Cultural Aspects of Psychopharmacology
The practice of psychopharmacology is influenced by cultural factors, including a tendency in the United States for patients and doctors to want to receive pills for symptoms. This therapeutic activism dates back centuries, and it has influenced aggressive treatments in the past such as bleeding the patient. The proponents of DSM-III sought to make psychiatry more empirical, and much of this drive came from the need to diagnose entities that could be treated with the newly emerging psychotropic drugs. In retrospect, it could be concluded that what happened was that the DSM-III–oriented practitioners implemented an American pragmatic attitude to psychiatry that has tended toward both polynosology and polypharmacy. The spirit of pragmatism still lives in the world of contemporary psychiatry. A debate still exists culturally between caution and liberality in the use of medication, for psychological states in particular.