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Biomedical subjects

P C Hoaken

Publications and source records attributed to P C Hoaken.

At least 19 recordsLinked to original sources
PubMed2000

Alternative therapies.

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Attitude of Health Personnel↗
PubMed1996

Undue mood elevation in unipolar patients following cessation of lithium augmentation treatment: implications for the understanding of mood disorders.

OBJECTIVE: The precipitation of hypomania or mania in some patients with apparent unipolar (UP) depression by the use of antidepressants, lithium augmentation, or antidepressant withdrawal has been described in the literature. However, only 4 cases have been reported where undue mood elevation in UP patients followed lithium termination. To add to the literature, we report 2 cases where mood elevation followed cessation of lithium augmentation treatment. METHOD: Observations were continued on 2 patients receiving an antidepressant plus lithium augmentation after cessation of the lithium treatment. RESULT: There was undue mood elevation in these patients immediately following lithium termination. CONCLUSION: This observation supports the view that there is extensive vulnerability to bipolar disorder among patients with multiple depressions.

Aged↗
PubMed1986

Psychiatry, civil liberty, and involuntary treatment.

Growing concern for involuntary patients' civil rights has engendered criticism of psychiatry. Critics have disputed the reality of mental illness and have alleged that psychotic disturbances result from diagnostic "labels". Media accounts continue to depict the psychotically ill as abused victims rather than as patients requiring treatment. In the face of such attacks, psychiatrists need public support from their medical colleagues as well as from members of the lay public. The historical and socioeconomic factors germane to psychiatry are reviewed in an attempt to understand the current dispute about involuntary treatment. It is argued that the concept of civil liberty requires consideration of psychological freedom. Since psychotic patients are without psychological freedom, it is meaningless to respect their apparent liberty at the expense of allowing them to go untreated. Those who refuse treatment for what are deemed to be irrational reasons should receive treatment involuntarily. If society cannot trust psychiatrists to make such treatment decisions, the courts should make them.

Attitude to Health↗