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“As for the what’s-in-fashion friability of the Diagnostic and Statistical Manual and the money-making links of diagnoses to drugs, that’s another, more scary and intractable matter.”

A former psychiatrist, alarmed by what the profession’s become, reviews the latest farcical use of psychiatrists in a high-profile trial, and then considers the larger situation:

These days, psychiatric diagnoses are based on the “Diagnostic and Statistical Manual of Mental Disorders,’’ published by the American Psychiatric Association. This hefty volume is a main money-maker for the association, upward of a million dollars in annual sales.

… It is … tarnished by many of the specialists being paid to be involved in studies of drugs to treat the illnesses they list as their expertise. The temptation for them to find a drug that will treat a diagnosis they can specify and in which they are the expert is significant.

The current conflict-of-interest investigations – including by Congress – into psychiatrists getting paid to do research that might prove the efficacy of the drugs they use to treat their patients are well documented. If a drug company can link a particular drug to a particular diagnosis, bingo – a blockbuster drug can earn over a billion dollars a year. The lucrative link between a diagnosis and a drug to treat it, when diagnosis itself is culture-bound and often subjective, pollutes the impartiality of the “Diagnostic and Statistical Manual,’’ and opens the courtroom door to the psycho-battles that demean and confuse…

The corruption not only of examining rooms and courtrooms, but also of universities, by ghost-writers, shills, and mercenaries, emerges more and more clearly. University Diaries looks forward, as always, to chronicling it.

Margaret Soltan, July 13, 2009 5:50AM
Posted in: conflict of interest

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2 Responses to ““As for the what’s-in-fashion friability of the Diagnostic and Statistical Manual and the money-making links of diagnoses to drugs, that’s another, more scary and intractable matter.””

  1. Bonzo Says:

    Along the lines of linking diagnosis and a drug to treat it:

    I don’t watch much television – UD doesn’t either.

    Recently I had to watch a lot of television and was disgusted by the direct advertising of prescription drugs to the public. "Ask your doctor…"

    Talk about pharma-whoring…

  2. Margaret Soltan Says:

    Those ads were one of the reasons I stopped watching. They’re obscene.

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