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Exposed: Harvard Shrink Gets Rich Labeling Kids Bipolar

By Bruce E. Levine, AlterNet. Posted June 18, 2008.


Meet the man who got rich by popularizing bipolar disorder for children. Congressional investigators and the NY Times expose the scandal.

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What Dick Cheney is to the U.S. invasion of Iraq, psychiatrist Joseph Biederman is to the explosion of psychiatric medications in American children. Recently, Biederman was nailed by congressional investigators and the New York Times for overestimating just how greedy an elite shrink is entitled to be. Beyond a peek into the corruption of psychiatry at its highest levels, the scandal is an opportunity to reconsider the Big Pharma financed view of why kids become disruptive and destructive.

On June 8, 2008, the New York Times reported the following about Joseph Biederman: "A world-renowned Harvard child psychiatrist whose work has helped fuel an explosion in the use of powerful anti-psychotic medicines in children earned at least $1.6 million in consulting fees from drug makers from 2000 to 2007 but for years did not report much of this income to university officials, according to information given congressional investigators."

Due in part to Biederman's influence, the number of American children and adolescents treated for bipolar disorder increased 40-fold from 1994 to 2003, and as Bloomberg News reported (September 2007), "The expanded use of bipolar as a pediatric diagnosis has made children the fastest-growing part of the $11.5 billion U.S. market for anti-psychotic drugs."

Pediatrician and author Lawrence Diller notes about Biederman, "He single-handedly put pediatric bipolar disorder on the map." Biederman has been in a position to convince many doctors to diagnose bipolar disorder in children and to medicate them with anti-psychotic drugs. In addition to being a professor at Harvard, Biederman is also chief of research in pediatric psychopharmacology at the Massachusetts General Hospital, which publishes more than 30 papers yearly on psychiatric disorders. And Biederman himself has authored and co-authored approximately 500 articles, 70 book chapters, and more than 450 scientific abstracts, as well as being on the editorial board of many professional journals.

Biederman (and two of his colleagues in the psychiatry department at Harvard Medical School who received an additional $2.6 million from drug companies from 2000 to 2007), by failing to report income from drug companies while at the same time receiving federal funds from the National Institutes of Health (NIH), violated rules designed to police conflicts of interest, according to Sen. Charles Grassley, R-Iowa. Grassley concluded, "Obviously, if a researcher is taking money from a drug company while also receiving federal dollars to research that company's product, then there is a conflict of interest." In one example, Biederman neglected to report his 2001 income from Johnson & Johnson (makers of the anti-psychotic drug Risperdal); Johnson & Johnson reported to Grassley that it had paid Biederman $58,169 in 2001.

In addition to his popularization of bipolar disorder for children, Biederman is one of the most significant forces behind the commonplace diagnosis of attention deficit hyperactivity disorder. Congressional investigators also found that Biederman conducted studies of Eli Lilly's attention deficit hyperactivity disorder drug Strattera that were funded by NIH at the same time he was receiving money from Lilly that exceeded the maximum amount permitted.

NIH rules state that researchers cannot take more than $20,000 in payments from a drug company whose drug they are funded by NIH to research and that researchers must disclose any payment received from a drug company of $10,000 or more. Apparently, for drug researchers taking federal funding from NIH, there is no law against being on the take from drug companies, but there are rules against greed.

Mental health treatment in the United States is now a multibillion-dollar industry, and all the rules of industrial complexes apply. Not only does Big Pharma have influential psychiatrists such as Biederman in their pocket, virtually every mental health institution from which doctors, the press, and the general public receive their mental health information is financially interconnected with Big Pharma. The American Psychiatric Association, psychiatry's professional organization, is hugely dependent on drug company grants, and this is also true for the National Alliance for the Mentally Ill and other so-called consumer organizations. Harvard and other prestigious university psychiatry departments take millions of dollars from drug companies, and the National Institute of Mental Health funds researchers who are financially connected with drug companies.


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Bruce E. Levine, Ph.D., is a clinical psychologist and author of Surviving America's Depression Epidemic: How to Find Morale, Energy, and Community in a World Gone Crazy (Chelsea Green, 2007).

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View:
» RE: OB Convenience Posted by: Jo1028
» RE: OB Convenience Posted by: EncinoM
» So? Posted by: heid
» RE: So? Posted by: EncinoM
» RE: So? Posted by: heid
» RE: So? Posted by: EncinoM
ah yes
Posted by: kenhymes on Jun 18, 2008 3:06 AM   
Current rating: 2    [1 = poor; 5 = excellent]
Ah yes, the purity of science, the fresh breeze of rational inquiry which clears away the dust of superstition and folklore. Thank you, Mr. Expert, thank you.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

Now take this info and expand to medicine in general.
Posted by: heid on Jun 18, 2008 3:55 AM   
Current rating: 5    [1 = poor; 5 = excellent]
This is just the tip of the iceberg. The medical system is little more than a for-profit business, designed primarily to maximize the profits of the players - the pharmaceuticals, medical equipment manufacturers, hospitals, and doctors.

Think of all the children who are being given mind-altering - likely permanently, since their brains are developing - drugs. Big Pharma makes big bucks, but so do the doctors who prescribe this toxic garbage by defining normal behavior and emotions as abnormal.

The doctors do this with the pretense of understanding the drivel produced and sold as research. If they do understand and continue to prescribe, then their guilt is profound. If they don't understand and continue to prescribe, then they're claiming knowledge and understanding that they don't have. Either one is unacceptable. Both are evil. The first because they knowingly poison children (and adults). The second because they prefer to blindly follow pseudo-research that helps to line their pockets without any question - and generally treat their patients in a demeaning manner while they do it. It's so much easier when the patients can be cowed into obedience.

Take the implications of this article and expand it to all areas of medicine. Think of the tens of thousands dead from Vioxx, and all the doctors who chose to ignore the risks. Think of the fact that statins are useless in heart disease, except when someone has already had a heart attack. But doctors continue to prescribe them anyway. Think of all the people who have SSRIs tossed at them when they're simply going through difficult times, and without being informed about the risks.

The term healthcare is a word that the medical system, as it now exists, has little right to use.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» Another opinion - pt I Posted by: LMNOP
» It's your job! Posted by: heid
» Yes, but Posted by: emmas
» Not good enough. Posted by: heid
» An afterthought Posted by: LMNOP
» RE: An afterthought Posted by: heid
» Nice work, asshole Posted by: LMNOP
If you think this is bad read: "Shyness" by Nathan Lane.
Posted by: theman on Jun 18, 2008 4:28 AM   
Current rating: 5    [1 = poor; 5 = excellent]
In "Shyness, How Normal Behavior Became a Sickness" Nathan Lane charts the history of the writing of the DSM-III; the diagnostic manual all others would be patterned after. The writing of this manual was chaired by Robert Spitzer (much worse than Biederman). Between 1974 and 1980 Spitzer and his personal team chose what diagnoses were "right and true". They tried to phrase diagnosis in a way that didn't allow for psychodynamic theory (the word neurosis was thrown out for cookie cutter terms like anxiety disorder or social anxiety disorder). The DSM-III also pathologized people; under the DSM-II or the World Health Organization's IDC manual you could have schizophrenia for a limited time, NO MORE! Under the DSM III, IIIR, and IV you don't have schizophrenia or depression you are a schizophrenic or a depressant. Apart from winning the war with the psychoanalysts Spitzer and friends were funded by the drug companies. One meeting/conference in Boston about avoidant personality disorder (and related PDs) was funded by Upjohn. The conference began when the Upjohn representative told everyone: "Upjohn is interested in this diagnosis for three reasons: the 1st is money, the 2nd is money, and the 3rd is money." Spitzer is also known to have typed up diagnoses in less than 40 minutes. Yeah lots of empirical research went into the DSM-III thru IV. Spitzer ultimately added 112 new disorders and lowered the bar for being diagnosed with one. I have been in treatment my entire life, since before Prozac, and in my travels I have seen these new DSM diagnoses have disastrous results not only for me, but for others I’ve known. Sometimes Psychiatrists threaten to give you a worse diagnosis when you disagree with them. So when you see that big DSM 1V sitting on your psychiatrist's shelf and hear him/her quote it, remember that it's just another marketing tool. Read "Shyness, How Normal Behavior Became a Sickness" by Nathan Lane it should be in most bookstores and some libraries.

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» I think.. Posted by: JoshuaLudd
» I agree Posted by: LMNOP
Social Construction of Mental Illness/Universal Health Care
Posted by: Survivor77 on Jun 18, 2008 4:36 AM   
Current rating: 5    [1 = poor; 5 = excellent]
This well illustrates the social construction of mental illness and how science is used as a tool of legitimation or a weapon of oppression. For another example, I give you the so-called mental health diagnosis drapetomania: A form of mania supposedly affecting slaves, manifested by "an uncontrollable impulse to wander or run away from their white masters, preventable by regular whipping" - 1851, or thereabouts. All the things that we think of as "natural" are in some way, shape, or form, socially constructed - even mental illnesses. The case of drug companies and children's mental health perfectly illustrates not only the social construction of mental illness but also the evil intersection of capitalism and a medical/pharmacological system that is plainly out of control. Why aren't the good physicians speaking up - where are their voices? We, as consumers, need to stop buying into the latest illness hype; the medical community needs to be held to a higher standard and stop exploiting lay persons; and, drug companies need to be dismantled. Their lobbies are enormously powerful, their greed unhinged, their ethics absent, and their hearts black. This makes a case for universal health care. Plain and simple.

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Dilemma for professionals in the field
Posted by: lefty010 on Jun 18, 2008 5:50 AM   
Current rating: 5    [1 = poor; 5 = excellent]
I am currently studying for a grad degree in social work. I have to say that it is going to be nearly impossible to work for an agency and also adhere to a social worker's code of ethics.

I have a DSM IV. It is required for my program and I have to complete classes on how to use the DSM IV.

As I was sitting in class last semester, I asked the prof. if psychiatrists were anything more than well-paid drug dealers with nice offices. WELL, ARE THEY? Yes, that is the best description I can come up with.

Here's the kicker. With nearly ALL agencies that I might work for, I can't simply counsel with a client. I MUST diagnose them with SOMETHING in order for the insurance to pay for their sessions. No "if, ands, or buts". They have to be coded for a diagnosis from the DSM IV to receive services.

Bipolar is a favorite and nearly all the families with whom I have worked in my internship have at least on member diagnosed with this immensely serious "disorder".

People aren't allowed to simply be human anymore. They aren't allowed to grieve for anything without a "diagnosis" being slapped on it. It seems as though if people aren't in a constant, 24/7 state of bliss there must be something "wrong" with them. Grieving and being sad are part of the human experience. Depression is a part of life, as much so as falling in love or feeling happy. We don't diagnose and treat loving and feeling happy. And actually the diagnosis and treatment for many of these disorders may impede the ability to feel love or happiness.

People get robbed in more ways than one. First, we get robbed of our ability to be fully human which includes the down time and the up time. Then we get robbed when we are medicated back to "normalcy".

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» Amen! Posted by: heid
» RE: Amen! I second that. Posted by: Beck
» RE: Amen! I second that. Posted by: newtype_alpha
» Thanks, babs Posted by: LMNOP
» hey Doc, ignore Heidi Posted by: off-the-radar 2
» Thanks, radar Posted by: LMNOP
» depressed or Depressed? Posted by: newtype_alpha
This problem goes back to the 70s when
Posted by: Last Chance on Jun 18, 2008 6:10 AM   
Current rating: 5    [1 = poor; 5 = excellent]
a group of teachers at an alternative public school discovered their children were being prescribed drugs to treat common family stress problems. We suspected then there was a corrupt relationship between doctors and drug companies, but all we could do then was protest and advise the parents of our students to refuse any such prescriptions, and they did, replacing them with family counciling, much to everyone's relief. Biedeman deserves to go to jail.

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KIDS PAY THE PRICE & PARENTS GET TO FEEL GUILTY
Posted by: VZEQICVA on Jun 18, 2008 7:05 AM   
Current rating: 4    [1 = poor; 5 = excellent]
The definition of normal has become so narrow that anything resembling a 'personality' requires treatment. Some kids/people are naturally quiet & shy. Some are more outgoing.
School has become expensive baby sitting and a crashing bore. There's no challenge and no attempt is made to make kids curious. It's all about conforming. After school activities enourage more of the same. Pity the child who's creative.They'll turn him into a well behaved bore. Kids take their comfort in living online where they can be themselves.They have little human contact and are alienated. I feel so sorry for them. Being a kid used to be a great time of life. ANNA

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Bipolar Advantage Program
Posted by: alterwho on Jun 18, 2008 7:55 AM   
Current rating: 5    [1 = poor; 5 = excellent]
Horror stories get all the attention, but there are programs that are making a real difference in the lives of people with bipolar or depression. One innovative program that does not throw out the baby with the bath water is the Advantage Program at http://www.bipolaradvantage.com

From the website:
"Bipolar Advantage is a consumer run organization of mental health professionals and others in support of those with mental conditions and their family and friends. Our Mission is to help people with mental conditions shift their thinking and behavior so that they can lead extraordinary lives.

Combining the insights of professionals with consumers who have mastered their condition, we are at the forefront of a revolution in mental health care. Through better Education, Assessment, Treatment, and most importantly Results, our Advantage Program sets the new standard of care in mental health."

The site has just undergone major remodel and has some pages under construction, but is a great resource and example of what is possible if we change the way we look at mental illness.

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America's culture of consumerism
Posted by: ray burchard on Jun 18, 2008 8:07 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
This situation is the logical conclusion when America’s culture is built around the premise of avarice, in the form of consumerism and all it’s alluring illusions. Then as this obsession with greed spreads, effecting institutions likened by, converting Academia from it’s previous purpose of knowledge advancement, to it’s current impetus as the cloner of corporate America’s obsession with profit.

America now has an Academia that is in the ‘business’ of selling degrees as themselves, harbingers of corporate greed and based on the individual’s abilities to read, write, memorize and recite (parrot), void any cognitive ability prerequisite. What do you call a ‘doctor’ that graduates last in their class, ‘doctor’.

“Experience without theory is blind, but theory without experience is mere intellectual play” Immanuel Kant.

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Human progress is not a given consequence of new technology.
Posted by: Coleman on Jun 18, 2008 8:29 AM   
Current rating: 5    [1 = poor; 5 = excellent]
Fifty years ago social scientists were writing utopian pamphlets wondering what ordinary folks were going to do with all their free time. The buzzword of the day was "automation." With modern machines, it took fewer and fewer people to reproduce the conditions necessary for the current standard of living. For example only a very small percentage of the population is engaged in agriculture, yet industrialized nations consistently yield food surpluses.

However, as we all know, the surpluses in agriculture, like every other commodity, are scandalously squandered while many go hungry. At every point in our system there is waste, from the excess restaurant food scraped off plates into the trash, to the most high-tech industrial processes which are - again, scandalously - devoted to producing the latest electronic trifles. This very act of wasting may be inherent in our notion of the "good life". And even if you don't agree with that, it's certainly central to the functioning of capitalism.

People who don't like work, or school, or cops, or the job options of their ghetto, people who are bored, people who don't identify with chauvinistic sexuality, people who are bad at performing their correct social roles are, by definition, a problem. They're a contradiction. They know, deep down, that nearly everything our society celebrates and champions - cutthroat competition, narrow and artificial standards of beauty, "efficiency" (the most Orwellian of popular terms) - are bankrupt notions emptied of their meaning.

However, as the aspiring social worker pointed out above, even with the best intentions (like becoming a social worker!), it is increasingly difficult to escape. The age-old social injunction to "get with the program," has always been delivered by parents, schools, judicial authorities, etc. Now, all of these entities have the option to medicate their subjects and abort the self-reflection and growth that comes with the individual negotiating her place in the world. It proves to be far cheaper, but like most cost-cutting, it might be fatally short-sighted.

The great irony is that a largely drugged populace may prove to be devoid of the dynamism and struggle that enabled the progressive aspects of capitalism in the first place. The bourgeoisie myth of the free, rebellious, maverick individual who flees his home and makes his own way seems is not only a relic of another time, but in the advanced capitalist nations is physically impossible. There is nowhere unthreatened by the great Sameness of our dumbed-down discourse, of our distracted and alienated corporate culture. There is nowhere to flee where you won't be trespassing.

Which is not to say that we shouldn't have anti-psychotic drugs or automation. Clearly we want these things, to some extent. And it is also not the case that we shouldn't have universal symbols for "get food here" or "get computers here", which is the benevolent aspect of easily recognized brands. The question is, as always, who is in control? Is their claim to rule legitimate? And why do they need to put so many people in jail? And why do they need to put so many people on drugs? And why are our schools like prisons, too? And why, if my job is unnecessary to life on earth, indeed, if my job is wasteful and thus detrimental to life on earth, why, then, do I work so hard?

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ultimate irony
Posted by: Grandma Crabby on Jun 18, 2008 8:31 AM   
Current rating: 5    [1 = poor; 5 = excellent]
So the doctors and the pharmaceutical companies get rich pushing mind numbing pills to all our pitiful "sick" children.

BUT....

If a kid is caught with a joint....well, then let's send his sorry ass to JAIL!

Excuse me, but pot works better than prozac. God invented it. Why are we punishing people for discovering that nature's medicine is the best medicine?

Does this make sense to you? If it does, then you should go smoke a reefer and regain your senses.

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psychiatric diagnosis is not an exact science
Posted by: hilaryuk on Jun 18, 2008 8:34 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Experts get away with it because society as a whole seems unwilling to accept that children are not identical clones designed to fit into the holes designated by the system. But as dangerous as public acquiescence with wholesale reprogramming of those deemed mentally ill, is the notion that mental illness is susceptible to cut and dried diagnosis. A few years ago a study in the UK found that over fifty percent of initial diagnosis were wrong. But even those psychiatric drugs that work are designed to have a specific effect on a specific malfunction in the brain - does your mind boggle at the consequences if the specific malfunction is not present?

I worked for some time with the mentally ill and in the end I gave up. I just couldn't bear to go to the funeral of another relatively young person who had in all probability been killed by the cavalier and careless prescribing of brain-altering drugs. But again, the doctors can only get away with it because society doesn't care enough to stop them. It is not just financial realities that make mental illness the Cinderella of the our medical systems.

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I thought so
Posted by: GreyFoxThree on Jun 18, 2008 8:43 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
I have always thought ADHD was a "lable" made up by some pompous Doctor. I guess I was right!

JT
Whats hiding on your PC

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» RE: I thought so Posted by: e1j3o13
I knew it, and now some proof, thanks Alternet
Posted by: thealltheone on Jun 18, 2008 10:08 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
My son's first teacher tried to get us to put him on meds for ADD many years ago. We went through heck to prove he was not ADD. Made him feel terrible, he thought there was something wrong with him for years. Now my niece is going through the same thing, her first grade teacher is convinced she is Bi Polar. Ridiculous!!!!

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Harvard is the same shit that gave us the current "Chief Justice" of SCOTUS and FUNDS Wall Street.
Posted by: maxpayne on Jun 18, 2008 10:13 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
And Harvard is the same school that allows for total corruption. And you were wondering why rightwing motherfuckers such as David Horowitz weren't going after those SCUMBAG institutions.

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Pills for everything
Posted by: blogbooks on Jun 18, 2008 10:13 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
A pill to make you sit
A pill to make you shi*
A pill to make you hard
A pill to make you soft
A pill to make you friendly
A pill to make you sleep
A pill to make you wake
etc. etc. etc.

What are we? Robots operated via a series of pills to get desired behavior? Wake the hell up people. They tried to get me on some of those drugs when I was a kid because I didn't want to sit at a desk all day doing what I was told like a drone. Go figure, an 8 year old that doesn't enjoy listening to middle aged women talk for hours upon end. Luckily my mother was too poor to afford the drugs they wanted to force on me.

Changing your diet/sleep routines/exercise is incredibly effective at treating just about anything you can name.

When I'm eating health and exercising my entire body works better in EVERY respect (digestive, sexual, sleep, cognitive).

This isn't rocket science people. Treat your body right and you will feel good.

If you want to sit around getting fat and take a pill to make you feel good even though your life sucks and your body is in decay, well, I can't help you.

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» Do Androids Dream of Electric Sheep? Posted by: newtype_alpha
The corruption of priviledge...
Posted by: Cybershaman on Jun 18, 2008 10:51 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
The medical profession, the law profession, insurance, Pharma, politics, and a score of others are all suffering from the same problem.
The children of the wealthy have to have careers that will pay them enough to maintain the lifestyle they are accustomed to. The more intelligent children end up running the family business, while the dullards are shunted into these 'professions'. Talent and competence are not necessary when you have 'connections'. The entrance fee into these professions is high enough to keep out all but the most gifted people from the lower classes. Corruption is inevitable when making money trumps helping people.
This is not to say that there are not good people coming from all income levels, just that there is this tendency and it has corrupted the process. Basically not what you know but who.

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Do no harm
Posted by: sirios on Jun 18, 2008 10:54 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
We always look for a way to express and fulfil our training. ie: The carpenter desires timber, the soldier conflict, the physician disease, etc. Sadly though, when ignorance and greed enter the picture, the carpenter does faulty work, the soldier preemptively kills instead of protects and the physician diagnoses a preponderance of their patients to fit their specialized interests, whether they have the illness or not.

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Aldous Huxley said:
Posted by: fearless flower on Jun 18, 2008 11:46 AM   
Current rating: 5    [1 = poor; 5 = excellent]
"There will be, in the next generation or so, a pharmacological method of making people love their servitude, and producing dictatorship without tears, so to speak, producing a kind of painless concentration camp for entire societies, so that people will in fact have their liberties taken away from them, but will rather enjoy it, because they will be distracted from any desire to rebel by propaganda or brainwashing, or brainwashing enhanced by pharmacological methods. And this seems to be the final revolution." - Aldous Huxley, Tavistock Group, California Medical School, 1961”

While taking stock of the writers, artists and people I most admire, I realized they would, without exception, be classified "mentally ill" according to experts like Biederman. Some among them: Abraham Lincoln, John Brown, Mary Chestnut, Dostoevsky, Edgar Degas, Hunter S. Thompson, and last but not least, my close friend who insists corrupt greedy capitalists should be dealt with like the Chinese Government does and lined up and shot. Maybe we can send Biederman to China?

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how about switching it around?
Posted by: lexicon on Jun 18, 2008 11:54 AM   
Current rating: 5    [1 = poor; 5 = excellent]
You sign up with a Health Maintenance Organization, like "Harvard/Pilgrim HEALTH", instead of "Harvard/Pilgrim ILLNESS"....


...and you pay them every month, as long as you stay healthy. When you get sick, they STOP GETTING PAID.

...and they have to treat you in sickness, because they've already been paid.

...and people develop a lifelong relationship with their physicians, and the physicians are MOTIVATED to keep them healthy.

The richest doctors are the ones who manage to spend all their professional time partying and conferring with their healthy patients. The poorest doctors are the ones who have to spend all their time in the hospital with their sick patients.

Sure, there are bugs to work out, for example people who are willfully self-destructive...but what about the core concept....the health industry has a vested interest in your well-being, instead of in your sickness.

lexicon

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Horror stories vs. success, DSM replacement, unseen realities
Posted by: theman on Jun 18, 2008 3:53 PM   
Current rating: 5    [1 = poor; 5 = excellent]
Correction: Shyness was written by "Christopher Lane" not Nathan. Sorry.

I've been in the mental health care system for 30 years, and seen nothing but horror stories. Before Prozac the worst problems were a lack of economic commitment to patients (institutions for abused children being closed), not Listening to patients in favor of pet theories, and psychologist’s belief that they could do it alone; knowing well that the patients environment was one of their worst Obstacles. In the post Prozac world we are completely forgotten, the drugs become an end unto themselves. I have known many people with different diagnoses (family or spousal abuse is always an ignored factor) who are on as many as 8 meds, 2 or three antipsychotics. These are very heavy drugs. Taking an antidepressant is not like taking an aspirin they are painful or debilitating, and antipsychotics are like being on another planet. For some these drugs may be beneficial, but the way they are administered makes correct treatment coincidental at best. Psychiatrists are exceptionally manipulative, and they are very shaming when the drugs don’t work. Also, they make diagnoses and commitment judgments in a 50-20 minute session. It never strikes them that you might be in a bad mood (depression to them) or an overly good mood (mania). This is especially dangerous when dealing with children who have huge mood swings by design. I’ve met so many stuck in the system who are getting worse; in one breath they talk about how the drugs are making them better, the next they are telling you how it’s all crap. Maybe most importantly, we must remember how much we with chronic mental problems WANT THESE DRUGS TO WORK; we are in real pain, and when they don’t work and the doctor all but tells us it’s our fault it’s just one more blow. The families, who are pushing us into treatment, are another part of the problem. After extensive drug therapy or Electro Convulsive Therapy they see a change. They don’t care whether it’s a good or bad change, they just want a sign of progress that doesn’t involve them changing their behavior. The DSM should be replaced with the WHO’s IDC which does not push us all into cookie cutter diagnoses, and the insurance companies and social security should be made to accept these more individual diagnoses. It’s not just the drugs; it’s the reductionism of what it is to be human. Newer therapies like CBT and DBT are geared toward insurance companies and are meant to push you into a job, any job. You do endless homework: “I will think good thoughts” is essentially the answer to every question. You are even encouraged not to keep up with the news because it might bring you down. Like the drugs, YOU must fit the therapy instead of the therapy fitting YOU, and there is plenty of shame if you can’t fit.

I must also add that the “willfully self-destructive” label is very offensive; it amounts to nothing less than blaming the victim (usually women). It is commonly used by psychiatrists and psychologists who can’t make progress because you are poor and SSI doesn’t give you enough to live on, so you live in a state of constant insecurity. If you are always in abusive relationships they tell you,’ you seek them out.’ It never occurs to them that you’re isolated and alone, and you’re dating the only people willing to spend time with you. It never occurs to them that helping patients establish social relationships and connections may be more important than shaming them for not getting better. At the very least doctors should be doing activism to establish a place in society for those who will never fit into this reductionist capitalist nightmare.

About blaming the victim (usually women):

http://www.refocus.org/trauma.html

About Christopher Lane's book "Shyness":

http://www.chicagoreader.com/features/stories/shyness/

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motivated to keep you healthy
Posted by: theman on Jun 18, 2008 4:03 PM   
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The problem with this is that it's easy to ignore mental pain. The answer is to have more patient oversight and patient control. Just as we watch the police with citizen groups we must watch psychiatrists with patient groups who react to complaints immediately, not a year later as most state oversight groups do.

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Immoral people,immoral system..poisoning is an inevitable outcome of greed and free markets.
Posted by: BlueGorilla on Jun 18, 2008 4:12 PM   
Current rating: 5    [1 = poor; 5 = excellent]
This is a racket,nothing more and nothing less.The ethics are rotten,especially as the victims are the most vulnerable in our society.
If research loses its objectivity ,it loses its validity..If prescribing of particular drugs,is conducted for self interest,then this is a clear betrayal of every medical profession's code of conduct.The relationship between therapist/practitioner is a sacred one of trust,but the God of Greed seems to exert a greater pull on some.
Of course the rewards for corruption, are biggest for those whose endorsement, carries the greatest market influence.
We are all aware of the selective nature of drug companies, when it comes to trial data ie the negative side effects of Paroxetine were kept locked away ,and only became public through excellent sleuthing .These negative effects concerned the suicidal ideation suffered by many users of the drug.
I would propose that in order for public protection and the safeguarding of scientific objectivity,we need to remove self interest.That means no backhanders,no payments from drug companies to medical professionals,independently conducted drug trials only,no corporate funding for the training of doctors,nurses or therapists etc,immediate disciplinary procedures conducted, against those practitioners, suspected of breaking the covenant, between paitent and practitioner.This to be followed by immediate removal from the practice register, if found guilty.In fact do whatever it takes to remove actual or potential bias towards profiteers.A person who could abuse, their esteemed position, of public trust ,to poison those in need,is simply a $cumbag.

Sadly the contradiction of "care"being funded by those who don't care, makes such a move highly improbable.Corruption is inevitable in a poorly regualated capitalist economy..though there is still no excuse.

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I work with these kids too
Posted by: JERSEYDAN on Jun 18, 2008 5:55 PM   
Current rating: 5    [1 = poor; 5 = excellent]
recently i looked up some of my old clients from the early 90's. They were easy to find on the dept. of corrections website. I'm as liberal as they come, but some of these kids need to be medicated, for the sake of the parents, teachers, other students, and themselves. I think some of these kids might have been saved by the right meds. Seriously. having said that, bipolar is flavor of the month and some psychiatrists have been protesting its use for children from day one. Naturally, the parents of these kids are jumping down their throats for not recognizing their child's "disorder.' These kids have problems, but I'm not sure if they are bipolar. Most will do fine on an ADHD medication. That aside, if the kid is going home to a bad situation in a bad neighborhood, pills won't help, and sadly, the kid will find his own medicine on the street. It's a short ride to the penitentiary from there.

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This comment has been removed from the site due to non-compliance with AlterNet's community policies.
I'm starting to get very leary of Ivy League Grads.
Posted by: form5166 on Jun 18, 2008 8:05 PM   
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They have infiltrated everywhere, business and government and medicine and banking and you name it. Their giant swelled heads have dealt death and destruction and debt to all the rest of us. They smile and tell us they are very smart and have all the answers and then proceed to destroy us for profit. They create laws to punish us if we don't "comply."
Something very bad happens in these elite schools.They come in all shapes, religions, sizes but have one thing in common: their "superior educations."

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Observer
Posted by: davy on Jun 19, 2008 12:24 AM   
Current rating: 5    [1 = poor; 5 = excellent]
Evil wears many hats.

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Travesties
Posted by: talkville on Jun 19, 2008 2:48 AM   
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Intervening with all kinds of medical and chemical substances in the natural development of children, from birth through adolescence seems more directed to issues of control and insufficient time and attention to their very natural explorations and learnings about themselves, others and the world around them. More a matter of Expediency, Efficiency and Profit; it is but an immense case of child-abuse raised to a social, economic and political level. It's a travesty.

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jane
Posted by: jane.christ@bluewin.ch on Jun 19, 2008 8:12 AM   
Current rating: 1    [1 = poor; 5 = excellent]
Your antimedicine stories are atrocious.Do you have an editorial board that knows anything about clinical studies and the the emotional cost of untreated psychiatric problmes? It appears not.I think I will be cancelling your newsletter if such irresponsiblilty continues.

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» RE: jane Posted by: theman
What a pity
Posted by: manikanna on Jun 22, 2008 9:51 PM   
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It really is a shame to have a man of such stature exploiting the criticalness of a condition in order to be known,where he should be using his position to educate the ignorant.
.............................
mani kanna
Dual Diagnosis
http://www.dual-diagnosis.net/
href

dual-diagnosis.net/

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The problem is OVERprescription
Posted by: l_m_n on Jun 25, 2008 11:53 AM   
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