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Published on: February 16, 2011
Should Clinicians Medicate against Structural Violence? Potential Iatrogenic Risks and the Need for Social
Lauren E Hock, Niranjan S Karnik1
1Vice chair for innovation and the Cynthia Oudejans Harris, MD, Professor in the Department of Psychiatry at Rush Medical College and a conjoint faculty member in the Department of Community, Systems and Mental Health Nursing at Rush College of Nursing in Chicago, and serves as an associate faculty member of the MacLean Center for Clinical Medical Ethics at the University of Chicago.
Abstract:
This paper examines how a child psychiatrist might approach treatment of aggression in foster care youth. We argue that a multimodal approach is best. Physicians should weigh not only the iatrogenic risks of off-label antipsychotic medications but also the possible consequences of failing to treat complicating social factors at hand. Advocates must address structural violence and failures of imagination in their efforts to improve mental health equity among vulnerable youth.
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