Commentary on the Finnish analysis of first episode schizophrenia outcomes

A recent study by a Finnish group declares that discontinuing antipsychotics following a first episode of schizophrenia causes higher risk of death or rehospitalisation. The study is based on an observational analysis of routinely collected data, and these analyses can be seriously misleading. It also prioritises short-term outcomes. The study highlights the need for randomised…

Challenging the new hype about antidepressants

The extraordinary media hype over the latest meta-analysis of antidepressants puts the discussion of these drugs back years. Despite the fact that 9% of the UK population are taking antidepressants (1), and rates of prescribing have doubled over the last decade (2), the authors of the analysis are calling for yet more prescribing. John Geddes…

Philosophy Part 3: Knowledge of mental states and behaviour – insights from Heidegger and others.

Wittgenstein illustrates that mental states are not private, universally identical brain processes or mental events. They are manifested in, and characterised by socially meaningful, recognisable patterns of human behaviour. We can never understand or know such states by looking in the brain or constructing models or theories of what particular mental states consist of and…