Psychiatric Drug Facts via breggin.com :

“Most psychiatric drugs can cause withdrawal reactions, sometimes including life-threatening emotional and physical withdrawal problems… Withdrawal from psychiatric drugs should be done carefully under experienced clinical supervision.” Dr. Peter Breggin
Showing posts with label Ethics. Show all posts
Showing posts with label Ethics. Show all posts

Apr 26, 2014

What's missing in the Psychiatric Times Article, "Prescribing Psychotropics for Women of Childbearing Potential"?


me and my grandson, Ragnar

I believe disclosures should be at the beginning of any professional journal article. ( particularly in journals and on websites that are basically marketing endeavors operating under the guise of providing continuing education to medical professionals by publishing professional journal articles)

via Psychiatric Times:
March 14, 2014 | Psychopharmacology, Mood Disorders
By Marlene P. Freeman, MD
DISCLOSURES
Dr Freeman is Associate Professor of Psychiatry at the Harvard Medical School; Medical Director, Clinical Trials Network and Institute; and Director of Clinical Services, Perinatal and Reproductive Psychiatry Program at the Massachusetts General Hospital in Boston. She has received research support from GSK and Lilly; is on the advisory boards of Lundbeck, Taleeda, Otsuka, and Genentech; and does medical editing for DSM Nutritional Products. (emphasis mine)

an excerpt:
"For some medications, such as SSRIs, lamotrigine, and benzodiazepines, there are a great number of published studies—some with conflicting results.7 For other medications that are known teratogens, such as lithium and valproic acid, the association with birth defects is clear, but the absolute risk of teratogenicity must be understood to make informed decisions.7 With lithium, which has a known association with a specific cardiovascular malformation—Ebstein anomaly—the absolute risk is low. Approximately 0.1% to 0.2% of pregnancies are affected when there is exposure in the first trimester. In contrast, valproate has a known and common association with neural tube defect, estimated to occur in 1% to 5% of exposed pregnancies.7 "  

Dr. Freeman's article does not even mention neuroleptic drugs, called antipsychotics, which are direct to consumer marketed in the United States as adjunct treatment for mood disorders; this may have been an oversight. It appears to reflect a head in the sand approach to the elephant in the room. Some of Dr. Freeman's statements that appear to undermine FDA warnings about the teratogenicity of FDA approved drugs is, in effect, basically a declaration that the elephant the good doctor is pretending no one sees can't possibly be dangerous; if it is, the elephant is not as dangerous some know it is. 

I don't tend to put much stock in doctors who fail to communicate in a forthright manner. Perhaps I am being harsh, but I don't believe so. A doctors stock in trade is a patient's perception of the doctor, and the real world effect on the patient (from the patient's perspective). It is important for a doctor to be HONEST. Psychiatrists cannot mislead through use of analogies and myths to explain psychiatric diagnoses are "real diseases"; label people who don't trust them with anosognosia, having no respect for authority, paranoid or delusional while simultaneously endorsing forced treatment under color of law on unwilling patients. Involuntary treatment is justified solely by professional opinion. In effect, by stating the person has a psychiatric diagnosis and that it is a "medical necessity" the person must have psychiatric treatment. The Rules of Evidence are not required or followed in the civil commitment process in Washington State. No evidence of the "medical necessity" of psychiatric treatment, no evidence that a patient has an identifiable neurobiological condition or a brain disease; and worse, no evidence that psychiatric treatment will benefit the patient forced under color of law is even required. 

Whether a patient believes a professional is communicating honestly with them, is perceived to have a genuine kind regard for them, and has the ability to treat a patient ethically, is not as important as the psychiatrist being humble and honest enough to practice medicine with ethical integrity. A doctor's primary duty ethical duty is to the patient; regardless of a psychiatrist's biases and beliefs about what causes "mental illnesses," and how to best help the people who are believed to have a psychiatric diagnosis. While it is unfortunate and "challenging to remain apprised of data pertaining to medication use in pregnancy, since the literature is constantly evolving;" it is more unfortunate that there has been so little evidence offered to validate or support psychiatric diagnoses and treatment. 

Why are psychiatrists emotionally defending psychiatric diagnoses and the psychotropic drug treatment regimens that purportedly medically treat them?  Ethical integrity demands psychiatric diagnoses and drug treatment algorithms be empirically validated and supported; not merely believed in and relied upon by consensus. In effect, psychiatry has developed standards of care that protect psychiatrists from being held legally liable for iatrogenic harm caused to patients. The purpose of treatment standards is to protect patients from unethical medical practitioners; why are treatment standards used to refute accusations of iatrogenic harm? Psychiatry's treatment standards serve as a protective legal shield for psychiatrists professionals who wield Police Powers to detain and involuntarily treat patients with drugs  and/or electroshock treatments with serious risks including permanent disability and death. Since psychiatrists are doctors we must believe they are honest, ethical and NO EVIDENCE IS REQUIRED.

via Canadian Pediatric Society:
Selective serotonin reuptake inhibitors in pregnancy and infant outcomes

Principal author(s)Ann L Jefferies; Canadian Paediatric Society, Fetus and Newborn Committee
Abridged version: Abridged version: Paediatr Child Health 2011;16(9):562

Abstract

Adequate treatment of depression during pregnancy is very important for maternal, fetal and neonatal health. Selective serotonin reuptake inhibitors (SSRIs) are commonly used antidepressants. According to one American study, approximately 7% of pregnant women were prescribed an SSRI in 2004-2005. First trimester use of SSRIs, as a group, is unlikely to increase the risk of congenital malformations. Paroxetine may be associated with a small increased risk of cardiac malformations, but evidence remains inconclusive. Fetal exposure to SSRIs closer to time of birth may result in respiratory, motor, central nervous system and gastrointestinal symptoms in about 10% to 30% of newborns (SSRI neonatal behavioural syndrome). These symptoms are usually mild and transient. Persistent pulmonary hypertension of the newborn is an extremely rare consequence of fetal exposure. This information should be used to make individual risk-benefit decisions when considering the treatment of depression during pregnancy. Newborns with late- pregnancy exposure to SSRIs should be observed in hospital for at least 48 h. read here




Sep 12, 2013

Drug safety affects all of us



via Today in Science History:
"It is not enough that you should understand about applied science in order that your work may increase man's blessings. Concern for man himself and his fate must always form the chief interest of all technical endeavours... in order that the creations of our minds shall be a blessing and not a curse to mankind. Never forget this in the midst of your diagrams and equations." Albert Einstein Address to students of the California Institute of Technology, Pasadena, California (16 Feb 1931). In New York Times (17 Feb 1931), p. 6

via ALLIANCE FOR HUMAN RESEARCH PROTECTION:
The Alliance for Human Research Protection (AHRP) is a national network of lay people and professionals dedicated to advancing responsible and ethical medical research practices, to minimizing the risks associated with such endeavors and to ensuring that the human rights, dignity and welfare of human subjects are protected www.ahrp.org


Advancing Honest and Ethical Medical Research 

Vital drug safety information should never be hidden as a “trade secret.”  Drug manufacturers who obtain a public license to market their drugs should have to provide access to vital safety information.

After much debate, an important public safety program begun in 2010 by the European Medicines Agency (EMA) provided access to physicians and the public to the data from clinical trials that drug manufacturers used to gain marketing approval for their new prescription medicines in Europe.

The program was hailed by American, and European researchers--indeed by researchers around the world--as a major step towards improving drug safety.

Prior to the EMA disclosure program, the only way access to clinical trial data was gained was through lawsuits.
But by the time any legal action had been taken against a drug manufacturer for failure to disclose serious adverse effects, the companies had amassed their mega-profits, but thousands of patients suffered serious harm. That scenario cannot be tolerated.

AbbVie is the manufacturer of Humira, the number one selling medication in the world with projected sales of $10 billion in 2013; and InterMune, manufactures the pulmonary-fibrosis drug Esbriet that has recently been approved in Europe at a cost of over $40,000 per year.

These two companies have filed a lawsuit against the EMA in an effort to block access to vital safety information about the serious risks the companies know that these drugs pose.
Their motive is simple and self-serving: they are attempting to protect their profits by concealing their products' hazards. 

They are demonstrating that they have no regard for the safety of those who consume their drugs--their only concern is for their profits.

Please sign the petition--drug safety affects all of us.

Link to petition: http://www.change.org/petitions/richard-gonzalez-of-abbvie-and-daniel-welch-of-intermune-drop-your-legal-action-blocking-access-to-ema-clinical-trial-data

The petition calls upon AbbVie and InterMune to drop their European Union lawsuit and release all patient level data on Humira, Esbriet and their other products.

 Copies of the petition have been sent to:
President Barack Obama;
Margaret Hamburg, M.D., Commissioner, Food & Drug Administration;
Secretary General Ban Ki Moon, United Nations;
World Health Organization Director Dr Margaret Chan.


Sign the petition and pass on the request to your colleagues, as I have.
With very little effort, you may help move mountains!

Vera Sharav


cartoon Roger Schillerstrom Drug Discovery and Development 2008

Feb 7, 2013

First, Do No Harm: A Qualitative Research Documentary

First, Do No Harm: A Qualitative Research Documentary
 from Tim Holland on Vimeo.

This is a qualitative research documentary that was created by Alyson and Timothy Holland. The documentary explores the ethics of global health clinical electives and volunteer projects in developing regions. It features interviews from experts and global health providers from Europe, Africa, Asia, North and South America.
It is intended for use in Pre-Departure Training for students and volunteers intending to participate in overseas projects. If you would like a free copy of the DVD for screenings or use in pre-departure training sessions, please contact timothy.holland@dal.ca.
To help us assess the impact of the video, we'd really appreciate if you could fill out the following surveys, one before watching (if you've never seen the film before) and one after watching. Thank you!
Pre-View Survey: surveymonkey.com/s/HZFGFGB
Post-View Survey: surveymonkey.com/s/8B6YMW2


picture credit

Dec 19, 2012

A story about a background check


I’ve been going through some stuff that I had hoped to have resolved by now, but it is not.  In October I applied to be a care provider for a woman who needs help 29 hours a month.  I needed to have more income to make up for the hours that were taken away with the budget cuts, to keep paying our bills. I was hoping be able to afford to get Isaac back into the Y again...  I was turned down, and I was terminated as my son’s care provider, effective immediately.

I was first made aware that there was a problem when the client that I had hoped to become a provider for called me to say that Dirk Bush at the Home and Community Care office had called her to tell her I could not be her care provider. He told her that my license was revoked for being convicted of a crime and harming a client. I knew this wasn’t true; and I am horrified that such a thing was told to a client.  

I turned in a background authorization to the ALTC office due to it being time to recertify my contract for my son’s care, and another identical one to the HCS office on the 24th of October. The ALTC BCCU report is dated the 25th, and there is a handwritten notation on it that says, "11/17/2006 Wapato HCS" next to the highlighted sentence that reports  I answered "yes" to question 13 which is highlighted.  I  had finally become Isaac's formal care provider in 2008; the BCCU report dated 11/25/2008 makes no mention of question 13.  The BCCU report for HCS is dated 11-26-2012.  It is more than a strange that in the 4 and 5 day interim between these reports being printed and Dirk Bush slandering me to a client, that neither agency made any effort to contact me whatsoever.

After hearing there was an issue, I immediately went to the HCS office to speak to Dirk Bush, who was less happy to see me; and who was less than civil. He proceeded to tell me three different stories as to why I was not going to be allowed to be a care provider for a the client. When I refuted the first one, he gave another excuse and as soon as he  spoke, I knew for sure he was lying to me. This  realization was immediately followed by the impression that Dirk Bush seemed very angry that I even questioned him, and he appeared to be exerting a great deal of effort to remain calm.

I was not.  I was angry, for good damned reason. He had not introduced himself, so I pointedly asked him, “who are you? and why didn’t you introduce yourself to me?” I had been told that Dirk Bush was not in the office by the receptionist when I had arrived and asked to speak with him.  I had insisted that I needed to speak to his supervisor  if he was unavailable.  So I didn’t know if it was the man in front of me was Bush, or his supervisor.  When I asked why he had not introduced himself, it made him angrier. He was rude and condescending; it was entirely obvious that although we had never met, he had no respect for me whatsoever.  He also felt no need to hide his contempt.  

Bush seemed to become be even more upset when I pointed out that because he had not bothered to do any fact checking; he had told a client that I had a criminal record I in fact do not have.  And that he had denied me a job for the same reason.  I pointed out that what he had done is unethical, and illegal. I asked if he believed there is anything wrong with telling a client that I had lost my license, due to a criminal conviction, if  it was not actually true. He said he had done nothing wrong.  It was  at this point that Bush told the third story.  He spat out some twisted spurious allegations with a sneer.  If there were any truth to what he had said, the department  would have been required by Law to file a criminal complaint with Law Enforcement. There was no criminal complaint filed. If what Bush had said to me with his twisted up face and hate-filled voice were true, I would have went to prison. Not only were the allegations not true, telling someone that I had been convicted for felony abandonment of a vulnerable adult is slander.  


What I do know is that when I initially applied to be my son’s care provider, I was told I was disqualified and NO ONE could (or would?) tell me why. I was told only that I was Status 4; but never given any information what a Status 4 is, I was only told that a Status 4 meant that I was being told that it made me ineligible to be a care provider.

Finally, I don’t remember how, I found out that the department had placed me on this list when I brought my son home  from CSTC and his dependency was dismissed.  I was informed that the Region 2 Children’s Administration Administrator, Ken Nichols, had the authority to fix it, so I met with him.  Nichols  acknowledged I shouldn’t have been placed on the status 4 list, admitted he could fix it, and then told me he wouldn’t; refusing to say why.   I had to get a legislator involved and within a couple of weeks it was resolved after more than two and a half years of being denied any answers, including not being told what a Status 4 is.   

The fact is, the department had been was ordered by the Yakima County Superior Court to assist me in the process of becoming Isaac’s formal care provider upon his 18th birthday. Not only did the department not comply with the Court’s Order, it went out of the way to prevent me from becoming his care provider without their assistance. The department was in Contempt of Court, and remained in Contempt of Court for well over two years until the winter of 2008. The Department has failed to comply with another of the Court's Orders issued at the same time n 2005, and remains in Contempt of Court to this day; but that’s another story.  

The reasons one can be disqualified from being a care provider via the DSHS Procedure Manual:

a. Has been convicted of a disqualifying crime. Disqualifying crimes (this link downloads a Word file) are in statute and are listed in the Disqualifying Crimes FAQs.

b. Has been found by a court, state licensing board, disciplinary board, or dependency board to have neglected, sexually abused or exploited a minor or vulnerable adult.

c. Has abused, neglected, abandoned, or exploited a minor or vulnerable adult.

d. Has a court-issued order of protection against him/her for abuse or exploitation of a minor or a vulnerable adult.

e. Has been determined by a state agency or department to have abused, neglected, abandoned, or exploited anyone.

f. Has had a license to care for minors or vulnerable adults denied, revoked, or suspended.

g. Will be unable to appropriately meet the client’s needs, as determined by the department or AAA, who has a reasonable good faith belief (RCW 74.39A.095 (8) and WAC 388-71-0546).

I have no crimes  on my background report that disqualify me for being a care provider; If I did, I would have never been allowed to become a care provider in the first place.  If it is the Status 4 that disqualifies me, it would be listed on the BCCU repost as a “negative action.” There is no negative action listed. Had the department ever entered such a finding in it's records, to be valid, Iwould need to be informed, and be informed of my Due Process Rights specifically, be informed of “the opportunity to request an administrative hearing to contest the finding.” As I stated, the existence of a negative action would have been on the BCCU report, with a contact number for Sue McDonough.

I was ultimately informed by Dirk Bush after he spat out his third story, “I just now decided you’re not qualified based on your character, competence and suitability;” he then said, “I can do that, I don’t need a reason.”  

The following day, the 31st,  I receive a call from my son’s case manager at ALTC, who told me that I had been terminated from my contract as Isaac’s care provider, effective immediately.  The reason he said, is because the BCCU report had a disqualifying crime/negative action on it . I explained to him it was not accurate, due to a mistake filling out the form in 2006, that I had already contacted the BCCU unit, and had faxed them the information they requested. I told him the BCCU unit would be issuing an amended report; to which he replied, that it didn’t matter, there was nothing he could do.  Isaac and I each received a notice from ALTC that day in the mail stating that I had been terminated due to a disqualifying crime/negative action effective immediately, dated 10-31-2012.    

Two days later, we  each received a second notice in the mail stating my already terminated contract, was terminated (again?!) effective immediately these second letters are dated 11-02-2012, and state that the reason for my termination is my character, competence and suitability. This second termination after I  had already been terminated was sent after ALTC and HCS had received the amended BCCU report; which had nothing on it that justified termination, immediate or otherwise.

Instructions when terminating a care provider:

e. Send a Provider Notification (16-198)letter to the provider when you are informing them of a denial and reason. You must terminate the provider with a ten-day notice, unless you believe the client is in imminent jeopardy, in which case termination is immediate, or the IP has a conviction for a disqualifying crime or negative action.

There  were no disqualifying crimes on the first BCCU report. What was on it is an artifact from a background authorization request I had filled out in 2006; I had made a mistake in filling it out.  The allegation that I had committed crimes against a vulnerable person, and was a convicted felon caused me harm, it is slander.  It is, I believe, an effort to discredit me. A state employee purposely maligned me and terminated my contract without valid cause; and without following  any of the department’s procedural guidelines.  I have once again been denied  any effective remedy, and any truthful answers.  But what utterly pisses me off  is once again, people who are public servants have been punitive and refused to give me any reason that would explain why.  In fact, I was told by Aging and Long Term care staff, Jackie Klingel when I asked her, that I had no right to be informed of the reason the department terminated my contract.  I have no right to know what information was relied upon to determine  my “character, competence and suitability” necessitated an immediate termination.  

It has been over a month and a half. Day before yesterday, I called David Reed with Aging and Disability Services Administration, I asked if this whole situation wasn’t perhaps retaliation...He said there is no way  that it is.  I told him I didn’t believe him, and I told him why. He hung up on me. The fact is, I’ve heard nothing since November 21st.  I wonder will we end up homeless? I am serious... I sent Mr. Reed an email on December 13th saying I would like this to be resolved before we lose our home. I called him day before yesterday because he had not responded.   

I do not have to any of the following which would cause my termination.

via the DSHS Procedure Manual convictions and negative actions:

When there is a negative action against an IP, you will receive a “Convictions and/or Other Negative Action Against the Applicant are on the Secretary’s List of Disqualifying Crimes and Negative Actions” letter from BCCU, with the term Source by Document. You will not receive any specific information because of laws that prohibit dissemination of this information. However, you must take the following action and deny or terminate an IP who has a/an:

Child Protective Services finding: CPS findings that follow due process are
sent to BCCU. Pre-due process findings are not. If you receive information that
a provider has a CPS finding before due process, contact Sue McDonough. She
will work with the Children’s Administration to obtain the information necessary to take action on the provider.

Dependency Action: This is a court proceeding and there are, potentially, a
number of people that can be a part of a dependency. Therefore, only the AAG
can obtain this information. Contact Sue McDonough so that she can enlist the
AAG to obtain, review, and inform her about whether the dependency resulted in a finding against the IP.

APS finding: Fair hearing rights were established for alleged perpetrators on October 1, 2003. APS sends final findings to BCCU and these findings are part of the background check. If you learn that there was an APS finding that was previous to October 1, 2003, contact Sue McDonough. She will work with APS to obtain the information necessary to take action on the provider.

Protection Order: This is a court proceeding. You need to have the IP provide
you with a copy of the protection order so that you can determine whether the
order involves a minor or vulnerable adult. If the order does not involve a minor
or vulnerable adult, the IP can complete an affidavit swearing that the protection order did not involve a minor or vulnerable adult. Once it has been completed, send it to BCCU, and keep a copy in the IP’s file. You also need to complete a character, competence, and suitability determination.

Department of Health (DOH) finding: DOH sends all findings to BCCU, and
BCCU sends you a “Convictions and/or Other Negative Action Against the
Applicant are on the Secretary’s List of Disqualifying Crimes and Negative
Actions” letter. You need to go onto the DOH web site www.doh.wa.gov and
view the findings. If the finding is for abuse, neglect, abandonment, or financial
exploitations, the IP is disqualified. If not, you need to complete a character,
competence, and suitability determination on the IP.

Sep 17, 2012

NIH Defends Grant To Psychiatrist Sanctioned For Taking Millions From Big Pharma


via Pharma WatchDog:

NIH Defends Grant To Psychiatrist Sanctioned For Taking Millions From Big Pharma:

A former Emory University psychiatrist caught for failing to disclose millions he received from Big Pharma is once again receiving federal grants. The decision to award the grants has sparked criticism from many, including a US Senator.

The federal grant were made 3 months ago to Charles Nemeroff, a former Emory University psychiatrist. Dr. Nemeroff was caught failing to tell his university about at least $1.2 million in consulting income from drug companies, such as GlaxoSmithKline. read here

More at Pharmalot

hat tip: Mark Sadaka

photo from Stop Rx Foundation

Aug 14, 2012

Ducktors Nemeroff and Insel: quacks can't be Kosher...

Ducktors Thomas Insel and Charles Nemeroff 

The investigation is OPEN.
It is a clearly a questionable decision to award a Federal Grant to a psychiatrist whose conduct has been under investigation by both the Office of Inspector General for Health and Human Services and the Department of Justice for quite some time.  It is simply unethical to award Charles Nemeroff a grant prior to the investigation being over.  That is exactly what has happened though. The investigation has been completed; but the DOJ has not announced whether it will be filing criminal charges or lettting Nemeroff off the hook. 

The grant Nemeroff was awarded is to study the neurpsychobiological risk factors for post-traumatic stress disorder. Translation: Chuck is being paid to hunt down the evidence needed to declare  Post-Traumatic Stress Disorder is a neurobiological disease. ($$$ good!)
4 out of 5 psychiatrists recommend Ethic-Eze
IT'S NOT JUST FOR Ad Men any more!



Ed Silverman's article and the comment left by 1Boring Old Man are a must read.  Ed's article and 1 Boring Old Man's comment lay out the disturbing facts about how Insel purposely minimized the egregious nature of Nemeroff's unethical conduct, then helped to secure him a faculty position at another public institution of Higher Learning, the University of Miami. By all appearances, unethical behavior was dismissed or minimized.  It appears that a plan for Nemeroff to avoid the consequences that NIH and Emory had laid out for his unethical conduct was planned and executed by the Director of the National Institutes of Mental Health, Thomas Insel, and the unscrupulous Charles Nemeroff.  One doesn't have to be a Rabbi to know that Nemeroff and Insel's unethical conduct destroys altogether the delusion that ethical integrity is valued by psychiatric researchers or valued by the Director of NIMH.


Ducktors Insel and Nemeroff are not even close to Kosher...

via Pharmalot:

NIH Insists Latest Nemeroff Grant Is Kosher

Jun 28, 2012

Quack Back: Determining Real Effects of Ducktors Quacking Out Loud

Ducktor Quack

Fredric Neuman, M.D. in Dollars for Docs here here (free meals from Eli Lilly, maker of Prozac)

via Psychology Today:Fighting Fear
Confronting phobias and other fears.
"Determining the Real Side-Effects of Drugs."
Published on June 28, 2012 by Fredric Neuman, M.D.  

excerpts:
"There are many people who worry excessively about their health. They carry various diagnoses: hypochondriasis, somatization disorder, obsessive-compulsive disorder, and, often, depression. It turns out that these same people worry considerably about drugs and their side-effects, often to the point where they take untested, but “natural” substances, rather than drugs that the manufactures have spent hundreds of millions of dollars testing. I run groups treating these cases of “health anxiety.” There is an exercise I like to conduct in these classes. I take down a glossy pamphlet which is marked “Prozac” on the outside. I ask the group, “would you be willing to take a drug that has these side effects?” and I read to them out loud from the pamphlet:

"Headache—15.5% of all the patients taking this drug. Nervousness—8.5% Insomnia—7.1% Drowsiness—6.3% Anxiety –5.5% Nausea—10.1% Diarrhea—7.0% Dry Mouth—6.0%
Sweating—3.8%

"Usually, by the time I get half-way through this list, they are shaking their heads, “no.”

"Then I tell them that I have been reading from the list of side-effects in the placebo arm of the study! These are the side-effects patients get when they take a sugar pill that they think might be the real pill. Of course, my patients, who are especially suggestible, are still more likely to develop these placebo responses." (emphasis mine)

I started this post without reading the entire article; because I determined that I would write about the article because of my gut reaction to a tweet shared in my twitter feed this evening: "@psychfeed Determining the Real Side-Effects of Drugs.: There are many people who worry excessively about... bit.ly/N0aXtc (via @PsychToday)" I responded by tweeting back: "@psychfeed If the author is being honest, and this is how he has treated a patient; I would say he is unethical, and possibly sadistic..." Then I started this post, posted the links and the excerpts from the article above. THEN, I finished reading the article. NOW I have absolutely no doubt the author is sadistic; and unethical.

The cavalier attitude the author seems to have is troubling for a number of reasons, however, I will keep my critique to two of them. First, it seems that the author has an apparent lack of respect for his patients as people in distress who come to him for help in dealing with their problems. Second, if this article is representative of his 'expert knowledge' about Prozac, also known as fluoxetine, or Serafem, and SSRIs in general; he is ill-informed about the potential risks involved with taking Prozac.  I do not believe that 'side-effects' is an accurate term which describes the serious negative effects people can experience.   The term is only descriptive of the negative effects a person who also experiences a measurable benefit, i.e. by having a reduction in symptoms the drug was taken for.  When there is no appreciable benefit experienced by a patient taking an SSRI, or any other psychiatric drug, the effects which are unwanted, negative effects are not 'side-effects' and calling them 'side-effects' is dishonest; it is a gross mis-characterization of adverse effects that can be debilitating and fatal.

more excerpts from the article:
"So, that leaves the question, what are the real side-effects of Prozac? I read from a second list, the patients who were taking Prozac:

"Headache—20.3% about one third higher than the placebo-responders. Therefore, there is a tendency (slight) for Prozac to cause headaches.

"Nervousness—14.9% again, about one third higher than the placebo-responders. Therefore, there is a real tendency for the drug to cause nervousness. (Usually, this effect disappears in about 3 weeks.)

"Nausea—21.1% vs. 10.1 % for placebo responders. There is, therefore, a distinct tendency for nausea to come from taking Prozac. (This symptom, too. is likely to go away after three weeks.)

"Diarrhea—12.5% vs.7.0% for placebo responders, indicating a mild tendency for Prozac to cause diarrhea.

"Sweating-- 8.4% vs. 3.8% for placebo responders. A very mild tendency to cause sweating.

"All the other side effects for Prozac are close in range to the side-effects in the placebo groups, indicating that the drug does not cause these side-effects. (Any more than a sugar pill would.)

"What does all this mean? It means, first of all, that someone who develops these side-effects upon taking a new drug may not be reacting to the drug itself! They may be reacting to the idea of the drug. Yet, if a patient is told that the particular physical reaction they are having after taking the drug cannot be reasonably attributed to the effect of the drug itself, they often become offended." here

It ALSO means Dr. Neuman, that you seem to believe that it is acceptable for you invalidate your patients; and to minimize or dismiss altogether their complaints. Complaints that, you should be cognizant of having an ethical duty to pay careful attention to. Whether you believe the complaints to be valid or not; what is important or relevant to your patients, should merit more than your contempt and ridicule. The complaints ARE real to your patients doctor; and your patients should have your respect---you ARE working FOR them... Based on this article, it does not seem as if you have much respect for your patients. It is apparent from this article that it is acceptable to you to have less than a respectful, forthright, open and honest dialogue with your patients about the drugs you prescribe to them. One wonders, do you consider patients unworthy of your respect? I ask, because it seems that you have a callous attitude about your patients' need for reassurance, and a lackadaisical attitude about providing pertinent information to them...

This lackadaisical attitude is alarming. Your remarks evince far too casual an attitude about your ethical duty to your patients. Specifically, the ethical duty to provide accurate, appropriate and complete information to your patients so that they are able to give Informed Consent prior to actually follow your professional advice and treatment recommendations! So, I find it very strange that you ridicule your patients' need for reassurance. In light of the biased clinical trial research conducted; the ongoing fraudulent reporting of incomplete and/or biased trial data; and the fraud underlying the FDA-approval process as well as the illegal marketing of Prozac and the other SSRIs; your attitude is despicable.

Are you unaware or willfully blind?  Patients have experienced grievous irreparable harm caused by Prozac and other SSRIs; patients who often were misled about the safety and the efficacy of the drugs. Some people in fact come to mistrust psychiatric professionals and be called paranoid and for being downright suspicious.  Psychiatric patients are offered no commiseration, understanding or empathy from most professionals.  They are not respected, but are invalidated for having their suspicions; and feelings of mistrust grow.  Even though these suspicions, attitudes and feelings are a direct result from having been misinformed, disrespected, and sometimes, coerced and manipulated, they are treated as if they are 'a problem patient' who is simply being non-compliant because they 'lack insight.'  What a freaking racket...Whether the author is or is not aware of these realities faced by patients who have been harmed; and witnessed by those who love them, and are also labeled as lacking insight for supporting and validating the patient; the author's attitude is strange, and wholly inappropriate for a healer/doctor who is treating emotionally fragile people. I can assure the author, and every other professional, that the patients who have experienced lasting harm; the family members who grieve the loss of a loved one; and the family members who care for a loved one; find your cavalier attitude insulting. Your callous disregard for psychiatric patients whom you treat is morally reprehensible.

via PLoS ONE:
Prescription Drugs Associated with Reports of Violence Towards Others

Thomas J. Moore 1, Joseph Glenmullen 2, Curt D. Furberg 3
1 Institute for Safe Medication Practices, Alexandria, Virginia, United States of America, 2 Department of Psychiatry-Cambridge Hospital, Harvard Medical School, Cambridge, Massachusetts, United States of America, 3 Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States of America

The article's ABSTRACT in it's entirety:
Context
Violence towards others is a seldom-studied adverse drug event and an atypical one because the risk of injury extends to others.

Objective
To identify the primary suspects in adverse drug event reports describing thoughts or acts of violence towards others, and assess the strength of the association.

Methodology
From the Food and Drug Administration (FDA) Adverse Event Reporting System (AERS) data, we extracted all serious adverse event reports for drugs with 200 or more cases received from 2004 through September 2009. We identified any case report indicating homicide, homicidal ideation, physical assault, physical abuse or violence related symptoms.
Main Outcome Measures
Disproportionality in reporting was defined as a) 5 or more violence case reports, b) at least twice the number of reports expected given the volume of overall reports for that drug, c) a χ2 statistic indicating the violence cases were unlikely to have occurred by chance (p<0.01).

Results
"We identified 1527 cases of violence disproportionally reported for 31 drugs. Primary suspect drugs included varenicline (an aid to smoking cessation), 11 antidepressants, 6 sedative/hypnotics and 3 drugs for attention deficit hyperactivity disorder. The evidence of an association was weaker and mixed for antipsychotic drugs and absent for all but 1 anticonvulsant/mood stabilizer. Two or fewer violence cases were reported for 435/484 (84.7%) of all evaluable drugs suggesting that an association with this adverse event is unlikely for these drugs." (emphasis mine)

a couple of excerpts from the full article:
"The next drugs most often linked to unprovoked violent outbursts--some resulting in murder--are 11 of 13 SSRI antidepressants. These not so, "magic bullets," whose mode of action (reuptake inhibition) increases serotonin, were involved in 578 cases of violence."

"Two drugs within the SSRI class--Prozac and Paxil--have been linked to the greatest number of reported cases of violence toward others: Prozac ranks 10.9 in the PRR, with 72 reported cases of violence, and Paxil (Paroxetine) ranks 10.2 in PRR, with 177 reported cases of violence."

emphasis mine here

via numbdoc1:
"Dr. David Healy speaking at a Press Conference prior to the 2006 FDA Advisory Committee Public Hearing on the connection between antidepressants and suicidal thoughts and actions. The press conference was put together by the family of Woody Witczak. This clip is part 2 of 3. I shot this clip while in Washington DC working on my documentary, NUMB." www.numbdocumentary.com

via SSRI Stories:
Just a small sample of the cases listed at the link above:

School Shooting Prozac WITHDRAWAL 2008-02-15 Illinois ** 6 Dead: 15 Wounded: Perpetrator Was in Withdrawal from Med & Acting Erratically

School Shooting Prozac Antidepressant 2005-03-24 Minnesota **10 Dead: 7 Wounded: Dosage Increased One Week before Rampage

School Shooting Paxil [Seroxat] Antidepressant 2001-03-10 Pennsylvania **14 Year Old GIRL Shoots & Wounds Classmate at Catholic School

School Shooting Zoloft Antidepressant & ADHD Med 2011-07-11 Alabama **14 Year Old Kills Fellow Middle School Student

School Shooting Zoloft Antidepressant 1995-10-12 South Carolina **15 Year Old Shoots Two Teachers, Killing One: Then Kills Himself

School Shooting Med For Depression 2009-03-13 Germany **16 Dead Including Shooter: Antidepressant Use: Shooter in Treatment For Depression

School Hostage Situation Med For Depression 2010-12-15 France **17 Year Old with Sword Holds 20 Children & Teacher Hostage

School Shooting Plot Med For Depression WITHDRAWAL 2008-08-28 Texas **18 Year Old Plots a Columbine School Attack

School Shooting Anafranil Antidepressant 1988-05-20 Illinois **29 Year Old WOMAN Kills One Child: Wounds Five: Kills Self

School Shooting Luvox/Zoloft Antidepressants 1999-04-20 Colorado **COLUMBINE: 15 Dead: 24 Wounded

School Stabbings Antidepressants 2001-06-09 Japan **Eight Dead: 15 Wounded: Assailant Had Taken 10 Times his Normal Dose of Depression Med

School Shooting Prozac Antidepressant WITHDRAWAL 1998-05-21 Oregon **Four Dead: Twenty Injured

School Stabbing Med For Depression 2011-10-25 Washington **Girl, 15, Stabs Two Girls in School Restroom: 1 Is In Critical Condition

School Shooting Antidepressant 2006-09-30 Colorado **Man Assaults Girls: Kills One & Self

School Machete Attack Med for Depression 2001-09-26 Pennsylvania **Man Attacks 11 Children & 3 Teachers at Elementary School

School Shooting Related Luvox 1993-07-23 Florida **Man Commits Murder During Clinical Trial for Luvox: Same Drug as in COLUMBINE: Never Reported

School Hostage Situation Cymbalta Antidepressant WITHDRAWAL 2009-11-09 New York **Man With Gun Inside School Holds Principal Hostage

School Shooting Antidepressants 1992-09-20 Texas **Man, Angry Over Daughter's Report Card, Shoots 14 Rounds inside Elementary School

School Shooting SSRI 2010-02-19 Finland **On Sept. 23, 2008 a Finnish Student Shot & Killed 9 Students Before Killing Himself
 MANY MORE here

Jan 6, 2012

Can autonomy be promoted in a bio-medical model of psychiatry?




In less than eight minutes, retired Detective Marquez Claxton delivers a powerful message in support of Crisis Intervention Training.  
via MIWatch.org on youtube

Retired Det. Marquez Claxton, panelist at RIPPD


miwatch.org is a non-profit news site on mental illness


RIPPD.org Rights for Imprisoned People With Psychiatric Disabilities
 a Human Rights organization in New York City

Crisis Intervention Team Training
The Crisis Intervention Team (CIT) model, developed in Memphis in 1988, is recognized as a gold standard in the United States in police response to persons in mental health crisis. 

via Schizophrenia Research Forum:

Violence in Schizophrenia: Other Risk Factors Matter More Than the Disease
an excerpt:
"Any increase in violence takes a tragic toll on human beings, but Swanson said, that contrary to perceptions of the general public, most patients with schizophrenia do not resort to violence. “If someone with schizophrenia commits a violent act, the immediate assumption is that the reason they did it is because of their disease,” he said. However, they may behave violently for the same reasons as anyone else, and those reasons could include drug addiction or family background." (emphasis mine)   read here

I have concerns about some aspects of CIT and other programs that have been developed to help people in crisis.

My main issue is the amount of misinformation being used to promote the programs and educate the public. I am more than a little uncomfortable with the idea that a person with a psychiatric diagnosis is not accountable for criminal behavior.  It is ludicrous that if they agree to comply with treatment, they are not accountable; in effect, sentencing them to psychiatric treatment as a penalty for criminal conduct---which can have permanent consequences a criminal conviction does not have.  This is coercion in order to gain compliance with the bio-medical paradigm of treatment.  The bio-medical model is reliant on coercive control (it is unethical) of patients to gain compliance with a 'treatment protocol,' regardless of safety or efficacy of the treatment for the individual patient.  

It is bad enough that biased and inaccurate information are stated as facts.  The belief that mental illnesses are genetic and life-long diseases requiring 'medical treatment' has already caused so much more stigmatization, misunderstanding and mistreatment of people with a psychiatric diagnosis, for a strategy that was supposed to 'help' them.  This specific belief has been stated as fact by special interest advocacy groups and bio-medical practitioners without any definitive empirical evidence of it's validity---it is not appropriate, or ethical to spread inaccurate information about a group of people one is advocating for, or professionally treating. 

The Bible refers to this as, "bearing false witness against one's neighbor."
In Civil Law it is slander; in Criminal Law, it is perjury.


My other concern has to do with the acceptance of coercion, manipulation and control as strategies, which are entrenched in the bio-medical paradigm.  Sheilagh Hodgins, Professor and Head, Department of Forensic Mental Health Science, Institute of Psychiatry, King’s College, University of London in an interview was asked, "What are the main ethical problems that psychiatrists will face in the future?"  Her answer, "Control. Thinking the professional knows best what the patient needs but respecting the patients’ right to make decisions about themselves and promoting their autonomy."  (emphasis mine)

As long as psychiatrists and mental health professionals think they know best, have legal authority to control, a patient's autonomy can only be illusory.  A 'right to make decisions' that is a privilege granted by professionals is not a right, but a reward based on approval, usually, compliance with treatment; In effect, it is used as a means of control.   A person being treated this way is not having their right to make decisions respected; but is having their rights controlled.  The psychiatric patient has no real autonomy, and is not free to make decisions.  When under a Court Order, has no Liberty.  Without Effective Assistance of Counsel, no effective  means of gaining their Liberty.

Autonomy can be respected, it can be encouraged, and it can be validated.  Autonomy, the right to make decisions is recognized and respected; or diminished and denied with abuse of power and control.  It is not something a mental health professional gives a person.  It is something a mental health professional takes from a person when determining that as 'the professional' he/she knows best; and therefore, the person's decisions do not deserve to be respected; or valued at all.

Dec 12, 2011

Advocacy, Ethics and Journalism: A MadMother's Perspective





"Of all tyrannies, a tyranny exercised for the good of its victims may be the most oppressive. 
It may be better to live under robber barons than under omnipotent moral busybodies. 
The robber baron's cruelty may sometimes sleep, his cupidity may at some point be satiated; 
but those who torment us for our own good will torment us without end, 
for they do so with the approval of their own conscience." 
C.S. Lewis

Just day before yesterday I was talking about how this article featuring a mother and son disturbed me. The mother's insistence that her son tell the story of his arrest now, when "for years," both mother son, "have resisted talking about his arrest. Now she decides it is time: time to talk, to learn, to understand." (emphasis mine) My initial thought was how self-serving and disrespectful of her son's wishes the mother's insistence that her son share his personal story is. How are his best interests served if/when a decision is made for him? Particularly, if a decision is made without respecting his right to privacy and/or contrary to his stated wishes and obvious reticence?

My intent when I started to write a blog post, was to write a post about some changes that are being made to Washington's Medicaid program. I came across this story again, along with the announcement that the writer was given an Ethics in Journalism award for the  article. I wondered how in the hell is that even possible?!

A grown man's mother insists it is now time to tell HIS story. In his mid-fifties, his stated wishes are minimized, if not ignored.  Devastating as the impact of her son's criminal acts and his subsequent institutionalization were to his mother; the story is the son's, not his "advocate" mother's!  It is a story that should only be told if and when he chooses; not to highlight Eleanor Owen's "advocacy!" 

I am a mother whose son was given the diagnosis of schizophrenia. To me, this is also the story of  a grown man in his fifties who is in effect being treated as if he has no ability to determine for himself whether or not to share his own personal and painful story.  It is more than a little sad that a grown man's autonomy is denied so that his own mother can utilize her son's story as an object lesson on "advocacy for the mentally ill." It is the antithesis of advocacy.

To me, the story illustrates how those with a psychiatric diagnosis are so effectively de-voiced by people whose intent is to "advocate" for the best interests of people with a psychiatric diagnosis. There is an implied assumption that the expressed opinions and wishes of the people diagnosed as "mentally ill" are less important or irrelevant; thus they can be minimized, if not ignored altogether. Many adults with a psychiatric diagnosis have their stated wishes ignored as a matter of course. Incredibly, many advocates see nothing wrong with depriving people whom they claim to be advocating for of their voice. If the tables were turned, most mental health advocates would feel disrespected; invalidated.  John Owen is a man in his mid-fifties who has to do what Mom says...


He has, I will assume, been on neuroleptics for three decades--these drugs which commonly cause cognitive impairment, i.e. brain damage. In reality, this is the story of a potentially brain-damaged man who is manipulated and coerced by his mother, an advocate "for the mentally ill," in order to teach a lesson in "advocacy."

The overall gist of article, is the story of how wonderful his mother is. This is an article to celebrate the mother's birthday and her advocacy. It is not a story about mental illness per se; or even a story about the people labeled with psychiatric diagnoses. The one person identified as having a "mental illness" is treated disrespectfully by his own advocate/mother. The irony is simply stunning.

That said, it's difficult to find a news story highlighting mental health issues which positively portrays people labeled with mental illness for an Ethics in Journalism award. None of the three stories which were finalists, conform to the standards which are outlined in the Society of Professional Journalism's Ethics in Journalism. e.g. an unbiased reporting of facts---all three articles which were finalists for this award actually were written with biased opinions about mental illness of interviewees used as if they are statements of fact. Specifically: what is and is not known about the etiology of mental illnesses and the safety and effectiveness of the drugs used to treat them. The lack of journalism ethics is the standard in this country; with rare exception.

In my personal opinion, NAMI's brand of advocacy is not helping, so much as it is misinforming, further stigmatizing, and ultimately hurting those who have a psychiatric diagnosis. This brand of advocacy does not speak for me or my son; indeed, this type of advocacy doesn't even acknowledge that individuals like my son, and families like ours, even exist! NAMI advocates for people who choose to believe that opinions are FACTS.

NAMI advocates for forced treatment under Court Order. Human Rights are for everybody, and in a just society, only facts should be admissible as evidence in Courts of Law. However, in Civil Commitment proceedings, gossip, innuendo, and speculation will suffice for people who are being adjudicated as mentally ill, and in need of treatment. Individuals are Court Ordered either to inpatient or outpatient forced drugging or electric shock treatment regimens; regardless of the effects upon the individual, or the basis in fact for the petition which was used to obtain the Court Order. These Court Orders are obtained in Court proceedings without Proper Notice being given; Proof of Service being filed; the Rules of Evidence being followed; Standard Court Procedures being used; and without Effective Assistance of Counsel being provided to the individuals being adjudicated. These Civil Commitments are contrary to the very foundation on which Our Justice System is built; it makes a mockery of the Courts. Thanks to NAMI advocacy, Individual Rights which are Human Rights supposedly protected by the 5th, the 8th and the 14th Amendments of the United States Constitution, are denied to those who have a psychiatric diagnosis, as a matter of course, and as a matter of fact.

In my son's case last summer, I was, (and still am!) outraged that mental health professionals were allowed to submit perjured and forged testimony; one even claimed to be petitioning the Court because I wanted her to! These people violated my son's dignity, his Human Rights and pissed me the hell off! My son's Rights to Substantive and Procedural Due Process of Law were violated; and these "mental health pseudo-professionals" were aided and abetted in committing these FELONY CRIMES by a Deputy Prosecutor and a Defense Attorney assigned to represent my son. I know now, beyond a shadow of any doubt, after almost twenty years of advocating for my son, that his Human Rights are in effect, NON EXISTENT--and have been ever since he was given a psychiatric diagnosis after being the victim of a violent crime. He is apparently no longer considered to be a human being, with Human Rights by the State of Washington.

Thanks to NAMI's hero advocate, toasted in The Seattle Times, using the platform of NAMI, and the guidance of NAMI's "research" arm, the Treatment Advocacy Center, this advocate and other's in NAMI has made sure that Washington State has ONLY the newest, most expensive, neuroleptic drugs on the it's State Medicaid list of 'approved' drugs to be used as First Line treatment for schizophrenia. Although the drugs are not any safer or more efficacious, they are a whole heck of a lot more expensive. The newer "Atypical antipsychotics," are neuroleptic drugs that were developed to treat schizophrenia, but are prescribed "off-label" and have become the most prescribed psychotropic drugs---in spite of their causing a host of iatrogenic illnesses. Who benefits most from having these newer drugs being 'preferred'? NAMI's chief benefactors; the drug companies.

Washington State also has some of the harshest laws in the Nation thanks to NAMI's beneficent advocacy "for the mentally ill"; the laws are stripping individuals of their dignity, their Human Rights, their Liberty and potentially their life, in order to enforce "treatment compliance," using these expensive drugs. Even though only a small percentage of people who are diagnosed with schizophrenia are known to substantially benefit from taking the teratogenic drugs. 26% of adults with a diagnosis of schizophrenia actually achieve enough of a symptom reduction, or 'benefit' to offset the serious, well known risks of iatrogenic illness, disability and death from "antipsychotic" drugs.

Thanks to the hero advocates of NAMI, taxpayers here in Washington State are continuing to be defrauded by the drug companies, through Medicaid, Medicare and Tri-care and the public is continuing to be misinformed by NAMI's education and outreach activities performed as a "public service;" which is continuing to cause more harm to some of the most vulnerable members of society, under the guise of benevolent assistance.

It is morally unconscionable that human beings can be forced to take drugs which are well known for causing a variety of iatrogenic illnesses, including brain damage and neurological impairments that can be permanent and disabling and fatal. Particularly, since it is also well documented these drugs are only "effective" treatment for a little more than a quarter of of adults with a diagnosis of schizophrenia! Everyone who takes the drugs are at risk for experiencing debilitating, deleterious effects; children and the elderly are particularly vulnerable to the drugs negative effects. In spite of this increased risk, children and the elderly are prescribed the drugs at an alarming rate; including being prescribed the drugs for conditions that the drugs are not even known to actually treat; and are not approved for. When this is the case, and Medicare or Medicaid pays for the prescription, it is Medicaid and Medicare FRAUD.

The drug companies have used the desperation of family members, and have enlisted their assistance and have even convinced NAMI members that they are acting as advocates for the mentally ill; when in effect, they are performing rather well as unpaid lobbyists. The dissemination of drug company funded and produced multimedia "educational and advocacy materials" through NAMI also functions as a marketing tool---additional volunteer marketing is done by the enlisted families, friends and the mentally ill themselves. All in all, a pretty slick plan that is working out pretty well for the drug industry; but not so well for those who are disabled, killed or forced to comply under Court Order without their rights to Substantive and Procedural Due Process being protected or defended. Without hope, or escape.

It is in no small part due to NAMI's willing assistance Nationwide, (giving the term 'grassroots' advocacy a whole new meaning!) the pharmaceutical companies have in fact defrauded Medicaid, Medicare, and Tricare programs of billions of dollars, and have been heavily fined. The drug companies persist in their successful fraud; using corrupt business practices and capitalizing on NAMI members complicit, cheerful assistance.

The failure of journalists to adhere to the Ethics of Journalism, when "reporting," stories about mental health, e.g. independently verifying facts--Reporting is not simply publishing announcements developed by marketing departments, or restating an academic's biased interpretation and conclusion of what data gathered in research means. Reporting ethically doesn't actually allow for Conflicts of Interest or other types of ethically questionable behavior to go without being mentioned at all... Any "news story" in which a reporter does these things--is not 'reporting" in an ethical, or real sense. The three articles which were finalists for this award, published personal opinions, i.e. the biased views of the individuals interviewed, as if the interviewees opinions about the nature and etiology of mental illnesses; were facts.

Are you folks at The Coalition to Improve Mental Health Reporting and the University of Washington teaching Journalism Ethics and Social Work even aware that the funding for the Behavioral Health Care Conference held in Yakima, Washington, at which this award was bestowed upon Maureen Hagen, is funded by the Eli Lilly drug company? I wonder, do you even care? Ms Hagen's article was not a "news story" worthy of being honored for "Ethics of Journalism;" although, in some ways it's ethical lapses were less than the other two finalists. This article is a fluff piece written to recognize a woman's birthday, and her successful mission; which is pushing a biased agenda supported by NAMI National and the Treatment Advocacy Center. This is not the same thing as writing a news article which exemplifies the ethical principles of journalism about mental illness, or the people who have been diagnosed with a mental illness... It isn't even close...

The fact that NAMI provides neither advocacy nor assistance to my son, or to families like ours, who have been misled, and outright lied to by psychiatrists, belies their claim to be the Nation's voice on Mental Illness. It calls the intent of their "advocacy" into question, since NAMI ignores 'the sickest of the sick;' who are in fact further victimized by the policies and programs NAMI aggressively lobbies for. Families whose loved ones are used like animals in unethical drug trials, (like my son was) have been cast aside like yesterdays trash.

How does NAMI get away with getting both State and Federal funds, while blatantly functioning as lobbyists promoting legislation, and pushing for Public Policies which benefit it's Drug industry benefactors; and the source of the majority of NAMI's income? These benefactors are the very same perpetrators of the ongoing fraud which is decimating the very public programs NAMI then claims to be trying to save! No mention is made of this obvious Conflict of Interest, is it not worthy of reporting!? I am sure that the lack of integrity, and the lack of ethics with which journalists report these stories has everything to do with the income derived from direct to consumer marketing of drugs; so it is apparent that the ongoing rampant fraud and corruption that permeates everything to do with the diagnosis and treatment of mental illness will continue unchecked and unreported.

It really gets me that journalists who fail to ethically report the news are actually given awards for ETHICS in journalism! This one is simply staggering---kudos for a writer's journalistic integrity and ethics praising a woman who founded and led a parent's advocacy group that functions more like a booster club for psychiatric drugs; than it does as advocates for Washington State's sons and daughters who actually take them. A writer being lauded for an article featuring a local leader in a powerful national special interest lobby that intentionally or not, has for all intents and purposes, become willing co-conspirators in the ongoing fraud being committed by it's drug industry benefactors.

This type of article which ignores the ethics of journalism, has, in no small part, contributed to the lack of public knowledge about events in the public interest. This article is given an award for ethics in journalism, when the article shows no evidence whatsoever that the writer even knows what the Ethics of Journalism are. This article misinforms the public about the effects of the advocate being celebrated, and the group to which she belongs. The group itself purposely misinforms the public about psychiatric drugs and diagnoses; which allows it's benefactors to continue pilfering the publicly funded medical programs and fleecing the pockets of the taxpaying public. And journalists continue to write biased articles misinforming the public about the effects of this group's advocacy; which also allows the ongoing fraud and corruption to continue unabated and unquestioned by the misinformed public. Now they are being given awards for it!?!

I am not a writer for the State's largest newspaper, nor am I a professional journalist. I am just a mother who has had to make it my business to actually validate information about mental illnesses, psychiatry, mental health advocacy, journalism and ethics in order to hopefully help my son have a life worth living with whatever time he has left, and hopefully to prevent what happened to him from happening to any other child here in Washington State, or anywhere else. It is the lack of ethics and integrity in the people who work in the professions of psychiatry, advocacy, journalism and public service, that have enabled and at times, who have worked collaboratively with the pharmaceutical industry that is to blame for plight of the people who are diagnosed as mentally ill. I see the people themselves, before I see the diagnostic labels they are given.

I am a MadMother for good damned reason. 
Sometimes, I am a MadMother who roars for good damn reason.

here is one of them:

As a psychiatrist, a professor at the U of W, and the Medical Director of the State of Washington's only psychiatric facility for children, Child Study and Treatment Center, Jon McClellan ignored State and Federal Law, the Ethical Guidelines for Informed Consent, the Hippocratic Oath and the Nuremberg Code:  Jon McClellan is a federally funded clinical researcher who used my son as a guinea pig prescribing numerous neuroleptic drugs to treat schizophrenia...in spite of my son having Left Temporal Lobe Epilepsy, a neurological condition which excludes a diagnosis of schizophrenia.

QUACK MASTER JACK HAD HIS OWN CONSENT;
he claimed he didn't need anyone else's...

Jon McClellan, M.D.
AKA
"Quack Master Jack"








Lois Lane Cartoon credit

mother and son silhouette credit

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