{"id":56536,"date":"2015-05-03T14:45:20","date_gmt":"2015-05-03T18:45:20","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=56536"},"modified":"2015-05-05T17:14:04","modified_gmt":"2015-05-05T21:14:04","slug":"guilding-the-lilly","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2015\/05\/03\/guilding-the-lilly\/","title":{"rendered":"guilding the lily&#8230;"},"content":{"rendered":"\n<div align=\"justify\" class=\"small\">It really is impossible to start this story at the beginning. And who knows where the middle is before the end is in sight? So all that is clear is the lead-in and general directions. The loose debate in the articles below picks up with an interview in <strong><font color=\"#200020\">Truthout<\/font><\/strong> of Robert Whitaker by one of the <em><font color=\"#200020\">Mad in America<\/font><\/em> bloggers, Psychologist\/Activist Bruce Levine. It came long after Senator Grassley&#8217;s investigations of prominent psychiatrists [2008], four years after the publication of Whitaker&#8217;s <em><font color=\"#200020\">Anatomy of an Epidemic<\/font><\/em> and PHARMA&#8217;s exiting CNS drug development [2010], and a year after the publication of the DSM-5 and the tumult that came before [2013]. Here&#8217;s Levine&#8217;s intro to the interview:<\/div>\n<blockquote>\n<div align=\"justify\">&#8230; Whitaker&#8217;s sincerity about seeking better treatment options, his command of the facts and his lack of anti-drug dogma compelled all but the most dogmatic psychiatrists to take him seriously. In the past four years, the psychiatry establishment has pivoted from first ignoring Whitaker to then debating him and attempting to discredit him to currently agreeing with many of his conclusions. But will Whitaker&#8217;s success in changing minds result in a change for the better in treatment practices? I was curious about Whitaker&#8217;s take on the recent U-turns by major figures in the psychiatry establishment with respect to antipsychotic drug treatment, the validity of the &quot;chemical imbalance&quot; theory of mental illness and the validity of the DSM, psychiatry&#8217;s diagnostic bible. And I was curious about Whitaker&#8217;s sense of psychiatry&#8217;s future direction.<\/div>\n<\/blockquote>\n<div align=\"justify\" class=\"small\">As one progresses through these articles, the argument builds over the institution of psychiatry&#8217;s participation in spreading the &quot;Chemical Imbalance&quot; explanation of depression [including the idea of Serotonin depletion that is reversible by the SSRIs]. Did <em>psychiatry<\/em> push the idea? or was it picked up in the culture? or promoted by PHARMA? But in the background, the real debate is about whether <em>psychiatry<\/em> <u>knew<\/u> the Serotonin theories were false and <u>promoted them anyway<\/u> as a method to sell drugs? The reason to read these articles <em>in toto<\/em> is that the latter accusation isn&#8217;t so apparent in individual extracted quotes&#8230;<\/div>\n<ol><span class=\"small\">               <\/p>\n<li>\n<div align=\"justify\"><em><a target=\"_blank\" href=\"http:\/\/www.truth-out.org\/news\/item\/22266-psychiatry-now-admits-its-been-wrong-in-big-ways-but-can-it-change-a-conversation-with-investigative-reporter-robert-whitaker\">Psychiatry Now Admits It&#8217;s Been Wrong in Big Ways &#8211; But Can It Change? <\/a><\/em><br \/>       <sup><strong><font color=\"#200020\">Truthout<\/font><\/strong>; by Bruce Levine; March 5, 2014.<\/sup><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><em><a target=\"_blank\" href=\"http:\/\/www.medscape.com\/viewarticle\/823368\">Nuances, Narratives, and the &#8216;Chemical Imbalance&#8217; Debate in Psychiatry<\/a><\/em><br \/>       <sup><strong><font color=\"#200020\">Medscape<\/font><\/strong>; by Ronald Pies; April 15, 2014.<\/sup><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><em><a href=\"http:\/\/www.madinamerica.com\/2014\/06\/psychiatry-promote-chemical-imbalance-theory\/\"><font color=\"#990000\">Psychiatry DID Promote the Chemical Imbalance Theory<\/font><\/a><\/em><br \/>       <sup><strong><font color=\"#200020\">Mad in America<\/font><\/strong>; by Philip Hickey; June 6, 2014.<\/sup><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><em><a target=\"_blank\" href=\"http:\/\/io9.com\/the-most-popular-antidepressants-are-based-on-a-theory-1686163236\">The Most Popular Antidepressants Are Based On An Outdated Theory<\/a><\/em><br \/>       <sup><strong><font color=\"#200020\">io9<\/font><\/strong>; by Levi Gadye; April 1, 2015.<\/sup><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><em><a target=\"_blank\" href=\"http:\/\/slatestarcodex.com\/2015\/04\/05\/chemical-imbalance\/\">Chemical Imbalance<\/a><\/em><br \/>       <sup><strong><font color=\"#200020\">Slate Star Codex<\/font><\/strong>; by Scott Alexander; April 5, 2015.<\/sup><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><em><a target=\"_blank\" href=\"http:\/\/www.madinamerica.com\/2015\/04\/psychiatrists-still-promoting-low-serotonin-theory-depression\/\">Psychiatrists Still Promoting Low-Serotonin Theory of Depression<\/a><\/em><br \/>       <sup><strong><font color=\"#200020\">Mad in America<\/font><\/strong>;  by Rob Wipond; April 15, 2015.<\/sup><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><em><a target=\"_blank\" href=\"http:\/\/www.madinamerica.com\/2015\/04\/spurious-chemical-imbalance-theory-still-alive-well\/\"><font color=\"#990000\">The Spurious Chemical Imbalance Theory is Still Alive and Well<\/font><\/a><\/em><br \/>       <sup><strong><font color=\"#200020\">Mad in America<\/font><\/strong>; by Philip Hickey; April 27, 2015.<\/sup><\/div>\n<\/li>\n<p>       <\/span><\/ol>\n<div align=\"justify\" class=\"small\">While not directly part of this dialog, David Healy&#8217;s recent editorial on this topic is pertinent to the discusion:<\/div>\n<ul><span class=\"small\">       <\/p>\n<li>\n<div align=\"justify\"><em><a target=\"_blank\" href=\"http:\/\/davidhealy.org\/wp-content\/uploads\/2015\/04\/2015-So-Long-and-Thanks-for-all-the-Serotonin-bmj.h1771.pdf\">Serotonin and depression: The marketing of a myth<\/a><\/em><br \/>       <sup><strong><font color=\"#200020\">British Medical Journal<\/font><\/strong>; by David Healy; April 21, 2015.<\/sup><\/div>\n<\/li>\n<p>       <\/span><\/ul>\n<div align=\"justify\" class=\"small\">The impetus for this post was <font color=\"#200020\">Robert Whitaker<\/font>&#8216;s <a href=\"http:\/\/1boringoldman.com\/index.php\/2015\/04\/28\/just-stop\/#comment-261509\" target=\"_blank\">comment<\/a> here last week:      <\/div>\n<blockquote>\n<div align=\"justify\">As for my new book, co-written with Lisa Cosgrove, <strong><font color=\"#200020\">Psychiatry Under the  Influence<\/font><\/strong>, this came out of a fellowship I had at Harvard University, in  a lab devoted to studying institutional corruption. <strong><font color=\"#990000\">And while we do  write about pharmaceutical influence on psychiatry, the real focus of  the book is how the APA and academic psychiatry&mdash;the institution of  psychiatry we were asked to study&mdash;were corrupted by psychiatry&rsquo;s own  guild interests since the publication of DSM-III. The pharmaceutical  influence is a distraction from this internal problem within the  profession, and I have to say, we believe that the &ldquo;institution of  psychiatry&rdquo; remains quite oblivious to how this guild influence has  corrupted its behavior, in terms of fulfilling its ethical duties to  serve the public, over the past 35 years.<\/font><\/strong> Anyway, that is what is &ldquo;new&rdquo;  about this book: It really focuses on the guild interests of psychiatry,  once it promoted its biological model, and how guild influence has led  the institution astray. It is also meant to be a &ldquo;case study&rdquo; of  institutional corruption, as opposed to a story only about psychiatry.<\/div>\n<\/blockquote>\n<div align=\"justify\" class=\"small\">My own thoughts about this sequence are multidimensional, and I think I&#8217;ll just stop here for the moment and let them sort themselves before proceeding&#8230;<\/div>\n","protected":false},"excerpt":{"rendered":"<p>It really is impossible to start this story at the beginning. And who knows where the middle is before the end is in sight? So all that is clear is the lead-in and general directions. The loose debate in the articles below picks up with an interview in Truthout of Robert Whitaker by one of [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","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_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[5],"tags":[],"class_list":["post-56536","post","type-post","status-publish","format-standard","hentry","category-opinion"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/56536","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=56536"}],"version-history":[{"count":39,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/56536\/revisions"}],"predecessor-version":[{"id":56637,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/56536\/revisions\/56637"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=56536"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=56536"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=56536"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}