Prozac on the Couch traces the notion of “pills for everyday worries” from the 1950s to the early twenty-first century, through psychiatric and medical journals, popular magazine articles, pharmaceutical advertisements, and popular autobiographical "Prozac narratives.” Metzl shows how clinical and popular talk about these medications often reproduces all the cultural and social baggage associated with psychoanalytic paradigms—whether in a 1956 Cosmopolitan article about research into tranquilizers to “cure” frigid women; a 1970s American Journal of Psychiatry ad introducing Jan, a lesbian who “needs” Valium to find a man; or Peter Kramer’s description of how his patient “Mrs. Prozac” meets her husband after beginning treatment.
Prozac on the Couch locates the origins of psychiatry’s “biological revolution” not in the Valiumania of the 1970s but in American popular culture of the 1950s. It was in the 1950s, Metzl points out, that traditional psychoanalysis had the most sway over the American imagination. As the number of Miltown prescriptions soared (reaching 35 million, or nearly one per second, in 1957), advertisements featuring uncertain brides and unfaithful wives miraculously cured by the “new” psychiatric medicines filled popular magazines. Metzl writes without nostalgia for the bygone days of Freudian psychoanalysis and without contempt for psychotropic drugs, which he himself regularly prescribes to his patients. What he urges is an increased self-awareness within the psychiatric community of the ways that Freudian ideas about gender are entangled in Prozac and each new generation of wonder drugs. He encourages, too, an understanding of how ideas about psychotropic medications have suffused popular culture and profoundly altered the relationship between doctors and patients.
What Freud Didn't Know, well-supported by research and groundbreaking in theory, combines neuroscience and psychology to explain how the amygdala region of the brain evolved to unconsciously record, store, and activate emotional memory loops and imagery associated with painful events, especially those of childhood. This book is the first to bring together diverse, post-Freudian discoveries to produce a coherent three-step practice for understanding problematic aspects of the human mind which can be mastered easily, in a clinical or self-help setting. Stokes explores recent breakthroughs, many in marked contrast to Freud's views, which will change how we view psychological and emotional problems and their treatments.
Grounded in current theories about brain circuitry, What Freud Didn't Know integrates ideas about mindfulness, habitual thinking, and insight imagery and provides readers with the tools to rescript their personal narratives for psychological well-being. As an alternative approach to treating stress, most types of depression, anxiety, and phobias without prescription drugs, Stokes's three-step practice can be used to build resiliency and inner peace.
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