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Archive for December, 2014

did nothing medical…

( OPINION )

It would be hard not to know about the case of Dan Markingson, a young psychotic man who killed himself while in a clinical trial at the University of Minnesota in 2004 [see A referenced summary of the Dan Markingson case]. Bioethicist Carl Elliot at UM has kept us abreast of the ongoing attempts to […]

the recommendation?…

( OPINION )

Rarely do you get to see an industry production that has all of these elements rolled into one article, but look no further. This article has all the right moves. It’s a review article in an industry friendly CME journal, Journal of Clinical Psychiatry. Its got some well known KOLs for guest authors: Alan Schatzberg […]

kudos…

( OPINION )

Why MacArthur is Backing a Popular Blog About Flawed and Fraudulent Science Inside Philanthropy by Tate Williams December 23, 2014 MacArthur just gave $400,000 to a popular blog about flawed and fraudulent science, so it can deepen its coverage and build a comprehensive database of journal retractions. We chatted with the program officer behind the grant […]

not hardly…

( OPINION )

Ben Goldacre tweeted a document, a letter to UK doctors from Pfizer. I don’t know the specifics of the UK regulatory agencies and how they differ from the FDA. I don’t know what a CCG is. But I don’t think we need to  know those things to get what Pfizer is trying to get said […]

happy holidays…

( OPINION )

   

transinstitutionalization? IV…

( OPINION )

I’m back from my tangent now. I wasn’t offering my objections to that legal study [An Institutionalization Effect…] as a proof in transinstitutionalization? III…, but more as an example of a place where having the numbers work out in some mathematical model is one thing, but it doesn’t necessarily prove the relationship in the conclusions. […]

transinstitutionalization? III…

( OPINION )

I started this by reading one paper by Seth Prins and then another, the reports from the Bureau of Prisons, and an international study from Oxford – but I looked at a lot of others along the way. The data available isn’t very good. It’s hard to get excited about self-reporting questionnaires from prisoners as […]

transinstitutionalization? II…

( OPINION )

This is where we left off: Prevalence of Mental Illnesses in U.S. State Prisons: A Systematic Review by Seth J. Prins, M.P.H. Psychiatric Services. 2014 65:862-872. Objective: People with mental illnesses are understood to be over-represented in the U.S. criminal justice system, and accurate prevalence estimates in corrections settings are crucial for planning and implementing […]

transinstitutionalization? I…

( OPINION )

There is so much divisiveness in discussions of matters that have to do with Mental Health and Mental Illness that it’s sometimes difficult to separate the wheat from the chaff. There’s a strong backlash to the medicalization of psychiatry, the heavy use of medications, the DSM-III etc. diagnostic system, and the claim/implication that all mental […]

a lot better…

( OPINION )

Last week, the group in charge of the NIMH RAISE [Recovery After an Initial Schizophrenia Episode] Study published a compilation of the medications that their first episode patients were on when they were enrolled, medications they’d been prescribed while in the hospital [78%] or had received as outpatients before becoming part of the RAISE Study: […]