Adele
Thanks for this information. I will forward it to Michael Moore for his
upcoming movie on this subject.
Yours
Colin
>From: "Adele Laing {PG}" <[log in to unmask]>
>To: "Colin Revell" <[log in to unmask]>
>Subject: RE: [DisabilityConvention-2] APA President admits that Psychiatry
>is dominated by the Bio-Bio-Bio Pill Model
>Date: Thu, 25 Aug 2005 16:33:44 +0100
>
>Hi Colin,
>
>I recently attended a conference where George Albee was speaking. He
>mentioned that the drug companies in America are no longer able to find
>'independent' medical professionals to test the drugs. From what I
>understood Professor Albee was saying that all of the medical professional
>(dr's psychiatrists etc) receive money from the pharmaceuticals. The new
>ruling is that you are considered independent if you receive less that
>$10000 from a pharmaceutical.
>
>I'm sorry I don't have any more concrete references to help with your
>research but I thought that you would find this as appalling as I did
>(although disturbingly I wasn't all that surprised)
>
>adele
>
>
>-----Original Message-----
>From: The Disability-Research Discussion List
>[mailto:[log in to unmask]] On Behalf Of Colin Revell
>Sent: 25 August 2005 15:56
>To: [log in to unmask]
>Subject: Re: [DisabilityConvention-2] APA President admits that Psychiatry
>is dominated by the Bio-Bio-Bio Pill Model
>
>To Everyone
>
>If you are a rep for these mult-national pharmaceutical companies, then you
>better be fit and like playing on the golf course to for 85% of your
>working
>day with psychiatrists, GP's and other health care consultants too.
>
>I would be interested to hear the responses of the British Psychiatric
>Association to the APA article??
>
>Does this practice just go on within within the psychiatric and mental
>health care, or should all health care and also food and drink
>multi-nationals be put under the microscope too and made accountable to all
>it's global citizens?
>
>I wrote an article, stating the very same words what Tom Cruise said within
>Community Care magazine, here in the UK over 2 years ago now, but I am glad
>that Mr Cruise, APA and others are now within the same 'mind-think' and are
>actively listening to what others and I are saying about the business
>ethics
>of the globalised big-pharmaceutical companies.
>
>As I said many GP's, Consultants and health care professionals here in the
>UK are getting the 'perks' of the job too, here in the UK.
>
>I was informed of this by a local public health consultant friend of mine
>here locally years ago of this practice. He also said that these companies
>are very 'sexist' and employ 20/30's something pretty young women and dress
>them up in 'short-skirts' as reps to visit male doctors surgeries too. How
>many GP's and Consultants are 'male' in the health care profession?
>
>Is not Michael Moore making a movie soon on this subject?
>
>I will go and check this out and get back to you all.
>
>Yours
>
>Colin Revell, UK and global disabled people's 'user-led' human and civil
>rights campaigner, educator, advocate, survivor, advisor and researcher,
>especially around 'neurodiversity'.
>
>
> >From: "Colin Revell" <[log in to unmask]>
> >Reply-To: [log in to unmask]
> >To: [log in to unmask],
> >[log in to unmask]
> >CC: [log in to unmask], [log in to unmask],
> >[log in to unmask], [log in to unmask],
> >[log in to unmask], [log in to unmask],
> >[log in to unmask], [log in to unmask],
> >[log in to unmask], [log in to unmask],
> >[log in to unmask], [log in to unmask]
> >Subject: [DisabilityConvention-2] APA President admits that Psychiatry is
> >dominated by the Bio-Bio-Bio Pill Model
> >Date: Thu, 25 Aug 2005 12:33:24 +0000
> >
> >
> >
> >
> >
> >Linda, Richard, Patrick et al.
> >
> >
> >
> >You all have my permission to share this article with others. As I have
> >said
> >
> >anything I write and email is free to distribute all around the global
> >
> >world. I will continue to be transparent and candid within all my human
>and
> >
> >civil rights work and I believe totally within 'copy-left' for the good
>of
> >
> >all human-kind, that all information ethically and morally belongs to all
> >
> >the human race, for the good of all our future children and their
> >
> >'wellbeing'.
> >
> >
> >
> >Linda, as you know that I am not on the original UN Disability
>Convention,
> >
> >as I have transferred my membership over to the Disability Convention-2
> >
> >forum, but you are welcome to post any of my emails there too.
> >
> >
> >
> >'Nothing about us, without us'
> >
> >
> >
> >FREEOURPEOPLE
> >
> >
> >
> >Yours
> >
> >
> >
> >Colin
> >
> >
> >
> >MINDFREEDOM NEWS ALERT - 23 August 2005
> >
> >http://www.MindFreedom.org - please forward
> >
> >
> >
> >American Psychiatric Association President Admits the Psychiatric
> >Profession
> >
> >is Now Dominated by the "Bio-Bio-Bio" Pill Model.
> >
> >
> >
> >APA President warns "Big Pharma's" huge "kickbacks and bribes" hurt
> >
> >credibility.
> >
> >
> >
> >MindFreedom welcome's APA admission but replies: "Too little, too late.
> >Meet
> >
> >us."
> >
> >
> >
> >How *YOU* can e-mail the APA President with your comments and responses
> >
> >now.
> >
> >
> >
> >The below column by the President of the American Psychiatric Association
> >
> >(APA) --
> >
> >Stephen S. Sharfstein, MD of Baltimore -- officially admits that the
>APA's
> >
> >current model has become the "bio-bio-bio model" dominated by a "pill and
> >an
> >
> >appointment."
> >
> >
> >
> >Dr. Sharfstein laments, "If we are seen as mere pill pushers and
>employees
> >
> >of the pharmaceutical industry, our credibility as a profession is
> >
> >compromised."
> >
> >
> >
> >He especially denounces a growing practice where drug sales
>representatives
> >
> >actually sit on on meetings between psychiatrists and their patients to
> >give
> >
> >advice. The marketing trick is called "preceptorships."
> >
> >
> >
> >MindFreedom's response: "Of course we welcome APA's admission that they
> >have
> >
> >a drug problem. But this is too little, too late," commented David W.
>Oaks,
> >
> >director of MindFreedom International. "Just look at the reforms Dr.
> >
> >Sharfstein recommends at the end of his column! These are tiny tweaks
> >
> >compared to the nonviolent revolution that's needed in the mental health
> >
> >system."
> >
> >
> >
> >MindFreedom calls for a US Congressional investigation of what they call
>a
> >
> >drug industry takeover of the mental health system.
> >
> >
> >
> >MindFreedom has requested a meeting with Dr. Sharfstein to discuss far
> >
> >deeper changes in psychiatry. You are welcome to e-mail your *civil*
> >
> >comments to Dr. Sharfstein at [log in to unmask]
> >
> >
> >
> >President Sharfstein's column was printed this week in the APA's official
> >
> >newspaper:
> >
> >
> >
> >http://pn.psychiatryonline.org/cgi/content/full/40/16/3
> >
> >
> >
> >Psychiatric News_August 19, 2005 page 3
> >
> >
> >
> >Published by American Psychiatric Association, From the President of APA
> >
> >
> >
> >Big Pharma and American Psychiatry:
> >
> >
> >
> >The Good, the Bad, and the Ugly
> >
> >
> >
> >Steven S. Sharfstein, M.D.
> >
> >e-mail: [log in to unmask]
> >
> >
> >
> >APA's annual meeting is one of the largest medical meetings in the United
> >
> >States and the largest psychiatric meeting in the world. There is
>something
> >
> >for everyone at our wonderful meeting,
> >
> >but many have commented to me on the extraordinary presence of the
> >
> >pharmaceutical industry throughout the scientific programs and on the
> >
> >exhibit floor.
> >
> >
> >
> >The U.S. pharmaceutical industry is one of the most profitable industries
> >in
> >
> >the history of the world, averaging a return of 17 percent on revenue
>over
> >
> >the last quarter century. Drug costs have been the most rapidly rising
> >
> >element in health care spending in recent years. Antidepressant
>medications
> >
> >rank third in pharmaceutical sales worldwide, with $13.4 billion in sales
> >
> >last year alone. This represents 4.2 percent of all pharmaceutical sales
> >
> >globally. Antipsychotic medications
> >
> >generated $6.5 billion in revenue.
> >
> >
> >
> >When the profit motive and human good are aligned, it is a "win-win"
> >
> >situation.
> >
> >
> >
> >Pharmaceutical companies have developed and brought to market medications
> >
> >that have transformed the lives of millions of psychiatric patients. The
> >
> >proven effectiveness of antidepressant,
> >
> >mood-stabilizing, and antipsychotic medications has helped sensitize the
> >
> >public to the reality of mental illness and taught them that treatment
> >
> >works. In this way, Big Pharma has helped reduce
> >
> >stigma associated with psychiatric treatment and with psychiatrists. My
> >
> >comments that follow on the
> >
> >pharmaceutical industry and its relationship to psychiatry bear this in
> >
> >mind.
> >
> >
> >
> >The interests of Big Pharma and psychiatry, however, are often not
>aligned.
> >
> >The practice of psychiatry and the pharmaceutical industry have different
> >
> >goals and abide by different ethics. Big Pharma is a business, governed
>by
> >
> >the motive of selling products and making money. The profession
> >
> >of psychiatry aims to provide the highest quality of psychiatric care to
> >
> >persons who suffer from psychiatric conditions.
> >
> >
> >
> >There is widespread concern of the over-medicalization of mental
>disorders
> >
> >and the overuse of medications. Financial incentives and managed care
>have
> >
> >contributed to the notion of a "quick
> >
> >fix" by taking a pill and reducing the emphasis on psychotherapy and
> >
> >psychosocial treatments. There is much evidence that there is less
> >
> >psychotherapy provided by psychiatrists than 10 years
> >
> >ago. This is true despite the strong evidence base that many
> >psychotherapies
> >
> >are effective used alone or in combination with medications.
> >
> >
> >
> >In my last column, I shared with you my experience, and APA's, in
> >responding
> >
> >to the antipsychiatry remarks that Tom Cruise made earlier this summer as
> >he
> >
> >publicized his new movie in a succession
> >
> >of media interviews. One of the charges against psychiatry that was
> >
> >discussed in the resultant media coverage is that many patients are being
> >
> >prescribed the wrong drugs or drugs they don't need.
> >
> >
> >
> >These charges are true, but it is not psychiatry's fault -- it is the
>fault
> >
> >of the broken health care system that the United States appears to be
> >
> >willing to endure. As we address these Big Pharma
> >
> >issues, we must examine the fact that as a profession, we have allowed
>the
> >
> >biopsychosocial model to become the bio-bio-bio model. In a time of
> >economic
> >
> >constraint, a "pill and an appointment"
> >
> >has dominated treatment. We must work hard to end this situation and get
> >
> >involved in advocacy to reform our health care system from the bottom up.
> >
> >
> >
> >Furthermore, continuing medical education opportunities sponsored by
> >
> >pharmaceutical companies are often biased toward one product or another,
> >and
> >
> >they are more akin to marketing than CME. APA has strict guidelines for
>the
> >
> >industry-sponsored symposia presented at our annual meetings; sanctions
>are
> >
> >applied when our rules are broken. Our guidelines have been held up as a
> >
> >standard for medical meetings in other specialties throughout the
>country.
> >
> >But there are many grand rounds, evening dinners, and lectures where such
> >
> >standards do not prevail.
> >
> >
> >
> >Direct marketing to consumers also leads to increased demand for
> >medications
> >
> >and inflates expectations about the benefits of medications. As a
> >
> >profession, we need to be concerned about advertising and the impact it
>has
> >
> >on the over-medicalization of our field. Of course, what is marketed
> >
> >to consumers are the highest-cost, on-patent products, and the cost of
> >
> >medications is something rarely considered by prescribing clinicians.
>When
> >
> >doctors don't prescribe cheaper but equally effective drugs, it consumes
> >
> >money that could have been used to provide other psychiatric or medical
> >
> >services.
> >
> >
> >
> >There are examples of the "ugly" practices that undermine the credibility
> >of
> >
> >our profession. Drug company representatives will be the first to say
>that
> >
> >it is the doctors who request the fancy dinners, cruises, tickets to
> >
> >athletic events, and so on. But can we really be surprised that several
> >
> >states
> >
> >have passed laws to force disclosure of these gifts? So-called
> >
> >"preceptorships" are another example of the "ugly"; that is, drug
>companies
> >
> >who pay physicians to allow company reps to sit in on patient
> >
> >sessions allegedly to learn more about care for patients and then advise
> >the
> >
> >doctor on appropriate prescribing.
> >
> >
> >
> >Drug company representatives bearing gifts are frequent visitors to
> >
> >psychiatrists' offices and consulting rooms. We should have the wisdom
>and
> >
> >distance to call these gifts what they
> >
> >are -- kickbacks and bribes.
> >
> >
> >
> >If we are seen as mere pill pushers and employees of the pharmaceutical
> >
> >industry, our credibility
> >
> >as a profession is compromised.
> >
> >
> >
> >Here are several suggestions for remedies in our relationship with the
> >
> >industry.
> >
> >
> >
> >** We need to embrace a new professional ethic. The doctor-patient
> >
> >relationship should not be a market-driven phenomenon.
> >
> >
> >
> >** Preceptorships should be considered unethical.
> >
> >
> >
> >** Enticements, gifts, parties, and so on should be reined in because
> >
> >patients must believe that their doctor has their best interests in mind
> >
> >when a prescription is handed to them.
> >
> >
> >
> >** We must re-evaluate single-sponsored medical education events and
>phase
> >
> >them out in favor of more general support for CME along with a careful
> >
> >policing of these events for bias.
> >
> >
> >
> >** The amount and support received by individual clinicians and
>researchers
> >
> >from industry should be transparent and the information readily
>available.
> >
> >
> >
> >** When we attend lectures at annual meetings and other educational
>events,
> >
> >and read journals and textbooks, we should know very clearly about the
> >
> >industry support given to presenters and
> >
> >authors.
> >
> >
> >
> >As psychiatrists, we should all be grateful for the modern pharmacopia
>and
> >
> >the promise of even more improvements in the future. At the same time,
> >
> >however, we must be very mindful that we cannot accept gratuities in the
> >new
> >
> >medical marketplace.
> >
> >
> >
> >http://pn.psychiatryonline.org/cgi/content/full/40/16/3
> >
> >
> >
> >- end -
> >
> >
> >
> >MindFreedom has met before with an APA President. Two years ago this
>month
> >
> >during
> >
> >a hunger strike MindFreedom representatives had a civil and productive
> >
> >meeting with
> >
> >then APA President Marcia Kraft Goin, MD, PhD.
> >
> >
> >
> >For info about that hunger strike see:
> >
> >http://www.mindfreedom.org/mindfreedom/hungerstrike.shtml
> >
> >
> >
> >~~~~~~~~~~
> >
> >
> >
> >ACTIONS: Please e-mail your civil comments to Dr. Sharfstein at
> >
> >[log in to unmask],
> >
> >and please forward this alert to all appropriate places on
> >
> >and off the Internet.
> >
> >
> >
> >~~~~~~~~~~
> >
> >
> >
> >This news update is a free public service of MindFreedom International.
> >
> >
> >
> >Since 1987 MindFreedom has won victories for human rights in the mental
> >
> >health system. MindFreedom unites 100 sponsor and affiliate groups and
> >
> >thousands of members.
> >
> >
> >
> >MindFreedom is one of the few totally independent groups in the mental
> >
> >health field with no funding from governments, drug companies, the mental
> >
> >health system
> >
> >or religions.
> >
> >
> >
> >The MindFreedom mission calls for a nonviolent revolution in the mental
> >
> >health system.
> >
> >
> >
> >TO JOIN or RENEW your MindFreedom membership please go here:
> >
> >
> >
> >http://www.mindfreedom.org/join.shtml
> >
> >
> >
> >For the all-new improved MAD MARKET of books and products to support
>human
> >
> >rights campaigns
> >
> >in mental health go here: http://www.madmarket.org Featured book: Peter
> >
> >Lehmann's newest handbook, _Coming Off Psychiatric Drugs_ written by 28
> >
> >different psychiatric survivors and allies!
> >
> >
> >
> >MindFreedom International
> >
> >454 Willamette, Suite 216 - POB 11284
> >
> >Eugene, OR 97440-3484 USA
> >
> >
> >
> >http://www.mindfreedom.org
> >
> >email: [log in to unmask] fax: (541) 345-3737
> >
> >office phone: (541) 345-9106
> >
> >USA toll free: 1-877-MAD-PRIDE / 1-877-623-7743
> >
> >
> >
> >MIND YOUR FREEDOM: United Action for Human Rights.
> >
> >
> >
> >Accredited by the United Nations as a Non-Governmental Organization
>(NGO)
> >
> >with
> >
> >Consultative Roster Status.
> >
> >
> >
> >"Human salvation lies in the hands of the creatively maladjusted." -
>Martin
> >
> >Luther King, Jr.
> >
> >
> >
> >_________________________________________________________________
> >
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