MEDICAL CARE MEDICAL SCIENCE This talk was given at the request of Professor Ilana Crome to healthcare staff and students linked to the UK's Midland's Partnership University on January 12, 2026. Slide 1: In the US, the term medical model translates to a pharmaceutical, model - a giving meds model. The term medical model began in Paris in 1800 and linked medical disorders, … [Read more...] about Are HealthCare and Science Compatible?
Antipsychotics
Treating Narcissistic Doctor Disorder
Many of Freud's ideas linger with us to this day. A few are disastrously misapplied in some situations but still capable of offering insights in other situations. One of these Janus-Faced ideas was about transference reactions. One day a woman in therapy threw her arms around Sigmund. Rather than reach for the obvious explanation, discombobulated he figured she was … [Read more...] about Treating Narcissistic Doctor Disorder
Good Care in Healthcare
Invited by the Nevada Psychological Association I gave a lecture in Reno on October 4 - see Health, Care and Science. The lecture centered on the death of Woody Witczak on a Zoloft Big Dipper ride and what can be done to save us from a fate like his. Two days later the Southern California Psychiatry Society and an AstroTurf group no-one had heard of before, the Committee … [Read more...] about Good Care in Healthcare
Back to the Future of Personal Care
This post links to From Just Say No to Getting to Yes. If I prescribe you a medicine, the science starts when you swallow it. The observers at this experiment are you, your family, friends, people you work or live with – and me. Science is said to be based on Show Me not Trust Me. So you might say first Show me the Evidence - Inform my Consent. Can Consent be … [Read more...] about Back to the Future of Personal Care
Ostriches, Doctors, SSRIs and Tylenol
In 2023 a new set of Canadian Guidelines for the Management of Alcohol Use Disorders put a serious problem on the radar for doctors that few of them likely expected. See Antidepressants, Alcohol and Anne-Marie. The antidepressants doctors commonly prescribed, often telling people these medicines would help them manage their alcohol issues, were likely causing the problem – … [Read more...] about Ostriches, Doctors, SSRIs and Tylenol
The Future of Health App-ointments
Several of the many people who write or track RxISK posts, have had input to this one, which dovetails with Harriet Vogt's post last week Repairing Ruptures in Clinical Care and the work of Shane Cooke and Mary Hennessey in getting health systems to listen to the voices of those harmed by treatment. The post, maybe, casts an ominous light on our abilities to get medicine to … [Read more...] about The Future of Health App-ointments
Repairing Ruptures in Clinical Care
Better Times Will Return © Josie Russell 2017 This post is by our warzone correspondent Harriet Vogt from frontline trenches. A few weeks ago I was invited to join an online discussion with a group of experts on iatrogenesis who have an in-depth knowledge of antidepressant withdrawal and the risks of polypharmacy. These highly informed, articulate, empathic medical … [Read more...] about Repairing Ruptures in Clinical Care
Deciphering the Web We Have Woven
Three people who got in touch recently, one with a problem, one with an idea, and one 'outraged' contributed to this post. The problem and idea illustrate what happens when doctors take Probity Blockers. The outrage tells you almost everything you need to know about the Web we are enmeshed in. Using the problem, idea and outrage, this post gives a punchier version of the … [Read more...] about Deciphering the Web We Have Woven
The Mysteries of Tapering – XX Rated
A woman on lamotrigine, a drug I never give anyone because of its withdrawal and other problems, recently came my way. She had been tapering for a long-time partly because lamotrigine can be a nasty drug to stop but primarily because her lamotrigine support group were firm Hyperbolic believers. An extraordinary number of people, primarily in my experience women, are … [Read more...] about The Mysteries of Tapering – XX Rated
No One Expects the Reformation
The title of this post borrows a famous line from Monty Python: No one expects the Spanish Inquisition This is an advance notice of things to come rather than a post per se. To get a sense of the things to come, it is worth reading the Antidepressants, Homicide and a Challenge post and the comments that come after it where many regular contributors to RxISK pick up … [Read more...] about No One Expects the Reformation