Monday, 2 August 2010

What the wikipedia clozapine page might look like in half a century

Or less if i can figure out an alternative.

This was a nationally approved treatment for schizophrenia.

People used to be injected with massive doses of insulin to induce comas and seizures. This would happen many times in a week to the patients and while they were in a coma ECT would sometimes also be used.

It is always the absence of an alternative that allows these inhumane treatments to be justified using whatever passes for evidence-based medicine at the time.

At the present time it seems the convenience and inexpensiveness of clozapine is also a significant factor to it's continued use, as well as its suppose effectiveness based upon the cardinal sins of schizophrenia as described by psychiatry.

If patient experience or as a proxy measure patient compliance with treatment was a measure of success then clozapine would be banned right now. Mental healthcare is so far from that sort of measure.

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We It comes in part from an appreciation that no one can truly sign their own work. Everything is many influences coming together to the one moment where a work exists. The other is a begrudging acceptance that my work was never my own. There is another consciousness or non-corporeal entity that helps and harms me in everything I do. I am not I because of this force or entity. I am "we"