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Buy Mad In America: Bad Science, Bad Medicine, and The Enduring Mistreatment of the Mentally Ill by Robert Whitaker available and for sale on Brightsurf
| View Larger Image | Mad In America: Bad Science, Bad Medicine, and The Enduring Mistreatment of the Mentally Ill by Robert Whitaker
| | List Price: | $17.50 | | Price: | $11.90 | | You Save: | $5.60 (32%) |  | | Available: | Usually ships in 24 hours |  | |  | | Sales Rank: | 69628 | | Studio: | Basic Books |  | | Binding: | Paperback | | Number Of Pages: | 352 | | Publication Date: | December 31, 1969 | | Publisher: | Basic Books |
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EDITORIAL REVIEWS | Product Description
In Mad in America, medical journalist Robert Whitaker reveals an astounding truth: Schizophrenics in the United States currently fare worse than patients in the world's poorest countries, and quite possibly worse than asylum patients did in the early nineteenth century. With a muckraker's passion, Whitaker argues that modern treatments for the severely mentally ill are just old medicine in new bottles, and that we as a society are deeply deluded about their efficacy. Tracing over three centuries of "cures" for madness, Whitaker shows how medical therapies have been used to silence patients and dull their minds. He tells of the eighteenth- and nineteenth-century practices of "spinning" the insane, extracting their teeth, ovaries, and intestines, and submerging patients in freezing water. The "cures" in the 1920s and 1930s were no less barbaric as eugenic attitudes toward the mentally ill led to brain-damaging lobotomies and electroshock therapy. Perhaps Whitaker's most damning revelation, however, is his report of how drug companies in the 1980s and 1990s skewed their studies in an effort to prove the effectiveness of their products. Based on exhaustive research culled from old patient medical records, historical accounts, numerous interviews, and hundreds of government documents, Mad in America raises important questions about our obligations to the mad, what it means to be "insane," and what we value most about the human mind. | Amazon.com Hot on the heels of an optimistic film about Nobelist John Nash's schizophrenic journey comes medical journalist Robert Whitaker's disturbing exposé of the cruel and corrupt business of treating mental illness in America. Mad in America begins by surveying three centuries of mental health treatments to discover why positive outcomes for schizophrenics in the U.S. for the last 25 years have decreased--making them lower than those in developing countries. Whitaker asks, "Why should living in a country with such rich resources and advanced medical treatments for disorders of every kind, be so toxic to those who are severely mentally ill?" One of Whitaker's answers draws upon the historic and current assumptions of a physical cause for schizophrenia. This resulted in cruel and unusual physical treatments--from ice-water immersion and bloodletting to the more contemporary electroshock, lobotomy, and drug therapies with dangerous side effects. This physical cause model leads to Whitaker's more provocative explanation: that mental illness has become a profit center. He offers disturbing details about how good business for drug companies makes for bad medicine in treating schizophrenia. From drug companies skewing their studies and patient/subjects kept in the dark about experiments to the cozy relationship between the American Psychiatric Association and drug companies, Whitaker underlines the mistreatment of the mentally ill. This courageous and compelling book succeeds as both a history of our attitudes toward mental illness and a manifesto for changing them. --Barbara Mackoff |
CUSTOMER REVIEWS (Average Customer Rating: 4.0 based on 64 reviews)
| Raised the questions that need to be raised  After reading many of the negative reviews of this book, I believe many of these reviewers miss the point of this book. Granted, the slant is negative towards drugs and psychiatry as a whole, but that does not mean that the questions the author raises are not valid ones. The facts are (from a number of sources, not just this one) that psychiatry as a science has a whole lot of work to do to just understand the causes and effects of mental illnesses and the drugs that may treat them.
Many if not most of these agents are given to people in a "trial and error" fashion that suggests the prescriber can not know beforehand exactly how the agent will work in this particular person. That is a tremendous drawback to treating illness. If the same type of treatment were given to people with antibiotics, most of the patients would be dead by the time the "right" drug were given. Diagnosis in infection is mostly not by trial and error--there are tests, assessments, and protocols that give the treating doctor some indication of how to cure the illness. This is not true at all in psychiatry at the present time, and THAT fact is the one that this book tries to bring home.
By using the past history of the psychiatric profession as proof of the very real mistakes it has made over the years being so "certain" about "effective" treatments, the book raises an important issue about scientific bravado, and the propensity for psychiatry in general to err on the side of "first do great harm" instead of the opposite.
This is an unacceptable way to do business, and that seems to be the major point in this book which is an accurate one.
The only way for the science of psychiatry to redeem itself is to buckle down and breakthrough to a new paradigm where skepticism is the norm and patient comfort and care is the primary goal. Intolerable side effects are a reality for many in psychiatry today, and unfortunately it is a high price to pay for these unfortunate souls to take a medication (or medications) that will only relieve symptoms (at best) and never cure anything. There has to be a better way, and this book is one that raises that issue. I think by reading it you can come away with a better understanding of how history has repeated itself and the dangers of being too certain about anything. July 12, 2008 | | Truly groundbreaking: first critique of the "atypicals"  I am a psychiatry professor, with a social rather than biological orientation. I teach medical students and psychiatry residents about the way culture and society influence mental illness and its treatment. I have been an observer of the interaction between pharmaceutical manufacturers and psychiatrists for years, so, in the 1990's when the "atypical" neuroleptics appeared, I was very curious to see if they would live up to the heady claims being made for them by manufacturers.
A great many practicing psychiatrists now recognize that they have not; in part this is the result of a large study funded by the government rather than by the manufacturers themselves. However, Robert Whitaker, in his chapter "Not So Atypical," reached the same conclusions four years before the study was published, through the kind of unbiased review of safety and efficacy data that the psychiatric profession does not undertake, because there is no financial support for it.
When Mad In America appeared, nothing like it had been published in the psychiatric literature and I was chagrined that something so important within psychiatry should have to be pointed out to us by an outside researcher. Whitaker's analysis was highly sophisticated; I gave a copy of the book to our training director, and he gave a copy of the book to all the residents in our program. We discussed the book with them; they were angry and upset at Whitaker's message (and at his histrionic book title) and I don't believe they changed their prescribing practices and returned to the "typical" drugs. Residents now, however, are being taught the serious limitations of the newer drugs; perhaps in the future we will practice with these drugs in a more balanced way. If so, Whitaker will have been one the century's first to move us in this direction. July 04, 2008 | | Mad in America: Bad science, bad medicine, and the enduring mistreatment of the mentally ill  I found this a powerful and well written review of the history of mental health treatment over the past 200 years. It creates a great overview of the capture of the mental health industry by Big Pharma, and the crowding out of alternative viewpoints. It shows well one of the reasons that prognosis is generally much poorer in developed countries than some developing countries (refer WHO studies). I have sent copies of this book to numerous policy writers locally as Christmas presents. I would recommend it to anyone who finds a sense of truth in the addage that 'anyone who goes to a psychiatrist needs his/her head read'. January 27, 2008 | | Must read for anyone who knows anyone who has/is taking meds (that is, everyone)  Really important information for anyone as above. The argument is made using scientific principles and without expressing opinion per se, ie. it is backed up by journals that appear on the record today. If anyone suggests that challenging psychiatry's goals/methods are conspiracy theory then they should read this book, as what is presented is as far from conspiracy as can be (instead these are facts reported by the would-be "conspirators" themselves and does not contain opinion or conjecture). After reading the book I bought 5 copies and started to give them out to people I love.
Thanks,
Tim January 21, 2008 | | An objective history of mental illness  Mad in America is an objective look at what we call mental illness. The author is a journalist, giving this account objectivity lacking in most books about this subject. It shows how we have dealt with human behavior that confuses us and frightens us, leading to extreme abuse in the name of treatment. David Whitaker goes on to show how this abuse is not just something that happened in the past, but continues today under the guise of pharmacological intervention. He dares to expose the big pharmaceutical companies and their push to sell medications regardless of harm.
The medicalization of mental illness continues to increase chronicity and disability. It is time to consider new approaches and this book does a great job in letting us know where we have come from and what it is we need to avoid in a totally new model.
January 07, 2008 | |
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