And if the "bible" of mental health was adulterated? | Blog Nino Cartabellotta
Since it is being prepared, the fifth edition, what would happen round table redding ca if the judgment of "sacred writers" and "evangelists" were tainted by conflicts of interest? That normal human experience would risk magically turn into epidemics of mental illness where people would be absolutely healthy labeled round table redding ca as sick and subjected, unnecessarily, to psychopharmacological treatment.
Lisa Cosgrove and Sheldon Krimsky have recently analyzed the financial conflicts round table redding ca of interest of members of 'American Psychiatric Association (APA) responsible for updating round table redding ca the DSM: almost 70% of the members of the task force says the current financial relationships with the pharmaceutical round table redding ca industry ( compared to 57% of the group that updated the DSM-4). The percentage was 83% for the group "psychotic disorders" and bingo ago (100%) in the "sleep disorders". round table redding ca In other words, round table redding ca most of the experts responsible for defining diagnostic criteria round table redding ca and related treatments for mental illnesses have financial relationships with companies that produce and sell drugs for mental health.
Since it is widely recognized that financial conflicts of interest undermine the objectivity and integrity in medicine, the scientific community and the media have raised legitimate concerns. However, if the influence of conflicts of interest on the recommendations of clinical guidelines has been described in all medical specialties, why all this emphasis on the conflicts of interest of the APA and, more generally, of psychiatry? Psychiatry has been in recent years at the center of many controversies: is the specialty that industry receives more money than other specialties, are described and identified numerous scientific fraud (ghostwriting, round table redding ca failure to publish round table redding ca negative round table redding ca studies) and various studies have documented conflicts round table redding ca interest in the promotion of psychotropic drugs. The APA is the world authority for mental health and the DSM diagnostic tool of reference for mental illness: in other words, the opinions of the panel that is updating the APA DSM, define the diagnostic criteria of mental illnesses, legitimizing certain disorders and disconoscendone other and decide who to deal with and what treatments. The DSM is a manual intended for healthcare professionals only, but is used by insurance companies, hospitals, courts, prisons, schools, researchers, judges, and government agencies, etc. Therefore, round table redding ca the nomenclature, the criteria and standardization of mental illness in the DSM have a huge impact on health, social, cultural, round table redding ca legal and economic. The expansion of diagnostic categories and new diagnoses round table redding ca of DSM represent a "gold mine for the pharmaceutical industry": in this regard many specialists fear that the expansion of the diagnostic criteria subtract to normal, "patologizzandoli", many ordinary behavior , expanding the market round table redding ca for drugs. Here's a childish tantrum is classified round table redding ca as "destructive interference from regulating mood"; round table redding ca that a widow sad for over two days is diagnosed with "major depressive disorder"; that in a legal battle for custody of the children, these are likely to get sick of "parental alienation disorder", if the mother tries to put them against the father (or vice versa). At least 20% of the funding comes from the pharmaceutical APA and the DSM itself is a big business (the DSM-4 has sold over a million copies) In 2007, the APA had already called for the members involved in the review of the DSM-5, a policy on conflicts of interest that, for the first time, provides for the explicit disclosure of financial relationships with industry
We can still considered acceptable, round table redding ca in 2012, that the status of mental health of the planet is given only to a group of experts who entertains such "dangerous liaisons" with the pharmaceutical industry?
Since the publication of the DSM-5 is expected in May 2013, the authors wonder whether one year is enough to make the APA policy on conflicts of interest those radical changes so as to reach the ambitious target stated with great emphasis of a "transparent process in the development of DSM and DSM ... an evidence-based, free of bias and not influenced by conflicts of interest?
The real issue is who does independent research in psychiatry. Who invests on psychotherapeutic interventions in the public health service? Invest and do research on the long-term round table redding ca rehabilitation interventions for chronic patients?
I propose a letter sent to all the colleagues I ASL as "responsible for the
Since it is being prepared, the fifth edition, what would happen round table redding ca if the judgment of "sacred writers" and "evangelists" were tainted by conflicts of interest? That normal human experience would risk magically turn into epidemics of mental illness where people would be absolutely healthy labeled round table redding ca as sick and subjected, unnecessarily, to psychopharmacological treatment.
Lisa Cosgrove and Sheldon Krimsky have recently analyzed the financial conflicts round table redding ca of interest of members of 'American Psychiatric Association (APA) responsible for updating round table redding ca the DSM: almost 70% of the members of the task force says the current financial relationships with the pharmaceutical round table redding ca industry ( compared to 57% of the group that updated the DSM-4). The percentage was 83% for the group "psychotic disorders" and bingo ago (100%) in the "sleep disorders". round table redding ca In other words, round table redding ca most of the experts responsible for defining diagnostic criteria round table redding ca and related treatments for mental illnesses have financial relationships with companies that produce and sell drugs for mental health.
Since it is widely recognized that financial conflicts of interest undermine the objectivity and integrity in medicine, the scientific community and the media have raised legitimate concerns. However, if the influence of conflicts of interest on the recommendations of clinical guidelines has been described in all medical specialties, why all this emphasis on the conflicts of interest of the APA and, more generally, of psychiatry? Psychiatry has been in recent years at the center of many controversies: is the specialty that industry receives more money than other specialties, are described and identified numerous scientific fraud (ghostwriting, round table redding ca failure to publish round table redding ca negative round table redding ca studies) and various studies have documented conflicts round table redding ca interest in the promotion of psychotropic drugs. The APA is the world authority for mental health and the DSM diagnostic tool of reference for mental illness: in other words, the opinions of the panel that is updating the APA DSM, define the diagnostic criteria of mental illnesses, legitimizing certain disorders and disconoscendone other and decide who to deal with and what treatments. The DSM is a manual intended for healthcare professionals only, but is used by insurance companies, hospitals, courts, prisons, schools, researchers, judges, and government agencies, etc. Therefore, round table redding ca the nomenclature, the criteria and standardization of mental illness in the DSM have a huge impact on health, social, cultural, round table redding ca legal and economic. The expansion of diagnostic categories and new diagnoses round table redding ca of DSM represent a "gold mine for the pharmaceutical industry": in this regard many specialists fear that the expansion of the diagnostic criteria subtract to normal, "patologizzandoli", many ordinary behavior , expanding the market round table redding ca for drugs. Here's a childish tantrum is classified round table redding ca as "destructive interference from regulating mood"; round table redding ca that a widow sad for over two days is diagnosed with "major depressive disorder"; that in a legal battle for custody of the children, these are likely to get sick of "parental alienation disorder", if the mother tries to put them against the father (or vice versa). At least 20% of the funding comes from the pharmaceutical APA and the DSM itself is a big business (the DSM-4 has sold over a million copies) In 2007, the APA had already called for the members involved in the review of the DSM-5, a policy on conflicts of interest that, for the first time, provides for the explicit disclosure of financial relationships with industry
We can still considered acceptable, round table redding ca in 2012, that the status of mental health of the planet is given only to a group of experts who entertains such "dangerous liaisons" with the pharmaceutical industry?
Since the publication of the DSM-5 is expected in May 2013, the authors wonder whether one year is enough to make the APA policy on conflicts of interest those radical changes so as to reach the ambitious target stated with great emphasis of a "transparent process in the development of DSM and DSM ... an evidence-based, free of bias and not influenced by conflicts of interest?
The real issue is who does independent research in psychiatry. Who invests on psychotherapeutic interventions in the public health service? Invest and do research on the long-term round table redding ca rehabilitation interventions for chronic patients?
I propose a letter sent to all the colleagues I ASL as "responsible for the
No comments:
Post a Comment