Testing for drug use, Part 2: Legal, social, and ethical concerns.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to M Montagne.
Explore the source record for details and available documents.
The purpose of this review is to briefly summarize the nature and extent of research and evaluation in health communication, focusing primarily on the importance of interpersonal skills in practice settings and in the education of patients. The focus of research activities has varied from the socio-behavioral aspects of health and illness to patient outcomes and the results of providing care to the nature of interpersonal interactions in health settings. Evaluative research is more advanced, with the greatest emphasis being on the evaluation of clinical interviewing skills and the development of assessment scales. Future trends in health communication research and evaluation are noted, and some comments and suggestions are provided to assist in these efforts.
Advertisers have adopted the use of highly abstract visual metaphors and symbols in addressing physicians about antidepressant drugs. Campaigns built around an abstract visual aesthetics are designed to generate cognitive connections between named drug entities and the meaning of abstract visual images: these connections are called 'carry-over symbols'. In this study we critically dismantle and analyze the encoding practices used in two recent ad campaigns for antidepressants. In addition to asking what the ads mean, we ask how they mean it. This analysis is joined to a comparison of the information provided by these ads with the pharmacological and therapeutic properties of the drugs themselves. Our analysis suggests this style of drug advertising produces, as a social side-effect, a reified and medicalized account of psychiatric illness (depression). It also poses an obstacle to scientific discourse and understanding; privileges certain types of social knowledge concerning mental illness, psychiatric patients, and drug taking; and discourages professional d debate regarding therapeutic approaches to treating illness. These ads reflect a positivistic conceptualization of mental illness and doctoring as mind mechanics.
There are a variety of approaches to the study of drug-taking behaviors and experiences. Each approach usually examines only a particular aspect of drug taking, depending upon epistemological orientation, type of knowledge utilized, focus of inquiry, and a host of other factors. This can result in a number of problems and misconceptions, and the domination of an area of inquiry by a specific discipline. In an attempt to solve some of these problems and to strive for a more holistic approach, an integrative framework for the study of drug-taking phenomena is presented and discussed. Examples of the application and utility of the framework are considered, with suggestions for future activities in this area.
This program integrates training with the clinical interdisciplinary aspects of health care by directly involving pharmacy and other health professional students in an on-going team model of health care delivery. The training program model allows pharmacy students to learn the conceptual basis of team care and to experience directly how this concept is applied in an ambulatory health care setting. Learning strategies include specialty and team delivery of health care, participation in weekly interdisciplinary team training seminars, involvement in problem-solving and other skill building activities, and development of an interdisciplinary team project. Program evaluation results have indicated that students perceive that the interdisciplinary training increased their knowledge and positive attitudes towards interdisciplinary teams. The training also increased their sensitivity to patients, and enhanced the understanding of the problems of delivering health care to an urban community. The results have also shown that through this structured interdisciplinary experience, students reported having a better understanding of the roles of other health professionals and a greater awareness of how these different roles are integrated into a health care team.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
A statewide drug information system designed to assist consumers and health professionals is described, with emphasis on the training of pharmacists in the system's satellites. The development of the system was initially funded by a 10-month, $12,500 grant from the Chemical Dependency Division of the State of Minnesota Department of Public Welfare. Twenty-one satellite drug information centers in community or hospital pharmacies are linked by a WATS telephone line to the library of the University of Minnesota College of Pharmacy. Consumers' questions are handled through the satellites with the pharmacists there referring to the central information source as needed. All the pharmacists in the system are trained in a one and one-half day program that covers (1) consultation skills, (2) communication skills, (3) drug information retrieval and distribution, (4) practical applications, (5) promotion, and (6) resources and referrals. The average amount of time devoted to the service for all pharmacy sites is 15-20 minutes per day. Percentage of time that specific resources are used include one's own knowledge and experience, 64.8%; a fellow pharmacist, 5.7%; another resource individual, 5.1%; a standard pharmacy reference book, 13.4%; the central clearinghouse at the college, 6.2%; and another resource facility, 4.8%. The authors believe that their system can be easily adapted to other areas.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
This special issue combines contributions from several disciplines within the social sciences on how to understand long-term use or dependency on various kinds of psychotropics. It emphasizes the need for a multidisciplinary approach in order to understand the complexity of such long-term use. The papers in this issue will base their arguments on psychological, sociological, anthropological, clinical, and social pharmacy perspectives. Different disciplines focus specially on certain topics. For example, psychology can help us to understand what kind of mental processes that are involved in the development of long-term tranquillizer use. Sociology, anthropology and social pharmacy have a particular contribution to make in helping us, in different ways, to understand the social meanings of psychotropic drug use.
Results of a 20-year study of mass media representations of antidepressant medications and their use are presented. The recent Prozac phenomenon stands out as a primary example of media-generated drug information for patients. Various forms of mass media are important in providing perceptions of the effects, benefits, and safety of these new antidepressant drugs. Clinical research, however, suggests that the latest generation of antidepressant medications is no more effective in treating depressive symptoms than the first generation, tricyclic antidepressants. Yet, these new antidepressants have become the model drug not only for treating depression, but also for cosmetic psychopharmacology.
The importance of ethics in pharmacy education and practice has recently received increased attention. Previous studies have addressed occupational orientation and personality traits as well as the nature of attitudes and values. Many unanswered questions remain. This cross-sectional study was designed to compare the attitudes and value priorities of pharmacy students in preprofessional and professional years of study and to evaluate a modified questionnaire. The 495 students who completed the questionnaire were representative of the 835 pharmacy students enrolled in this "0/5" undergraduate pharmacy program. The survey results indicated that honesty and full disclosure are preferences held by preprofessional students, whereas what may be described as professional judgment predominates in students during their final two professional years. Most students felt they had an idealistic or humanistic orientation. The differences among the classes may be due to any of a number of factors including curricula, normal maturation, or chance differences in the students within each class.
Explore the source record for details and available documents.