. The story that Peter tells matters very much.' From the Foreword by Fran Visco, President, National Breast Cancer Coalition.
PRESCRIPTION DRUGS ARE THE THIRD LEADING CAUSE OF DEATH AFTER HEART DISEASE AND CANCER. In his latest ground-breaking book, Peter C Gotzsche exposes the pharmaceutical industries and their charade of fraudulent behaviour, both in research and marketing where the morally repugnant disregard for human lives is the norm. He convincingly draws close co
This impressive volume is made up of eleven essays by a distinguished group of contributors, including both Lawrence specialists and well-known critics who work primarily in other areas. Nine of the essays were commissioned especially for this volume, and the other two were revised by their authors for book publication. Each engages in a fresh and provocative way an important aspect of Lawrence's writings. The book's organization follows the chronology of Lawrence's career, and the essays cover the full range of his creative achievement, from analyses of major novels and short fiction to reassessments of his poetry and visionary thought. No single ideology or methodology dominates the volume: the contributions include traditional humanistic studies and formalist readings as well as feminist approaches and analyses that reflect current poststructuralist theory. Some of the essays implicitly challenge the validity of others, and some may well cause controversy. Taken together, they illuminate the richness of Lawrence's writings and the multifaceted nature of his accomplishments. D. H. Lawrence; A Centenary Consideration will be rewarding reading both for Lawrencian specialists and for others interested in modem literature.
Do antidepressants work, or are they glorified dummy pills? How can we tell? In Ordinarily Well, the celebrated psychiatrist and author Peter D. Kramer examines the growing controversy about the popular medications. A practicing doctor who trained as a psychotherapist and worked with pioneers in psychopharmacology, Kramer combines moving accounts of his patients’ dilemmas with an eye-opening history of drug research to cast antidepressants in a new light. Kramer homes in on the moment of clinical decision making: Prescribe or not? What evidence should doctors bring to bear? Using the wide range of reference that readers have come to expect in his books, he traces and critiques the growth of skepticism toward antidepressants. He examines industry-sponsored research, highlighting its shortcomings. He unpacks the “inside baseball” of psychiatry—statistics—and shows how findings can be skewed toward desired conclusions. Kramer never loses sight of patients. He writes with empathy about his clinical encounters over decades as he weighed treatments, analyzed trial results, and observed medications’ influence on his patients’ symptoms, behavior, careers, families, and quality of life. He updates his prior writing about the nature of depression as a destructive illness and the effect of antidepressants on traits like low self-worth. Crucially, he shows how antidepressants act in practice: less often as miracle cures than as useful, and welcome, tools for helping troubled people achieve an underrated goal—becoming ordinarily well.
This title exposes the pharmaceutical industries and their charade of fraudulent behaviour, both in research and marketing where the morally repugnant disregard for human lives is the norm.
This book critiques the connection between Western society and madness, scrutinizing if and how societal insanity affects the cause, construction, and consequence of madness. Looking beyond the affected individual to their social, political, economic, ecological, and cultural context, this book examines whether society itself, and its institutions, divisions, practices, and values, is mad. That society’s insanity is relevant to the sanity and insanity of its citizens has been argued by Fromm in The Sane Society, but also by a host of sociologists, social thinkers, epidemiologists and biologists. This book builds on classic texts such as Foucault’s History of Madness, Scull’s Marxist-oriented works and more recent publications which have arisen from a range of socio-political and patient-orientated movements. Chapters in this book draw on biology, psychology, sociological and anthropological thinking that argues that where madness is concerned, society matters. Providing an extended case study of how the sociological imagination should operate in a contemporary setting, this book draws on genetics, neuroscience, cognitive science, radical psychology, and evolutionary psychology/psychiatry. It is an important read for students and scholars of sociology, anthropology, social policy, criminology, health, and mental health.
This book can help people with mental health issues to survive and return to a normal life. Citizens believe, and the science shows, that medications for depression and psychosis and admission to a psychiatric ward are more often harmful than beneficial. Yet most patients take psychiatric drugs for years. Doctors have made hundreds of millions of patients dependent on psychiatric drugs without knowing how to help them taper off the drugs safely, which can be very difficult. The book explains in detail how harmful psychiatric drugs are and gives detailed advice about how to come off them. You will learn: • why you should not see a psychiatrist if you have a mental health issue • that psychiatric drugs are addictive • that the biggest lie in psychiatry is the one about a chemical imbalance being the cause of psychiatric disorders • that psychiatric diagnoses are unscientific and that doctors disagree widely when making diagnoses • that psychiatric drugs can lead to permanent brain damage • that psychiatric drugs should never be stopped abruptly because withdrawal reactions can be dangerous • why psychotherapy and other psychosocial interventions should be preferred over drugs • why you should generally not believe what doctors tell you about psychiatric disorders and their treatment • why volunteers have found the book so important that they have translated it into French, Portuguese and Spanish "Peter Gøtzsche has written a very personal account of his battle to get the institution of psychiatry to accept that its drugs are not the 'magic pills' they are made out to be. Every medical practitioner who prescribes them, and every person who takes them, should read this book and be warned." -- Niall McLaren, author of Anxiety: The Inside Story "Peter Gøtzsche's new book meets patients' need to get tools on how to deal with psychoactive drugs and, above all, not to start them. Gøtzsche is very clear about the role of GPs in medicalizing grief, misfortune, opposition, and bad luck. In this he finds the American emeritus professor of psychiatry and chairman of the DSM-III committee, Allen Frances, at his side. Both Gøtzsche and Frances have repeatedly stated that psychoactive drugs should not be prescribed by GPs because they lack experience in their use. And above all, unhappiness, grief, and bad luck are not signs of brain disorders, they belong to daily life." Additionally, Gøtzsche reveals that most psychoactive drugs do not work - 'they might only achieve statistically significant differences compared to placebo, but that's not what patients need.'" -- Dick Bijl, former GP, epidemiologist, and current president of the International Society of Drug Bulletins. "Peter C. Gøtzsche wrote this book to help people with mental health problems survive and return to a normal life. His book explains in detail how psychiatric drugs are harmful and people are told how they can safely withdraw from them. It also advises on how people with mental health problems can avoid making a 'career' as a psychiatric patient and losing 10 or 15 years of their life to psychiatry. You will find precious material to help plan and accompany this process of liberation from psychiatry." - Fernando Freitas, PhD, Psychologist, Full Professor and Researcher at the National School of Public Health (ENSP/FIOCRUZ). Co-editor of Mad in Brazil "In this work, addressed to people affected by the risk of being caught in the system of attention to mental health issues, Dr. Gøtzsche succinctly exposes, without beating about the bush, the damage caused by psychiatric medications, demonstrates that their widespread use is not based on evidence, which is mainly driven by commercial pressures that have nothing to do with the recovery of patients, and present safe ways to dispose of them, always gradually and under supervision of trustworthy people to minimize the syndrome of abstinence and successfully overcome all the difficulties that the process involves." -- Enric García Torrents, writing for Mad in Spain Learn more at www.scientificfreedom.dk From the Institute for Scientific Freedom
Many in the research and clinical communities are becoming increasingly aware of the interactions between sleep disorders and chronic pain syndromes. There are a number of obstacles on the path to better patient care, and there is considerable room for improvement in the way knowledge is shared between professionals in the sleep and pain communities. This book serves as the first step toward enhancing communication between the sleep and pain communities with the intent of improving patient care.
More information is always better, and full information is best. More computation is always better, and optimization is best." More-is-better ideals such as these have long shaped our vision of rationality. Yet humans and other animals typically rely on simple heuristics to solve adaptive problems, focusing on one or a few important cues and ignoring the rest, and shortcutting computation rather than striving for as much as possible. In this book, we argue that in an uncertain world, more information and computation are not always better, and we ask when, and why, less can be more. The answers to these questions constitute the idea of ecological rationality: how we are able to achieve intelligence in the world by using simple heuristics matched to the environments we face, exploiting the structures inherent in our physical, biological, social, and cultural surroundings.
The field's bestselling reference, updated with the latest tools, data, techniques, and the latest recommendations from the Second Panel on Cost-Effectiveness in Health and Medicine Cost-Effectiveness Analysis in Health is a practical introduction to the tools, methods, and procedures used worldwide to perform cost-effective research. Covering every aspect of a complete cost-effectiveness analysis, this book shows you how to find which data you need, where to find it, how to analyze it, and how to prepare a high-quality report for publication. Designed for the classroom or the individual learner, the material is presented in simple and accessible language for those who lack a biostatistics or epidemiology background, and each chapter includes real-world examples and "tips and tricks" that highlight key information. Exercises throughout allow you to test your understanding with practical application, and the companion website features downloadable data sets for students, as well as lecture slides and a test bank for instructors. This new third edition contains new discussion on meta-analysis and advanced modeling techniques, a long worked example using visual modeling software TreeAge Pro, and updated recommendations from the U.S. Public Health Service's Panel on Cost-Effectiveness in Health and Medicine. This is the second printing of the 3rd Edition, which has been corrected and revised for 2018 to reflect the latest standards and methods. Cost-effectiveness analysis is used to evaluate medical interventions worldwide, in both developed and developing countries. This book provides process-specific instruction in a concise, structured format to give you a robust working knowledge of common methods and techniques. Develop a thoroughly fleshed-out research project Work accurately with costs, probabilities, and models Calculate life expectancy and quality-adjusted life years Prepare your study and your data for publication Comprehensive analysis skills are essential for students seeking careers in public health, medicine, biomedical research, health economics, health policy, and more. Cost-Effectiveness Analysis in Health walks you through the process from a real-world perspective to help you build a skillset that's immediately applicable in the field.
This practice-oriented, person-centred learning tool will help you acquire the knowledge, skills and competencies you need to perform accurate health assessments in an ever-changing health care environment. The text helps you learn how to think like a health care professional by developing your clinical reasoning skills. It guides you through collecting assessment data before moving on to discussing the health assessment of each patient, explaining the decision-making process used to identify patient problems.
This book will help you navigate the bewildering and often contradictory flood of information about vaccines. There is substantial misinformation about vaccines on the Internet, particularly from those who reject all vaccines, but also from official sources, which are expected to be neutral and objective. Vaccines: Truth, Lies, and Controversy is based on the best available evidence, and Professor Peter S. Gøtzsche explains when and why we should not have confidence in the science and official recommendations. Some vaccines are so beneficial—and have saved millions of lives—that we should all get them; some are so poor that many healthcare professionals do not use them for themselves or their families; and some are in-between. We must evaluate carefully each vaccine, one by one, assessing the balance between its benefits and harms, just as we do for other drugs, and then form an opinion about whether we think the vaccine is worth getting or recommending to other people. Vaccines focuses on measles, influenza, COVID-19, and HPV, but discusses also childhood vaccination programs and whether mandatory vaccination can be justified. Raising critical questions to vaccines is essential because there are still many unresolved issues. For example, we know virtually nothing about what happens when we use many vaccines and what the long-term effects are on the immune system. Vaccines demystifies the controversial topic and helps the reader formulate their own opinion.
GET YOUR HIGHEST SCORE POSSIBLE ON THE PAIN MEDICINE CERTIFICATION AND RECERTIFICATION EXAM WITH THIS ALL-IN-ONE REVIEW This concise yet comprehensive review, edited by two of today's leading pain clinicians/scientists, is the perfect tool to prepare for certification and recertification. It is also an outstanding clinical companion when time is of the essence and authoritative information is needed quickly. Featuring insights from renowned experts, the book's high-yield bulleted presentation condenses and simplifies essential must-know information for the easiest and most time-efficient learning and retention possible. HERE'S WHY THIS IS THE BEST REVIEW OF PAIN MEDICINE AVAILABLE TODAY: Every chapter contains key points that encapsulate the most importantinformation for a given topic Valuable opening section on Test Preparation and Planning reviewsimportant aspects of test taking such as planning study time, planningmaterial to cover, study skills, and taking the actual exam Section on Basic Principles covers key topics such as Pain Physiology,Epidemiology, Gender Issues, Placebo Response, Pain Taxonomy, and Ethics Other sections include: Evaluation of the Patient, Analgesic Pharmacology,Acute Pain Management, Regional Pain, Chronic Pain Management, andSpecial Techniques in Pain Management--which covers the latest advancesin interventional pain Coverage includes alternative treatments such as acupuncture and TENS Numerous photographs and drawings enhance the text
Now in its fourth edition, Rational Diagnosis and Treatment: Evidence-Based Clinical Decision-Making is a unique book to look at evidence-based medicine and the difficulty of applying evidence from group studies to individual patients. The book analyses the successive stages of the decision process and deals with topics such as the examination of the patient, the reliability of clinical data, the logic of diagnosis, the fallacies of uncontrolled therapeutic experience and the need for randomised clinical trials and meta-analyses. It is the main theme of the book that, whenever possible, clinical decisions must be based on the evidence from clinical research, but the authors also explain the pitfalls of such research and the problems involved in applying evidence from groups of patients to the individual patient. For this new edition, the sections on placebo and meta-analysis and on alternative medicine have been thoroughly updated, and there is more focus on insufficient reporting of harms of interventions. The sections on different research designs describe advantages and limitations, and the increased medicalisation and the effects of cancer screening on health people are noted. A section on academic freedom when clinicians collaborate with industry and ghost authors is added. This essential reference work integrates the science and statistical approach of evidence-based medicine with the art and humanism of medical practice; distinguishing between data, sets of data, knowledge and wisdom, and their application. Such an intellectually challenging book is ideal for both medical students and doctors who require theoretical and practical clinical skills to help ensure that they apply theory in practice.
This book gives plenty of examples of ad hominem attacks, intimidation, slander, threats of litigation, deception, dishonesty, lies and other violations of good scientific practice. For some years I kept a folder labeled Dishonesty in breast cancer screening on top of my filing cabinet, storing articles and letters to the editor that contained statements I knew were dishonest. Eventually I gave up on the idea of writing a paper about this collection, as the number of examples quickly exceeded what could be contained in a single article.' From the Introduction The most effective way to decrease women's risk of becoming a breast cancer patient is to avoid attending screening. Mammography screening is one of the greatest controversies in healthcare, and the extent to which some scientists have sacrificed sound scientific principles in order to arrive at politically acceptable results in their research is extraordinary. In contrast, neutral observers increasingly find that the benefit has been much oversold and that the harms are much greater than previously believed. This groundbreaking book takes an evidence-based, critical look at the scientific disputes and the information provided to women by governments and cancer charities. It also explains why mammography screening is unlikely to be effective today. All health professionals and members of the public will find these revelations disturbingly illuminating. It will radically transform the way healthcare policy makers view mammography screening in the future. 'If Peter Gotzsche did not exist, there would be a need to invent him ...It may still take time for the limitations and harms of screening to be properly acknowledged and for women to be enabled to make adequately informed decisions. When this happens, it will be almost entirely due to the intellectual rigour and determination of Peter Gotzsche.' From the Foreword by Iona Heath, President, RCGP 'If you care about breast cancer, and we all should, you must read this book. Breast cancer is complex and we cannot afford to rely on the popular media, or on information from marketing campaigns from those who are invested in screening. We need to question and to understand. The story that Peter tells matters very much.' From the Foreword by Fran Visco, President, National Breast Cancer Coalition.
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