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Archive for November, 2015

go often askew…

( OPINION )

this is the way the world ends   this is the way the world ends   this is the way the world ends   not with a bang but a whimper                     T.S.Eliot 1922 Dr. Tom Insel to Step Down as NIMH Director … A national search for a new NIMH Director will be launched, but in the meanwhile […]

why?…

( OPINION )

Getting treatment for depression is critical special to the Miami Herald by Dr. Charles Nemeroff November 23, 2015 Depression is a commonly used and terribly misunderstood term. When mental health professionals refer to depression, they are referring to a syndrome – a constellation of symptoms that persists every day for two weeks or longer. Patients […]

why we give thanks…

( OPINION )

a mega-mistake…

( OPINION )

While it may seem that with all the attention being focused on Data Transparency for Clinical Trials and things like the AMA voting to oppose Direct-to-Consumer advertising, we are iterating towards a time when the battle against the corruption of medical practice by commercial interests is making some real progress. But it seems to me […]

remarkable…

( OPINION )

This post is just a remark about history, some of it my own. I wasn’t always a psychiatrist. I started my medical hegira as an Internist, and my first experience practicing was on an overseas Air Force Base seeing active duty soldiers and their dependents [only by referral]. There were a lot of symptoms, and […]

a recession…

( OPINION )

“We are at an extraordinary moment when the entire scientific foundation for mental health is shifting, with the 20th century discipline of psychiatry becoming the 21st century discipline of clinical neuroscience,” Thomas Insel said before a meeting on the challenges facing mental health research at the Royal Society in London on 31 August… The seismic […]

never been imposed…

( OPINION )

We live in a time of meta-analyses [studies of studies]. This one selected the 15 new drugs approved during 2012 from large pharmaceutical companies [from among 48 new drugs approved that year]. They looked at all trials [from all phases] to see if they were registered, reported, published, or reported-or-published [public]. They also partitioned them […]

doctor power…

( OPINION )

I have rarely been so surprised as I was last night when I read the AMA Press Release about Direct-To-Consumer [DTC] advertisements on television [reprinted here in pinch me!…]. I remember when they started back in the late 1990s. One day, a patient said, "Do you think I-forget-which-drug is right for me?" And I remember […]

redemption?…

( OPINION )

The author of the blog Psych Practice and I are psychoanalysts who have lived through the massive changes in psychiatry [and psychoanalysis] in the span of our times. By any measure, Psych Practice is a good blog to follow, but I found this post particularly well framed – Lieberman Speaks. It’s about a panel held […]

pinch me!…

( OPINION )

Nov. 17, 2015 AMA Calls for Ban on Direct to Consumer Advertising of Prescription Drugs and Medical Devices For immediate release: ATLANTA –Responding to the billions of advertising dollars being spent to promote prescription products, physicians at the Interim Meeting of the American Medical Association (AMA) today adopted new policy aimed at driving solutions to […]