‘a pharmacological substitute for lobotomy’.

• +..twangy Gothik


• +.. angular guitar riffs and analog synths over throbbing drums and driving bass.


• +.. exorcising the darkness: to be there, and rise on through.

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When I started my psychiatric training in the United Kingdom in the early 1990s it was respectable practice to delay drug treatment for a time in someone with a suspected psychosis to make sure that they really did display psychotic features and to see if they improved without drug treatment. There was an air of caution about starting drug treatment and an acknowledgement of the negative effects this might have. It is becoming less easy for psychiatrists to practice in this way. It is now frequently suggested that drugs can prevent the progressive effects of an underlying brain disease and this idea is widely believed and presented as a fact, despite the fact that there is little evidence to support it. On the other hand, indications that the drugs themselves induce brain damage have been virtually ignored (see Chapter 8). Many psychiatrists are now convinced that not starting drug treatment early amounts to negligence.
Moncrieff, J