Objective: To discuss the impact on the depressed patient of being told that he or she is suffering from a “chemical imbalance”.
Conclusions: This ‘explanation’ encourages a flight from self-reflection - for both patient and psychiatrist - and is likely to perpetuate the former's suffering and the latter's ignorance.
Get full access to this article
View all access options for this article.
References
1.
ArietiSBemporadJ. Psychotherapy of Severe and Mild Depression. Jason Aronson, Northvale1993.
2.
SchimmelP. Medicine and the manic defence. Australian and New Zealand Journal of Psychiatry1998; 32: 392–397.
RaphaelF. Times Literary Supplement1998; 4969: 3–5.
5.
SymingtonN. Narcissism: A New Theory. Karnac Books, London1993.
6.
BakerS. Nefazodone: profile. Drug Wise. A newsletter on psychotropic drugs1997; 21: 25–31.
7.
StorrA. The Art of Psychotherapy, 2nd edn. Routledge, New York1990.
8.
ParkerGBEllardJH. Federation: defining moments in medicine. Psychiatry. Medical Journal of Australia2001; 174: 18–19.
9.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th edn. American Psychiatric Association, Washington, DC1994.
10.
MichelsM. Psychotherapeutic approaches to the treatment of anxiety and depressive disorders. Journal of Clinical Psychiatry1997; 58(Suppl. 13)30–32.