Monday, August 3, 2020

Comments by EllenL

Showing 2 of 2 comments.

  • I did not blame anyone for anything, nor did I support either the idea of big Pharma or medicating all people with similar, or any, drugs. I said that there was no way to sufficiently control enough intervening variables to decidedly attribute the deficits to medications alone.

    Do i think mental disorders are over- and mis-diagnosed far more often than appropriate? Yup, Do I think meds are both over- and mis-prescribed? Of course.

    I also said withholding drugs was questionably unethical; the suggestion that (some) people with severe mental illness should remain unmedicated comes from a place of privilege that is inexcusable among caregivers. Would I personally risk alternate health deficits, including a shorter life span, cancer, or memory loss in exchange for not experiencing some of the symptoms of my mental illness? You bet your ass I would.

  • OTOH, the same mechanisms that cause long term psychotic illness could be reaponsible for the cognitive impairments, regardless of medical intervention. Without testing those people with Schizophrenia who were (questionably unethically) non-medicated throughout their timeline, which would be the appropriate control (as opposed to those without a psychotic disorder) , and controlling for whether the high dose cohort were also those whose illness was more severe (or perhaps defined by a different type of psychotic expression, say paranoid versus disorganized ), this study doesn’t really do much to condemn the drugs as purely, or even partially, responsible for the deficit. Even if it did, it would still have to be weighed against the cognitive deficit created while living and operating in a psychotic state (which would be the result of not being on any medication at all).