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The Good Psychiatry Does: A Brief Review: Page 4 of 4

The Good Psychiatry Does: A Brief Review: Page 4 of 4

Crisis

by Ronald Pies, MD

I’ve set aside

my prescription pad

and analytic calm—

dropped all pretense

of science:

it’s you and me now,

pressed cold

against death’s ribs.

I use

what tricks I know

to keep you living

through another bony night,

another flurry

of final phone calls.

And you, as always, refuting life:

denaturing love, companions, sex.

Well, you leave my office alive.

That’s as close

to certainty

as our work gets.

Pages

References

References

1. Pies R. The “McDonaldization” of psychiatry: psychiatric knowledge is not the equivalent of “fast food.” May 2009. http://psychiatrictimes.blogspot.com/2009/05/mcdonaldization-of-psychiatry.html. Accessed January 4, 2010.
2. Pies R. Doctor, are you “drugging” or medicating your patients? Antipsychiatry and the war of words. July 2009. http://psychiatrictimes.blogspot.com/2009/07/doctor-are-you-drugging-or-medicating.html. Accessed January 4, 2010.
3. Health care reform for Americans with severe mental illnesses: report of the National Advisory Mental Health Council. Am J Psychiatry. 1993;150:1447-1465.
4. Effectiveness of psychiatric treatment. Psychiatric Highlights. 1993;1(2). http://www.calpsych.org/publications/psychhighlights/psaug93.html. Accessed January 4, 2010.
5. Kirsch I, Deacon BJ, Huedo-Medina TB, et al. Initial severity and antidepressant benefits: a meta-analysis of data submitted to the Food and Drug Administration. PLoS Med. 2008;5(2):e45. http://www.ncbi.nlm.nih.gov/sites/entrez. Accessed January 4, 2010.
6. Pies R. Devil or angel? The role of psychotropics put in perspective. http://psychcentral.com/blog/archives/2008/03/02/devil-or-angel-the-role-of-psychotropics-put-in-perspective/#ref. Accessed January 4, 2010.
7. Fournier JC, DeRubeis RJ, Hollon SD, et al. Antidepressant drug effects and depression severity: a patient-level meta-analysis. JAMA. 2010;303:47-53.
8. Bipolar diagnostic spectrum scale. http://www.psychiatrictimes.com/clinical-scales/bsds. Accessed December 28, 2009.
9. Rush AJ, Trivedi MH, Wisniewski SR, et al. Acute and longer-term outcomes in depressed outpatients requiring one or several treatment steps: a STAR*D report. Am J Psychiatry. 2006;163:1905-1917.
10. Ghaemi SN. Hippocratic psychopharmacology for bipolar disorder: an expert’s opinion. Psychiatry MMC. http://www.psychiatrymmc.com/displayArticle.cfm?articleID=article195. Accessed January 4, 2010.
11. Pagnin D, de Queiroz V, Pini S, Cassano GB. Efficacy of ECT in depression: a meta-analytic review. J ECT. 2004;20:13-20. http://focus.psychiatryonline.org/cgi/content/abstract/6/1/155. Accessed January 4, 2010.
12. Fink M. Convulsive therapy: a review of the first 55 years. J Affect Disord. 2001;63:1-15.
13. Mojtabai R, Olfson M. National trends in psychotherapy by office-based psychiatrists. Arch Gen Psychiatry. 2008;65:962-970.
14. Andrews G, Harvey R. Does psychotherapy benefit neurotic patients? Arch Gen Psychiatry. 1981;38:1203-1208.
15. Pies R, Geppert CM. Psychiatry encompasses much more than clinical neuroscience. Acad Med. 2009;84:1322.
16. Pies R. Creeping Thyme. Richmond, VA. Brandylane Publishing; 2004.
 
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