As science continues to explore the genetic components of mental illness, concerns about eugenics cannot be far behind. Long before the days of prenatal diagnosis, and difficult decisions about whether or not to terminate a pregnancy, there was a debate in the pages of the American Journal of Psychiatry in 1942 about actually killing so-called “feebleminded” people.
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Genetic counseling in psychiatry is a tricky proposition, because we are just starting to understand the complexity that underlies the genetic basis of psychiatric disease.
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After innumerable articles and books on the importance of genetic variants of P450 enzymes, it appears that the clinical pay-off just might be at hand.
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Dr. Aiken is the Editor in Chief of The Carlat Psychiatry Report; director of the Mood Treatment Center in North Carolina, where he maintains a private practice combining medication and therapy along with evidence-based complementary and alternative treatments; and Assistant Professor NYU Langone Department of Psychiatry. He has worked as a research assistant at the NIMH and a sub-investigator on clinical trials, and conducts research on a shoestring budget out of his private practice. Follow him on Twitter and find him on LinkedIn.