Mea Kākau: Lewis Jackson
Lā O Ka Hana: 8 Mei 2021
HōʻAno Hou I Ka Lā: 15 Mei 2024
Anonim
Ua hana hewa ʻia paha ke kaukolo ma mua o ka hoʻoponopono? - Psychtherapy
Ua hana hewa ʻia paha ke kaukolo ma mua o ka hoʻoponopono? - Psychtherapy

Anter

ʻIke mākou hiki i nā ʻoihana ke hōʻike i kahi mau scruples i ka hūnā ʻana i nā poino i hana ʻia e kā lākou huahana. Ua hūnā nā mea hana ʻume i ka loulou i ka maʻi ʻaʻai māmā no nā makahiki he ʻumi. Hōʻole nā ​​ʻoihana ikehu a me kā lākou mau ʻaoʻao politika i ka loulou ma waena o nā wahie fossil a me ka hoʻomehana honua ʻana. Akā ʻaʻohe ʻoihana i ʻano like me ka pūnaehana a i ʻole kūleʻa e like me nā ʻoihana lāʻau i ka infiltrating ʻana i ka ʻike pili e pili ana i kā lākou huahana. ʻO nā hopena he loaʻa kālā kiʻekiʻe. ʻO nā ʻoihana lāʻau lapaʻau he ʻumi ma ka Fortune 500 e loaʻa kālā hou aʻe ma mua o nā hui 490 ʻē aʻe hoʻohui ʻia .

E noʻonoʻo i kēia: He aha inā e uku ʻia e Exxon kēlā me kēia ʻepekema e aʻo ana i ka hoʻomehana honua? Ma lalo o New York ka wai ma mua o ka ʻike ʻana o kekahi i ka hoʻomehana honua. Eia naʻe, ʻo ia nō ke kūlana o ka noiʻi ʻepekema i ka psychiatry. Ma luna o 80 pākēneka o nā noiʻi noiʻi psychiatric i mālama ʻia i loko o nā kikowaena lāʻau lapaʻau i uku kālā ʻia e ka ʻoihana lāʻau. A ʻo ia ka nūhou maikaʻi. Me ka hoʻonui pinepine ʻana, ke uku nei ʻo Big Pharma i nā ʻoihana kūʻai me ka ʻole o ka pilina i ka ʻepekema e hana i nā noiʻi e waiho i kā lākou huahana i ka mālamalama maikaʻi loa. uku lākou i nā kālaiʻike e kau i ko lākou mau inoa i ka hopena i hoʻopaʻa ʻia ma ke ʻano he mea kākau, ʻoiai ʻaʻohe o lākou komo i ka noiʻi. E ʻike ai i nā hopena, e lawe i ka laʻana o Neurontin.


Ma kahi o 12 mau makahiki i hala aku nei, ua ʻike wau i ka nui o kaʻu poʻe maʻi bipolar type II e kau ʻia ana i kahi lāʻau hou, ʻo Neurontin. ʻAʻohe o kaʻu poʻe maʻi i loaʻa he pōmaikaʻi nui mai ia, a ʻo ka hapa nui o nā hopena ʻeha. I kēia manawa, maopopo iaʻu ke kumu.

ʻIke mākou i kēia manawa mai ka noiʻi kūʻokoʻa - noiʻi ʻaʻole kālā kālā ʻia e nā ʻoihana lāʻau - hana ʻole ʻo Neurontin i kahi pōmaikaʻi i ka mālama ʻana i ka maʻi bipolar. ʻAʻohe. Akā laila, no ke aha mākou i manaʻoʻiʻo ai ua hanaʻiʻo ia? ʻO ka moʻolelo Neurontin kahi hiʻohiʻona egregious o ka ʻepekema holo amok, akā ʻaʻole ia he ʻano atypical. Hoʻokomo wahaheʻe ʻia nā psychiatrist e kuhikuhi i kahi lāʻau i palekana a maikaʻi ʻole.

ʻO ke aʻo a Warner Lambert i hoʻohana ai hōʻoia Ua kūleʻa ʻo Neurontin no ka mālama ʻana i ka maʻi bipolar a ua kapa ʻia i nā hopena maikaʻi, e like me kahi ʻatikala i paʻi ʻia ma ka Waihona o nā lāʻau lapaʻau kūloko . ʻOi aku ka maikaʻi ʻole, ua kāohi ʻia nā hōʻike o nā hopena maikaʻi ʻole ma kēia noi: 73 nā maʻi i kēia hoʻokolokolo ʻana i loaʻa nā hopena maikaʻi ʻole, a ua make nā maʻi he 11.


Pehea i hiki ai kēia? I ka makahiki 1993 he pilikia ko Warner Lambert. ʻO Neurontin, kā lākou lāʻau hou anti-epilepsy, i hāʻawi wale ʻia i ka ʻae ʻia ʻana o ka FDA no ka hoʻohana wale ʻana ma ke ʻano he lāʻau ʻelua epilepsy lālani - hiki ke hoʻohana ʻia inā ʻaʻohe lāʻau lapaʻau epilepsy ʻē aʻe i ka makeke i kūleʻa. "He pākeke ʻo Neurontin." Kākau ʻo Daniel Carlat ma Unhinged . He aha e hana ai?

Ua hoʻolimalima ka hui i nā ʻoihana kūʻai - ʻaʻole nā ​​ʻepekema - e hana i nā ʻepekema e hōʻike ana i nā pono o Neurontin no ka maʻi bipolar, a uku i nā kauka $ 1,000 i kahi ʻāpana e ʻae i ko lākou mau inoa e helu ʻia ma ke ʻano he mea kākau o nā noiʻi ʻaʻole lākou i alakaʻi a kākau hoʻi (a ʻaʻole paha heluhelu.

ʻOiai ke koi nei ka FDA i kahi kiʻekiʻe o nā ʻike ʻepekema kūpono e ʻae i kahi lāʻau no ka hoʻomaʻamaʻa ʻana i kahi kūlana kūikawā, ke ʻae ʻia ka lāʻau, ua noa nā kauka e kuhikuhi i kekahi lāʻau no kēlā me kēia ʻano. lepili ʻē. E hōʻoia iā lākou e hana i kēia, hiki ke ʻaʻahu ʻia i ka ʻikepili nāwaliwali a i ʻole lomilomi ʻia e hōʻoia ai i ka maikaʻi o ka lāʻau, a ʻaʻohe koi o ka FDA e pono ai. He hewa ia no kahi hui lāʻau e kūʻai aku i nā lāʻau i nā kauka no ke kumu inoa lepili, akā ʻo ia ka mea i hana ʻia. ʻO Marcia Angell, ka mea hoʻoponopono mua o ka Ka Nūpepa Lapaʻau ʻo New England , i kākau: "ua hoʻokō ka ʻoihana i kahi papa hana kolohe kūpono ʻole e hoʻolaha iā Neurontin no ka hoʻohana ʻana i nā lepili - ʻo ka hapanui ma o ka uku ʻana i nā loea kālaiʻike e kau i ko lākou inoa i ka noiʻi lahilahi."


Ua iho mai nā luna lāʻau i ka hoʻomaʻamaʻa psychiatrists. Ua aʻo ʻo Warner Lambert luna kiʻekiʻe ʻo John Ford i kāna ʻelele e "paʻa i ko lākou mau lima a hāwanawana i ko lākou pepeiao ... Neurontin no ka maʻi bipolar." Ua hele hou aku ʻo ia, e paipai iā lākou e ʻoi aku i ka nui o ka lāʻau i koi ʻia e ka FDA o ka 1800 mg / lā, me ka ʻōlelo ʻana "ʻAʻole au makemake e lohe i kēlā pale palekana." Ua uku ʻo Warner Lambert i 430 miliona i nā uku no kāna hoʻopunipuni ʻana a me ke kūʻai kū kānāwai ʻole o Neurontin i nā psychiatrists.

Hoʻokaʻawale ʻia ʻo Neurontin? ʻO ka mea kākau naʻau ʻepekema i aʻo ʻia e nā ʻoihana kūʻai aku he hana maʻamau. I ka makahiki 2001, ua uku aku nā ʻoihana lāʻau i $ 7 biliona a i hoʻokahi kaukani mau ʻimi noiʻi aelike e hana i ka ʻike e waiho i kā lākou lāʻau i kahi mālamalama maikaʻi loa. Pehea ka hohonu o kēia komo ʻana i ka psychiatry? ʻO 57 mau pākēneka o nā ʻatikala ʻepekema i paʻi ʻia e pili ana iā Zoloft, ʻo kahi laʻana, ua kākau ʻia e ka ʻoihana kūʻai o ʻAoʻao Medical Directory a me ka ʻuhane i kākau ʻia e nā kālaiʻike i loaʻa ʻole kahi ʻāpana. Ua ʻike ʻia kēia mau ʻatikala i nā puke pai e pili pū ana me ka Ka Nupepa ʻAmelika o ka Psychiatry a ʻo ka Ka Nupepa o ka ʻAmelika ʻAmelika Hui Pū ʻIa. "No laila, no hoʻokahi anti-depressant, ʻo ka hapa nui o nā puke olakino i kākau maoli ʻia e ka ʻoihana lāʻau i hana i ka lāʻau, e like me ke ʻano o ka hoʻomālamalama ʻana o ka ʻepekema e like me ka manaʻo o kekahi," i kākau ʻo Carlat. A i ka a Nu Ioka Manawa Ua kākau ʻo Op-ed ʻāpana ʻo Carl Elliot, "Hoʻolaha nā ʻoihana lāʻau lapaʻau i kā lākou lāʻau me nā haʻawina pseudo i loaʻa iki inā loaʻa nā hana ʻepekema."

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