Posted by Elizabeth on August 15, 2001, at 18:02:02
In reply to Re: Shelli and Elizabeth, posted by Cam W. on August 13, 2001, at 2:27:00
> He never refutes that claim, except to say that he has taken all of these drugs (hardly an objective opinion), usually in megadoses, and has access to all of the world's medical journals.
As I'm sure we all realise, "access" doesn't imply reading and understanding.
> I feel that his statements are tantamount to the Beatles taking LSD to attain nirvana.
Umm...this was before my time. ?
> For example, if a person is not sleeping after an adequate trial of olanzapine, ...
I think you're stretching it here. :-)
> Switching meds is by far not the first step in modifying most medication regimens.
I think it depends on the situation.
> I am not saying that subjective experience is not important; it is extremely important, but this type of information should not be given the same level of import, as longterm, naturalistic studies, until they have been shown that subjective experience can be incorporated into the theory.
On the other hand, theories that ignore subjective experience (of the patient, that is) aren't necessarily so meaningful either. I think that objective studies aren't always sufficient (even when subjective evaluations contribute to the results -- e.g., by the use of pseudo-objective rating scales).
> You cannot ignore Sal's posts, as you ignore a troll.
That's a good point.
> The incident which scared me most was when Sal told a person with schizophrenia to stop his risperidone cold turkey, and that there would be no problems (James called him on that on).
I missed that one, I guess. I agree, though: prescribing (or de-prescribing < g >) is not something that should be going on here.
> Shelli, I was taking it as a personal affront to the 22 years I have been learning this stuff.
I understand. Your knowledge includes knowledge of your limitations; a person without such knowledge might be unaware of his limitations.
> If he thinks that posting abstracts and links gives him knowledge into psychopharmacology, he is just taking LSD.
This is where you lose me. < g >
> We may end up at loggerheads at times, but hey, that's science.
It sure is.
-elizabeth
poster:Elizabeth
thread:67742
URL: http://www.dr-bob.org/babble/20010814/msgs/75191.html