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Neuroleptics and mortality: a 50-year cycle

Invited commentary on … Schizophrenia, neuroleptic medication andmortality

Published online by Cambridge University Press:  02 January 2018

David Healy*
Affiliation:
North Wales Department of Psychological Medicine, University of Wales College of Medicine, Bangor, North Wales, UK
*
Dr David Healy, North Wales Department of PsychologicalMedicine, University of Wales College of Medicine, Hergest Unit, Bangor,North Wales LL57 2PW UK. Tel: +44 (0) 1248 384452; fax: +44(0)1248 371397;e-mail: Healy_Hergest@compuserve.com
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The paper by Joukamaa et al (2006, this issue) would haveinterested Heinz Lehmann, a German émigré psychiatrist working at Verdunhospital in Montreal, who was one of the first clinicians to investigate theeffects of chlorpromazine in North America and was the first to publish anarticle outlining its clinical impact (Lehmann & Hanrahan, 1954).Lehmann was no simple enthusiast for physical treatments, havingdemonstrated that mute and deteriorated people with schizophrenia inVerdun's back wards responded to placebo injections of ‘new experimentalhormones' when the injection site was painted with a disinfectant that lefta prominent red stain (Lehmann, 1993). However, chlorpromazine wasdifferent. Although previous treatments had provided some benefits, nothingproduced quite such dramatic effects in the experience of senior researcherssuch as Lehmann. Chlorpromazine ignited a wave of enthusiasm in psychiatrysufficient to sweep aside post-War differences between the Germans and theFrench, for instance, so that they and others convened to share theirexperiences on the benefits of the new drugs at international meetingsrapidly organised by university departments rather than pharmaceuticalcompanies.

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Papers
Copyright
Copyright © 2006 The Royal College of Psychiatrists 

Footnotes

See pp. 122–127, this issue.

Declaration of Interest

D.H. has been an expert witness for plaintiffs in a number of cases involving antidepressants and homicide or suicide, and an expert witness in a case involving the patent of an antipsychotic drug. He has spoken on manufacturers' platforms for a number of antipsychotic drugs.

References

Joukamaa, M., Heliovaara, M., Knekt, P. et al (2006) Schizophrenia, neuroleptic medication and mortality. British Journal of Psychiatry, 188, 122127.Google Scholar
Lehmann, H. E. (1993) Before they called it psycho-pharmacology. Neuropsychopharmacology, 8, 291303.Google Scholar
Lehmann, H. E. (1996) Psychopharmacotherapy. In The Psychopharmacologists, Vol. 1 (ed. Healy, D.), pp. 159186. London: Arnold.Google Scholar
Lehmann, H. E. & Hanrahan, G. E. (1954) Chlorpromazine, new inhibiting agent for psychomotor excitement and manic states. Archives of Neurology and Psychiatry, 71, 227237.Google Scholar
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