Monthly Archives: July 2010

Pharmaceutical Industry and Psychiatry—Conjoined Twins Joined at the Wallet, by former Pharma rep turned whistleblower

“Unlimited spending! Schedule all the programs you can.” That was the management directive announced at the regional business meeting I attended when I first became a pharmaceutical rep. When I heard the announcement I felt like I was on an Enron train that was roaring down the tracks, and the company expected everyone to be on board. The company was giving its sales force unlimited funds to hire physicians as paid speakers, sometimes to influence other physicians to prescribe the company’s drugs, at other times to simply financially reward physicians who wrote high volumes of prescriptions every month for the company’s drugs.

Australian Psychiatrist Patrick McGorry’s Global Agenda for “Pre-Psychosis Risk Syndrome” Takes A Hit from Former DSM Task Force Member, Psychiatrist Allen Frances

The “Psychosis Risk” proposal has stimulated widespread opposition (even I am told from within the Workgroup itself). The arguments against it are simply overwhelming. The false positive rate in predicting psychosis would be between 70-90%, meaning that between two and nine youngsters would be misidentified for every one accurately identified. The treatment most likely to be used would be antipsychotic medications. These have no proven efficacy in preventing psychosis, but most definitely have terrible side effects- especially enormous weight gain and its life threatening complications. These medications are overprescribed to those least able to resist- the young and those who are most financially disadvantaged.

Badmouthing Your Ex Could be a Psychiatric Disorder

The diagnosis of Parental Alienation Disorder is being considered for inclusion in the upcoming edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Advocacy groups and clinicians are pushing for it to go through – saying that it’s a real condition that affects a huge number of children.

The Guardian: Mental Health Diagnoses Mask the Real Problems—Range of new diagnoses is mythology, not scientific text

The Diagnostic and Statistical Manual, whose updated fifth edition will include a range of new diagnoses, is a mythology, not a scientific text. It is created by American psychiatrists who meet in groups to consider whether or not a certain diagnosis should be included in the DSM. These groups meet a number of times so that they can say that their agreement about a certain diagnosis is reliable. Thus they could reliably agree that there is a mental disorder called Guardian Readers’ Personality Disorder with the symptoms of a need to read this paper regularly, an overvaluation of the Guardian, and so on. Who knows, it might already be in the most recent version of the DSM.