Ethnicity and Psychopharmacology Volume 19#4

by Ruiz, Pedro

• ISBN13: 9780880482745
• ISBN10: 0880482745
• Edition: 1st
• Format: Paperback
• Copyright: 2000-05-01
• Publisher: AMERICAN PSYCHIATRIC PUBLISHING INC

Summary

Ethnicity and Psychopharmacology addresses the most relevant theoretical and clinical aspects of ethnopsychopharmacology, with the aim of advancing this growing field well into the twenty-first century. Detailed are the pharmacogenetic, pharmacokinetic, and pharmacodynamic mechanisms involved in differing responses to drug treatment among various ethnic groups living in the United States. Readers will learn an integrative approach in which ethnic and cultural diversity and biological diversity are taken into account and treatment is tailored to specific individual characteristics.

Author Biography

Pedro Ruiz, M.D., is Professor and Vice Chair of the Department of Psychiatry and Behavioral Sciences at the University of Texas Medical School at Houston in Houston, Texas.

Table of Contents

Contributors	ix
Introduction to the Review of Psychiatry Series	xi
John M. Oldham
Michelle B. Riba
Foreword	xv
Pedro Ruiz
Psychopharmacotherapy in the Context of Culture and Ethnicity	1	(36)
Keh-Ming Lin
Michael W. Smith
Pitfall of the Color-Blind Approach	2	(2)
Cultural Context of Psychopharmacotherapy	4	(8)
Biological Diversity and Psychotropic Responses	12	(12)
Summary and Future Research Directions	24	(3)
References	27	(10)
Issues in Pharmacotherapy for African Americans	37	(18)
William B. Lawson
Affective Disorders	37	(2)
Anxiety Disorders	39	(2)
Schizophrenia	41	(1)
Pharmacological Factors and Adverse Events	42	(4)
Research and Accessibility	46	(1)
Conclusion	47	(1)
References	47	(8)
The Hispanic Response to Psychotropic Medications	55	(36)
Ricardo Mendoza
Michael W. Smith
Hispanic Subpopulations: Similar Origins, Divergent Histories	56	(2)
Pharmacogenetics and Genetic Polymorphisms of Drug-Metabolizing Enzymes	58	(3)
Pharmacogenetic Findings in Asians, Africans, and Spaniards: Implications for Today's Hispanics	61	(2)
CYP2C19	63	(1)
Cytochrome P450 Enzyme System	64	(5)
Clinical Observations	69	(5)
Improving Pharmacological Response: Integrating Culture and Biology	74	(5)
Conclusion	79	(3)
References	82	(9)
Ethnopsychopharmacology for Asians	91	(24)
Edmond H. Pi
Gregory E. Gray
Pharmacogenetics	91	(1)
Pharmacokinetics	91	(3)
Pharmacodynamics	94	(1)
Asian Culture and Attitudes Toward Mental Illness	95	(1)
Antipsychotics	96	(5)
Antidepressants	101	(4)
Benzodiazepines	105	(1)
Lithium	106	(1)
Recommendations and Conclusions	106	(2)
References	108	(7)
Ethnopsychopharmacology in the Public Sector	115	(16)
Roy V. Varner
Pedro Ruiz
David R. Small
Ethnopsychopharmacological Background	116	(1)
Houston Public Sector	117	(1)
Public Sector-Studies	118	(8)
Discussion	126	(1)
Conclusion	126	(1)
References	127	(4)
Afterword	131	(2)
Pedro Ruiz
Index	133