Contributions To Tourette Syndrome Research
Until the early 1970s, the preferred intervention for Tourette syndrome was psychoanalysis. Shapiro wanted to prove that Tourette's was an organic disorder, and that psychotherapy was not the treatment of choice. "The turning point in the diagnosis and treatment of Tourette Syndrome occurred in 1965", when Dr. Shapiro and his wife, Elaine Schlaffer Shapiro (Ph.D.), treated a patient with haloperidol (Haldol). The Shapiros reported the treatment in a 1968 article, published by the British Journal of Psychiatry, after it was rejected by American journals. The paper "severely criticized" the psychoanalytic approach, which had endured throughout the previous century, to treating the condition.
Working with the New York patient families who founded the Tourette Syndrome Association (TSA) in 1972, the Shapiros advanced the argument that Tourette's was neurological rather than psychological, and the medical view of Tourette syndrome was "freed from its century-long submission to discredited psychoanalytic theory". In 1978, the Shapiros published a "landmark book" on the disorder, Gilles de la Tourette Syndrome. In 1981, Shapiro was chosen honorary co-president of the First International Tourette Syndrome Symposium, held in New York. Since the 1990s, a more neutral view of Tourette's is emerging as a condition involving an interaction between biological vulnerability and adverse environmental events.
A colleague, psychiatrist Ruth Bruun, described Arthur Shapiro as a revolutionary, "willing to challenge the prevailing dogma", "dynamic, charming, and relentlessly stubborn when fighting for what he thought was right", "an engaging speaker", and "a man of diverse interests and enthusiasm". Bruun also said, "It is extremely unusual for a couple of researchers to completely change the prevailing view of a disease, but this is exactly what they did."
Read more about this topic: Arthur K. Shapiro
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