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Truths and Fallacies of Psychopharmacology

A Guide to Understanding Psychiatric Medications

This course will describe aspects of the art and science of psychopharmacology, with special emphasis on correcting common misconceptions. It will be explained that medications can be used in one of two ways, either symptomatically or disease modifying. Almost all psychiatric medications are symptomatic, and have no effect on the long term diseases that underlie many psychiatric presentations. This fact will be explored in the context of the general philosophy of clinical medicine derived from Hippocrates, which has nothing to do with the false concept of “First do no harm, but rather is based on the view that symptom-oriented treatment is to be discouraged in favor of disease oriented treatment. Implications of these observations for the use of psychiatric medications in clinical practice will be explored. Specific analyses will be made of antidepressants and amphetamines in particular.

What you’ll learn

Course Content

Requirements

This course will describe aspects of the art and science of psychopharmacology, with special emphasis on correcting common misconceptions. It will be explained that medications can be used in one of two ways, either symptomatically or disease modifying. Almost all psychiatric medications are symptomatic, and have no effect on the long term diseases that underlie many psychiatric presentations. This fact will be explored in the context of the general philosophy of clinical medicine derived from Hippocrates, which has nothing to do with the false concept of “First do no harm, but rather is based on the view that symptom-oriented treatment is to be discouraged in favor of disease oriented treatment. Implications of these observations for the use of psychiatric medications in clinical practice will be explored. Specific analyses will be made of antidepressants and amphetamines in particular.

This course also will cover the relevance of DSM diagnoses to clinical practice, assessing problems with their validity and why they may not be correct and helpful in research and practice.  Ten specific truths and ten specific fallacies of psychopharmacology will be identifed after the above context is provided.

This course is both a critique of psychopharmacology practice and an introduction to it.  It will allow students to learn about psychiatric drugs but to do so critically and not simplistically.  It is therefore relevant both to new or younger students and to experienced clinicians alike. All that is needed is an open mind and a desire to learn.