The pressing need for answers and cures in psychiatry has more than a few times displaced careful evaluation of evidence. It might be argued that none of this compares with the massive promotions of pharmaceutical corporations and their enormous profits from pushing medicaments. It has never been a secret that promotional literature influences the prescribing habits of physicians and that market pressures such as managed care have restructured the practice of psychiatry. Chemical theories of mental disorders have been particularly seductive because they suggest simple explanations and solutions. Other biological and psychosocial factors are trivialized or forgotten.
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