{"id":35315,"date":"2013-04-14T07:50:16","date_gmt":"2013-04-14T11:50:16","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=35315"},"modified":"2013-04-14T20:20:59","modified_gmt":"2013-04-15T00:20:59","slug":"a-discouraging-outing","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2013\/04\/14\/a-discouraging-outing\/","title":{"rendered":"a discouraging outing&#8230;"},"content":{"rendered":"\n<div align=\"justify\"><img decoding=\"async\" border=\"0\" align=\"right\" height=\"150\" src=\"http:\/\/1boringoldman.com\/images\/apa-2013-logo.gif\" \/>Looking through the <a target=\"_blank\" href=\"http:\/\/psychnews.org\/pdfs\/preliminary_program.pdf\">Preliminary Program<\/a> for the <strong><font color=\"#24015d\">American Psychiatric Association<\/font><\/strong> meeting in San Francisco next month was not exactly a trip down memory lane for me, though it reminded me of a former time. There was a time when I would look over such a program with excitement about what sessions I might go to. This time, there was one slight spark. Dr. Irvin Yalom, author of a bible on Group Therapy and a later favorite, <a target=\"_blank\" href=\"http:\/\/www.amazon.com\/Existential-Psychotherapy-Irvin-D-Yalom\/dp\/0465021476#reader_0465021476\">Existential Psychotherapy<\/a>, is speaking on <strong><font color=\"#200020\">The Teaching Novel: <\/font><\/strong><a href=\"http:\/\/www.yalom.com\/pagemaker.php?nav=spinoza&#038;subframe=home\" target=\"_blank\">The Spinoza Problem<\/a>. I have no idea what that talk is about, but I&#8217;d go hear him about almost anything. Beyond his lecture, not much grabbed me. I recognized several names from those guest multi-author papers that fill the literature: <\/div>\n<ul><sup><strong>    <\/p>\n<li>\n<div align=\"justify\">Dr. Maurizio Fava [<u>Effect of L-Methylfolate on Maier Subscale Scores in a Randomized Clinical Trial of Patients With Major Depression<\/u>]<\/div>\n<\/li>\n<li>\n<div align=\"justify\">Dr. Michael Thase [<u>Metabolic Adverse Effects of Adjunctive Treatments<\/u> and <u>Depression<\/u>]<\/div>\n<\/li>\n<p>    <\/strong><\/sup><\/ul>\n<div align=\"justify\">And the psychiatrist in the <a target=\"_blank\" href=\"https:\/\/www.change.org\/petitions\/governor-mark-dayton-of-minnesota-investigate-psychiatric-research-misconduct-at-the-university-of-minnesota-2\">Dan Markingson<\/a> case is there:<\/div>\n<div align=\"justify\">\n<ul><sup><strong>    <\/p>\n<li>\n<div align=\"justify\">Dr. Charles Schulz [<u>Youth Psychiatry: Helping a Person With First-Episode Schizophrenia to Adulthood<\/u> and <u>Treatment Strategies for the Person With Mid-Stage Schizophrenia<\/u>].<\/div>\n<\/li>\n<p>    <\/strong><\/sup><\/ul>\n<\/p><\/div>\n<div align=\"justify\">There was ample representation from the people investigated by Senator Grassley in 2008 for unreported income:<\/div>\n<ul><sup><strong>       <\/p>\n<li>\n<div align=\"justify\">Dr. Charles Nemeroff [<u>Heartache and Heartbreak: Depression and Cardiovascular Disease<\/u> and <u>Personalized Medicine: Aging and Psychiatry<\/u>]<\/div>\n<\/li>\n<li>\n<div align=\"justify\">Dr. Joseph Biederman [<u>Further Evidence for Robust Familiality of Pediatric Bipolar I Disorder<\/u>; <u>Do Stimulants Reduce the Risk for Cigarette Smoking in Youth With ADHD? A Prospective, Long-Term Open-Label Study of OROS Methylphenidate<\/u>; and <u>A Unique Profile of the Child Behavior Checklist Clinical Scales Helps Identify Autism Spectrum Disorder in Clinically Referred Youth<\/u>]<\/div>\n<\/li>\n<li>\n<div align=\"justify\">Dr. Thomas Spencer [<u>Functional Genomics of ADHD Risk Alleles on Dopamine Transporter Binding in ADHD and Healthy Controls<\/u> and <u>Examining the Nature of the Comorbidity Between Pediatric Attention-Deficit\/Hyperactivity Disorder and Posttraumatic Stress Disorder<\/u>]<\/div>\n<\/li>\n<li>\n<div align=\"justify\">Dr. Alan Schatzberg [<u>Essentials of Psychopharmacology &#8211; Meet the Authors<\/u> and <u>Cortisol and Cognition in Major Depression<\/u>]<\/div>\n<\/li>\n<li>\n<div align=\"justify\">Dr. Martin Keller [he was listed on an earlier version talking about <u>Unipolar Depression<\/u>, but not on this later version]<\/div>\n<\/li>\n<p>      <\/strong><\/sup><\/ul>\n<div align=\"justify\">The DSM-5 sessions were scattered about throughout the meeting<\/div>\n<p align=\"justify\"><img decoding=\"async\" border=\"0\" align=\"left\" vspace=\"5\" hspace=\"5\" height=\"174\" src=\"http:\/\/1boringoldman.com\/images\/faust-1.gif\" \/>At the last meeting, they had <a href=\"http:\/\/en.wikipedia.org\/wiki\/Aaron_T._Beck\" target=\"_blank\">Aaron Beck<\/a>, the father of Cognitive Behavior Therapy. This time it&#8217;s <a href=\"http:\/\/en.wikipedia.org\/wiki\/Irvin_D._Yalom\" target=\"_blank\">Irvin Yalom<\/a>. These are icons from a former time, the time when I would have been looking over the program to see which of the talks I wanted to attend &#8211; to hear people who had found ways of looking at things that separated them from the pack, things that would add to the mix of my own understanding. When I look over the people I listed above, I&nbsp; recognized their names for a different reason. They are Key Opinion Leaders [so designated by industry] distinguished&nbsp; in a much different way &#8211; people who made <a target=\"_blank\" href=\"https:\/\/en.wikipedia.org\/wiki\/Deal_with_the_Devil\">Faustian bargains<\/a> rather than trying to understand the tragedy of <a href=\"http:\/\/en.wikipedia.org\/wiki\/Doctor_Faustus_%28play%29\" target=\"_blank\">Dr. Faustus<\/a>. Instead of writing books that inspired, many signed on to ghost-written industry generated articles about trivial Clinical Trials that clog rather than enrich our journals.<\/p>\n<p align=\"justify\">We are at the 10 year anniversary of two major wars involving a million soldiers. It was our first all-volunteer army experience. It involved kids signing up for multiple tours. These were wars with epidemic suicides in our own troops, and wars where combat soldiers were &quot;on meds.&quot; If you scan the <a target=\"_blank\" href=\"http:\/\/psychnews.org\/pdfs\/preliminary_program.pdf\">APA Preliminary Program<\/a> for PTSD, there are multiple sessions about matters neuro-biological, a few on symptomatic treatments: But one wonders if anybody talked to these soldiers and found out anything we might need to know when they show up in our offices in the future, or found out what spending young adulthood in chronic combat in a desert does to one&#8217;s world view, or studied the effects of living in an environment where trucks, roads, and other people are all potentially lethal bombs. <\/p>\n<div align=\"justify\">So what&#8217;s going to happen when the Patriarchs from the past all die off? Who is going to give the distinguished lectures at the meetings? Who is going to inspire the young psychiatrists of the future? Who is going to teach them prudence in prescribing, with a well informed respect for the accurate risk\/benefit equation of the drugs they use? I read through the program, curious about how they were going to present the DSM-5, but once there, I focused on other things. Overall, it was something of a discouraging outing. I don&#8217;t think I was longing for the <em>good old days<\/em>. I think I was looking for a sign of the <em>good new days<\/em>, and came up empty-handed&#8230;<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Looking through the Preliminary Program for the American Psychiatric Association meeting in San Francisco next month was not exactly a trip down memory lane for me, though it reminded me of a former time. There was a time when I would look over such a program with excitement about what sessions I might go to. [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-35315","post","type-post","status-publish","format-standard","hentry","category-politics"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/35315","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/comments?post=35315"}],"version-history":[{"count":36,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/35315\/revisions"}],"predecessor-version":[{"id":35375,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/35315\/revisions\/35375"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=35315"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=35315"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=35315"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}