{"id":59916,"date":"2015-09-15T19:00:59","date_gmt":"2015-09-15T23:00:59","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=59916"},"modified":"2015-09-15T19:05:40","modified_gmt":"2015-09-15T23:05:40","slug":"ambivalence","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2015\/09\/15\/ambivalence\/","title":{"rendered":"ambivalence&#8230;"},"content":{"rendered":"<br \/>\n<blockquote>\n<div align=\"center\">        <\/div>\n<div align=\"center\" class=\"big\"><a href=\"http:\/\/www.nih.gov\/about\/director\/09152015_statement_insel.htm\" target=\"_blank\">NIH Director&rsquo;s Statement Regarding Dr. Thomas Insel&rsquo;s Departure<\/a><\/div>\n<p>Dear Colleagues,<\/p>\n<p align=\"justify\">After serving 13 years as Director for the National Institute of   Mental Health [NIMH], Thomas R. Insel, M.D., will step down effective  November  1, 2015&#8230;  <\/p>\n<p align=\"center\"><img loading=\"lazy\" decoding=\"async\" width=\"66\" border=\"0\" height=\"18\" src=\"http:\/\/1boringoldman.com\/images\/snip.gif\" \/><\/p>\n<p align=\"justify\">While we conduct a national search  for a new NIMH Director,  Bruce Cuthbert, Ph.D., will serve as Acting  Director&#8230; <\/p>\n<p align=\"center\"><img loading=\"lazy\" decoding=\"async\" width=\"66\" border=\"0\" height=\"18\" src=\"http:\/\/1boringoldman.com\/images\/snip.gif\" \/><\/p>\n<div><strong>Francis S. Collins, M.D.,  Ph.D.<br \/>          \t\t\tDirector, National Institutes  of Health<\/strong><\/div>\n<\/blockquote>\n<div class=\"small\">Can you feel relief and worried at the same time?<\/div>\n<hr size=\"1\" \/>\n<blockquote>\n<div align=\"center\" class=\"big\"><a target=\"_blank\" href=\"http:\/\/www.nytimes.com\/2015\/09\/16\/health\/tom-insel-national-institute-of-mental-health-resign.html?_r=0\">Head of Mental Health Institute Leaving for Google Life Sciences<\/a><\/div>\n<div align=\"center\" class=\"big\"><strong><font color=\"#000001\">New York Times<\/font><\/strong><\/div>\n<div align=\"center\" class=\"middle\">By BENEDICT CAREY<\/div>\n<div align=\"center\" class=\"small\">SEPT. 15, 2015 <\/div>\n<p align=\"justify\">&#8230; Dr. Insel,  a brain scientist who made his name studying the biology of attraction  and pair bonding, was the longest-serving director since Dr. Robert H.  Felix, the agency&rsquo;s founder, stepped down in 1964. Appointed in 2002,  his tenure spanned four presidential terms, during which he honed an  easygoing political persona and an independent vision of the agency&rsquo;s  direction. <strong><font color=\"#990000\">He steered funding toward the most severe mental disorders,  like <span class=\"meta-classifier\">schizophrenia<\/span>, and into basic biological studies at the expense of psychosocial research, like new talk therapies.<\/font><\/strong><\/p>\n<p align=\"justify\">He  was outspoken in defense of this path, at one point publicly  criticizing establishment psychiatry for its system of diagnosis, which  relies on observing behaviors instead of any biological markers. <strong><font color=\"#990000\">His  critics &ndash; and there were plenty &ndash; often noted that biological psychiatry  had contributed nothing useful yet to diagnosis or treatment, and that  Dr. Insel&rsquo;s commitment to basic science was a costly bet, with uncertain  payoff&#8230;<\/font><\/strong><\/p>\n<div align=\"justify\">&#8230; In  his statement, Dr. Insel said the final details of his move to Google  were not firm. <strong><font color=\"#990000\">The team is developing advanced technologies for better  detection and prevention of illness, he wrote, and &ldquo;I am joining the  team to explore how this mission can be applied to mental illness&rdquo;&#8230;<\/font><\/strong><\/div>\n<\/blockquote>\n<div align=\"justify\" class=\"small\">One can look at it like Benedict Carey does in this piece. He&#8217;s a reporter with a keen eye for such things. And what he says is certainly accurate, &quot;<strong><font color=\"#990000\">He steered funding toward the most severe mental disorders,  like <span class=\"meta-classifier\">schizophrenia<\/span>, and into basic biological studies at the expense of psychosocial research, like new talk therapies<\/font><\/strong>&quot; and was certainly a big problem. But that&#8217;s not what bothered me so much about Dr. Insel&#8217;s reign at NIMH. It&#8217;s the word, &quot;<strong><font color=\"#990000\">steered<\/font><\/strong>.&quot; The way I&#8217;ve thought of it in my mind, he misunderstood the meaning of his title &#8211; Director. It&#8217;s supposed to mean that he <em>directs<\/em> an Institute and its infostructure in a way that locates the best and brightest scientists we have and provides the support they need to do those things that the best and brightest do &#8211; bring the scientific apparatus to bear on the problems they have insights into. The scientists generate the projects; the NIMH evaluates the relevance and feasability of those ideas; and supports the best and brightest of the lot. Dr. Insel interpreted the word <em>director<\/em> as meaning he directed what those projects were going to be, and the scientists followed his directions [if they wanted to be funded].<\/div>\n<p align=\"justify\" class=\"small\">Besides being too controlling, Insel is a &quot;breakthrough freak.&quot; He seems to go for the &quot;shiny objects.&quot; So &quot;personalized medicine&quot; comes along and we hear about that. Then we hear about &quot;neural circuits.&quot; One after another, we&#8217;ve moved from potential breakthrough to potential breakthrough as if there&#8217;s some over-riding plan, but we never quite found out what it was. All we really knew was that whatever it was, it came under the heading, &quot;clinical neuroscience.&quot; He went to medical school and did a psychiatry residency, but he never practiced medicine and that has been apparent throughout his tenure. He has had the perspective of a recent graduate throughout his tenure at the NIMH &#8211; unseasoned by the experience of real-life medical practice. In the words of my current neighbors, &quot;book larnin&#8217;&quot;. So I&#8217;m relieved at his leaving and immediately worried about what&#8217;s coming next. <\/p>\n<p align=\"justify\" class=\"small\">But that&#8217;s not the only worry. He&#8217;s going to Google, a big resource that&#8217;s capable of bringing off about anything they set their mind to do. And I&#8217;m worried that Insel will point them in the direction of screening for mental illness. In my mind, that means putting more people on even more psychiatric drugs they don&#8217;t need. He&#8217;s a nut case for &quot;the global burden of depression&quot; and other such buzz phrases. Those ideas plus Google are a recipe for some real problems. <\/p>\n<div align=\"justify\" class=\"small\">However this transition plays out, his replacement <u>and<\/u> his future placement are definitely things to watch very carefully&#8230;<\/div>\n","protected":false},"excerpt":{"rendered":"<p>NIH Director&rsquo;s Statement Regarding Dr. Thomas Insel&rsquo;s Departure Dear Colleagues, After serving 13 years as Director for the National Institute of Mental Health [NIMH], Thomas R. Insel, M.D., will step down effective November 1, 2015&#8230; While we conduct a national search for a new NIMH Director, Bruce Cuthbert, Ph.D., will serve as Acting Director&#8230; Francis [&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_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[5],"tags":[],"class_list":["post-59916","post","type-post","status-publish","format-standard","hentry","category-opinion"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/59916","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=59916"}],"version-history":[{"count":14,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/59916\/revisions"}],"predecessor-version":[{"id":59945,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/59916\/revisions\/59945"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=59916"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=59916"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=59916"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}