Skip to main content
Log in

‘Primum non nocere’: A review of Taking America off Drugs: Why Behavioral Therapy is More Effective for Treating ADHD, OCD, Depression and Other Psychological Problems by Stephen Ray Flora

  • The Skeptics Corner!
  • Treating Psychological Problems with Medications
  • Published:
Behavior Analysis in Practice Aims and scope Submit manuscript

Abstract

Taking America off Drugs by Stephen Ray Flora provides an overview of effective behavioral interventions to treat a variety of mental health concerns, including depression and phobias. These disorders are better treated with behavioral than psychopharmacological interventions. Yet, the latter prevail in today’s society. Taking America off Drugs provides the background to help us understand why, as it puts the treatment of behavioral disorders in the context of modern psychiatry and its relationship with the pharmaceutical industry. This review provides an overview and critical evaluation of the book, but it also extends its context by discussing the history of the treatment of mental illness and practices of the pharmaceutical-medical complex and by offering an optimistic scenario by which psychopharmacological agents will ultimately be replaced by interventions based on the principles of applied behavior analysis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Bartelt-Hunt, S. L., Snow, D. D., Damon, T., Shockley, & Hoagland, K. (2009). The occurrence of illicit and therapeutic pharmaceuticals in wastewater effluent and surface waters in Nebraska. Environmental Pollution, 157, 786–791.

    Article  PubMed  Google Scholar 

  • Brody, H. (2007). Hooked: Ethics, the medical profession, and the pharmaceutical industry. New York: Rowman & Littlefield Publishers.

    Google Scholar 

  • Campbell, E. G., Weissman, J. S., Ehringhaus, S., Rao, S. R., Moy, B., Feibelmann, S., et al. (2007). Institutional academic-industry relationships. The Journal of the American Medical Association, 298, 1779–1786.

    Article  PubMed  Google Scholar 

  • Carllson, A. (1964). Evidence for a role of dopamine in extrapyramidal functions. Acta Neurovegetativa, 26, 484–493.

    Article  Google Scholar 

  • Donn, J., Mendoza, M., & Pritchard, J. (2008). AP probe finds drugs in drinking water. Associated Press, March 10.

  • Flora, S. R. (2007). Taking america off drugs: Why behavioral therapy is more effective for treating ADHD, OCD, depression and other psychological problem. Albany, N.Y.: State University of New York Press.

    Google Scholar 

  • Iwata, B. A., Dorsey, M. F., Slifer, K. J., Bauman, K. E., & Richman, G. S. (1982). Toward a functional analysis of self-injury. Analysis and Intervention in Developmental Disabilities, 2, 3–20.

    Article  Google Scholar 

  • Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55, 3–9.

    Article  PubMed  Google Scholar 

  • Maurice, C. (1996). Let me hear your voice: A family’s triumph over autism, New York: Fawcett Columbine.

    Google Scholar 

  • Moynihan, R. (2008). Key opinion leaders: Independent experts or drug representatives in disguise? British Medical Journal, 336, 1402–1403.

    Article  PubMed  PubMed Central  Google Scholar 

  • National Association of Chain Drug Stores. Retrieved July 6, 2008, from http://www.nacds.org.

  • Orlando, E. F., Kolok, A. S, Binzcik, G. A., Gates, J. L., Horton, M. K., Lambright, C. S., et al. (2004). Endocrine-disrupting effects of cattle feedlot effluent on an aquatic sentinel species, the fathead minnow. Environmental Health Perspectives, 112, 353–358.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ross, J. S., Hill, K. P., Egilman, D. S., & Krumholz, H. M. (2008). Guest authorship and ghost writing in publications related to Rofecoxib: A case study of industry documents from Rofecoxib litigation. Journal of the American Medical Association, 299, 1800–1812.

    Article  PubMed  Google Scholar 

  • Rush, B. (1812). Medical inquiries and observations upon the diseases of the mind.

  • Saul, S. (2005, November 28). Gimme an Rx! Cheerleaders pep up drug sales. New York Times. Retrieved July 16, 2008, from http://www.nytimes.com.

  • Skinner, B. F. (1957). Verbal behavior, Englewood Cliffs, NJ: Prentice Hall.

    Book  Google Scholar 

  • Sundberg, M. L., & Partington, J. W. (1998). Teaching language to children with autism or other developmental disabilities. Danville, CA: Behavior Analysts, Inc.

    Google Scholar 

  • Wazana, A. (2000). Physicians and the pharmaceutical industry: Is a gift ever just a gift? Journal of the American Medical Association, 283, 373–380.

    Article  PubMed  Google Scholar 

  • Whitaker, R. (2001). Mad in America: Bad science, bad medicine and the enduring mistreatment of the mentally ill. Cambridge, MA: Perseus Publishing.

    Google Scholar 

  • Willis, T. (1684). The practice of physick: Two discourses concerning the souls of brutes.

  • Woodhull, V. (1891). The rapid multiplication of the unfit.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Frans van Haaren Ph.D., BCBA.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

van Haaren, F. ‘Primum non nocere’: A review of Taking America off Drugs: Why Behavioral Therapy is More Effective for Treating ADHD, OCD, Depression and Other Psychological Problems by Stephen Ray Flora. Behav Analysis Practice 2, 58–62 (2009). https://doi.org/10.1007/BF03391749

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03391749

Keywords

Navigation