The authors acknowledge that our present knowledge of the neuroscience of psychiatric disorders is limited -- "we lack general agreement on anything but a very muddy picture" -- yet claim that "brain ...science has advanced enough to provide a foundation capable of uniting the two halves of psychiatry's split personality."
Bureaucratic Insanity Torrey, E Fuller
National review (New York),
06/2011, Letnik:
63, Številka:
11
Magazine Article
Torrey criticizes the role of the Substance Abuse and Mental Health Services Administration (SAMHSA), a federal health agency distinguished by the fact that the health of its clients would improve if ...it went out of business. SAMHSA is a $3.6 billion component of the Department of Health and Human Services. It employs 537 people, who have an average salary of $107,760; almost three-quarters have jobs rated a 13 or higher on the General Schedule, meaning their salaries start above $70,000. SAMHSA spends its $3.6 billion fund mostly toward block grants to the states, which use it to fund mental-health and substance-abuse programs. Theoretically, SAMHSA is supposed to provide oversight for these funds, but in fact little oversight occurs. One reason is that the agency has few people with relevant training and experience. As with its other legitimate functions, SAMHSA's contribution to disease prevention is duplicative of the functions of other government agencies. And SAMHSA puts out hundreds of publications--194 on alcohol abuse alone. Its publications cover the spectrum of human behaviors, including bullying, peer pressure and violence.
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DOBA, IZUM, KILJ, NUK, ODKLJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Celotno besedilo
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DOBA, IZUM, KILJ, NUK, ODKLJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
497.
Let Them Take Pills Torrey, E Fuller
National review (New York),
02/2011, Letnik:
63, Številka:
2
Magazine Article
Since 1990, eight major studies have been carried out in the US assessing violent acts by individuals with serious illnesses. Given such studies, it should not be surprising to find that ...approximately 10% of all homicides in this country are committed by individuals with serious mental illnesses. The two strongest predictors of violence in all individuals, mentally ill or not, are a history of violence and the abuse of alcohol or drugs. Here, Torrey stresses that the ultimate duty to fix the mental-illness mess rests with the states. For two centuries, he tells that they had the primary responsibility for overseeing treatment of the mentally ill, but in recent years much of the funding for mental-health services has been shifted to federal sources. Given the publicity surrounding the Arizona tragedy, he comments that maybe this would be a good time to experiment with alternative ways to deliver mental-health services.
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A survey of 14 published studies found no consistent association between specific HLA antigens and schizophrenia. Since these studies lacked diagnostic or biological criteria, an investigation was ...undertaken using recognized diagnostic criteria and CT scan findings. Typing for HLA antigens at loci A, B and C was carried out on 130 patients. Among 92 black schizophrenic patients there was an increase of HLA-A2 which remained significant even after correcting for the number of antigens studied. When the patients for whom CT scans were available were divided according to the presence or absence of evidence of brain atrophy, there was an increase of A2 in the black schizophrenic patients without evidence of atrophy, which remained significant after multiplying by the number of antigens studied. However, there was no significant increase of A2 in those with evidence of atrophy. Similar trends held for the white population but they failed to reach significance. The need for HLA studies on biologically defined groups of schizophrenic patients is stressed.
Stop the madness Torrey, E Fuller
The Wall Street journal. Eastern edition,
07/1997
Newspaper Article
E. Fuller Torrey says older Americans, those who remember when homelessness was rare, need to speak out against deinstitutionalization. He says many of the mentally ill are worse off than if they had ...remained in a hospital.
