• Can J Psychiatry · Aug 2014

    Review

    The impact of psychopharmacology on contemporary clinical psychiatry.

    • Gustavo H Vázquez.
    • Professor and Director, Department of Neuroscience, University of Palermo, Buenos Aires, Argentina.
    • Can J Psychiatry. 2014 Aug 1; 59 (8): 412-6.

    AbstractClinical psychiatric evaluations of patients have changed dramatically in recent decades. Both initial assessments and follow-up visits have become brief and superficial, focused on searching for categorical diagnostic criteria from checklists, with limited inquiry into patient-reported symptomatic status and tolerability of treatments. The virtually exclusive therapeutic task has become selecting a plausible psychotropic, usually based on expert consensus guidelines. These guidelines and practice patterns rest mainly on published monotherapy trials that may or may not be applicable to particular patients but are having a profound impact, not only on modern psychiatric practice but also on psychiatric education, research, and theory.

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