October 21, 2009

NPR's Biased Reporting On Mental Health

I was very discouraged by a piece that aired on National Public Radio's "Morning Edition" on Monday. It was another example of lazy, unquestioning reporting of mental health issues by a mainstream media outlet. The fact that it aired on "Morning Edition" is important because the show is one of the most popular on all of radio with an estimated 13 million listeners a week (that puts it just behind Limbaugh and Hannity, although Arbitron recently changed how it measures ratings so some of this may have changed).

The news hook for the story was the mental disorder diagnoses are way up among college students and that a group at Stanford University is using theatre monologues to "come out" about living with mental disorders. I'm all for people being upfront with the world about themselves and so on, but all I heard were a bunch of young people who were deeply-married to their diagnoses--practically boasting about them--and their meds. If that's what gets them through life as a college student at a tough school, then fine. I just hope they'll be in a position to someday be a bit more questioning as adults about diagnoses, medications and their futures as people with mental illnesses.

Of course, that would be something that NPR's reporter, Deborah Franklin, was not. In an 8-plus-minute piece, her reporting was almost completely flavored with bio-psychiatry biases (diagnoses are unquestioned, meds and treatment always work, etc.) and there was no information about, for example, the FDA's black box warning on anti-depressants which are specifically aimed at the under-25 set. There was nothing about recent research showing diagnoses of bipolar disorder are wrong almost 50 percent of the time and that in a large percentage of cases the disorder resolves by a human's mid-30s. That would've been useful context to have in such a piece and its absence makes me wonder what kind of game NPR thinks it's playing (I should note that NPR has long been heavily-underwritten, in part, by the Robert Wood Johnson Foundation, the big public health foundation begun by one of J&J's founders) and who is editing its science and health reporting. If NPR is not interested in contrary points of view, then it really needs to get back in touch with its journalistic values. It would've been an easy thing for the reporter to pick up the phone and interview someone from The Icarus Project, which is quite active on some college campuses, but instead Franklin settled for a wildly unbalanced piece.

As a reporter myself, I find that sad and embarrassing. In a piece on "Morning Edition" last year, an NPR reporter described bipolar disorder as "bipolar disease." I would so like someone at NPR to explain to me the disease process of bipolar "disease."

Here's the Franklin piece itself:

Here's one of the student monologues, read by an actor, involving OCD:

And another, also read by an actor, involving anxiety:

A web version of the piece is here. A transcript of the aired piece is here.

Posted by Philip Dawdy at October 21, 2009 12:05 AM
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Comments

I'm glad you heard this one too Philip. I hate that NPR is so biased on the "mental illness" front.

There was simply no mention of the obvious point that the oodles of college students with psych labels might be a result of over diagnosis and false diagnosis, even a social trend.

And it always strikes me as odd on these lets get more help for the "mentally ill" shows when the folks featured focus on how they don't want anyone to think of them as abnormal or different and how they are able to function as well as anyone else, by their own testimony, these folks are admitting they aren't "mentally ill."

We should have compassion for everyone, not just some people identified as having special sensitivities...

Posted by: Sally at October 21, 2009 07:23 AM

Have you contacted NPR directly with your very valid critiques? I've been a media activist for years and when you contact the editor or reporter or publisher directly -- especially if others do it as well -- they will often respond; at the least they should be told.

Posted by: Miranda at October 21, 2009 08:20 AM

Thanks so much for drawing attention to this one-sided and incredibly naive piece on NPR. It is truly sad to see students suckered down the path of biopsychiatry, embracing it hook, line, and sinker, without one little gram of critical thinking and a journalist doing the same. I think the pills impair critical thinking for sure and this is an example of it on the students' part at least. When, oh when, is the full story going to reach mainstream media in a way it can be heard? How many more lives are going to be lost or damaged? How many Stanford grads are going to become disabled from their "treatments?" It's a tragedy of epidemic proportions and it's hitting the best and brightest of our time.

Posted by: Sara at October 21, 2009 09:04 AM

"I'm not supposed to be like this, I kept telling myself. I need to be strong. Other people come to me for help. I started to panic. What if I can't graduate? What if I have to drop out of medical school? What if I can't take care of a family?"

The paradoxical narcissism of psychiatric diagnosis: everyone is equally well-adjusted and sane except for me.

Posted by: Evelyn at October 21, 2009 10:04 AM

Typical of the left's "compassion" towards mental illness issues... ARGH.

Stanford sucks anyway. Go CAL!

Posted by: kimbriel at October 21, 2009 10:13 AM

I will copy a comment I saw a long time ago here at FS and I don't remember who did it:

GET THE FUCKING HANDS AWAY FROM THE CHILDREN!

Posted by: Ana at October 21, 2009 12:43 PM

Something to gnaw on...

Take any subject you possess a greater than pedestrian understanding of. In this case it's mental health. What do we see?

1. The media presents a superficial, talking-points, rendition. Who provides the talking points? Follow the money...

2. If the media is so obviously in the tank and clueless about this subject, the one you hold a considered understanding, what leads one to believe they (the media) are any more credible on any subject?

3. Shouldn't you be equally, if not more, skeptical of any media report that fits your world view?

It's all crap, imo.

Posted by: Paul at October 21, 2009 06:54 PM

The paradoxical narcissism of psychiatric diagnosis: everyone is equally well-adjusted and sane except for me.

love it, thanks Evelyn!

Posted by: mjane at October 21, 2009 07:59 PM

NPR = Nuanced Propaganda Radio

Posted by: Lorelei at October 21, 2009 09:39 PM

NAMI has sent out a Press release praising NPR for this show.

http://www.prweb.com/releases/mental_illness/public_radio/prweb3104824.htm

That's almost as good as an endorsement from the PhARMA Industry, or the Professional Hog Riders Association.

You may be asking yourself when Goodwin will be back hosting the "NAMI hour" on NPR?

Posted by: MsPiggy at October 23, 2009 08:49 PM

It is very hard for me to read this transcript. I dropped out of college after having been in and out of hospital, and it still upsets me a bit that the professionals who were sincerely trying to help me seemed in retrospect to have no perspective, or maybe they didn't remember what it was like to be a young person. Twenty year olds are finding their identities, learning how to be adults; add to that the stresses of a rigorous college, and it is bound to be a very hard time. I don't mean to minimize my problems or that of my friends -- I was a cutter, suicidal; i had friends with eating disorders, etc., and those are serious things -- but damned if any single therapist (bar one) or psychiatrist saw me as a kid transitioning to adulthood rather than a cutter. My parents even considered putting me in a residential facility in another state, on the advice of professionals.

Actually my favorite "professional" from that time was a medical student, while i was an inpatient, who was assigned to take my history. She was a bit older for a med student, around 30. She said to me, "You know, being 20 really sucks. I hated being your age. But trust me, it does get better." Somehow i knew that she wasn't dismissing me but was sincerely empathetic, and i believed her.

She also stuck up for me later, when my (respected, highly-regarded) psychiatrist yelled at me and left the room after i said i didn't want to get better. She said, "Don't worry about him. He has spent too much time around sick people, and he's lost his perspective. I'll talk to him."

That did more for me than two years of therapy in which, despite my therapist's best intentions, i feel i was treated like a "sick" person who needed to get "well". No! I had some problems, i am sure i had serious, diagnosable problems, but also, i was growing up!

When i went back to college, after spending some time OFF meds, out of therapy, and working for a bit and gaining some perspective, i sought out a counselor with whom i could "check in" regularly. No therapy. I wanted support but was very leery about getting back into the mental health world. _I_ was going to dictate the terms of this relationship. I ended up finding a wonderful child therapist (if a bit goofy and informal!), which was great for me because she viewed her adult clients lovingly as grown-up children. She told me later that she was generally very hesitant to ascribe any diagnosis to teenagers or college students and often just marked down adjustment disorder or something, 'cause that's what they were doing -- adjusting, i.e. growing up. I thought that was great.

I am 29 now and catching up with childhood friends and hearing about how they survived their early 20s, and i think, my God, how can i make friends with some 20 year olds just so i can tell them that they're going to be okay?

I am sorry i am not making much sense, as this is still a little bit of a raw subject for me. It just breaks my heart, thinking that with all these kids have to deal with, they could be putting their faith in well-meaning, misguided professionals who are misleading them like i was misled.

Posted by: Sarah at October 27, 2009 10:51 AM

Sarah, thanks so much for posting your story. I am so glad you made it!!! You make perfect sense and I wish college students everywhere were reading this thread. It's stories like yours that keep me fighting for the truth and for justice for all the kids out there who are being threatened and intimidated by routine psychiatric treatment and counseling. Just one person speaking up like the medical student who helped you can make a difference and save a life.

Posted by: Sara at October 27, 2009 01:31 PM

Actually Sarah, you're making lots of sense. Thanks.

Posted by: Sherry at October 27, 2009 05:46 PM
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