Listening to Prozac: A Psychiatrist Explores Antidepressant Drugs and the Remaking of the Self: Revised Edition [Englisch] [Taschenbuch]

Psychiatrist Peter Kramer's book Listening to Prozac created a sensation when it was released in 1993, and it remains the most fascinating look at the new generation of antidepressants. Kramer found that the changes in brain chemistry brought about by Prozac had a wide variety of effects, often giving users greater feelings of self-worth and confidence, less sensitivity to social rejection, and even a greater willingness to take risks. He cites cases of mildly depressed patients who took the drug and not only felt better but underwent remarkable personality transformations--which he (along with many of the book's readers) found disconcerting, leading him to question whether the medicated or unmedicated version was the person's "real" self. Kramer has been criticized for seeming to advocate Prozac over psychotherapy or as a way of achieving personality changes not directly related to the disease of depression, such as improving one's social confidence or job performance. In fact, he makes no such recommendations; he was simply the first popular writer to suggest that these changes might occur. (He answers those critics in the afterword to this 1997 edition.) For anyone considering taking antidepressants or wanting a better understanding of the effects these drugs are having on our society, Listening to Prozac is a very important book.

A provocative volume that sets up the mood-altering Prozac as a tool to examine the growing--and often troubling--use of drugs in the treatment of psychological illness. Brown University professor Kramer (Moments of Engagement, 1989--not reviewed) is a practicing psychiatrist who uses traditional techniques of therapy but also prescribes Prozac and other psychopharmaceuticals for his patients when they seem appropriate. Thanks to exposure on TV talk shows, Prozac is associated in many people's minds with suicide and violence, but only in the last chapter here--an appendix, really--does the author argue directly against these charges. What he explores instead are the far-reaching implications of the generally positive changes in temperament triggered by Prozac and other drugs prescribed to relieve anxiety and depression, and what these medications have taught us about how character and temperament are shaped. Prozac relieves mild depression, for instance, by elevating levels of serotonin in the brain. Knowledge of that fact opens the door to further investigation of chemical pathways in the brain, individual variations in levels of serotonin and other neurotransmitters, and perhaps even to early diagnosis and treatment of mood disorders. But, as Kramer points out, it also opens the possibility of altering brain chemistry to order, perhaps transforming a shy, sensitive individual into a sociable, assertive personality--the kind that present society most values. Acquisition of such a temperament, in fact, is the effect that Prozac has on many of Kramer's patients. But what has been lost when sensitivity is replaced by assertiveness? What is the ``real'' personality? Such thoughtful questioning is supported throughout by case histories and meaty reports on recent research. Some of the material suggests that if Freud was wrong about the content of childhood trauma (the Oedipal attachments), he was not wrong about its far-reaching effects. A wise and unflinching examination of the ramifications for society--and for the individual--when the capsule replaces the couch. -- Copyright ©1993, Kirkus Associates, LP. All rights reserved. -- Dieser Text bezieht sich auf eine vergriffene oder nicht verfügbare Ausgabe dieses Titels.

Kramer, a practicing psychiatrist, finds that the antidepressant Prozac is a powerful drug that lifts the veil of depression from most patients without significant side effects. While he unquestionably supports the use of medication to alleviate illness, he questions using drugs to make a person feel "better than well." It is the remarkable ability of Prozac to create personality changes that he finds disturbing. Is it ethical to prescribe a drug that increases a person's self-confidence, resilience, and energy level without any ill effect, when there is no underlying manifestation of illness? What is the essence of personhood and what are the philosophical implications of using drugs to alter personality? Both Kramer's unequivocal endorsement of Prozac for the treatment of depression and the questions he raises about the use of drugs for mood alteration are controversial. A glossary would have been a useful addition for lay readers. Recommended.
- Carol R. Glatt, VA Medical Ctr. Lib., Philadelphia
Copyright 1993 Reed Business Information, Inc. -- Dieser Text bezieht sich auf eine vergriffene oder nicht verfügbare Ausgabe dieses Titels.