Review of "The Age of Anxiety"
By Andrea ToneBasic Books, 2009
Review by Leo Uzych, J.D., M.P.H. on Sep 29th 2009
The Age of Anxiety chronicles meticulously the checkered history of the use of tranquilizers in America. The author, Dr. Andrea Tone, is the Canada Research Chair in the Social History of Medicine, at McGill University. An adept with a writing instrument, Tone pens her discourse in a style notable for its beauty as well as power. Tone's substantive exposition of the historic use of tranquilizers by Americans is empowered greatly by her blunt candor, critical acumen, and deep reservoir of knowledge. While traversing the path followed historically, by tranquilizers in America, Tone expounds expertly on tranquilizers as a major medical phenomenon, and, also, on their massive insinuation into myriad cultural, social, and political crevices of American life. The superlative writing of Tone will likely render the reader spellbound; and certainly, Tone's brilliant writing efforts contribute importantly to the literature of the history of American medicine.
To the likely intellectual delight of academically inclined readers, the book's substantive contents are edifyingly research referenced. Citations for a vast multitude of referenced research materials (including some which are annotated briefly) are given in the "Notes" section, joined structurally to the text's far end.
A bevy of visual images, germane to the adjoining text and accompanied typically by pithily worded explanatory material, are grafted into the book's substantive body. This structural feature contributes further to the book's composite educational value.
The highly skilled recounting by Tone of the history of the use of tranquilizers in America is characteristically very insightful as well as engagingly informative. The sharply discerning writing blade wielded by Tone also cuts a considerably wide swath of historic ground.
Falling conspicuously within the broad sweep of Tone's writing scythe is the professional work of medical scientist Dr. Frank Berger.
In enthralling fashion, Tone describes: the serendipitous discovery, by Berger, of the tranquilizing properties of a drug called mephenesin; Berger's snaring of a drug called meprobamate, while trolling for an orally active, longer lasting variant of mephenesin; and the classification of meprobamate as a "tranquilizer", and its branding as the drug called "Miltown".
Tone guides the reader very capably along the early historic path of Miltown, as it passes through Hollywood and acquires celebrity fetish status; and later, as the little white, antianxiety pill makes major inroads into mainstream America in the 1950s, as a hoped for antidote for frayed nerves. In earnest search of understanding of the Miltown phenomenon, Tone examines the anxiety inducing political dynamic of that time era, as well as the tidal wave of consumerism sweeping across America in the 1950s. There is likewise instructive comment on the diverse demographic use of Miltown, in the 1950s, in contrast to the later (in the 1960s) gendering of the tranquilizer market.
Although the engine of the newly emergent psychopharmacologic revolution in mainstream America was fueled, in significant part, by Miltown, the swelling river of tranquilizer use in America had multiple tributaries.
One of these tributaries is "Equanil" (the "other meprobamate").
Another tributary followed by Tone, with regard to the burgeoning flow of psychopharmacology in America, is the drug chlorpromazine (branded as "Thorazine").
The story of America's historic use of a class of antianxiety drugs called benzodiazepines additionally attracts the rapt attention, of Tone. Of particular interest are the benzodiazepines branded as "Librium" and "Valium", together with extensive comment on their inventor, Hoffman-La Roche scientist Dr. Leo Henryk Sternbach.
The issue of tranquilizer safety falls sharply within the sight of Tone's panoramic view of tranquilizers, history, and America. Drawing particular focus, in this regard, is the growing societal apprehension in the 1970s concerning dependence and addiction problems associated possibly with the use of tranquilizers.
The intellectual flashlight of Tone shines illumining light on America's historic struggles to place legal and regulatory shackles on tranquilizers with the intention of restricting perceived inappropriate use, albeit without interfering with the use of tranquilizers in overly Draconian manner.
The intellectually enlightening discourse of Tone extends also to revealing examination of a confluence of diverse American forces (entwining political, social, economic, medical, and cultural strands) impacting the feminization of tranquilizers as well as evolving societal perceptions regarding women and tranquilizer use.
The research expertise and enviable writing excellence of Tone, on display conspicuously and continually in this very fine book, should absorbingly attract the interest of a broad range of professionals, including: medical historians, psychopharmacologists, pharmacists, pharmaceutical industry professionals, psychiatrists, neurologists, primary care physicians, internists, neuroscientists, biochemists, drug addiction specialists, drug counselors, public health professionals, and health policy makers.
© 2009 Leo Uzych
Leo Uzych (based in Wallingford, PA) earned a law degree, from Temple University; and a master of public health degree, from Columbia University. His area of special professional interest is healthcare.
Resources
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Articles
- What is Anxiety?
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The Biopsychosocial Model of Anxiety
- The Biopsychosocial Model: Causes of Pathological Anxiety
- Biological Explanations of Anxiety Disorders
- Biological Explanations of Anxiety: Part II
- Biological Explanations of Anxiety: Part III
- Biological Explanations of Anxiety: Part IV
- Psychological Explanations of Anxiety Disorders
- Psychological Explanations: Part II
- Social Explanations of Anxiety Disorders
- Development & Maintenance of Anxiety Disorders
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Classification & Diagnosis of Anxiety Disorders
- The Classification and Diagnosis of Anxiety Disorders
- Panic Attacks: A Classic Symptom of Several Anxiety Disorders
- Panic Disorder
- Separation Anxiety Disorder
- Selective Mutism
- Agoraphobia
- Specific Phobias and Social Anxiety Disorder (Social Phobia)
- Generalized Anxiety Disorder (GAD)
- Other Anxiety-Related Disorders
- Anxiety and Other Psychiatric Disorders
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Anxiety Disorder Theories and Therapies
- Anxiety Disorders: Theories and Therapies
- Behavioral Learning Theory and Associated Therapies
- Operant Conditioning
- Operant Conditioning and Avoidance Learning
- Contemporary Views of Behavioral Learning Theory
- Behavioral Therapies for Anxiety Disorders
- Cognitive Theory and Associated Therapies
- Cognitive Therapy
- Cognitive-Behavioral Therapy
- Adjunct Therapies
- Pharmacologic Treatments (Medication)
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Treatment of Anxiety Disorders
- Treatment for Separation Anxiety Disorder
- Treatment for Selective Mutism
- Treatment for Panic Disorder
- Treatment for Specific Phobias and Treatment for Social Anxiety Disorder (Social Phobia)
- Treatment for Generalized Anxiety Disorder (GAD)
- Treatment for Obsessive-Compulsive Spectrum Disorders (OCSDs)
- Conclusion
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- Do I Have Just Social Anxiety or Other Diagnoses Combined with SA?
- Need To Ask Someone
- False Memories
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- Infections and The Brain
- Are Personality Disorders For Life?
- I am Terrified of Death.
- Anhedonia
- Our 23 Year Old Son Refuses to Get Help for His Anxiety Attacks and Depression.
- Anxiety
- Anxiety Disorder vs. Personality Disorder: Differences?
- Restroom Phobia
- I'm Afraid I'm Going Crazy
- Post Brain Surgery Mental Problems
- Would Medication Help?
- obsessive strange thoughts about life and existentialism
- Am I Crazy?
- Is it Anxiety? Is it Normal to Be Like That?
- Depressed 19 year old college student
- Depression helps to contribute to my unemployment! - Paula
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- Please help fix my mom. - Kenny
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- fear of expiration
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- anxiety or going crazy?
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- visions of what could have been
- about depersonalization
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- No Friends
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- phobia regarding uncertainty
- Obsessed with running out of things
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- Anxiety?
- Mastery Of Anxiety And Panic
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- Alternatives For Anxiety Treatment
- Is Anxiety A Hereditary Factor?
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- Is It Really Panic? And How Do We Get Help
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- Linda writes:
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Book & Media Reviews
- 8 Keys to Stress Management
- A Brief History of Anxiety
- Anxiety
- Anxiety
- Anxiety Disorders
- Anxiety, Phobias, and Panic
- Been There, Done That? DO THIS!
- Calm Beneath the Waves
- Elsewhere
- Exercise for Mood and Anxiety
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31 more
- Getting Control
- Helping Students Overcome Depression and Anxiety
- Just Checking
- Mind-Body Workbook for Anxiety
- Monkey Mind
- My Age of Anxiety
- Overcoming School Anxiety
- Panic Disorder
- Passing for Normal
- Phobic and Anxiety Disorders in Children and Adolescents
- Repressed Spaces
- Self-Coaching
- Stress
- Stress Survival Guide
- Textbook of Anxiety Disorders
- The 10 Best Anxiety Busters
- The Age of Anxiety
- The Anxieties of Affluence
- The Dutiful Worrier
- The Emotional Eater's Repair Manual
- The Male Stress Survival Guide
- The Places That Scare You
- The Stress Cure
- The SuperStress Solution
- Treating Affect Phobia
- Under Pressure and Overwhelmed
- Viniyoga Therapy for Anxiety
- When Words Are Not Enough
- Wish I Could Be There
- Yoga for Anxiety
- Yoga Journal's Yoga for Stress
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Self-Help Groups
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Links
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Videos
- How to Manage ADHD and Anxiety
- What You Need to Know about Students with ADHD and Anxiety
- How To Make Room For Gratitude In An Anxious Brain
- How to Stay Calm When You Know You'll Be Stressed
- Anxiety and Teen Girls with Lisa Damour, PhD
- Is it Anxiety or a Heart Condition?
- Identifying and Treating Anxiety in Kids and Teens
- Child Anxiety, It’s Real
- Helping Children Cope with Anxiety
- Anxiety, Trauma and How Prolonged Exposure Therapy Works For PTSD
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26 more
- OCD, Phobias and Anxiety
- How Weighted Blankets May Lift Anxiety
- Controlling Anxiety
- Too Scared: Social Anxiety Disorder
- Panic Disorders Video
- Phobias Video
- Treating Anxiety Disorders: A Unified Protocol
- Treating Youth Anxiety and Social Phobia
- Overcoming Anxiety in Children and Teens
- Treating Anxiety in Children and Teens with ASD
- Back-to-School Anxiety
- No More Shame: My life with Anxiety and Depression
- Adolescent Depression and Anxiety
- What is Social Anxiety Disorder?
- Living Without Fear
- What is Generalized Anxiety Disorder?
- What is Generalized Anxiety Disorder?
- School Anxiety! Activities To Help Kids and Teens Manage It
- Recognizing and Treating Problematic Fear and Anxiety in Children
- How To Stop Overthinking When You Have Anxiety
- My Anxiety Is Making Me Anxious!
- Evidence-Based Treatment Planning for Generalized Anxiety Disorder Video
- Managing Anxiety in Youth: More Action Than Talk
- Treatment of Social Anxiety Disorder
- Cognitive Behavioral Therapy for Anxiety
- Recent Advances in Anxiety - Children/Adolescents
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More Information
- Wise Counsel Interview Transcript: An Interview with David Barlow, Ph.D. on the Nature and Treatment of Anxiety and Panic Disorders
- Wise Counsel Interview Transcript: An Interview with Dr. Michelle Craske on Anxiety Disorders Research and Treatment
- Wise Counsel Interview Transcript: An Interview with Richard Heimberg, Ph.D. on Anxiety Research and Treatment
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