Word: jureidini
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...Random House; 346 pages). While the memoir focuses on how psychotropic drugs sent her mad during the early 2000s, Beddoe's account of her dealings with the eminent Melbourne psychiatrist she calls "Max Braydle" also shines an unflattering light on the talking component of the profession. "Terrible," says Jon Jureidini, head of psychological medicine at the Adelaide Women's and Children's Hospital, of the methods Beddoe ascribes to Braydle. "Sadly, people who read this book will think that is the alternative to being on drugs." And is it? No-at least it needn't be. Specialists in psychotherapy...
...psychotherapy available today. Freud postulated the existence of the unconscious, which he said is shaped by early experience and can profoundly affect moods and behavior, its secrets detectable in dreams and slips of the tongue. "[Braydle] would justify his treatment of [Beddoe] as building a relationship with her," says Jureidini, who wrote the foreword to Beddoe's book, "but it's a bastardization of psychotherapy, just as the way she was treated with medication was a bastardization of the biological approach...
...biological test for depression instead of the series of questions doctors use now. Don't hold your breath waiting for that, says British academic Moncrieff: "I believe that human emotions will never be located in a simple biochemical formula." The chemical-imbalance theory is nonsense, says Adelaide psychiatrist Jureidini. SSRIs alter a patient's serotonin levels within days, he says, but their antidepressant effect - if there is any - doesn't occur for several weeks. "The idea that there's a serotonin deficiency that explains depression is such a gross oversimplification as to be completely misleading," Jureidini says...
...Others have very different concerns. Lucire wants the TGA to write to every G.P. in the country - in the manner of the drug companies - telling them to recall all their SSRI patients and check them for side effects. Jureidini is worried that doctors with links to the drug industry - as consultants or advisers - may be influencing TGA policy on psychiatric drugs. The obligation to disclose isn't there in this case, and that is "out of step with worldwide practice," he says...
...Women's and Children's Hospital in Adelaide, Jureidini and others are bucking that trend. The strong showing of placebos in antidepressant trials should tell us something, he says. Subjects in the control group typically receive more than a sugar pill: they have their histories taken and they're monitored and encouraged. In many cases, this personal attention makes them feel better. So why not build on the placebo effect? Jureidini's team is working with 20 GPs in a soon-to-be-expanded pilot program that embraces, he says, a "third way" of treating depression in children and adolescents...