August 27, 2008

Nature Editorial Says Credibility Lacking In Child Psychiatry

Nature Neuroscience is out with a late-to-the-party editorial decrying revelations that some child psychiatrists and pharma companies are pushing the hell out of antipsychotics and other drugs on children with alleged behavioral problems despite dodgy clinical trials, poor evidence of safety and efficacy and a regulatory system that doesn't regulate very well.

"The revelation of the extent of the undisclosed ties between psychiatrists and drug companies further erodes the credibility of this field."

I've been saying this for almost two years. Nice to see this journal playing catch up.

You can read the full editorial here.

Posted by Philip Dawdy at August 27, 2008 08:26 AM
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The problem goes way beyond child psychiatry, but this is the absolute first time I've seen anyone in the neuro world publicly question the state of psychiatric research. Nature Neuroscience is a big deal journal in this subculture. Not sure where it will lead, and I'm extremely skeptical about how much can/will change, but I'm happy to see it.

Posted by: Tilting at Windmills at August 27, 2008 09:00 AM

NOT THE CHILDREN!
It's everywhere. Leave the children ALONE!

49 babies died during clinical trials in India in last 30 months!

"In reply to a query on who the five top funding agencies for the trials were, AIIMS named the institute itself, the Indian Council of Medical Research (ICMR), the Department of Biotechnology (DBT), the World Health Organisation (WHO) and the Johns Hopkins Bloomberg School of Public Health in the US.


You have already touched the health of a generation.
What else does it take?


Posted by: Ana at August 27, 2008 10:35 AM

Whaaaaaaaaaaaaaat? Learned professionals imposing their version of appropriate behaviour onto the most vulnerable people in society, condemning them to a lifetime of crappy pharmaceuticals and intolerance, whilst filling their boots with industry cash? Say it ain't so!

Matt

Posted by: Matthew Holford at August 27, 2008 10:39 AM

Psychiatrists nowadays are all too eager to prescribe neuroleptic drugs. The practice of psychiatry nowadays seems to be largely fishing for the right drug or polypharmacy cocktail. There seems to be little science or reason to it, and this state of affairs is largely justified based on the desperation of patients and the confidence that the drugs can do no harm. I think in 10 to 20 years time these treatments will seem as abhorrent as administering lobotomies or insulin shock therapy. Unfortunately, people don't get mad about the state of things unless there are high profile failures.

Posted by: Other at August 27, 2008 12:07 PM

I think the Nature letter shows how slow main stream science moves. Nature might think they are onto something new but many voices have been pointing this out for awhile – say ten years. And a lack of forthrightness concerning conflicts of interests is by no means the major problem. Professors serving as ghostwriters is a much bigger problem, and their Universities not finding fault with the practice is an even bigger problem. Journals publishing articles such as Study 329, and then defending it, …enough said.
Rather than blame a couple of professors who hid their conflicts, it is time for the medical profession to do some soul searching, to look in the mirror, and ask itself how it got taken for a ride. How did the medical profession ever come to the conclusion that a child's problems could be solved with a pill?

Posted by: jonathan Leo at August 27, 2008 03:17 PM

Psychiatry really disgusts me..

I mean, I'm talking about the kind of disgust which is usually reserved in the far reaches of a bile soaked gut, the kind which leaves a sour after taste after blistering heart burn and violent vomiting...

How fucking dare they, how dare they label kids with these pseudo bullshit mental disorders. How dare they brand and smear kids from an early age with these stigmatized tags, How dare they condemn children with their sick and twisted ideology...

Psychiatry has bred the stigmas of mental illness, psychiatry has created , marketed and bastardized the human condition to the point where the soul is cut out from human beings..

Psychiatry feeds off the human condition like a blood thirsty , insatiable vampire..

Psychiatry disgusts me...

How dare they..

Bastards..

Posted by: truthman30 at August 27, 2008 04:29 PM

And speaking about making a buck off pill pushing psychotropics on kids, I got an email today from the pediatric bipolar couple, the Papalos, whose book is the bible on this topic for many parents. Their latest offering is a series of DVDs on the same topic. I didn't see the price, as my finger headed straight for the delete button.

Posted by: Sorrowful at August 27, 2008 05:24 PM

Jonathan Leo, you ask the most important question of all: how did the professionals get duped?

$$$$$$$

Posted by: Stephany at August 27, 2008 06:53 PM

Dearest Philip:

This sounds a lot like far too little, far too late. Since there are billions and billions of dollars at stake, how are we as consumers or parents ever going to trust any information they give us now? I thought the article stated the obvious, but I didn't see any concrete solutions, just more talk and no action. How many generations of youth will we lose before real action and laws protecting our children take place? The real bad news is looming right around the corner! The DSM 5 should be thrown in our face soon enough to allow these greed mongers to continue their crimes against humanity.

Yours Truly
Stan

Posted by: Stan at August 27, 2008 07:01 PM

sorrowful, I got the same email and 'unsubscribed' and when the form asked why? I wrote that pediatric bipolar disorder is fabricated and the medications are not proven safe or effective in use with kids. what a bunch of bunk.

Posted by: Stephany at August 27, 2008 09:10 PM

Every bit helps; as we are all in this together!Greed a huge prob; notwithstanding, I get the feeling alot of eople are getting incresingly hot on the issues raised! "little is Known",so why the bs and religiously held scientific orthodoxy......we heard it here tks to your due diligence ,in" Nature Neuroscience". (best to all.its a winnable battle and worth the blood.......sweat..........) Hope.

Posted by: diane abus at August 29, 2008 10:20 AM

I was healthy before I took the drug risperdal and developed hyperglycemia from it. June 2001 to December 2001 was when I took risperdal and now after seven years I have to deal with glucose dysregulation and a chronically sick status of health whereupon I was previously healthy. The unfortunate outcome of trusting your health to a doctor in this type of bizarre medical system.The system of market sales financing of the revenue base for these companies simply has to change. How the medical establishment operates with this problem of the drug company's overwhelming power in meddling in medical practice is unfathomable. Running these companies financially with 'zero' market sales as, that is no revenue from direct market sale of the product i.e. that is finding alternative means through extraneous investment strategies to build their revenue base, needs to be set into law. That is one way to deal with this problem And hope there is such a thing as someone that understands what ethics is, that can run these companies.

Posted by: Harry Horton at August 29, 2008 12:25 PM
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