The Noonday Demon (116 page)

Paradise Lost
(Milton),
315
,
439
–40

para-suicidal behavior,
260
,
261
,
263

parens patriae,
380

parents:

depression in,
82
–83,
180
–83,
337
,
338
,
342
,
345
–47,
349
–52,
356
,
358
,
359
,
383

homosexuality as viewed by,
205
–6

Parnate,
114

paroxetine,
see
Paxil

Passions of the Soul, The
(Descartes),
306

passive-aggressive behavior,
411

patent process,
394

Paxil (paroxetine),
114
,
119

development of,
334

effectiveness of,
60
,
161

in indigent depressed treatment programs,
344
,
350
,
351
,
358

side effects of,
78

withdrawal from,
71

see also
Seroxat

Peilman, Kirsten,
210

Peláez-Nogueras, Martha,
459

Penney, Darby,
386

Pennsylvania, mental health programs in,
391
–93

“Penseroso, Il” (Milton),
301

peripheral neuropathy,
60

personality, depression responses affected by,
23

Petronius,
270

pets, antidepressants for,
435

Phaly Nuon,
34
–37,
342
–43,
351

pharmaceutical industry:

ethics of,
13

free samples provided by,
353

physicians educated by,
394
,
495

promotional efforts of,
394
–97

research and development achievements of,
13
,
333
–34,
395

SSRIs’ side effects and,
453

Pharmacia,
171
,
456

Philagrius,
288

Philistion,
288

Philotimus,
288

phobias, behavioral therapy for,
109

physical intimacy, emotional reserve vs.,
210

pindolol,
116

pineal gland,
55

Pinel, Philippe,
317
,
319
,
484
–85

Pius II,
305

placebo treatment,
189

plant extracts,
146
–47

Plath, Sylvia,
66

Plato,
287
,
288

Pliny (the Elder),
146
,
247

poisoning, environmental sources of,
135
–36

Poland, depression of Solidarity members in,
201

political freedom,
201
,
408
–9

politics,
361
–400

budget concerns in,
375
–76

of civil liberties vs. public safety,
378
–82

of class-action suits against state mental hospitals,
392

depression costs and,
371
,
372
–73

of disease model of depression,
397
–400

employment opportunities and,
366
–68,
376

of health care for uninsured,
375
–78

leadership in,
367

lobbying influence on,
362
–63,
372

long-range projects vs. short-term officeholders in,
376

of mental illness insurance parity,
369
–74,
377

perception of depression in,
362

of pharmaceutical industry promotion,
394
–97

of research expenditures,
369
,
376

of right to suicide,
393

social stigmatization and,
362
,
363
–66,
370
,
373
,
383
–84

of societal responsibility in mental illness treatment,
394

of treatment avoidance,
378
–82,
394

treatment policies determined by,
361
,
375
–78

Pollan, Michael,
235
–36

Pol Pot,
32
,
33

populations,
173
–215

child,
181
–89

elderly,
189
–93,
461
–62

ethnic,
see
ethnicity

female,
173
–78

gay,
202
–5

male,
173
,
175
–76,
177
–80

national cultural differences of,
200
–15

prison,
380
–81,
394

Porter, John,
362
–63,
369
,
372
,
376
,
492

Positive Illusions
(Taylor),
433
–34

Possessed, The
(Dostoyevsky),
268

possession, depression as evidence of,
293
,
295
,
297

Possibility of Altruism, The
(Nagel),
430

Post, Robert,
56
–57,
80
,
124
,
139
,
449

postpartum depression,
138
,
174
,
176
,
457

post-traumatic stress disorder (PTSD),
141
,
381

Potter, William,
26
–27,
113
,
120
,
236
,
395

poverty, depression in,
37
–38,
335
–60,
488

barriers to federal legislation on,
375
–76

congressional policies on,
375
–78

emotional life repressed by,
350
–51

extremity of problems encountered in,
340
,
355
–60

helplessness experienced by,
330
,
348

motherhood and,
337
,
338
,
342
,
345
,
346
–47,
351
–52,
358
,
359

normality of,
347
–48

outreach programs and,
338
,
341
,
349
,
375

passivity manifested in,
338
,
344
,
348
,
355

physical symptoms presented in,
343
,
344
,
345
–46,
347

public health studies of,
336
,
339
–40

rates of,
336
,
347

recovery progress and,
340
,
342
–43,
344
–45,
346
–47,
352
,
358
–60

relief experienced in labeling of,
341
,
343

socioeconomic assistance vs. psychiatric remedies for,
337
,
360

symptom attribution and,
335
–36,
343

talking therapies employed in,
341
–42,
344
,
351
,
358
,
359

treatment of,
335
,
336
–60,
375
,
488

unemployment and,
337
,
351

power, childhood development of,
350

prayer,
131
,
133

prefrontal cortex,
59
,
417
–18

pregnancy,
174

antidepressant medication and,
83
,
93

of daughters of indigent depressed,
337

ECT treatment in,
120
–21

low suicidality in,
249

nutrition in,
138

presidency,
367

Price, John,
404

Prichard, James Cowles,
484
–85

Prilosec,
422

Prince, Elizabeth,
54
–55

Prince Georges County, Md., treatment study of women in,
339
–40

Pritchard, James Cowles,
485

prisons, mentally-ill inmates of,
380
–81,
394

Productive and Unproductive Depression
(Gut),
435

progesterone,
173
,
457

prolactin,
55
–56,
406

promiscuity,
337

protease inhibitors,
355

Protestantism,
311
,
312
–13

Prozac (fluoxetine),
83
,
358
,
422
,
487

adverse reactions to,
80

for children,
184
–85

development of,
334
,
395

effectiveness of,
76

emotional numbing in use of,
282

excessive use of,
26
–27,
337
,
399

imipramine vs.,
331

low side effects of,
115
,
120

negative sexual effects of,
115
,
453

1988 introduction of,
76

popular criticism of,
81

as SSRI,
25
,
114

Prudent, Dièry,
196
–200,
450

Prudent Fitness,
198

Psalms, Book of,
292
–93,
478

psychiatry:

categorical models used in,
398

as dynamic therapy,
328

philosophical roots of,
287

as psychobiology vs. psychoanalysis,
322
–28,
334

social context considered in,
328
–29

talk therapy vs. psychopharmacology in,
101
–2,
103
–4,
451
;
see also
antidepressant medications; psychoanalysis, psychoanalysts; psychopharmacology; talking therapies

trend shifts in,
171

psychoanalysis, psychoanalysts:

antidepressant medications disapproved by,
48
,
50
–51

cultic tendencies of,
328

theoretical development of, insights of,
323
–26

time required by,
102
–3

psychobiology,
322
–28,
334

psychopharmacology:

addiction concerns of,
119

adjustment strategies in,
87
,
89

broad usage of,
435

Hippocratic depression treatment vs.,
285
,
286
–87,
288

personal responsibility vs.,
432
–33

prescription status of,
399

talking therapies integrated with,
101
–2,
104

see also
antidepressant medications

psychosomatic complaints,
20

psychosurgery,
137
,
163
–65,
441

puberty, onset age of,
337

Puritanism,
313

Qigong,
148

racial prejudice, racism,
196
,
197
,
198
,
199
,
204
,
351

Rado, Sandor,
486

Rand Corporation Study,
492

rank-based society,
404
–6,
495

rape,
340
–41