Skip to main content
Canadian Medical Association Journal logoLink to Canadian Medical Association Journal
. 1963 Oct 12;89(15):762–766.

Drugs Are Not Enough: Some Principles of Psychopharmacology for General Medical Practice

W Donald Ross
PMCID: PMC1922015  PMID: 14060167

Abstract

There is no necessary antagonism between the judicious use of drugs and a psychotherapeutic approach to patients in general medical practice. A table is presented with a simple pragmatic classification of types of drugs for altering emotional and mental states. Three general principles are given for the use of such drugs, illustrated by examples of the use and misuse of tranquillizers.

Some differentiation is made between sedatives and tranquillizers and between different types of tranquillizers, particularly with reference to the need to consider depressive features in patients. Suggestions are made for the use of drugs for mild depressions and for depressions accompanying organic disease.

One may have to take an “experimental” approach to new drugs to determine which to them are of value in relation to the particular emotional states of one's own patients.

Full text

PDF
762

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. CATTELL J. P., MALITZ S. Revised survey of selected psychopharmacological agents. Am J Psychiatry. 1960 Nov;117:449–453. doi: 10.1176/ajp.117.5.449. [DOI] [PubMed] [Google Scholar]
  2. FREYHAN F. A. On classifying psychotropic pharmaca. Compr Psychiatry. 1961 Oct;2:241–247. doi: 10.1016/s0010-440x(61)80030-8. [DOI] [PubMed] [Google Scholar]
  3. GOTTSCHALK L. A., KAPP F. T., ROSS W. D., KAPLAN S. M., SILVER H., MACLEOD J. A., KAHN J. B., Jr, VAN MAANEN E. F., ACHESON G. H. Explorations in testing drugs affecting physical and mental activity; studies with a new drug of potential value in psychiatric illness. J Am Med Assoc. 1956 Jul 14;161(11):1054–1058. doi: 10.1001/jama.1956.02970110020007. [DOI] [PubMed] [Google Scholar]
  4. HOLLISTER L. E. Drugs in emotional disorders: past and present. Ann Intern Med. 1959 Nov;51:1032–1048. doi: 10.7326/0003-4819-51-5-1032. [DOI] [PubMed] [Google Scholar]
  5. JOYCE C. R. Experiments with control substances. Ann Rheum Dis. 1961 Mar;20:78–82. doi: 10.1136/ard.20.1.78. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. LEHMANN H. E. Tranquillizers and other psychotropic drugs in clinical practice. Can Med Assoc J. 1958 Nov 1;79(9):701–708. [PMC free article] [PubMed] [Google Scholar]
  7. SCHIELE B. C. Newer drugs for mental illness. A review. JAMA. 1962 Jul 14;181:126–133. doi: 10.1001/jama.1962.03050280056005h. [DOI] [PubMed] [Google Scholar]
  8. WOLF S. Effects of suggestion and conditioning on the action of chemical agents in human subjects; the pharmacology of placebos. J Clin Invest. 1950 Jan;29(1):100–109. doi: 10.1172/JCI102225. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. WOLF S., PINSKY R. H. Effects of placebo administration and occurrence of toxic reactions. J Am Med Assoc. 1954 May 22;155(4):339–341. doi: 10.1001/jama.1954.03690220013004. [DOI] [PubMed] [Google Scholar]

Articles from Canadian Medical Association Journal are provided here courtesy of Canadian Medical Association

RESOURCES