Leaders of British academic social psychiatry argue in
BJPsycheditorial that the rules regulating research and the dominant neurobiological paradigm may have stifled creativity. The new charity
MQ: Transforming Mental may need to take this perspective more on board. (Why's it called MQ?)
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I've mentioned before the apparent fun people have at NEI congresses (see
previous post). The
latest video from neipsychopharm gives an idea about what you missed from the recent congress. I suppose we can hope that what happened at the congress may help patient care but it's difficult to see how it would.
THE RADICAL CAUCUS HAS MANY IMPORTANT ACTIVITIES THIS YEAR, AND OUR COLLEAGUES FROM THE CRITICAL PSYCHIATRY NETWORK WILL BE JOINING US. PLEASE COME TO DISCUSS PLANS FOR COLLABORATIVE GLOBAL ACTIVITIES.(NOTE: IF YOU PLAN TO COME TO DINNER PLEASE LET ME KNOW, ALTHOUGH LAST MINUTE GUESTS ARE STILL WELCOME.) ALSO NOTE NEW LOCATION FOR DINNER.
RADICAL CAUCUS
EVENTS AT THE 2013 AMERICAN PSYCHIATRIC ASSOCIATION ANNUAL MEETING IN SAN FRANCISCO
Saturday May 18, 2013:9AM to 12 Noon: Moscone Center, Street Level, Gateway Ballroom 102
Presidential Symposium: “Envisioning a New Psychiatry: Radical Perspectives”
Chairs: Carl I. Cohen , MD; Kenneth Thompson, MD;
Discussants: Sami Timimi, M.D., Helena Hansen, M.D., Ph.D.
Presentations:
·Jean Furtos, MD: “Globalization and Mental Health: The Weight of the World, the Size of the Sky
·Sandro Galea, M.D.: “Re-Engaging Research Around the Socail and Economic Production of Mental Health:Toward a Comprehensive Model of Mental Illness”
·Pat Bracken, M.D, Ph.D: ” Beyond the Technological Paradigm: A Positive Path for psychiatry”
·Steven Moffic, M.D.: Eco-Psychiatry: Why We Need to Keep the Environment in Mind”
·Keris J. Myrick, MBA, Ph.D(cand): Alternative, Complimentary, or Traditional: A Radical Approach from the C/S/X Perspective”
Saturday May 18, 2013; 3:30PM -5:00PM; Moscone Center
Chairs: Helena Hansen, M.D. , Ph.D.; Bradley Lewis, M.D., Ph.D.
Presenters:
Dr Hugh Middleton, MA. MD. MRCP. FRCPsych.
Professor Sami Timimi, MBChB FRCPsych
Dr Pat Bracken, DPM,MA,MD,PhD,MRCPsych
Saturday, May 18, 2013; 6:30PM -8:30PM Hilton San Francisco; Union Square Rooms 19/20 4th Floor, Tower 3
“Radical Caucus Meeting–Open Discussion and Planning Session”
Light Snacks and Beverages
8:30 PM Radical Caucus Annual DinnerDinner (note new location)
Basil Canteen located on Folsom street at 11th1489 Folsum St (at 11thSt); 415-552-3963.
All Welcome!!!!
Please post comments and suggestions.
Carl I. Cohen , M.D.
SUNY Distinguished Service Professor & Director
Division of Geriatric Psychiatry
SUNY Downstate Medical Center
Box 1203
450 Clarkson Avenue
Brooklyn, N.Y. 11203
ph: 718-287-4806
fax: 718-287-0337 7
Read the whole story
· · · ·
The blog entryby Thomas Insel, NIMH director, has created much comment (eg. New Scientistarticle and blog postby Phil Thomas). I've mentioned before how grandiose Insel can become in his claims for mental disorders as biological disorders involving brain circuits (eg. see previous post). His RDoC projectwill not create a new nosology despite his wishful thinking. As he says, we lack the data to "design a system based on biomarkers or cognitive performance". We need to accept the uncertainty of psychiatric practice and medicine in general, rather than promote 'precision medicine' as the solution to mental disorders as he proposes.
Nonetheless, we should welcome NIMH re-orientating its research away from DSM categories. It may actually be progress if this means funding research on patients without relying on diagnostic criteria.
Phil Thomas asks why Charles Nemeroff has been asked to give the inaugural annual lecture of the new Centre for Affective Disorders at the Institute of Psychiatry (IOP) (see
blog post). After all, Nemeroff has been one of the most blatant examples of psychiatrists' wrongdoing by under-reporting of pharmaceutical company earnings (see
previous post). It's this sort of thing that makes even the most biological of psychiatrists concerned about the moral integrity of modern psychiatry (eg. see
post by Michael A Taylor).
Ironically, from his previous published research (eg.
Nemeroff et al 2003), Nemeroff may be seen as promoting psychotherapy in his lecture rather than necessarily any psychotropic medication. Nonetheless, of course, he does think monaminergic drugs are therapeutic in depression. His speculation is that the reason some people survive early life stress (ELS) is because of their genes. In a clinical trial, it was found that depressed patients with a history of early childhood trauma did better with psychotherapy alone than antidepressant monotherapy. Don't be misled by this! Maybe paradoxically, Nemeroff thinks psychotherapy is a "biological treatment". He believes it changes gene expression. As I've warned previously (see
previous post), don't be taken in by such neuropsychotherapy.
Nemeroff's lecture at IOP may be not that much different from the one he gave at NYU last year (see
video). It may not be that exciting or interesting. His NIH grant in 2012 caused controversy because of his past ethical problems (eg. see
letter from Senator Grassley). The
project information for the study explains that he's wishfully looking for the genetic risk factors for PTSD. Maybe the Centre for Affective Disorders will also undertake similarly misguided research. Let's at least know from IOP where it's getting its funding from, because choosing Nemeroff as its inaugural lecturer for its new centre does not bode well.
THE RADICAL CAUCUS HAS MANY IMPORTANT ACTIVITIES THIS YEAR, AND OUR COLLEAGUES FROM THE CRITICAL PSYCHIATRY NETWORK WILL BE JOINING US. PLEASE COME TO DISCUSS PLANS FOR COLLABORATIVE GLOBAL ACTIVITIES.(NOTE: IF YOU PLAN TO COME TO DINNER PLEASE LET ME KNOW, ALTHOUGH LAST MINUTE GUESTS ARE STILL WELCOME.) ALSO NOTE NEW LOCATION FOR DINNER.
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