Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-24T13:37:08.997Z Has data issue: false hasContentIssue false

Biological psychiatry marching towards the future and the perils of progress

Published online by Cambridge University Press:  18 September 2015

Summary

The study of the biological determinants of abnormal behavior is not anymore psychiatry's stepchild, but a respected branch of that discipline. There is every reason to be optimistic over the future of biological psychiatry. The brain sciences are developing with astounding speed and the systematic attention for psychiatric-diagnosis and differential diagnosis renders biological psychiatry an unprecedented vitality.

One should, however, not ignore some disquieting prospects. The following points of concern are discussed: the alarming shortage of young research psychiatrists; the deficiencies in the teaching of biological psychiatry; the hesitancy to utilize the fruits of brain and behavior research in clinical practice; the shortcomings in psychiatric diagnosing; nosological tunnel vision and, finally, the danger of overrating biological psychiatry with the inevitable disappointment reaction that will follow. The scientific maturation of psychiatry is contingent on a balanced development of its constituents.

Type
Research Article
Copyright
Copyright © Scandinavian College of Neuropsychopharmacology 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Literatuur

1.Egeland, JA, Gerhard, DS, Pauls, DL, Sussex, JN, Kidd, KK, Allen, CR, Hostetter, AM, Housman, DE. Bipolar affective disorders linked to DNA markers on chromosome 11. Nature, 1987;325:783–7.CrossRefGoogle ScholarPubMed
2.Sherrington, R, Brynojolfsson, J, Petursson, H, Potter, M, Dudleston, K, Barraclough, B, Wasmuth, J, Dobbs, M, Gurling, H. Localization of a suspectibility locus for schizophrenia on chromosome 5. Nature, 1988;336:164–7.CrossRefGoogle Scholar
3.Olivier, B, van Dalen, D, Hartog, J. A new class of psychotropic drugs: serenics. Drugs of the future 1986; 11:473–94.Google Scholar
4.Praag, HM van. The teaching of psychiatry. A statue without a socle. Biol Psychiat 1988;24:863–4.CrossRefGoogle ScholarPubMed
5.Kahn, R, van Praag, HM, Wetzler, S, Asnis, GM, Barr, G. Serotonin and anxiety revisited. Biol Psychiat 1988;23:189208.CrossRefGoogle Scholar
6.Praag, HM van. The DSM-IV (depression) classification: to be or not to be? J nerv ment Dis 1990;178:147–9.Google ScholarPubMed
7.Wetzler, S, Praag, HM van, Katz, MM. Diagnosing depression: A two-tier approach. In: Feighner, J, ed. Diagnosis of Depression. New York: John Wiley 1991: in druk.Google Scholar
8.Praag, HM van. Reconquest of the subjective. Against the waning of psychiatric diagnosis. Br J Psychiat 1991; In druk.Google Scholar
9.Praag, HM van. Diagnosing depression. Looking backward into the future. Psychiat Developm 1989;4:375–94.Google Scholar
10.Praag, HM van. Biological psychiatry audited. J nerv ment Dis 1988;176:195–9.Google ScholarPubMed
11.Praag, HM van, Korf, J, Lakke, JPW, Schut, T. Dopamine metabolism in depression, psychoses and Parkinson's disease: the problem of the specificity of biological variables in behaviour disorders. Psychol Med 1975;5:138–46.CrossRefGoogle ScholarPubMed
12.Praag, HM van, Kahn, R, Asnis, GM, Wetzler, S, Brown, S, Bleich, A, Korn, M. Denosologization of biological psychiatry or the specificity of 5-HT disturbances in psychiatric disorders. J aff Dis 1987;13:18.CrossRefGoogle ScholarPubMed
13.Praag, HM van, Asnis, GM, Kahn, RS, Brown, SL, Korn, M, Harkavy Friedman JM, Wetzler S. Monoamines and abnormal behavior. A multi-aminergic perspective. Br J Psychiat 1990;157:723–34.CrossRefGoogle Scholar
14.Praag, HM van. Two-tier diagnosing in psychiatry. Psychiat Res 1990;34:111.CrossRefGoogle ScholarPubMed
15.Praag, HM van, Leijnse, B. Die Bedeutung der Psychopharmakolo-gie fur die klinische Psychiatrie. Systematik als notwendiger Ausgangspunkt. Nervenarzt 1964;34:530–7.Google Scholar
16.Praag, HM van. Het complementaire aspect in de relatie tussen biologische en psychodynamische psychiatrie. Openbare Les. Assen: Van Gorcum 1968.Google Scholar