wards. But I think it's virtually impossible to prove.
If the data was available I could exclude people who started taking
medication for the first time, i.e. people who are put on medication for
their first psychiatric crisis. I could exclude those who'd come off
medication and ended up in a ward. Those that had continuously been on
medication would be the target for the research but it's easy to argue
that they became more unwell which is why they ended up in a ward and
why their medication was increased.
On the other hand I know that psychiatrists use the chemical cosh to
subdue patients in wards. They ramp up the levels because the ward
environment causes stress which exacerbates symptoms. I know there are
cases where entire wards have had their medication upped because the
patients were being moved from one ward to another. I know psychiatrists
use antipsychotics for convenience just as GPs used them on people with
dementia symptoms.
I'm trying to show that psychiatric wards make people more ill, so the
increased use of medication in wards would be a way to show it empirically.
But the data wouldn't show it right I think. There's too many other
factors and explanations for the use of higher doses in psych wards.
Of course my personal experience of being sectioned informs my position
that psychiatric wards often make people more ill. They're not designed
to be the sort of places a person would want to be if they were unwell.
They're just prisons run by doctors and nurses to house the mad till the
medication kicks in or incacertae them long term if it doesn't.
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