November 24, 2008Making Sense Of "The Infinite Mind" MessI have corrected this post at NPR's request as I had incorrectly identified "The Infinite Mind" as being NPR-distributed when in fact it was only on NPR's Sirius channel. I've changed the description to "NPR-connected." To clarify further for readers, the show was not funded in any way by NPR, even though it is strongly associated in the public's mind with NPR by dint of the fact that it aired on some NPR-affiliated stations. I regret the error. As many of you know, news came out on Friday that the plug had been pulled on the NPR-connected "The Infinite Mind" radio show, which reached as many as 1 million listeners a week. Controversy erupted around the show this past Spring when the show, produced by Bill Lictenstein and hosted by Fred Goodwin, who among other things authored the principal medical text on bipolar disorder with Kay Redfield Jamison, aired an episode on anti-depressants and suicide, claiming that there was no evidence of a connection between anti-depressants and suicidality much less violence of any kind. These claims, which I consider to be lies (and I called them that back in April when I was the first to report on this show's BS), were made by Goodwin and several guests, all of them with complicated ties to pharmaceutical funding, on a show that was receiving funding from pharma companies. None of these conflicts were disclosed on the show, but were made public by an article on Slate.com in May. Matters spiraled from there and last week Sen. Charles Grassley (R-Iowa) went after Goodwin for taking pharma money and not revealing those conflicts while presenting his show as scientific and unbiased on public airwaves. Soon after, Lictenstein pulled the plug on the show, ending its long run. This led to an article in the New York Times in which Lictenstein claimed he'd asked Goodwin about conflicts and was told he had none and in which Goodwin pretty much defended his actions by claiming this is what doctors all do, plus that he took funding from all kinds of pharma companies so that canceled out his conflicts. I'm tempted to be kind to Goodwin. I know some of his current patients and they revere him. I know one of his former patients who dislikes him intensely. John McManamy, who authors the Mcmanweb.com website on bipolar disorder and depression (which now features a prominent ad for Seroquel) and does a blog for HealthCentral.com, has written a very spirited defense of Goodwin and attacked the Times. Among other things (such as once again defending the bipolar child nonsense), McManamy offers evidence that Goodwin is openly critical of pharmaceutical companies and is suspicious of anti-depressants and overmedicating patients. News to me. If that's the case, then I have to question Goodwin's sense of proportion. He does a show in which he is religiously defensive of anti-depressants yet criticizes them in other quarters. He's critical of pharma companies yet took $329,000 from Glaxo in 2007 for doctor talks on behalf of Lamictal, according to the Times. He reveals his pharma funding in academic papers, but won't do it on a publicly-aired radio show. Something doesn't add up here, but it sure does display how unthoughtful Goodwin has been on these matters. Something else doesn't add up. Lictenstein claims that he didn't know of Goodwin's conflicts, but I was able to easily identify them by searching through Goodwin's published papers. It makes me wonder about his other claims. As I noted in May: "Here's Goodwin's financial disclosure from a 2004 paper in the Journal of Clinical Psychiatry (.pdf here) touting Lamictal: What's more, Goodwin had openly helped Eli Lilly promote Zyprexa when it was approved as a maintenance med for bipolar disorder in 2004 (so much for McManamy's claim that Goodwin loves Lithium alone). I doubt that he said "It is good news that the FDA has now approved Zyprexa as a new tool for physicians to use to delay relapse and prolong periods of stability and wellness" for free. It's amazing to me that Lictenstein couldn't find the statement for himself. In fact, I informed Lictenstein in a May 2008 email exchange that Goodwin had revealed his pharma ties in academic articles. Why he didn't do some poking around at that point is far beyond me, especially when he now says he pressed Goodwin on the matter. But what really blows my mind is that Lictenstein did nothing to rectify the false information put forth on the "Prozac Nation" episode in March. I know that a few readers from this site wrote to him and so did I. At length, I walked him through the evidence for problems with anti-depressants and suicidality and violence. The implicit push I was making was that he should take up the issue again on his program and do it in a more nuanced manner. His replies to me were short and polite, but dismissive. At this point, it's clear to me that either Goodwin or Lictenstein are lying about the disclosure issue. Possibly both of them are. You can make your own decision. What's more, it's clear to me that both of them don't care about having put false information into the public realm because they have issued no correction or clarification of the March program. So while I am tempted to feel bad for both of them losing their show--and for NPR ending up with some mud on its face--nah: They are getting what they deserve. Speaking of deserving, the Times has updated its original article to appropriately reflect that Slate.com had first reported the show's pharma ties (I added even more on Goodwin soon after). Unfortunately, the paper failed to note that a certain website was first to raise the issue of the show's misinformation on anti-depressants, an issue that is even more important than financial conflicts. Posted by Philip Dawdy at November 24, 2008 12:03 AM
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This is the same white supremacist social engineer who compared ghetto blacks to monkeys running loose in the jungle, and proposed a "violence initiative" to control their behavior, including "hypersexuality" with psychotropic drugs. No sympathies for him, for any of these awful people, but especially this genocidal piece of shit. Posted by: flawedplan at November 24, 2008 01:22 AMYes, Goodwin's endorsement of Prozac on NPR was a mortal sin, especially since he knew of Prozac's propensity for causing suicide, violence, etc. as did most of the docs who were all aware of the 1991 FDA Advisory Committee meeting on the subject. People like Dr. Martin Teicher were hushed up back in 1991 and this was well known in psychiatric circles. Of course Goodwin was being paid by Pharma and who knows who else!! It is all about money. There probably were some people who were helped by Goodwin. I am not saying he is a totally incompetent doctor. I am just saying he is unethical and he was bought---------- I am personally aware that Goodwin knew that Prozac could cause mania and ruin someone's life because I was privy to a lawsuit in Texas where Goodwin gave testimony to this effect - that Prozac had caused mania in a man and that this man's subsequent deeds had proved ruinous to him. "The Infinite Mind" needed to go - I am so relieved it exists no longer. Posted by: Rosie at November 24, 2008 07:28 AMThanks FP, I'd forgotten this was the same scumbag. He really believes that being a black person means being genetically inferior. Wonder what he thinks about women and the poor? Anyway, "WHO IS DR. GOODWIN REALLY? Rhesus Monkeys and Inner-City Youth At the head of now disbanded Alcohol, Drug Abuse and Mental Health Administration (ADAMHA), psychiatrist Frederick Goodwin was the federal government's highest ranking psychiatrist and one of the world's leading biological psychiatrists. He was thrust into the hot lights of national media attention in early 1992 after he allegedly made remarks that compared inner city youth to monkeys who live in a jungle, and who just want to kill each other, have sex and reproduce. The statements in question were made at a February 11 meeting of the prestigious National Advisory Mental Health Council. One person in attendance, an African American government employee, was offended enough to phone the Washington Post.5 Dr. Goodwin apology! If I believed in antisocial personality disorder, his apology would meet all of the DSM criteria for it. Posted by: Sally at November 24, 2008 07:41 AMthere's more on the so-called 'violence initiative' here: http://www.breggin.com/index.php?option=com_content&task=view&id=53 Posted by: Philip Dawdy at November 24, 2008 08:57 AMBrilliant, brilliant reporting, Philip. But good luck putting the genie back in the bottle with those who throw the baby (outlawing psych meds) out with the bathwater (Big Pharma corruption). Posted by: Larry at November 24, 2008 09:06 AMIt was the Goodwin-Jamison Bible on bipolar that, by chance, saved my daughter's life from lithium toxicity. Her Hopkins-trained doctor didn't know what was going on (she looked liked she had ataxic CP, slurred speech) etc. and a neurology consult didn't help either. But I happened to be ruffling through this book and landed on the toxicity list of symptoms. This is really all I know of the man, but his other behavior seems to be "the way it is" with most psychiatrists these days, whether they are in academia or not. I say good riddance, Phil, now on to the next ones. Posted by: sorrowful at November 24, 2008 09:15 AMPhilip, Here's another Breggin on Goodwin link that I like: http://www.sonic.net/~doretk/ArchiveARCHIVE/BLACK--AFRIKAN%20AMERICAN/Blacks%20are%20Violent%3F.html Larry, I don't think there's any serious discussion about outlawing psych meds. Maybe you left the phrases safety, efficacy and effectiveness out of your sentence, as the serious discussion is about outlawing making false claims about the safety, efficacy and effectiveness of psych drugs. Posted by: Sally at November 24, 2008 10:16 AMOutlawing is too strong a word, yes. Mau-mauing those who take them, no. Posted by: Larry at November 24, 2008 01:58 PMThe argument that 'I consult for all the companies and therefore I have no conflict' does not wash as noted elsewhere as it doesn't apply to, say, drugs v psychotherapy. That infinite mind show on antidepressants was clearly biased as evidenced by the fact that one of the 'guests' worked for a PR firm with pharma clients but was introduced only as a 'former FDA official'. Also consider the fact that he was jetting around the country giving talks. Didn't any of the psychiatrists in the audience wonder who was paying for all of this? I don't really buy the noodling by NPR. As far as I am concerned it was an NPR show; I don't care about their evasive splitting of hairs. Here is another disclosure for them. $200 million donation from the heiress of the McDonald's cheeseburger fortunes, which are responsible for the world wide spread of type 2 diabetes, but we never hear about the health consequences of McDonalds on NPR, now, do we? Posted by: Doug Bremner at November 24, 2008 03:24 PMfrom the producers of Infinite Mind in an email sent to their listeners: November 24, 2008 In an unrelated decision, we had already ceased production of the radio show, and had notified radio stations that the program would be going off the air following its 10-year run. The internal decision to terminate the program was made in October, well before any of this information had emerged, and occurred in large part because of a lack of funding to support the show. We learned about the full scope of Dr. Goodwin’s conflicts of interest with the print publication of the New York Times article on November 22. Senator Charles Grassley provided the New York Times with evidence that Dr. Goodwin had accepted speakers' fees from companies whose products included medications discussed on The Infinite Mind. (The Infinite Mind covered a broad range of topics related to the human mind, brain and spirit. Most of our programs, as regular listeners will know, dealt with subjects that did not include any discussion of pharmaceuticals or the pharmaceutical industry.) Dr. Goodwin’s acceptance of these fees was in direct violation of his written contract with LCM, which states, in part: "Any conflicts of interest or the appearance of conflicts of interest should be avoided at all costs. This means avoiding any situation where your role on the show as host could be influenced, or might come into conflict with your other professional or personal responsibilities or financial gain … To help insure that you are not involved in editorial material that presents a conflict with your work outside of The Infinite Mind, you agree to disclose to LCM existing and any new business relationships as they occur that could potentially be perceived as representing a conflict of interest with your role as a public radio commentator or journalist. You also agree to disclose to LCM any business relationships that existed during your time as host since 1997 which may have presented a conflict of interest as defined above.” (See www.LCMedia.com/agreement.pdf for a copy of the signed agreement in its entirety). There was no gray area. Fred Goodwin was legally bound to inform LCM of any conflicts of interest. And he didn't. In response to the New York Times article, National Public Radio announced it would remove the program, which is independently produced and distributed by LCM to 300 public radio stations across the country, from its Sirius satellite channel. (See NPR statement) The New York Times article was devastating to a program that for 10 years had endeavored to maintain the highest levels of integrity. As the New York Times pointed out, LCM has received more than 60 major journalism awards, including a George Foster Peabody Award for Excellence in Broadcasting, TV and radio's highest honor; a Media Award from the United Nations; six National Headliner Awards; four Gracie Awards from American Women in Radio and Television; and five Unity Awards in Media from Lincoln University of Missouri for coverage of minority issues. We applaud Senator Grassley's diligent efforts to work toward transparency in pharmaceutical funding. We have contacted Senator Grassley’s office and offered our support in this work. We can only apologize for this breach of trust with our loyal listeners, supporters and public radio stations. This is all good but when will folks like McNammy finally begin to question their labels? When will AOT and the bogus labels end? Posted by: Sally at November 24, 2008 06:07 PMWell Sally, one might wonder... when mcMan finally figures out he has been screwed by the pharma industry when he stops getting paychecks from pharma-funded websites for writing GARBAGE. Posted by: Stephany at November 24, 2008 06:40 PMPost a comment
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