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

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


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.




1. Pies R. The “McDonaldization” of psychiatry: psychiatric knowledge is not the equivalent of “fast food.” May 2009. Accessed January 4, 2010.
2. Pies R. Doctor, are you “drugging” or medicating your patients? Antipsychiatry and the war of words. July 2009. 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). 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. Accessed January 4, 2010.
6. Pies R. Devil or angel? The role of psychotropics put in perspective. 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. 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. 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. 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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