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Psychopharmacology cont'

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... this a disorder that is likely to respond to a drug that treats x.' (34, changed) ... Pharmacology or Talk Therapy. Culture and mental illness. Ethical Issues? ... – PowerPoint PPT presentation

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Title: Psychopharmacology cont'


1
3-29-04
  • Psychopharmacology cont.

2
Schedule
  • Heidegger and Angst
  • Questions of the self
  • Questions of diagnosis
  • Cases from the reading

3
Martin Heidegger
  • German philosopher (1889 1976)
  • Most famous work is Being and Time (1926)
  • Attempted to work through what it means to be,
    and how we are.
  • Discusses falling prey to the world of the
    they and how we can come to authenticity only by
    confronting our own death.

4
Heidegger and Angst
  • Angst is a fundamental way of being in which the
    individual is brought before herself, seeing her
    own character as well as the fears she is
    fleeing.
  • Angst is not fear or dread, but rather is what
    makes particular kinds of fear possible.

5
Heidegger and Angst
  • What Angst is about is the world as such. (SZ
    187)
  • It throws the individual back upon that for
    which it is anxious projecting the individual
    upon its possibilities. (SZ 187-188)
  • In Angst one has an uncanny feeling But
    uncanniness means at the same time
    not-being-at-home. (SZ 188)

6
Heidegger
  • For Heidegger, confronting the possibilities of
    ones own life by considering (through Angst)
    ones own mortality, is the only and best way to
    become authentic.

7
Questions of the self
  • Remember last class Are there bad ways of
    becoming?

8
Edwards and Heidegger
  • Edwards proposes that Heidegger is right and
    that we need to embrace our selves rather than
    mask them through chemical changes.
  • In this way we can come to realize that the world
    is what we make of it The Ready-to-Hand become
    Present-to-Hand.

9
David DeGrazia
  • transformation can be an authentic piece of self
    creation

10
COSMETIC Psychopharmacology
  • Questions of authentic self-creation are even
    more an issue if the changes are not necessary
    but only desired.
  • Who gets to decide what changes are necessary?

11
Questions of diagnosis
  • If you see things as being caused chemically, you
    look for a chemical solution.
  • Which should come first, diagnosis or potential
    treatment?

12
Questions of diagnosis
  • Is this a disorder that is likely to respond to
    a drug that treats x. (34, changed)
  • What we look for in patients depends to a great
    degree on the available medications. (35)

13
Questions of diagnosis
  • responsiveness to medication can influence our
    thoughts about which illnesses are distinct and
    which overlap. (42)
  • US UK study differences in proportions of
    illness were due entirely to differences in
    doctors diagnostic practices. (43)

14
Better than Well
  • Enhancement vs. Therapy
  • What is normal?
  • Who decides?
  • Can anyone who is able opt to be better than
    well?

15
Sam
  • Prozac changed his outlook, but not his behavior.
  • He experienced this change as a loss. (x)
  • the medication redefined what was essential and
    what contingent about his own personality (xi)
  • What does this tell us?

16
Julia
  • a patient without a diagnosis, or with bits and
    pieces of many diagnoses. (25)
  • The first week on medicine was like night and
    day. (27, my emphasis)
  • Social workers thoughts (30 31)
  • change came about without any increased
    knowledge on Julias part. (31-32)

17
Julia
  • Should she have been prescribed Prozac?
  • Once prescribed, should it have been continued?

18
Pharmacology or Talk Therapy
19
Culture and mental illness
20
Ethical Issues?
  • What sorts of ethical issues are involved in this
    discussion?

21
Next Time
  • Nielsen, Samara Joy and Popkin, Barry M.
    Patterns and Trends in Food Portion Sizes, 1977
    1998. (Progdata)
  • Perl, Peter. The Incredible Shrinking Duyers.
    (Progdata)
  • Perlick, Allison. Feeding Frenzy
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