"It Tastes Like Order": Psychotic Evidence for Antipsychotic Efficacy and Medicated Subjectivity
"It Tastes Like Order": Psychotic Evidence for Antipsychotic Efficacy and Medicated Subjectivity
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DOI：
10.1111/etho.12227
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发表时间：
2019-03-01
期刊：
影响因子：
0.6
通讯作者：
D'Arcy, Michael
中科院分区：
文献类型：
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作者：
D'Arcy, Michael
在当代有关抗精神病药物疗效的争论中，什么才算是证据呢？当前精神病学、公共卫生和社会科学领域的研究继续对抗精神病药物的功效提出质疑，但关于精神药物预期和实际报告的效果的研究很大程度上缺少阐明精神病经历和精神病学依从禁令之间交叉点的患者证词。本文借鉴爱尔兰都柏林住院精神病房和社区心理健康网络的人种学实地调查，探讨了心理健康患者积极参与精神药物实验的方式，通常是为了追求特殊的药物主观性。本文加入了有关精神药物功效的证据主张的认识论多元性的更大辩论，旨在突出临床医生和患者之间的对话，后者提供了有关精神病生活经历的宝贵见解。
What counts as evidence in contemporary debates about antipsychotic efficacy? Current research in the fields of psychiatry, public health, and the social sciences continues to cast doubt upon the efficacy of antipsychotic medications, but patient testimonies illuminating the intersection of psychotic experience and the psychiatric injunction to adhere are largely missing from research about psychotropic medications' intended and actually reported effects. Drawing on ethnographic fieldwork in an inpatient psychiatric ward and the community mental health network of Dublin, Ireland, this article explores the ways in which mental health patients are actively engaged in an ongoing process of experimenting with their psychopharmaceuticals, often in the pursuit of an idiosyncratically medicated subjectivity. Joining larger debates about the epistemologically plural nature of evidentiary claims regarding psychopharmaceutical efficacy, this article seeks to foreground the dialogue between clinicians and patients, the latter of whom offer invaluable insights regarding the experience of living with psychosis.