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Psychotropic pills or psychotherapy?

  • Paul Freeling
  • Stanley Levenstein

Abstract

‘Psychiatric problems’ in family practice are largely ‘symptom diagnoses’ with descriptive features and few positive signs. Many factors enter into possible causes and management — patient, family and environment; the physician; the disorder; and possible therapies. There are many uncertainties on the natural histories of the varied syndromes.

Keywords

Depressive Symptom General Practitioner Emotional Problem Psychiatric Illness Psychotropic Drug 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Beck, A. T., Rush, A. J., Shaw, B. F. and Emery, G. (1979). Cognitive Therapy of Depression. ( New York: Guilford Press )Google Scholar
  2. Blackburn, I. M., Bishop, S., Glenn, A. I. M., Whalley, L.J. and Christie, J. E. (1981). The efficacy of cognitive therapy in depression. Br. J. Psychiar., 139, 181CrossRefGoogle Scholar
  3. Brown, G.W. and Harris, T. (1978). Social Origins of Depression: a Study of Psychiatric Disorders in Women. ( London: Tavistock Publications )Google Scholar
  4. Cartwright, A. and Anderson, R. (1981). General Practice Revisited. pp. 51–3. ( London: Tavistock Publications )Google Scholar
  5. Committee on the Review of Medicines (1980). Systematic review of the benzodiazepines. Br. Med. J., 280, 910–12CrossRefGoogle Scholar
  6. Dudley, H. A. F. (1970). The clinical task. Lancet, 2, 1352–54PubMedCrossRefGoogle Scholar
  7. Engel, G. L. (1977). The need for a new medical model. A challenge to biomedicine. Science, 196, 4286, 129–136PubMedCrossRefGoogle Scholar
  8. Goldberg, D. P., Steele, J. J., Smith, C. and Spivey, L. (1980). Training family doctors to recognise psychiatric illness with increased accuracy. Lancet, 2, 52 1523Google Scholar
  9. Hodgkin, K. (1979). Diagnostic vocabulary for primary care. J. Family Pract. 8, 1, 129–144Google Scholar
  10. Klerman, G. L. (1971). Clinical research in depression. Arch. Gen. Psychiatr., 24, 305PubMedCrossRefGoogle Scholar
  11. Lader, M. H. (1981). Focus on Depression. ( Middlesex: Bencard )Google Scholar
  12. McWhinney, I. R. (1972). Beyond diagnosis. X. Engl. J. Med., 287, 8, 384–387 Marks, J., Goldberg, D. P. and Hillier, V. F. (1979). Determinants of the ability of general practitioners to detect psychiatric illness. Psychol. Med., 9, 337–53Google Scholar
  13. Parkes, C. M. (1971). Psychosocial transitions: a field for study. Soc. Sci. Med., 5, 101–115PubMedCrossRefGoogle Scholar
  14. Paykel, E. S. (1974). Recent life events and clinical depression. In Gunderson, E. K. and Rake, R. H. (eds.) Life Stress and Illness. pp. 134–63. ( Springfield: C. C. Thomas )Google Scholar
  15. Paykel, E. S. (1979). Predictors of treatment response. In Paykel, E. S. and Coppen, A. (eds.) Psycho pharmacology of Affective Disorders. pp. 193–220. ( Oxford: Oxford University Press )Google Scholar
  16. Petursson H. and Lader, M. H. (1981). Withdrawal from long-term benzodiazepine treatment. Br. Med. J., 283, 643–645CrossRefGoogle Scholar
  17. Raskin, A., Reatig, N. and McKeon, J. (1970). Differential response to chlorpromazine, imipramine and placebo. Arch. Gen. Psychiatr., 23, 164–173PubMedCrossRefGoogle Scholar
  18. Royal College of General Practitioners (1972). The Future General Practitioner - Learning and Teaching. ( London: British Medical Journal )Google Scholar
  19. Shepherd, M., Cooper, B., Brown, A. C. and Kalton, G. W. (1966). Psychiatric Illness in General Practice. ( London: Oxford University Press )Google Scholar
  20. Smith, R. (1981). Psychological problems in general practice. Oxford conference on a `grey area’. Br. Med. 3., 283, 832–833Google Scholar
  21. Sykes, J. B. (ed.) (1976). The Concise Oxford Dictionary of Current English. ( Oxford: Oxford University Press )Google Scholar
  22. Watson, J. M. and Barber, J. H. (1980). Depressive illness in general practice. Health Bull., 39/2, 112–115Google Scholar
  23. World Health Organization (1964). Psychosomatic Disorders, World Health Organization Technical Reports Series, No. 275. ( Geneva: World Health Organization )Google Scholar
  24. Zintl-Wiegand, A. and Cooper, B. (1979). Psychiatric morbidity and needs for care in general practice. In Hafner, H. (ed.) Estimating Needs for Mental Health Care. pp. 69–79. ( New York: Springer-Verlag )CrossRefGoogle Scholar
  25. Balint, M. (1971). The Doctor, His Patient and the Illness. 2nd edn. ( Surrey: Pitman Paperbacks )Google Scholar
  26. Balint, E. and Norell, J. S. (eds.) (1973). Six Minutes for the Patient: Interactions in General Practice Consultation. ( London: Tavistock Publications )Google Scholar
  27. Levenstein, S. (1978). A report of three years’ experience of a Balint group in Cape Town, South Africa. S. Afr. Med. I., 54, 121Google Scholar
  28. Rogers, C. (1974). On Becoming a Person — A Therapist’s View of Psychotherapy. ( London: Constable )Google Scholar
  29. Sullivan, H. S. (1953). The Interpersonal Theory of Psychiatry. ( New York: W. W. Norton )Google Scholar
  30. Truax, C. B. and Carkhuff, R. R. (1975). Toward Effective Counseling and Psychotherapy. ( Chicago: Aldine )Google Scholar

Copyright information

© MTP Press Limited 1983

Authors and Affiliations

  • Paul Freeling
  • Stanley Levenstein

There are no affiliations available

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