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Listening to Prozac
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In debating the proper uses of the antidepressant drug, Prozac, a practicing psychiatrist explores what the personality-altering effects of such psychotherapeutic drugs reveal about intelligence and the nature of the self. Reprint. 200,000 first printing. Major ad/promo. Tour.
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Audible Audiobook
Listening Length: 1 hour and 29 minutes
Program Type: Audiobook
Version: Abridged
Publisher: Simon & Schuster Audio
Audible.com Release Date: March 9, 2010
Language: English, English
ASIN: B003BLGD4M
Amazon Best Sellers Rank:
Prior to reading Kramer's now-classic ruminations on Prozac and its sibling drugs, I read Joseph Glenmullen's Prozac Backlash, a damning response to Kramer's work. Glenmullen is convincing and well documented (and speaks to my own prejudices); therefore, I was prepared to despise Kramer. I didn't. And I don't. Granted, Kramer does not spend much time on the undesirable side effects of Prozac and other antidepressant drugs, but it's almost beside the point, since his emphasis tends towards philosophical and ethical efficacy, rather than medical efficacy. Kramer does not pretend to be doing anything other than laying bare some very challenging questions. He prescribed Prozac as an antidepressant and discovered that it was altering personalities--not in the far more negative way that was later found in cases of uncharacteristic violence, but in ways that patients perceived as positive. Formerly shy people were far more outgoing. Kramer raises an important question: Is it ethical to withhold a treatment for painful shyness when the physician has no reason to diagnose depression? Dozens of (to me) frightening facts are reported; for instance, for the past fifty years it has been commonplace to make a diagnosis after observing drug side effects. In other words, now that we know that Prozac can cure shyness in some people, shyness is now a diagnosis that needs a cure. Particularly interesting and insightful is Kramer's observation that certain personality characteristics are valued (or de-valued) in various cultural scenarios, which change over time as well as from one group to another. Speaking of his client who overcame shyness as a side effect of her anti-depressant medication, he writes, "If we see Tess's transformation as a victory, it's because of a change in mores, because we value the assertive woman and shake our heads over the long-suffering self-sacrificer. Perhaps medication now risks playing a role that psychotherapy was accused of playing in the past: it allows a person to achieve happiness through conformity to contemporary norms." Kramer also cited a quite intriguing series of monkey studies, where researchers found that the Alpha male (tribal leader) had higher levels of serotonin than other males in the tribe. Also, when an Alpha male was defeated in a challenge to his leadership, his serotonin levels took an immediate dive. The researchers arbitrarily gave serotonin to male monkeys to see if it influenced the balance of power in the tribe. They found that, if the Alpha male had been removed, the serotonin-enhanced monkey quickly became the new leader. However, in the presence of a reigning Alpha male, the serotonin-enhanced monkey was unable to rise further than first lieutenant. Citing study after study of various components of brain chemistry, Kramer brings me to question the whole notion of personality as being an integral characteristic of the individual human being. More and more I become confused about how much of me is me and how much is a chemical soup that controls my emotions and behaviors. Glenmullen's book is the most constructive, in terms of revealing effective treatments for depression, yet I still recommend Kramer for his thoughtful evaluation of the possibilities represented by these drugs and his unabashed admission of the philosophical issues and ethical questions involved.
"Listening to Prozac" is one of those books that really makes you think about where the quick-paced world of science is going to take us in the future. Kramer carefully fingers the topics of "self" and psychopharmacological Calvinism, while articulating the history of modern neuropharmacology. Should a person have to bear the ordinary pains of life, or should we allow Prozac to provide a temporary escape? Can a person be "more like him/herself" after taking a little pill? Questions like these may never be answered, but this books helps teach the reader the basics on brain bio as well as the perspectives on brain philosophy necessary to make an informed decision.
Good insight into anti-depressants for anyone who has struggled with anxiety and panic and fear of starting a medication for relief.
Decent book about prozac. I'd recommend it for anyone who is prescribed prozac.
Read it years ago, and was just a review. Very informative about the medication, Prozac.
Amazing book. Amazing medicine.
Best book on depression,next to author's Against Depression
All you need to know about a popular medicine that saves lives.
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