Master of Arts in Ethics and Applied Philosophy Spring 2007 Thesis Proposal Thesis 21333 - PHIL-6050-001 Proposed Title: Over Medicated America: The Use of Pharmaceuticals in Treating Mental Illness Abstract: The purpose of this thesis is to show how pharmaceuticals are used as a standard treatment in the field of mental health and explore the ethical implications of this method of treatment as a standard of practice. Pharmacology has become an extension of psychiatry and psychology, and has revolutionized the view of mental health in the United States. The study of the mind and human cognition are relevant to this topic and determine the compatibility of the mental issue to the effect of the prescription given. The limitations to cognitive science and what we know about the mind must also be considered in addition to the larger questions revolving around particular moral and ethical standpoints. Specific questions to address will include: What is the nature of human mentality and cognition? How do pharmaceuticals enhance and improve upon individual mentality? What is the process that must be followed in order for individuals to legitimately acquire prescriptions of this nature? What mandated laws and policies are in place to prevent wrongful distribution and misuse? Have pharmaceuticals become a necessity for mental health? Do they enhance the quality/quantity of human life? What are the potential adverse effects of the use of pharmaceuticals created in the field of mental health? Can the reasons for using pharmaceutical drugs contradict one another? Are there alternatives to pharmaceuticals? Do they improve upon or merely alter the individual state of mind? Thesis Statement: The use of prescription drugs in the field of mental health should be questioned and reconsidered on an individual level for several reasons. The depths of the cognitive sciences have not explained the human mind or found a common reason for mental illness. Mental health is not measurable and the method of diagnosing mental illness should also be questioned. Finally, the pharmaceutical market in the United States grows constantly and encourages use of its products for symptoms associated with a diagnosis of mental health. Insurance companies, which are in place to help individuals in times of need, promote prescription drugs to heal or prevent physical and mental illness and reinforce the market. These considerations and more should be evaluated before deciding for or against the use of prescription drugs for mental illness. Approach/Methods: In this thesis, there will be theoretical perspectives to highlight the practice of psychoanalyzing and prescribing medications, the laws and regulations surrounding prescription drug distribution, a brief list the potential risks and benefits of accepting this type of treatment, and considerations of alternative forms of treatment for common mental illnesses. Specific cases will be presented to portray how a diagnosis may play out and any statistics introduced to indicate likely outcomes if pharmaceuticals continue to market new-found prescriptions for all degrees of mental illness. Proposed Time Table: January 8: Initial readings and materials January 22: Begin first draft with direction of original materials February 5: First draft submitted for review February 19: Draft revisions and final research integrated March 5: Second draft submitted for review March 19: Draft revisions April 2: Final draft submitted for review April 16: Final draft completed and submitted for department review April 30: Completion and presentation of final thesis project References Anscombe, G.E.M., (Transl.). Philosophical Investigations. Massachusetts: Blackwell, 2001. Bentley, Kia & Joseph Walsh. The Social Worker & Psychotropic Medication: Toward Effective Collaboration with Mental Health Clients, Families, and Providers. California: Brooks/Cole Social Work, 2001. Canguilhem, Georges. The Normal and the Pathological. New York: Zone Books, 1991. Fiedler, Klaus & Peter Juslin. Information Sampling and Adaptive Cognition. New York: Cambridge University Press, 2006. Fishbein, Diana H. 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Prescriptions for Profit: how the pharmaceutical industry bankrolled the unholy marriage between science and business. New York: Schribner, 1997. McKeon, Richard (Eds). Basic Writings of Aristotle. New York: Modern Library, 1992. Pinker, Steven. The Blank Slate: the Modern Denial of Human Nature. New York: Viking, 2002.