Arthur K. Shapiro, M.D., (January 11, 1923 – June 3, 1995) was an American
psychiatrist
A psychiatrist is a physician who specializes in psychiatry. Psychiatrists are physicians who evaluate patients to determine whether their symptoms are the result of a physical illness, a combination of physical and mental ailments or strictly ...
and expert on
Tourette syndrome
Tourette syndrome (TS), or simply Tourette's, is a common neurodevelopmental disorder that begins in childhood or adolescence. It is characterized by multiple movement (motor) tics and at least one vocal (phonic) tic. Common tics are blinkin ...
. His "contributions to the understanding of Tourette syndrome completely changed the prevailing view of this disorder";
[ Cohen DJ, Jankovic J, Goetz CG, (eds). ''Advances in Neurology, Vol. 85, Tourette Syndrome.'' Lippincott, Williams & Wilkins, Philadelphia, PA, 2001., pp. xvii–xviii.] he has been described as "the father of modern tic disorder research" and is "revered by his colleagues as the first dean of modern Tourette syndrome researchers".
Contributions to Tourette syndrome research
Until the early 1970s, the preferred
intervention for Tourette syndrome was
psychoanalysis
PsychoanalysisFrom Greek language, Greek: and is a set of theories and techniques of research to discover unconscious mind, unconscious processes and their influence on conscious mind, conscious thought, emotion and behaviour. Based on The Inte ...
.
[Pagewise, Inc.]
Tourette syndrome.
Accessed 29 June 2006. Shapiro wanted to prove that Tourette's was an
organic disorder
A disease is a particular abnormal condition that adversely affects the structure or function of all or part of an organism and is not immediately due to any external injury. Diseases are often known to be medical conditions that are assoc ...
, and that
psychotherapy
Psychotherapy (also psychological therapy, talk therapy, or talking therapy) is the use of Psychology, psychological methods, particularly when based on regular Conversation, personal interaction, to help a person change behavior, increase hap ...
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
Haloperidol, sold under the brand name Haldol among others, is a typical antipsychotic medication. Haloperidol is used in the treatment of schizophrenia, tics in Tourette syndrome, mania in bipolar disorder, delirium, agitation, acute psychos ...
( Haldol). The Shapiros reported the treatment in a 1968 article, published by the ''British Journal of Psychiatry
The ''British Journal of Psychiatry'' is a peer-reviewed medical journal covering all branches of psychiatry with a particular emphasis on the clinical aspects of each topic.
The journal is owned by the Royal College of Psychiatrists and publish ...
'', 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
Tourette syndrome (TS), or simply Tourette's, is a common neurodevelopmental disorder that begins in childhood or adolescence. It is characterized by multiple movement (motor) tics and at least one vocal (phonic) tic. Common tics are blinkin ...
(TSA, since renamed to TAA) in 1972, the Shapiros advanced the argument that Tourette's was neurological
Neurology (from , "string, nerve" and the suffix -logia, "study of") is the branch of medicine dealing with the diagnosis and treatment of all categories of conditions and disease involving the nervous system, which comprises the brain, the s ...
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][Black, KJ]
Tourette Syndrome and Other Tic Disorders.
''eMedicine'' (March 22, 2006). Accessed 27 June 2006. as a condition involving an interaction between biological vulnerability and adverse environmental events.[Leckman JF, Cohen DJ. John Wiley & Sons, Inc., New York, 1999, p. vii.]
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."[
]
Personal life
Shapiro was born in Brooklyn, New York, and lived in Scarsdale, New York at the time of his death.[ He graduated in 1951 from ]City College of New York
The City College of the City University of New York (also known as the City College of New York, or simply City College or CCNY) is a Public university, public research university within the City University of New York (CUNY) system in New York ...
, obtained an MD in 1955 from the University of Chicago
The University of Chicago (UChicago, Chicago, or UChi) is a Private university, private research university in Chicago, Illinois, United States. Its main campus is in the Hyde Park, Chicago, Hyde Park neighborhood on Chicago's South Side, Chic ...
, was director of the Special Studies Laboratory at Cornell University
Cornell University is a Private university, private Ivy League research university based in Ithaca, New York, United States. The university was co-founded by American philanthropist Ezra Cornell and historian and educator Andrew Dickson W ...
until 1977, and was a physician at Mount Sinai School of Medicine
The Icahn School of Medicine at Mount Sinai (ISMMS or Mount Sinai), formerly the Mount Sinai School of Medicine, is a private medical school in New York City, New York, United States. The school is the academic teaching arm of the Mount Sina ...
.[
Shapiro was a collector of medical antiquities.][ The Shapiros were married for 46 years, and "were obviously devoted to each other".][
After Arthur's death from ]lung cancer
Lung cancer, also known as lung carcinoma, is a malignant tumor that begins in the lung. Lung cancer is caused by genetic damage to the DNA of cells in the airways, often caused by cigarette smoking or inhaling damaging chemicals. Damaged ...
at the age of 72, Elaine published their last joint effort, ''The Powerful Placebo: From Ancient Priest to Modern Physician''.
Shapiro was survived by his wife, Elaine Schlaffer Shapiro, three children, a brother, and three grandchildren.[
]
Publications
*Shapiro, Arthur K., Shapiro, Elaine, Gerald Young, J., et al. (January 1988). ''Gilles De La Tourette Syndrome.'' Raven Press Ltd; 2nd edition.
*Shapiro, Arthur K., Shapiro, Elaine (October 17, 2000). ''The Powerful Placebo : From Ancient Priest to Modern Physician''. The Johns Hopkins University Press; New Ed edition.
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Notes
References
{{DEFAULTSORT:Shapiro, Arthur K.
1923 births
1995 deaths
American psychiatrists
Tourette syndrome
City College of New York alumni
Pritzker School of Medicine alumni
Cornell University faculty
20th-century American physicians