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拉拢精神病学:学术精神病学与制药行业之间的联盟

Co-opting psychiatry: the alliance between academic psychiatry and the pharmaceutical industry.

作者信息

Moncrieff Joanna

出版信息

Epidemiol Psichiatr Soc. 2007 Jul-Sep;16(3):192-6.

Abstract

The editorial presents the arguments that an alliance between academic psychiatry and the pharmaceutical industry is harmful through a critical review of the academic literature and media coverage of activities of the pharmaceutical industry. The industry and the psychiatric profession both gain advantages from promoting biomedical models of psychiatric disturbance and pharmacological treatment. This confluence of interests has lead to the exaggeration of the efficacy of psychiatric drugs and neglect of their adverse effects and has distorted psychiatric knowledge and practice. Academic psychiatry has helped the industry to colonise more and more areas of modern life in order to expand the market for psychotropic drugs. Persuading people to understand their problems as biological deficiencies obscures the social origin and context of distress and prevents people from seeking social or political solutions. Psychiatry has the power to challenge the dominance of the pharmaceutical industry and should put its efforts into developing alternatives to routine drug treatment. Psychiatry needs to disengage from the industry if it wants to make genuine advances in understanding psychiatric disorder and help reverse the harmful social consequences of the widening med-icalisation of human experience.

摘要

这篇社论通过对学术文献以及制药行业活动的媒体报道进行批判性审视,提出了学术精神病学与制药行业之间的联盟具有危害性的观点。制药行业和精神病学专业都从推广精神障碍的生物医学模式和药物治疗中获益。这种利益的交汇导致了对精神科药物疗效的夸大以及对其副作用的忽视,还扭曲了精神病学知识和实践。学术精神病学帮助制药行业开拓了越来越多的现代生活领域,以扩大精神药物的市场。说服人们将自身问题理解为生物缺陷,掩盖了痛苦的社会根源和背景,阻碍人们寻求社会或政治解决方案。精神病学有能力挑战制药行业的主导地位,应致力于开发常规药物治疗的替代方法。如果精神病学想要在理解精神障碍方面取得真正进展,并帮助扭转人类体验日益医学化所带来的有害社会后果,就需要与制药行业脱离关系。

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