June 28, 2007

The Bipolar Child: Biederman And Wozniak Are Heroes

That's the view of this op-ed from yesterday's Boston Globe, penned by Jerrold Rosenbaum, chief of psychiatry at Massachusetts General Hospital and Michael Jellinek, chief of child psychiatry at Mass Gen. That would make them Biederman and Wozniak's bosses. In part, their op-ed reads:

"These physicians are heroes to families of children with serious mental illness. Amid a firestorm of stinging and misdirected criticism, these physicians look to science to serve up hope. They use limited tools available to them--medications, talk therapies, behavioral strategies--to help children."

I've long found the tendency among researchers to describe one another's work as heroic and epic to be annoying and weirdly inhuman. Hate to let the Harvard kids in on a little secret, but I whenever I've interviewed researchers who've made such claims or talked that way, I've generally found it to be little more than self-laudatory BS. I mean, we all know you guys were the smartest--and most boring--kids in high school, but could you get over yourselves already and maybe drop the delusional talk before there's a diagnosis added to the DSM to describe it?

Here's more:

"Biederman is the most widely cited child psychiatry researcher in the scientific literature. He has moved the field of child psychiatry forward carefully, deliberately. Unlike his critics, his meticulous research has withstood intense peer-review scrutiny, and his work is backed up with rigorous science. He does not use dramatic claims or horrific allegations directed at others. He is not a self-proclaimed expert with a book to sell. Rather, he has earned--and continues to earn--the respect and admiration of his professional peers through his critical academic work and his outstanding clinical practice."

I'll let that graf stand, except to note that Biederman is given to making excessive statements. Remember this from a couple of weeks ago?

"Biederman has spread far and wide his conviction that the emotional roller coaster of bipolar disorder can start 'from the moment the child opened his eyes' at birth."

Nah, no drama there at all.

Posted by Philip Dawdy at June 28, 2007 12:03 AM
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Comments

It is appalling that Biederman's distinguished lifelong work caring for children has been dragged into this fray.

Well, when you publish 30 some odd papers a year, and run the Harvard OCD/Bipolar Clinic, and arrogantly appoint one's self as the leading expert; then yes, your distinguished career will be scrutized, questioned, & why shouldn't a public figure expect that? Especially if one stands by their work, any public commentary shouldn't cause such a knee-jerk reaction.

I also find it appalling that the medication was given to a 4 year old at all. Come on, even inpatient that little girl could have died under a doctor's care, hell remember what she was taking?

1999- 2007: OCD: ADHD: Childhood Bipolar Disorder: The Evolution of a Diagnosis ; part 3.


Posted by: Stephany at June 28, 2007 12:42 AM

This seems to be the way these folks fight facts, with rhetoric. The excerpts here provide no refutations to factual problems with the idea that a child can be bipolar from the second she opens her eyes? I mean come on, did she open them too late and slow, and thus was born depressed, or to quickly, and thus a manic little fruitcake? The window on normalcy narrows and the biomed folks don't care about facts as they proclaim themselves heros.

Posted by: Sally at June 28, 2007 06:33 AM

Yeah the minute the baby opens their eyes all the doctors want them to cry and scream to let them know they are alive, and taking a breath--so now I guess that will be considered a behavior manifestation and childhood diagnostic criteria of irritability and anxiety, leading that psychiatrist--oops I mean OB/GYN-- to label the baby as Bipolar, and start Lithium right away. This is just mind-boggling.

Posted by: Stephany at June 28, 2007 01:21 PM

Why only start at birth, Biederman? Maybe you should be taking a closer look at those ultrasounds? It's never too early to label a psycho.

Posted by: Francesca Allan at June 29, 2007 02:31 PM

Blech. Pompous BS.

Posted by: Marissa Miller at July 3, 2007 02:18 PM
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