The Carlat Psychiatry Podcast
Controversies in Psychiatry
Apr 8, 2024
Edward Shorter, a historian in psychiatry, discusses the mistakes made in the field over time. Topics include historical evolution of psychiatry, challenges in diagnostics and treatment, evolution of psychiatric medications, role of randomized controlled trials, controversies in psychiatric classification, and the shift from psychopathological entities to neurotransmitter deficiencies in psychiatric illnesses.
22:16
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Quick takeaways
- Psychiatry faces challenges due to misdiagnoses and ineffective treatments.
- The field's reliance on fads and lack of scientific foundation hinders progress in psychiatric care.
Deep dives
Psychiatry's History: Diagnosis and Treatment Messages
Psychiatry's history reveals both good and bad news. While some psychiatrists are effective clinicians with little scientific underpinning, the field as a whole struggles to become truly scientific. Many psychiatric diagnoses do not correspond to real disease entities, limiting accurate treatment approaches. The decline in treatment efficacy, including widespread use of potentially toxic medications, highlights the challenges in psychiatry.
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