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1 - Introduction

Published online by Cambridge University Press:  22 August 2009

Isaac Schweitzer
Affiliation:
Department of Psychiatry, The University of Melbourne, Professorial Unit, The Melbourne Clinic, Victoria, Australia
Chee H. Ng
Affiliation:
University of Melbourne
Keh-Ming Lin
Affiliation:
National Health Research Institutes, Taiwan
Bruce S. Singh
Affiliation:
University of Melbourne
Edmond Y. K. Chiu
Affiliation:
University of Melbourne
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Summary

It has often been claimed that modern psychopharmacology began with the discovery of chlorpromazine in 1952. Australian psychiatrists argue that the legitimate date is 1949 with the landmark publication by John Cade detailing a case series of ten manic patients who had responded dramatically to lithium salts. The veracity of this argument is supported by the fact that lithium remains the gold standard for bipolar disorder treatment whereas chlorpromazine use for schizophrenia is rapidly disappearing. The genius of John Cade has recently been further highlighted by conversations I have had with one of the editor's of this volume, Edmond Y. K. Chiu, who was my clinical supervisor during 1977. I was a young psychiatric registrar working in an academic unit in Melbourne, Australia. I have clear recollections of Chiu enlightening me that Asian patients were more vulnerable to experiencing side effects to lithium and tricyclic antidepressants and would often respond well to lower doses than the average Caucasian. Chiu, who was born in Hong Kong, informs me that he learned this from Cade. It was in 1968 when as a trainee psychiatrist he came to work with Cade in Melbourne. On his return to Hong Kong, his treatment of his Chinese patients benefited by improved compliance and response rates, having followed Cade's astute observations of the ethnic differences in drug handling of psychotropics.

Type
Chapter
Information
Ethno-psychopharmacology
Advances in Current Practice
, pp. 1 - 4
Publisher: Cambridge University Press
Print publication year: 2008

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  • Introduction
    • By Isaac Schweitzer, Department of Psychiatry, The University of Melbourne, Professorial Unit, The Melbourne Clinic, Victoria, Australia
  • Edited by Chee H. Ng, University of Melbourne, Keh-Ming Lin, Bruce S. Singh, University of Melbourne, Edmond Y. K. Chiu, University of Melbourne
  • Book: Ethno-psychopharmacology
  • Online publication: 22 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544149.002
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  • Introduction
    • By Isaac Schweitzer, Department of Psychiatry, The University of Melbourne, Professorial Unit, The Melbourne Clinic, Victoria, Australia
  • Edited by Chee H. Ng, University of Melbourne, Keh-Ming Lin, Bruce S. Singh, University of Melbourne, Edmond Y. K. Chiu, University of Melbourne
  • Book: Ethno-psychopharmacology
  • Online publication: 22 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544149.002
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Introduction
    • By Isaac Schweitzer, Department of Psychiatry, The University of Melbourne, Professorial Unit, The Melbourne Clinic, Victoria, Australia
  • Edited by Chee H. Ng, University of Melbourne, Keh-Ming Lin, Bruce S. Singh, University of Melbourne, Edmond Y. K. Chiu, University of Melbourne
  • Book: Ethno-psychopharmacology
  • Online publication: 22 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544149.002
Available formats
×