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Hole Ousia

being and becoming in the world

  • About me
    • Artwork by Peter
    • Contact
    • Courage to Care
      • ‘Two cultures’
        • Omphatyp’
      • A Sunshine Act for Scotland
        • “This isn’t a priority for us”
        • Bring me sunshine
        • The Scottish Government has chosen not to listen to the Scottish people
        • The voices of the people really do matter
      • Curriculum vitae
      • Declaration of interests
      • Delirium screening
        • ‘Informed consent is a fundamental principle underlying all healthcare’
        • Faltering, unfaltering steps
        • Haloperidol prescribing to Scotland’s elders
        • Infusion of worldwide teas
        • NHS Scotland requires a culture that listens to all
        • Scientific progress requires open-minded enquiry
        • The benefits of clinical engagement
        • The hazards of antipsychotic treatment in elderly people
      • In support of professional values
      • Leading to the Exit door
      • Leaving a profession
      • Looks out for each other
      • Medical publications
      • Messages about my retirement
      • Testimonials for Dr Peter J. Gordon
      • The Governance of the NHS in Scotland
      • The other side of the fence: Iatrogenic stigma
      • Timely diagnosis of dementia
        • Dementia: the “epidemic” of metaphors
        • Dementia: who is in the “driving seat”?
        • I was concerned about our most elderly
        • Scotland’s approach to Dementia Diagnosis
        • The ‘Edinburgh Consensus’
          • “This House supports the early detection of dementia”
            • The result: ‘Motion defeated’
          • Back in the driving seat: Industry
          • Dementia Case-Finding: language and ethics
          • EPAD co-coordinator: Professor Craig Ritchie
          • Glasgow Memory Clinic
          • Hide and Seek
          • In a “muddle”?
          • Issues not considered in the ‘Edinburgh Consensus’
          • National Clinical Director for Dementia: Professor Alistair Burns
          • Professor says: “Classsic Pharma shill stuff”
            • absurdum
          • Snakes, ladders and Monopoly
          • The ‘Edinburgh Consensus’ – a timeline
        • Wandering, wondering and worrying
    • Deeside Tales
      • Short films about Deeside
      • To be humbled.
    • Films made by Peter
      • 3 films that almost ended my career
      • A maker of beautiful books
        • The Great Tapestry of Scotland
      • A new way of seeing
      • A Thousand Chances
      • Alive in the river of light
      • Angelology
      • Bridge of Allan
      • bridges
      • Canto two
      • Finding Cimbrone
      • Folk worth talking about
      • friendship itself
      • Glenbardy
      • Go seek adventures
      • Here is where we meet
      • I am part of all that I have met
      • Important note about my films
      • in its ending
      • incorrigibly plural
      • It was the singing
      • Language is leaving me
      • Let the anchor go
      • Little Sparta
      • living mountains
      • man with the child in his eyes
      • Marginalia
      • mathematically me
      • Mossgrove garden
      • my library-haunting self
      • of an Antiquary
      • Oor big braw Cosmos
      • Political pieces
      • Progress hardly broke its stride
      • sensitive to the faltering steps of age
      • Sheramoor
      • Stravaiging need not be lonely
      • The anatomy of emotion
      • the blue flower
      • The bright cave under the hat
      • The Cabrach
      • the Glentruim series
      • The Rebel Antiquary
      • They fell for us
      • this gifted gardener [I discovered one day]
      • Time passes. Listen
      • To see what Scott saw:
      • Trees: age and beauty do go together
      • [Series II]
    • Firrhill High School
    • Hole Ousia [what does it mean?]
    • Mavisbank
      • On Esca’s Flow’ry Bank
      • Short films about Mavisbank
    • MEDICINE
      • Films about MEDICINE
      • Films about PSYCHIATRY
      • Films and Sapere Aude
      • Films on ETHICS
      • Films on Professional VALUES
      • Films that consider ‘First Do No Harm’
    • My dissertation on hedges
    • My schooling
    • Peter’s poems
      • One-word poems
    • Publications in the “Leopard”
    • The Ageing Stone
    • The speaking hedge
    • What is in a name?
  • being and becoming
    • “A place with no quotation marks”
    • Academic reductionisms
    • Admissions of doubt
    • Ariel
    • Cell Mates
    • Medical “truants”
    • Multifarious learners
      • A fortunate man
      • Dr Anton Pavlovich Chekhov
      • Dr Arthur J. Brock
      • Dr Arthur Mitchell
      • Dr Daniel Reid Rankin
      • Dr Gavin Francis
      • Dr James Sheridan Knowles
      • Dr Leon Eisenberg
      • Dr Samuel Brown (1817 – 1856)
      • Edmund de Waal
      • Femi Oyebode
      • George Washington Wilson
      • Graham Watt
      • James Clerk Maxwell
      • James Ferguson
      • James Skene
      • John Berger
        • Here is where we meet
      • John Frederick William Herschel
      • K. J. Fowler
      • Kenneth Calman
      • Mr and Mrs Rose
      • Nadar
      • Patrick Matthew
      • Rev George Gilfillan
      • Richard Feynman
      • Scottish women writers
      • Sir Harry Burns
      • Theodore Dalrymple
      • Thomas Browne
      • William Friese-Greene
      • William Lewson Burrowes
      • William Ramsay
    • Philosophers
      • Albert Camus
      • Andrew Greig
      • Dr John Flaxman
      • Dugald Stewart
      • John Macmurray
      • John Stuart Mill
      • Mary Midgley
      • Raymond Tallis
    • Poets
      • Alexander laing
      • Caledonian Antisyzygy
      • Carol Ann Duffy
      • Daniel Abse
      • Edwin Morgan
      • Iain Banks
      • Iain Crichton Smith
      • Ivor Gurney
      • James Hyslop
      • James M Slimmon
      • John Betjeman
      • John Halliday
      • Kathleen Jamie
      • Kieron Winn
      • La Teste
      • Leonard Cohen
      • Liz Lochhead
      • Norman MacCaig
      • Patrick Deeley
      • Paul Muldoon
      • Peter Davidson
      • Rab Wilson
      • Rabbie Burns
      • Robert Fergusson
      • Robert Nicholl
      • Robert Pollok
      • Robin Hyde
      • Sylvia Plath
      • T S Eliot
      • Ted Hughes
      • Tom Leonard
      • Tomas Tranströmer
      • Wilfred Owen
      • William Carlos Williams
      • William Soutar
    • Sapere Aude
      • A bit of a prat
      • a very clever young man
      • Caroline Phillips
      • Chrys Muirhead
      • Claire Fox
      • Dr Donald Brownlie
      • Dr Margaret McCartney
      • Fara McAfee
      • Gawaine Baillie
      • Gerald
      • Hale-Bopp
      • Humpty Dumpty
      • I mistook myself for a scientific label
      • Jessie Lennox (a Nightingale)
      • Joan Eardley
      • John Aubrey
      • King Kong
      • Margaret Maberley Gordon
      • O. G. S. Crawford
      • Omphatyp’
      • Owen Jones
      • Richard Holloway
      • Richard Taylor
      • Roy Porter
      • Stanley Murray
    • Writers
      • A L Kennedy
      • A S Byatt
      • Adam Nicolson
      • Alan Trotter
      • Alexander McCall Smith
      • Ali Smith
      • Alice Hoffman
      • Andrew Greig
      • Andrew Miller
      • Annalena MacAfee
      • Anne Tyler
      • Anthony Doerr
      • Candia McWilliam
      • Cesare Pavese
      • Charlotte Peacock
      • Chimamanda Ngozi Adichie
      • David Szalay
      • Deborah Levy
      • Douglas Stuart
      • E M Forster
      • Emily Fridlund
      • Ernest Hemingway
      • Evelyn Waugh
      • Fiona Mozley
      • Ford Madox Ford
      • Fyodor Dostoyevsky
      • Gabriel García Marquez
      • Geoff Dyer
      • George Orwell
      • George Saunders
      • Hanya Yanagihara
      • Howard Jacobson
      • Iris Murdoch
      • J. D. Salinger
      • Janice Galloway
      • Jessie Burton
      • John Buchan
      • John Lanchester
      • John Steinbeck
      • Julian Barnes
      • Kazuo Ishiguro
      • Lampedusa
      • Laurie Lee
      • Madeleine Thien
      • Marcel Proust
      • Margaret Drabble
      • Matt Haig
      • Max Porter
      • Mohsin Hamid
      • Mukul Kesavan
      • Muriel Spark
      • Nan Shepherd
      • Nathan Filer
      • Oscar Wilde
      • Otessa Moshfegh
      • Penelope Fitzgerald
      • Richard Flanagan
      • Richard Holmes
      • Richard Yates
      • Roald Dahl
      • Robert Louis Stevenson
      • Robert Seethaler
      • Rudyard Kipling
      • Sara Baume
      • Thomas Mann
      • Virginia Woolf
      • Vladimir Nabakov
      • Will Cohu
      • William Boyd
      • Yann Martel
  • in the world
    • A Sunshine Act for Scotland
      • “The influence of pharma is not excessive”
      • ‘Listen, let the people petition and be heard’
      • ‘To influence others by offering money’
      • A matter for others
      • Bring me a sunshine act
      • British Psychiatry: Marketing as ‘Education’
        • “A robust learning environment for healthcare professionals”
        • “An ethical relationship with pharma”
        • “Classsic Pharma shill stuff”
        • “FULLY BOOKED”
        • “MacDonald’s to advise on childhood nutrition”
        • “P R O M I S C U O U S”
        • “The place to go to” for CPD
        • “Working with the drug industry—is your reputation at risk?”
        • ‘Fees for services’
        • ‘Industry Biased Medicine’
        • ‘Medical Education for the 21st Century’
        • ‘MEDICAL EDUCATION: In the grip of industry?’
        • ‘Psychiatry without borders’
        • ‘Welcome to Pharmacare’
        • 2017 International Congress: Psychiatry without Borders
          • “Performed well”
        • 2018 International Congress: Psychiatry: New Horizons
        • ABC of Mental Health: Depression
        • BAP ‘educator’ on prescribing received $3,581,159 in payments from Pharma
        • Conflict of interest and the British Journal of Psychiatry
        • Continuing Medical ‘Education’
        • Darkness prevails: the Royal College of Psychiatrists
        • Data Protection: The Royal College of Psychiatrists
        • Is academic psychiatry for sale?
        • It’s boom time for the College
        • Latuda: vigorously marketed in The UK
        • Paid Opinion Leaders
        • Pharmaceutical influence and psychiatrists
        • Prescribing Guidelines: let’s be transparent
        • Professors A, B, and C
        • Puritanical or Platinum?
        • Rising stars: British Association of Psychopharmacology
        • Royal College of Psychiatrists: “This is a matter for the Government to decide”
        • Satellite symposia and paid opinion leaders
        • Simon said
        • The British Journal of Psychiatry and Pharmaceutical Industry advertising
          • “SPECIAL ARTICLE”
          • ‘AUTHENTICITY’
          • Are competing interests of authors sufficiently transparent?
        • The Defeat Depression Campaign
          • “Buy it, read it and recommend it!”
          • “CONSENSUS STATEMENT”
            • Managing depression in general practice
          • “Defeating depression in old age”
          • “Dista Products [for] Royal College of Psychiatrists, 1993”
          • “Fear of dependency”
          • “Fun Run”
          • “Generously sponsored by Smith Kline & Beecham”
          • “Promulgating therapeutic recommendations”
          • “The Defeat Depression Campaign is not a useful exercise”
          • “To mount a glossy campaign on the basis of this method is frankly disturbing”
          • ‘Antidepressants unlimited’
          • ‘Continuing to defeat depression’
          • ‘Costs should have been considered’
          • ‘Defeat Depression: A European Perspective’
          • ‘Dyspeptic Dinner Entertainment’
          • ‘The Influence of the Pharmaceutical Industry’
          • ‘Warm-up led by former DJ of Capital Radio’
          • ‘We cannot be in the pockets of the Pharma companies’
          • ‘Why can’t GPs follow guidelines on depression?’
          • (orders 100+ at 25p per leaflet)
          • A summary of the Educational Components
          • An ‘Educational Campaign’ sponsored by Pharma
          • How to Defeat Depression
          • Is depression a chronic illness?
          • LILLY Pharmaceuticals: the Defeat Depression Campaign
          • Mass prescribing
          • My career began with the Defeat Depression Campaign
          • One-and-the-same
          • Psychiatry in General Practice: a ‘Campaign’ begins
          • Putting caring conversations into practice
          • RCPsych archive: 5 Boxes
          • SSRIs: “Public confidence needs to be restored”
          • The ‘Chemical imbalance’ theory
          • This historical campaign has vital lessons for today
          • Video Training Package
          • What Price Depression?
        • The latest ‘Platinum Sponsor’ for RCPsych conference
        • The Law of the Few
        • The mismatch
        • Transparency and British Psychiatry: Hold the applause
        • Transparency at the Top
        • Who pays the piper?
      • Led Astray – Industry’s Influence on Drug and Device Watchdogs
      • Medicine remains as conflicted as ever
      • Prescribed drug dependence and withdrawal
        • “Attacks on antidepressants”
        • “Discontinuation syndrome”: sophistry of the drug industry
        • “Objectivity” does not come in a title
        • ‘Tens of thousands of children’
        • A timeline of missed opportunities
          • “Programme will help identify potential suicide victims”
        • Antidepressant prescribing and “fully informed consent”
          • Words and numbers should be used with equal care
        • Antidepressant withdrawal symptoms -Telephone calls to a national medication helpline
        • Collective values of an organisation in the era of social media
          • RCPsych Presidential elections [2022/23]: in support of Dr Kate Lovett
        • Coming off antidepressants
        • Cumberlege Report: First Do No Harm
          • A reply to a Lifetime Achievement Awardee
            • A loss to science
          • Cumberlege Review: what is the position of RCPsych?
          • Language and professional values
            • ‘Why all this nastiness?’: Twitter
            • 2019: Question to Presidential candidates on College values
            • 2022: Question to Presidential candidates on College values
          • Language Matters: indeed it does
          • Let us be kind to one another even when views may differ
          • Medicine’s contract with society
          • Polypropylene Mesh Implants
          • Professionalism and psychiatry: past, present and future
          • Professionalism and psychiatry: the profession speaks
          • Psychiatrist #1 on First Do No Harm
          • Psychiatrist #2 on First Do No Harm
          • Psychiatrist #3 on First Do No Harm
          • Psychiatrist #4 on First Do No Harm
          • Psychiatrist #5 on First Do No Harm
          • Psychiatry, dependent on its authority, is finding withdrawal seriously difficult
          • Social Media Policy of the Royal College of Psychiatrists
            • “Stay classy”
            • ‘outside the circle of listeners’
        • Depression: pills and dependence [a timeline following a letter in the Times]
        • Discontinuation of antidepressant therapy [1997 symposium]
        • Gilbert Farie Revisited
        • RCPsych [Prescribed harm]
          • “Another me exists”
          • “Casual false reassurances”
          • “Pill Shaming”
          • “We care about our crest and it is sad to see it used this way”
          • A letter in the Times
          • An extraordinary divide
          • Antidepressant withdrawal: why has it been ignored for so long?
          • Psychiatry, dependent on its authority, is finding withdrawal seriously difficult
          • SIBERIA
          • The other side of the fence: Iatrogenic stigma
          • unanswered
        • Realistic prescribing
          • “It’s BOOM time in Industry”
          • “That prescription figure is high”
          • ‘A generation in crisis’
          • ‘The Medical Untouchables’
          • Our own window
          • Psychiatry in Fabula
          • RSM Health Matters Podcast: Episode 1 – Antidepressants
          • Science Media Centre
          • Selective Serotonin Reuptake Inhibitors for the Elderly
          • The Narrative Controllers
            • ‘Chumcentric’
          • The Neon Yellow Preservation Society
          • Unanswered
        • Stigma and Psychiatry
        • The Scottish Government [Prescribed harm]
          • “Key Information on the use of antidepressants in Scotland”
          • “Villains and Demonisers”
          • ‘Antidepressant use: changing patterns, cost and clinical effectiveness’
          • Antidepressants (Overuse)
          • Antidepressants: ‘no good evidence’ for long-term use
      • Trial by Anecdote
      • Unrealistic Medicine
    • Architecture
      • ‘The Story of Drummond Place’
      • 18 Kilrymont Road
      • Abbotsford
      • Andrew Crosbie’s House
      • Auchinleck House
      • Bute House
      • Charles Brand Ltd
      • Dalhousie Memorial Arch
      • Drummond Place, Edinburgh
      • Edinburgh’s first Theatre
      • Forglen Mausoleum
      • Gladney House
      • Glasgow Necropolis
      • GOLDBERGS
      • Hermits and Termits
      • Hospitalfield House
      • Kilbirnie Radio Cinema Bingo Hall
      • Kildonan House
      • Kinneil House
      • Mar Lodge, Stirling
      • McCaig’s Tower, Oban
      • Moatbrae House, Dumfries
      • Monument to the Political Martyrs’
      • Muschat’s cairn
      • Old Royal High School, Edinburgh
      • Scottish architectural follies
      • SeaPark
      • Shakespeare Square
      • St Andrew’s House, Edinburgh
      • Temple of the Muses
      • TEMPLE [Cupar]
      • The galleria
      • The Red Road flats
      • The Wallace Monument
      • The Well of the Seven Heads
      • Tower of Glenstrae
      • Warriston Gates
    • Ardeer Explosive’s Factory
    • Bridges
      • Abergeldie foot-bridge
      • Boat o’Brig
      • Brewlands bridge
      • Broom of Moy
      • Broomhill wooden bridge
      • Faery Bridge, Dunblane
      • Forth Road Bridge
      • Garva bridge
      • Haugh of Drimmie
      • Kalemouth Suspension Bridge
      • Kincardine Bridge (on Forth)
      • Millhaugh bridge
      • Old White Bridge
      • Tay Bridge
      • The bridge to nowhere
      • The Glenfinnan Viaduct
      • The Old Bridge of Livet
      • Twa Gables
    • CITIES
      • Films about ABERDEEN
      • Films about DUNDEE
      • Films about EDINBURGH
      • Films about GLASGOW
      • Films about PERTH
      • Films about STIRLING
    • D.L.R.O.W
      • The mild cigar
    • Dunaskin Iron and Brick works
    • Earl’s Hill radio transmitter
    • landscapes (time held green)
      • ‘Hill of the Resurrection’
      • Carsebreck
      • Cliff House
      • Dunbuy
      • Duncryne
      • Garden Archaeology
      • Gardeners
        • ‘Gardener Found Insane’
        • A high summer garden
        • A new generation of gardeners
        • A Nursery Manager
        • Abergeldie’s gardener
        • Alexander Marr
        • Alexander Walker
        • Arbigland’s gardener
        • Boghead, Bathgate
        • Carnbroe’s gairdener
        • Charles Bell, Ormistoun Hall
        • Charles Frampton
        • Charles Webster
        • COREHOUSE
        • David Pringle Laird
        • Davina, Lady Stair
        • Eagle and Henderson
        • Glassingall Gardener
        • Glentulchan gardener
        • Helen Carmichael
        • James Hossack, Castle Cluny
        • James Ironside
        • James Sutherland
        • John Halliday
        • John Wright Paton
        • Last of Horse Wynd
        • Miss Hope
        • Monty Don
        • Ninian Niven
        • No.1 Shrub Place
        • OLDEST GARDENER
        • Patrick’s garden
        • Peter and Sian’s garden
        • Peter Gordon, gardener
        • Peter Rankin, Glen Creran
        • Peter Thomson, a ‘practical gardener’
        • Peter Thomson: ‘the patient art of fieldwalking’
        • R E E K I A N A
        • Return to the seed
        • Robert Graham of Tamrawer
        • Robert Murray, West Princes Street Gardens
        • Robert Rust
        • Scotland’s Silver Glen
        • Teri and Paul Hodge-Neale
        • The Abbotsford gardener
        • The Astronomical Gardener
        • The auld gardener
        • The gardener of Finca Vigia
        • The gentle gardener
        • The Queen’s Gardener
        • The Sisters’ Garden
        • Thomas Cleghorn
        • Tom Spence
        • Under Gardener [D U N I R A]
        • Volunteer gardener
        • Wellington Dauncey
        • William Rutherford
      • Garrel Glen
      • Gauch
      • Glen Girnoc
        • Abergeldie castle
        • Bovaglie
          • Joseph Gordon’s journal of a voyage to Australia (1841-1842)
          • The Bovaglie manuscript
        • Loinveg
        • The Camlet
      • Glenbardy
      • ISLANDS
        • Alloa Inch
        • Eilean Fhianain
        • Eilean nam Faoileag
        • Eilean Subhainn
        • Inchcolm island
        • Linga Isle
        • Lismore
        • Lucky Scaup
        • Samalaman
        • St Kilda
        • Vallay
      • Jock’s Road
      • Kilmadock churchyard
      • Leckie Glen
      • Little Sparta
      • Lochnagar
      • Stronmilchan
      • The Devil’s Pulpit
      • The Dragon’s Hole
      • The Hill
      • The John Muir Way
      • The living mountain
      • The Lost Garden of Dunira
      • The lost garden of Penicuik
      • The suicide graves
      • Wanzie
    • Mental Health Tsar
    • Mortar and Pestles
    • Necessity Brae
    • Rogues’ Gallery
      • Duncan Paton
      • Helen Nicholson
      • John Grovenor
      • John Moir
      • John Yates alias John Hewitt, Patrick Hines, John Miller, John Roy
      • Peter [alias John]
      • Philip Hughes
      • The Highland Hotel Robbers
      • William Slater
    • The Great Globe
    • The Jam factory
    • Trees
      • Beauly’s Wych Elm
      • Goodnestone chestnut tree
      • One way of measuring a tree
      • Sir Walter Scott’s Tree
      • The bicycle tree
      • The Lanrick stone tree
      • The Wallace Oak
      • Yew trees
        • Adam and Eve Yews
        • An incredibly ancient child
        • “When Harry met Mary under the Yew tree”
        • Chapel of the Yew Trees
        • Craigend Yew
        • Earlshall [shapes abandoned]
        • I Vow Yew
        • Rockingham elephants
        • Scientists chop years off ancient yew trees
        • St Columba’s Yew
        • Stow on Wold Yews
        • The Abbotshall Yew
        • The Auchendrane Yew
        • The circular Yew hedge
        • The Culfargie Yew
        • The Fraser Yew
        • The Inchbrakie Yew
        • The little loch of the yew grove
        • The Ormiston Yew
        • The Raploch Yew
        • The Somerleyton Yew
        • The Wallace Yew
    • Waverley
  • Mind The Gap
  • where time passes (listen)
    • Bridge of Allan
      • ‘Quote of the week’
      • A bridge over the Allan Water
      • Chemists and Apothecaries
        • Charles Neil Rutherfoord
        • Gilbert Farie
        • Oswald Robertson
      • Drumdruills
        • Beware the Fly!
        • Memoir of Adam Baird (junior)
        • Millad
        • Miss Jessie lennox
        • Orchard House, Bridge of Allan
        • Rab Scott
        • Stevenson’s cave
        • The Wharry Glen
        • The Wrights of Loss
      • Films about BRIDGE of ALLAN
      • Fire Brigade
      • Fountain of Nineveh
        • A dry fountain that once gushed and sparkled in the sunlight
      • History
        • ‘Modern Bridge of Allan and some of its makers’ (1927)
        • ARCHIVE [old photographs and writings]
        • Craig Mair
        • Glimpses of Local History
        • Landmarks of Bridge of Allan
      • Lecropt
        • ‘A Lecropt Girl’
        • Keir Estate, Stirling
        • Keirfield
          • David Rutherfoord
        • Lecropt and Larger Scotland
        • Ten summers fade
        • The Rutherfoord letters
      • Mossgrove
        • Arborglyphs
        • Diary of a house
        • FAMILY films
        • Hale Bopp
        • He cannot unlearn the feeling
        • MERRYTHOUGHT
        • Mossgrove garden
        • Our cats
        • Our graffiti bench
        • The Medicine is in Aberdeen
        • The son of a Bank Manager
        • This is not yesterday
        • Tillybin
          • VANDAL
        • Wally Mint and the Wobblisks
        • We follow them, as they are us
      • Photographs of Bridge of Allan
      • Robert Louis Stevenson
      • Sheriffmuir
      • Shops, buildings and houses
        • 105 Henderson Street
        • Fernfield
        • John Cullens
        • Museum Hall
        • Music Hall
          • Mrs Hamilton
          • Professor Ewart
          • Professor Whitworth
        • Our first village shop
        • SPA CLEAN [ZERO WASTE]
        • St Ann’s
        • The Cleopatra needle
        • The Olympic torch comes to Bridge of Allan
        • The Well House, Bridge of Allan
      • The Ochils
        • Ashintrool
        • Hercules
        • in a SERIES II Land Rover
        • Jerah
      • Village doctors
        • Dr Alexander Wilkie Paterson
        • Dr Andrew S. Biggart
        • Dr Balbirnie
        • Dr Eric Dow
        • Dr John Hosack Fraser
        • Dr John Stewart Rutherfoord
        • Dr Mary Baird Hannah
        • Dr William Eagleson Gordon
        • Dr William Haldane
        • Dr William Halliday Welsh
      • Villagers [old and new]
        • A poet as well as a gardener
        • Bridge of Allan villagers of the 1830s
        • Finn Russell
        • Hector Dove
        • Holed out in ONE!
        • John McCaig
        • Old Village Worthies
        • Remembering Ian and Malcolm
        • Rev Charles Rogers
        • The Owl Man
        • The Tufty Club
        • Waller Hugh Paton
    • Dunblane
      • Andy Murray
      • Dunblane Cathedral reopens
    • Folk worth talking about
      • “Dr Frederick Adair”
      • ‘Big Kate’
      • ‘Black’ John Skirving
      • ‘Bob Dragon’
      • ‘Dr William Brodum”
      • ‘Whistling Willie,’ the LION MAN
      • A Big Burd
      • A Railway-Porter Astronomer
      • Agnes Mary
      • Alexander Ormiston Curle
      • Alexander Stevenson: first President of the SFA
      • Allison
      • Aloysius
      • Andrew Wilson
      • Angus John Campbell
      • Ann Shaw
      • Anne Grant of Laggan
      • Annie Graham Baird
      • Arthur
      • Aubrey Beardsley
      • Betty Mouat
      • Burrish Lyons
      • C. P. Snow
      • Captain Alexander Morrison
      • Captain Michael Slater
      • Captain Peter Gordon
      • Captain Phillips
      • Carol Colburn Grigor
      • Caroline Stuart Clarke
      • Charlotte Skinner
      • Clive Wright
      • Colin McWilliam
      • CYNICUS
      • Dandie Dinmont
      • Dani Garavelli
      • David Bowie
      • Davina Gordon
      • Diana Rigg
      • Doddie Weir
      • Dr John Stuart
      • Dr Pat Beausang
      • Dr Quackleben
      • Drue Heinz
      • Elijah Wood
      • Elizabeth and Ada
      • Ella Rae
      • Emma Raducanu
      • Ena Scott
      • Eric Redmond
      • Esmé Gordon
      • Felix Feneon
      • Florence Taylor
      • Francis Moncrieff
      • Fynes Moryson
      • Geoffrey Jellicoe
      • Gregory’s girl
      • Gunnar Jungner
      • Hannah Ann Stirling
      • Hector Dove
      • Henrietta
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Homein the worldA Sunshine Act for ScotlandBritish Psychiatry: Marketing as ‘Education’Latuda: vigorously marketed in The UK

Latuda: vigorously marketed in The UK

The launch in the UK of Lurisidone began in August 2014.



My previous post on Lurasidone (Latuda) which has now been marketed in the UK followed the financial interests of one of the authors of the “Special article” in the British Journal of Psychiatry.

Leslie Citrome

It has now crossed my mind, and here I must be very clear that I am speculating, that the British Journal of Psychiatry may have been paid to publish this “Special article”?

I have now looked at the details provided on Lutada to medical professionals by the makers SUNOVION

It is welcome that this new medication has fewer metabolic effects than currently available antipsychotics. It is worth reflecting that, when the “atypical” antipsychotics were first marketed, they were promoted as having fewer Extra-Pyramidal Side Effects (EPSEs) than existing antipsychotics. It later emerged that the atypical antipsychotics had considerable metabolic side-effects.

This is how Latuda is introduced:

lurasidone uk 3

Here are the “References” provided by its makers Sunovion. There are several key authors of studies cited along with “Latuda Summary of Product Characteristics”. I have previously covered Leslie Citrome. Another study author is well known as a Paid Opinion Leader, Professor Stephen Stahl.

lurasidone references


I recently posted about Professor Stahl after he gave keynote addresses to this summer’s British Association of Psychopharmacology Conference.

Professor Stahl’s payments dwarf the $181000 dollars given to Dr Leslie Citrome by the makers of Lutada. Professor Stahl’s OVERALL payments by 15 Pharmaceutical companies amounts to $3.58 million.

Stephen Stahl

Evidence based medicine should include all evidence. This should include all financial conflicts of interest in those developing, researching and promoting new medications.

I do hope UK Psychiatrists are aware of all the evidence.


Update: January 2017

sunovion-lurasidone-marketing-nhs-20-dec-2016

I received the above message from my secretary with the e-mail below from SUNOVION attached:

From: Name REDACTED – Sunovion Key Account Manager
Sent: 20 December 2016
Subject: FW: Sunovion virtual appointment

Nice speaking with you and thank you for your help.

Please find below some detail of the appointment I would like to make with Gordon. I would like to offer an update in physical health in mental health with regard to our antipsychotic treatment.

Sunovion recognise the heavy schedules and workloads healthcare professionals have to manage. In order to offer greater flexibility and convenience for your interactions with Sunovion, we have created an online meeting environment which can be accessed at your convenience with the support of our dedicated remote meetings team.

We can now arrange for one of our remote representatives to provide you with useful information about Latuda©(lurasidone) for the treatment of adults with schizophrenia at a time that is absolutely convenient to you via a straightforward remote call. 

www.meetsunovion.co.uk  is an online meeting room where a remote Sunovion representative can provide up-to-date information about Latuda through an interactive platform to augment a simultaneous telephone conversation.

All you need is a computer with internet access, a phone line and a time to suit you , for an approximately 15 minute discussion.

With kind regards,
Sunovion Key Account Manager

I replied to my secretary that I do not see Pharmaceutical Representatives. My secretary was though already aware of this and that I had previously raised a petition with the Scottish Government to consider introducing a Sunshine Act for Scotland.


On the 20th December 2016 I wrote a shared e-mail to the Royal College of Psychiatrists, the British Association of Psychopharmacology (BAP) and the General Medical Council (GMC). I explained that I had just read the perspective of the out-going CEO of the Royal College of Psychiatrists in the December Psychiatric Bulletin.

03-vanessa-cameron-dec-2106

In my email of the 20th December 2016  I went on to express my concerns about conflation of marketing with “education” and  expressed my view that the ABPI voluntary register is anything but a “disinfectant”, rather that it gives a thin veneer of transparency.

I concluded: the risk is that rather than “realistic medicine” we have unrealistic medicine with over-medicalisation and associated harms on a wider scale. Inverse care then kicks in.

I asked politely if the Royal College of Psychiatrists, BAP or GMC were planning to do anything about this?

I only received a reply from the GMC. This reply is reproduced in full below:

From: General Medical Council
Sent: 20 January 2017
To: Peter J Gordon
Subject: RE: FW: Sunovion virtual appointment

Dear Dr Gordon,
Thank you for your email and sorry for the time it’s taken to respond.

As you know it’s our role to regulate the medical profession in the UK and as part of that role, we set the standards for the delivery of medical education and training. Although it is our role to regulate individual doctors, we do not have a role in regulating organisations and therefore cannot comment on any such policies to managing conflicts of interest.

We are clear in Good Medical Practice that ‘you must be honest in financial and commercial dealings with patients, employers, insurers and other organisations or individuals’ (paragraph 77) and ‘if faced with a conflict of interest, you must be open about the conflict, declaring your interest formally, and you should be prepared to exclude yourself from decision making’ (paragraph 79). We expand on this in our explanatory guidance Financial and commercial arrangements and conflicts of interest (2013) which includes principles on how to manage conflicts of interest should they arise in relation to making decisions about patient care and the commissioning of services.

I note your comments on the limitations of the Association of the British Pharmaceutical Industry (ABPI) register, however we see this as a start to creating a culture of openness and worked closely with them in promoting the database through a blog for doctors on our website. You may also be interested to know that in April 2016 we hosted a meeting bringing together key interest groups from across the UK to discuss issues around conflicts of interest. One theme which came out of this meeting was the need for greater transparency and how we can best support doctors in achieving this through guidance.

Amongst other work in this area, we are undertaking a review of the information contained on the medical register; part of this review considers whether a future register should include information on doctors’ interests.  We consulted on this in 2016 and are now reviewing all of the responses. We also continue to discuss conflicts with all of our key interest groups including via our inter-regulatory group meetings with other professional regulators to ensure that this remains a high priority and to enable us to share good practice across the health professions.

We continue to work with doctors to ensure they are reminded of their professional responsibility to avoid conflicts of interest wherever possible, and to declare any conflicts formally and as early as possible.

Kind regards
Caroline Strickland
Policy Officer, GMC

I replied to the GMC as follows, copying in the Royal College of 
Psychiatrists and the British Association of Psychopharmacologists:

20th January 2017

Dear Caroline Strickland,
I am very grateful for this reply on behalf of the GMC.

I could give a very long list indeed of doctors who are not following paragraph 77 of “Good Medical Practice”. The GMC risk being seen to have guidance that is widely not being followed. This would also constitute a lack of Probity as required for Appraisal and Revalidation.

Yet, if I reported a long-list (I have tried before) I find that I could not do so anonymously. The reality of such reporting would be that my professional life would be severely affected with outcomes such as bullying, isolation and mischaracterisation.

I note what you say about the ABPI Register but this Register gives the illusion of transparency, because, as you know, many doctors who are significantly paid by industry do not declare. These doctors may be the doctors who are “educating” the rest of the medical profession (CPD-approved) as required by the GMC and the Royal College of Psychiatrists and other colleges for “Good Professional Standing”.

When I retire I will release all the information I have and will be clear that neither the GMC nor Royal Colleges have taken effective action here. The risk of patient harm is very real and there are many evidenced examples of where marketeering as “education” has led to harmful and dangerous prescribing or other interventions.

I understand the GMC has no role in regulating organisations such as BAP. I am very concerned about the scale of “education” being marketed by this organisation. BAP no longer answer communications from me and the RCPsych did not answer my e-mail below.

Who is accountable for a situation where the ethics and objectivity of science is widely compromised? Who is accountable for harm that may result?

I would urge you to take more robust action than is currently the case.

The Scottish Government undertook a Public Consultation on this issue: the public in majority concluded that ALL payments to healthcare workers and academics should be openly declared, in full, on an open and searchable register. The public concluded that this had to be MANDATORY.

I am writing in a personal capacity and not in any way for my employers. I will take this communication to my Appraisal which is in March 2017.

I look forward to response from GMC, RCPsych and BAP.

Your sincerely, Dr Peter J Gordon


UPDATE (February 2017): UK-wide promotion of LURASIDONE:

envelope-latuda-promotion-sunovion-feb-2017

01-latuda-promotion-sunovion-feb-2017

Personal comment:

I would suggest that it would be more accurate, in terms of 
science, to describe antipsychotics (of any chemical formulation) 
as acting on brain chemistry, rather than "treating the mind". 

02-latuda-promotion-sunovion-feb-2017

03-latuda-promotion-sunovion-feb-2017

04-latuda-promotion-sunovion-feb-2017

05-latuda-promotion-sunovion-feb-2017

06-latuda-promotion-sunovion-feb-2017

07-latuda-promotion-sunovion-feb-2017

08-latuda-promotion-sunovion-feb-2017

As you can see the REFERENCES provided in this “promotional brochure” are in small print and not so easy to read.

So here is an enlarged version that I have made from the original: in black and white (but the highlights matter):

references-latuda-promotion-sunovion-feb-2017

In the public domain are the most significant recent financial payments made to Stephen Stahl and Leslie Citrome from the pharmaceutical industry. Both of whom have been part of the promotion of Lurasidone in the UK

In the references provided by Sunovion in this “promotional brochure” we have:

                      Herbert Y Meltzer

herbert-y-meltzer-bio herbert-y-meltzer-declarations

In the references provided by Sunovion in this “promotional brochure” we have:

                      Gregor Mattingly

who has been paid $1.04 million from the Pharmaceutical Industry since 2013:

gregory-mattingly-1

In the references provided by Sunovion in this “promotional brochure” we have:

                     Sheldon Preskorn

who received nearly $112,000 in 2015 from the pharmaceutical industry:sheldon-preskorn-2


Update: June 2017

Promotion in PROGRESS in Neurology and Psychiatry (“supplement”) by Dr Lars Hansen, Consultant Psychiatrist and Honorary Senior lecturer, Southampton University:

 

Steve Chaplin is cited as “medical writer” of the case notes. The following article of March 2013 “GMC: more detailed advice on good practice in prescribing” appears to be by him:

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        • Wandering, wondering and worrying
    • Deeside Tales
      • Short films about Deeside
      • To be humbled.
    • Films made by Peter
      • 3 films that almost ended my career
      • A maker of beautiful books
        • The Great Tapestry of Scotland
      • A new way of seeing
      • A Thousand Chances
      • Alive in the river of light
      • Angelology
      • Bridge of Allan
      • bridges
      • Canto two
      • Finding Cimbrone
      • Folk worth talking about
      • friendship itself
      • Glenbardy
      • Go seek adventures
      • Here is where we meet
      • I am part of all that I have met
      • Important note about my films
      • in its ending
      • incorrigibly plural
      • It was the singing
      • Language is leaving me
      • Let the anchor go
      • Little Sparta
      • living mountains
      • man with the child in his eyes
      • Marginalia
      • mathematically me
      • Mossgrove garden
      • my library-haunting self
      • of an Antiquary
      • Oor big braw Cosmos
      • Political pieces
      • Progress hardly broke its stride
      • sensitive to the faltering steps of age
      • Sheramoor
      • Stravaiging need not be lonely
      • The anatomy of emotion
      • the blue flower
      • The bright cave under the hat
      • The Cabrach
      • the Glentruim series
      • The Rebel Antiquary
      • They fell for us
      • this gifted gardener [I discovered one day]
      • Time passes. Listen
      • To see what Scott saw:
      • Trees: age and beauty do go together
      • [Series II]
    • Firrhill High School
    • Hole Ousia [what does it mean?]
    • Mavisbank
      • On Esca’s Flow’ry Bank
      • Short films about Mavisbank
    • MEDICINE
      • Films about MEDICINE
      • Films about PSYCHIATRY
      • Films and Sapere Aude
      • Films on ETHICS
      • Films on Professional VALUES
      • Films that consider ‘First Do No Harm’
    • My dissertation on hedges
    • My schooling
    • Peter’s poems
      • One-word poems
    • Publications in the “Leopard”
    • The Ageing Stone
    • The speaking hedge
    • What is in a name?
  • being and becoming
    • “A place with no quotation marks”
    • Academic reductionisms
    • Admissions of doubt
    • Ariel
    • Cell Mates
    • Medical “truants”
    • Multifarious learners
      • A fortunate man
      • Dr Anton Pavlovich Chekhov
      • Dr Arthur J. Brock
      • Dr Arthur Mitchell
      • Dr Daniel Reid Rankin
      • Dr Gavin Francis
      • Dr James Sheridan Knowles
      • Dr Leon Eisenberg
      • Dr Samuel Brown (1817 – 1856)
      • Edmund de Waal
      • Femi Oyebode
      • George Washington Wilson
      • Graham Watt
      • James Clerk Maxwell
      • James Ferguson
      • James Skene
      • John Berger
        • Here is where we meet
      • John Frederick William Herschel
      • K. J. Fowler
      • Kenneth Calman
      • Mr and Mrs Rose
      • Nadar
      • Patrick Matthew
      • Rev George Gilfillan
      • Richard Feynman
      • Scottish women writers
      • Sir Harry Burns
      • Theodore Dalrymple
      • Thomas Browne
      • William Friese-Greene
      • William Lewson Burrowes
      • William Ramsay
    • Philosophers
      • Albert Camus
      • Andrew Greig
      • Dr John Flaxman
      • Dugald Stewart
      • John Macmurray
      • John Stuart Mill
      • Mary Midgley
      • Raymond Tallis
    • Poets
      • Alexander laing
      • Caledonian Antisyzygy
      • Carol Ann Duffy
      • Daniel Abse
      • Edwin Morgan
      • Iain Banks
      • Iain Crichton Smith
      • Ivor Gurney
      • James Hyslop
      • James M Slimmon
      • John Betjeman
      • John Halliday
      • Kathleen Jamie
      • Kieron Winn
      • La Teste
      • Leonard Cohen
      • Liz Lochhead
      • Norman MacCaig
      • Patrick Deeley
      • Paul Muldoon
      • Peter Davidson
      • Rab Wilson
      • Rabbie Burns
      • Robert Fergusson
      • Robert Nicholl
      • Robert Pollok
      • Robin Hyde
      • Sylvia Plath
      • T S Eliot
      • Ted Hughes
      • Tom Leonard
      • Tomas Tranströmer
      • Wilfred Owen
      • William Carlos Williams
      • William Soutar
    • Sapere Aude
      • A bit of a prat
      • a very clever young man
      • Caroline Phillips
      • Chrys Muirhead
      • Claire Fox
      • Dr Donald Brownlie
      • Dr Margaret McCartney
      • Fara McAfee
      • Gawaine Baillie
      • Gerald
      • Hale-Bopp
      • Humpty Dumpty
      • I mistook myself for a scientific label
      • Jessie Lennox (a Nightingale)
      • Joan Eardley
      • John Aubrey
      • King Kong
      • Margaret Maberley Gordon
      • O. G. S. Crawford
      • Omphatyp’
      • Owen Jones
      • Richard Holloway
      • Richard Taylor
      • Roy Porter
      • Stanley Murray
    • Writers
      • A L Kennedy
      • A S Byatt
      • Adam Nicolson
      • Alan Trotter
      • Alexander McCall Smith
      • Ali Smith
      • Alice Hoffman
      • Andrew Greig
      • Andrew Miller
      • Annalena MacAfee
      • Anne Tyler
      • Anthony Doerr
      • Candia McWilliam
      • Cesare Pavese
      • Charlotte Peacock
      • Chimamanda Ngozi Adichie
      • David Szalay
      • Deborah Levy
      • Douglas Stuart
      • E M Forster
      • Emily Fridlund
      • Ernest Hemingway
      • Evelyn Waugh
      • Fiona Mozley
      • Ford Madox Ford
      • Fyodor Dostoyevsky
      • Gabriel García Marquez
      • Geoff Dyer
      • George Orwell
      • George Saunders
      • Hanya Yanagihara
      • Howard Jacobson
      • Iris Murdoch
      • J. D. Salinger
      • Janice Galloway
      • Jessie Burton
      • John Buchan
      • John Lanchester
      • John Steinbeck
      • Julian Barnes
      • Kazuo Ishiguro
      • Lampedusa
      • Laurie Lee
      • Madeleine Thien
      • Marcel Proust
      • Margaret Drabble
      • Matt Haig
      • Max Porter
      • Mohsin Hamid
      • Mukul Kesavan
      • Muriel Spark
      • Nan Shepherd
      • Nathan Filer
      • Oscar Wilde
      • Otessa Moshfegh
      • Penelope Fitzgerald
      • Richard Flanagan
      • Richard Holmes
      • Richard Yates
      • Roald Dahl
      • Robert Louis Stevenson
      • Robert Seethaler
      • Rudyard Kipling
      • Sara Baume
      • Thomas Mann
      • Virginia Woolf
      • Vladimir Nabakov
      • Will Cohu
      • William Boyd
      • Yann Martel
  • in the world
    • A Sunshine Act for Scotland
      • “The influence of pharma is not excessive”
      • ‘Listen, let the people petition and be heard’
      • ‘To influence others by offering money’
      • A matter for others
      • Bring me a sunshine act
      • British Psychiatry: Marketing as ‘Education’
        • “A robust learning environment for healthcare professionals”
        • “An ethical relationship with pharma”
        • “Classsic Pharma shill stuff”
        • “FULLY BOOKED”
        • “MacDonald’s to advise on childhood nutrition”
        • “P R O M I S C U O U S”
        • “The place to go to” for CPD
        • “Working with the drug industry—is your reputation at risk?”
        • ‘Fees for services’
        • ‘Industry Biased Medicine’
        • ‘Medical Education for the 21st Century’
        • ‘MEDICAL EDUCATION: In the grip of industry?’
        • ‘Psychiatry without borders’
        • ‘Welcome to Pharmacare’
        • 2017 International Congress: Psychiatry without Borders
          • “Performed well”
        • 2018 International Congress: Psychiatry: New Horizons
        • ABC of Mental Health: Depression
        • BAP ‘educator’ on prescribing received $3,581,159 in payments from Pharma
        • Conflict of interest and the British Journal of Psychiatry
        • Continuing Medical ‘Education’
        • Darkness prevails: the Royal College of Psychiatrists
        • Data Protection: The Royal College of Psychiatrists
        • Is academic psychiatry for sale?
        • It’s boom time for the College
        • Latuda: vigorously marketed in The UK
        • Paid Opinion Leaders
        • Pharmaceutical influence and psychiatrists
        • Prescribing Guidelines: let’s be transparent
        • Professors A, B, and C
        • Puritanical or Platinum?
        • Rising stars: British Association of Psychopharmacology
        • Royal College of Psychiatrists: “This is a matter for the Government to decide”
        • Satellite symposia and paid opinion leaders
        • Simon said
        • The British Journal of Psychiatry and Pharmaceutical Industry advertising
          • “SPECIAL ARTICLE”
          • ‘AUTHENTICITY’
          • Are competing interests of authors sufficiently transparent?
        • The Defeat Depression Campaign
          • “Buy it, read it and recommend it!”
          • “CONSENSUS STATEMENT”
            • Managing depression in general practice
          • “Defeating depression in old age”
          • “Dista Products [for] Royal College of Psychiatrists, 1993”
          • “Fear of dependency”
          • “Fun Run”
          • “Generously sponsored by Smith Kline & Beecham”
          • “Promulgating therapeutic recommendations”
          • “The Defeat Depression Campaign is not a useful exercise”
          • “To mount a glossy campaign on the basis of this method is frankly disturbing”
          • ‘Antidepressants unlimited’
          • ‘Continuing to defeat depression’
          • ‘Costs should have been considered’
          • ‘Defeat Depression: A European Perspective’
          • ‘Dyspeptic Dinner Entertainment’
          • ‘The Influence of the Pharmaceutical Industry’
          • ‘Warm-up led by former DJ of Capital Radio’
          • ‘We cannot be in the pockets of the Pharma companies’
          • ‘Why can’t GPs follow guidelines on depression?’
          • (orders 100+ at 25p per leaflet)
          • A summary of the Educational Components
          • An ‘Educational Campaign’ sponsored by Pharma
          • How to Defeat Depression
          • Is depression a chronic illness?
          • LILLY Pharmaceuticals: the Defeat Depression Campaign
          • Mass prescribing
          • My career began with the Defeat Depression Campaign
          • One-and-the-same
          • Psychiatry in General Practice: a ‘Campaign’ begins
          • Putting caring conversations into practice
          • RCPsych archive: 5 Boxes
          • SSRIs: “Public confidence needs to be restored”
          • The ‘Chemical imbalance’ theory
          • This historical campaign has vital lessons for today
          • Video Training Package
          • What Price Depression?
        • The latest ‘Platinum Sponsor’ for RCPsych conference
        • The Law of the Few
        • The mismatch
        • Transparency and British Psychiatry: Hold the applause
        • Transparency at the Top
        • Who pays the piper?
      • Led Astray – Industry’s Influence on Drug and Device Watchdogs
      • Medicine remains as conflicted as ever
      • Prescribed drug dependence and withdrawal
        • “Attacks on antidepressants”
        • “Discontinuation syndrome”: sophistry of the drug industry
        • “Objectivity” does not come in a title
        • ‘Tens of thousands of children’
        • A timeline of missed opportunities
          • “Programme will help identify potential suicide victims”
        • Antidepressant prescribing and “fully informed consent”
          • Words and numbers should be used with equal care
        • Antidepressant withdrawal symptoms -Telephone calls to a national medication helpline
        • Collective values of an organisation in the era of social media
          • RCPsych Presidential elections [2022/23]: in support of Dr Kate Lovett
        • Coming off antidepressants
        • Cumberlege Report: First Do No Harm
          • A reply to a Lifetime Achievement Awardee
            • A loss to science
          • Cumberlege Review: what is the position of RCPsych?
          • Language and professional values
            • ‘Why all this nastiness?’: Twitter
            • 2019: Question to Presidential candidates on College values
            • 2022: Question to Presidential candidates on College values
          • Language Matters: indeed it does
          • Let us be kind to one another even when views may differ
          • Medicine’s contract with society
          • Polypropylene Mesh Implants
          • Professionalism and psychiatry: past, present and future
          • Professionalism and psychiatry: the profession speaks
          • Psychiatrist #1 on First Do No Harm
          • Psychiatrist #2 on First Do No Harm
          • Psychiatrist #3 on First Do No Harm
          • Psychiatrist #4 on First Do No Harm
          • Psychiatrist #5 on First Do No Harm
          • Psychiatry, dependent on its authority, is finding withdrawal seriously difficult
          • Social Media Policy of the Royal College of Psychiatrists
            • “Stay classy”
            • ‘outside the circle of listeners’
        • Depression: pills and dependence [a timeline following a letter in the Times]
        • Discontinuation of antidepressant therapy [1997 symposium]
        • Gilbert Farie Revisited
        • RCPsych [Prescribed harm]
          • “Another me exists”
          • “Casual false reassurances”
          • “Pill Shaming”
          • “We care about our crest and it is sad to see it used this way”
          • A letter in the Times
          • An extraordinary divide
          • Antidepressant withdrawal: why has it been ignored for so long?
          • Psychiatry, dependent on its authority, is finding withdrawal seriously difficult
          • SIBERIA
          • The other side of the fence: Iatrogenic stigma
          • unanswered
        • Realistic prescribing
          • “It’s BOOM time in Industry”
          • “That prescription figure is high”
          • ‘A generation in crisis’
          • ‘The Medical Untouchables’
          • Our own window
          • Psychiatry in Fabula
          • RSM Health Matters Podcast: Episode 1 – Antidepressants
          • Science Media Centre
          • Selective Serotonin Reuptake Inhibitors for the Elderly
          • The Narrative Controllers
            • ‘Chumcentric’
          • The Neon Yellow Preservation Society
          • Unanswered
        • Stigma and Psychiatry
        • The Scottish Government [Prescribed harm]
          • “Key Information on the use of antidepressants in Scotland”
          • “Villains and Demonisers”
          • ‘Antidepressant use: changing patterns, cost and clinical effectiveness’
          • Antidepressants (Overuse)
          • Antidepressants: ‘no good evidence’ for long-term use
      • Trial by Anecdote
      • Unrealistic Medicine
    • Architecture
      • ‘The Story of Drummond Place’
      • 18 Kilrymont Road
      • Abbotsford
      • Andrew Crosbie’s House
      • Auchinleck House
      • Bute House
      • Charles Brand Ltd
      • Dalhousie Memorial Arch
      • Drummond Place, Edinburgh
      • Edinburgh’s first Theatre
      • Forglen Mausoleum
      • Gladney House
      • Glasgow Necropolis
      • GOLDBERGS
      • Hermits and Termits
      • Hospitalfield House
      • Kilbirnie Radio Cinema Bingo Hall
      • Kildonan House
      • Kinneil House
      • Mar Lodge, Stirling
      • McCaig’s Tower, Oban
      • Moatbrae House, Dumfries
      • Monument to the Political Martyrs’
      • Muschat’s cairn
      • Old Royal High School, Edinburgh
      • Scottish architectural follies
      • SeaPark
      • Shakespeare Square
      • St Andrew’s House, Edinburgh
      • Temple of the Muses
      • TEMPLE [Cupar]
      • The galleria
      • The Red Road flats
      • The Wallace Monument
      • The Well of the Seven Heads
      • Tower of Glenstrae
      • Warriston Gates
    • Ardeer Explosive’s Factory
    • Bridges
      • Abergeldie foot-bridge
      • Boat o’Brig
      • Brewlands bridge
      • Broom of Moy
      • Broomhill wooden bridge
      • Faery Bridge, Dunblane
      • Forth Road Bridge
      • Garva bridge
      • Haugh of Drimmie
      • Kalemouth Suspension Bridge
      • Kincardine Bridge (on Forth)
      • Millhaugh bridge
      • Old White Bridge
      • Tay Bridge
      • The bridge to nowhere
      • The Glenfinnan Viaduct
      • The Old Bridge of Livet
      • Twa Gables
    • CITIES
      • Films about ABERDEEN
      • Films about DUNDEE
      • Films about EDINBURGH
      • Films about GLASGOW
      • Films about PERTH
      • Films about STIRLING
    • D.L.R.O.W
      • The mild cigar
    • Dunaskin Iron and Brick works
    • Earl’s Hill radio transmitter
    • landscapes (time held green)
      • ‘Hill of the Resurrection’
      • Carsebreck
      • Cliff House
      • Dunbuy
      • Duncryne
      • Garden Archaeology
      • Gardeners
        • ‘Gardener Found Insane’
        • A high summer garden
        • A new generation of gardeners
        • A Nursery Manager
        • Abergeldie’s gardener
        • Alexander Marr
        • Alexander Walker
        • Arbigland’s gardener
        • Boghead, Bathgate
        • Carnbroe’s gairdener
        • Charles Bell, Ormistoun Hall
        • Charles Frampton
        • Charles Webster
        • COREHOUSE
        • David Pringle Laird
        • Davina, Lady Stair
        • Eagle and Henderson
        • Glassingall Gardener
        • Glentulchan gardener
        • Helen Carmichael
        • James Hossack, Castle Cluny
        • James Ironside
        • James Sutherland
        • John Halliday
        • John Wright Paton
        • Last of Horse Wynd
        • Miss Hope
        • Monty Don
        • Ninian Niven
        • No.1 Shrub Place
        • OLDEST GARDENER
        • Patrick’s garden
        • Peter and Sian’s garden
        • Peter Gordon, gardener
        • Peter Rankin, Glen Creran
        • Peter Thomson, a ‘practical gardener’
        • Peter Thomson: ‘the patient art of fieldwalking’
        • R E E K I A N A
        • Return to the seed
        • Robert Graham of Tamrawer
        • Robert Murray, West Princes Street Gardens
        • Robert Rust
        • Scotland’s Silver Glen
        • Teri and Paul Hodge-Neale
        • The Abbotsford gardener
        • The Astronomical Gardener
        • The auld gardener
        • The gardener of Finca Vigia
        • The gentle gardener
        • The Queen’s Gardener
        • The Sisters’ Garden
        • Thomas Cleghorn
        • Tom Spence
        • Under Gardener [D U N I R A]
        • Volunteer gardener
        • Wellington Dauncey
        • William Rutherford
      • Garrel Glen
      • Gauch
      • Glen Girnoc
        • Abergeldie castle
        • Bovaglie
          • Joseph Gordon’s journal of a voyage to Australia (1841-1842)
          • The Bovaglie manuscript
        • Loinveg
        • The Camlet
      • Glenbardy
      • ISLANDS
        • Alloa Inch
        • Eilean Fhianain
        • Eilean nam Faoileag
        • Eilean Subhainn
        • Inchcolm island
        • Linga Isle
        • Lismore
        • Lucky Scaup
        • Samalaman
        • St Kilda
        • Vallay
      • Jock’s Road
      • Kilmadock churchyard
      • Leckie Glen
      • Little Sparta
      • Lochnagar
      • Stronmilchan
      • The Devil’s Pulpit
      • The Dragon’s Hole
      • The Hill
      • The John Muir Way
      • The living mountain
      • The Lost Garden of Dunira
      • The lost garden of Penicuik
      • The suicide graves
      • Wanzie
    • Mental Health Tsar
    • Mortar and Pestles
    • Necessity Brae
    • Rogues’ Gallery
      • Duncan Paton
      • Helen Nicholson
      • John Grovenor
      • John Moir
      • John Yates alias John Hewitt, Patrick Hines, John Miller, John Roy
      • Peter [alias John]
      • Philip Hughes
      • The Highland Hotel Robbers
      • William Slater
    • The Great Globe
    • The Jam factory
    • Trees
      • Beauly’s Wych Elm
      • Goodnestone chestnut tree
      • One way of measuring a tree
      • Sir Walter Scott’s Tree
      • The bicycle tree
      • The Lanrick stone tree
      • The Wallace Oak
      • Yew trees
        • Adam and Eve Yews
        • An incredibly ancient child
        • “When Harry met Mary under the Yew tree”
        • Chapel of the Yew Trees
        • Craigend Yew
        • Earlshall [shapes abandoned]
        • I Vow Yew
        • Rockingham elephants
        • Scientists chop years off ancient yew trees
        • St Columba’s Yew
        • Stow on Wold Yews
        • The Abbotshall Yew
        • The Auchendrane Yew
        • The circular Yew hedge
        • The Culfargie Yew
        • The Fraser Yew
        • The Inchbrakie Yew
        • The little loch of the yew grove
        • The Ormiston Yew
        • The Raploch Yew
        • The Somerleyton Yew
        • The Wallace Yew
    • Waverley
  • Mind The Gap
  • where time passes (listen)
    • Bridge of Allan
      • ‘Quote of the week’
      • A bridge over the Allan Water
      • Chemists and Apothecaries
        • Charles Neil Rutherfoord
        • Gilbert Farie
        • Oswald Robertson
      • Drumdruills
        • Beware the Fly!
        • Memoir of Adam Baird (junior)
        • Millad
        • Miss Jessie lennox
        • Orchard House, Bridge of Allan
        • Rab Scott
        • Stevenson’s cave
        • The Wharry Glen
        • The Wrights of Loss
      • Films about BRIDGE of ALLAN
      • Fire Brigade
      • Fountain of Nineveh
        • A dry fountain that once gushed and sparkled in the sunlight
      • History
        • ‘Modern Bridge of Allan and some of its makers’ (1927)
        • ARCHIVE [old photographs and writings]
        • Craig Mair
        • Glimpses of Local History
        • Landmarks of Bridge of Allan
      • Lecropt
        • ‘A Lecropt Girl’
        • Keir Estate, Stirling
        • Keirfield
          • David Rutherfoord
        • Lecropt and Larger Scotland
        • Ten summers fade
        • The Rutherfoord letters
      • Mossgrove
        • Arborglyphs
        • Diary of a house
        • FAMILY films
        • Hale Bopp
        • He cannot unlearn the feeling
        • MERRYTHOUGHT
        • Mossgrove garden
        • Our cats
        • Our graffiti bench
        • The Medicine is in Aberdeen
        • The son of a Bank Manager
        • This is not yesterday
        • Tillybin
          • VANDAL
        • Wally Mint and the Wobblisks
        • We follow them, as they are us
      • Photographs of Bridge of Allan
      • Robert Louis Stevenson
      • Sheriffmuir
      • Shops, buildings and houses
        • 105 Henderson Street
        • Fernfield
        • John Cullens
        • Museum Hall
        • Music Hall
          • Mrs Hamilton
          • Professor Ewart
          • Professor Whitworth
        • Our first village shop
        • SPA CLEAN [ZERO WASTE]
        • St Ann’s
        • The Cleopatra needle
        • The Olympic torch comes to Bridge of Allan
        • The Well House, Bridge of Allan
      • The Ochils
        • Ashintrool
        • Hercules
        • in a SERIES II Land Rover
        • Jerah
      • Village doctors
        • Dr Alexander Wilkie Paterson
        • Dr Andrew S. Biggart
        • Dr Balbirnie
        • Dr Eric Dow
        • Dr John Hosack Fraser
        • Dr John Stewart Rutherfoord
        • Dr Mary Baird Hannah
        • Dr William Eagleson Gordon
        • Dr William Haldane
        • Dr William Halliday Welsh
      • Villagers [old and new]
        • A poet as well as a gardener
        • Bridge of Allan villagers of the 1830s
        • Finn Russell
        • Hector Dove
        • Holed out in ONE!
        • John McCaig
        • Old Village Worthies
        • Remembering Ian and Malcolm
        • Rev Charles Rogers
        • The Owl Man
        • The Tufty Club
        • Waller Hugh Paton
    • Dunblane
      • Andy Murray
      • Dunblane Cathedral reopens
    • Folk worth talking about
      • “Dr Frederick Adair”
      • ‘Big Kate’
      • ‘Black’ John Skirving
      • ‘Bob Dragon’
      • ‘Dr William Brodum”
      • ‘Whistling Willie,’ the LION MAN
      • A Big Burd
      • A Railway-Porter Astronomer
      • Agnes Mary
      • Alexander Ormiston Curle
      • Alexander Stevenson: first President of the SFA
      • Allison
      • Aloysius
      • Andrew Wilson
      • Angus John Campbell
      • Ann Shaw
      • Anne Grant of Laggan
      • Annie Graham Baird
      • Arthur
      • Aubrey Beardsley
      • Betty Mouat
      • Burrish Lyons
      • C. P. Snow
      • Captain Alexander Morrison
      • Captain Michael Slater
      • Captain Peter Gordon
      • Captain Phillips
      • Carol Colburn Grigor
      • Caroline Stuart Clarke
      • Charlotte Skinner
      • Clive Wright
      • Colin McWilliam
      • CYNICUS
      • Dandie Dinmont
      • Dani Garavelli
      • David Bowie
      • Davina Gordon
      • Diana Rigg
      • Doddie Weir
      • Dr John Stuart
      • Dr Pat Beausang
      • Dr Quackleben
      • Drue Heinz
      • Elijah Wood
      • Elizabeth and Ada
      • Ella Rae
      • Emma Raducanu
      • Ena Scott
      • Eric Redmond
      • Esmé Gordon
      • Felix Feneon
      • Florence Taylor
      • Francis Moncrieff
      • Fynes Moryson
      • Geoffrey Jellicoe
      • Gregory’s girl
      • Gunnar Jungner
      • Hannah Ann Stirling
      • Hector Dove
      • Henrietta
      • Ian Collins
      • Ivor Gurney
      • J. J. R. Macleod
      • James Ferguson
      • James Maxwell Glover Wilson
      • James Muir
      • James Woodburn Dunlop
      • Jane Creighton
      • Janet B Wood
      • Jenny Nettles
      • Joan Eardley
      • John Byrne
      • John Glen Parker
      • John Mackenzie Bacon
      • John Marshall Scott
      • John Ramsay of Ochtertyre
      • John Wilson
      • Johnston Shearer
      • Joseph Gordon
      • Kenneth Kuanda
      • Lord Esher
      • Margaret Mary Risk
      • Mary Melvill
      • Mary Wollstonecraft
      • Miss Christina Gib
      • Mr Perpetual Motion
      • MRS H B B Paull
      • Mrs Picken
      • My Great Uncle Peter
      • Nancy Prentice
      • Octavius Morgan
      • Oswald Bates
      • Patrick Geddes
      • Peter Pan
      • Professor Cairo
      • Prophet Peden
      • PUDDIN’
      • Rashiebog
      • REDCAR
      • Rev. I. M. Jolly
      • Robert Atkinson
      • Robert Hutchison
      • Saad F Ghalib
      • Sally Scott
      • Scipio
      • Shane Mac Thomáis
      • Sian Fiona Williams
      • Simon Sutherland
      • Sir John Sinclair of Ulbster
      • Snibs
      • Sophia Jex-Blake
      • Tam Dalyell
      • The Buchanites
      • The Lass o’ the Lecht
      • The Lighthouse Georgesons
      • The Odd Dr Todd
      • The Red Lady
      • The Wizard of the North
      • Thomas Hastie Bryce
      • William Borthwick
      • William Friese-Greene
      • William Hay Leith Tester
      • Winifred Roberts
    • Ruins
      • A modern ruin
      • Aberdeen
        • 142 King Street, Aberdeen
        • Royal Cornhill Hospital
      • Aberdeenshire
        • 20 Main Street, Buckpool
        • Auchtavan
        • Bridgealehouse
        • Brodie’s cairn
        • Brucklay castle
        • Castle Newe
        • Clinterty
        • Croy House
        • East Lodge, Aberlour House
        • Glen Girnoc
          • Bovaglie
          • Loinveg
          • The Camlet
        • Glencowie, Strathdon
        • Kingseat Hospital
        • Knowsie House
        • Largue, Glenkindie
        • Lessendrum House
        • Nether Buckie: covered water reservoir
        • Pennan farm
        • Pitfour Estate, near Mintlaw
        • South Milton Cottage
        • the Cabrach
          • Auchmair
          • Bank
          • Blackwater Lodge, Cabrach
          • Buck, Cabrach
          • Cabrach Shooting Lodge
          • Gauch
          • Glenfiddich Shooting Lodge
          • Largue, Cabrach
          • Powneed, Cabrach
          • Tombain, Cabrach
          • Upper Cabrach School
        • The Temple of Polmona [or fame]
        • Thornbush, Gourdon
        • Tollafraick, Glenkindie
        • Whitehaugh Mausoleum
      • Angus
        • Aldbar castle
        • Aldbar Chapel
        • Fishtown of Usan
        • Fraser Mausoleum and Mortuary Chapel
        • Kincaldrum House
        • Knowegreens Inn
        • Lindertis
        • Maison Dieu, Brechin
        • Maulesden
        • Meigle steading
        • Panmure House
        • Rossie castle
        • Strathella
        • Torwood Cottage
      • Argyllshire
        • Badnaiska, Loch Awe
        • Barbreck Mausoleum and Folly
        • Bathwell, Rosneath
        • Dalmally Tabernacle
        • Glen Fruin Schoolhouse
        • Kilneuair Chapel
        • Oban Hydropathic
        • Rosneath Castle
        • The Clock Lodge
        • Turnalt
        • W A T C H M A N
      • Ayrshire
        • ANGEL Inn
        • Auchinleck Summerhouse
        • Caldwell House
        • Catrine House
        • Cleikum Inn
        • Craigends House
        • Dalquharron
        • Fullarton’s Folly
        • Glenure [Glenover]
        • Greenock Tempietto
        • High Dalblair
        • Oswald’s Temple
        • The Dutch Gable House
        • The Macrae Monument
        • The Viking Cinema
        • Whigham Inn
      • Bardrill farm
      • Clackmannanshire
        • Alva Ice House
        • Cherryton Brick Works
        • Hartshaw Tower
        • Sheardale House
        • The Garlet
        • Tullibody House
      • Dumfriesshire
        • Barnbarroch
        • Carnsalloch
        • Cormilligan
        • Gelston castle
        • Kenmure castle
        • The H E R M I T A G E [Friars’ Carse]
      • Dunbartonshire
        • Dunglass Castle and Bell’s Memorial
        • The Friends of Truth burial ground
        • Woodbank House, Balloch
      • Dundee
      • Edinburgh
        • Allan Ramsay’s House
        • Cammo House and Estate
        • Dryden, Bilston Glen
        • Edinburgh’s Orphan Hospital
        • Edmonstone house and park
        • Falcon Hall
        • Gilmerton House
        • Hawkhill Villa
        • Patriothall Laundry
        • PIPE Lane
        • Rockville, Edinburgh
        • Shakespeare Square
        • St Leonard’s
        • The Drummond Scrolls
      • England
        • Blackborough House
      • Fife
        • Abdie Curling House
        • Balyarrow
        • Castle Cottage, Newport on Tay
        • Castlehill Colliery
        • Corston Mill
        • Craighall castle
        • Crawford Priory
        • Dunbog House
        • Kilmaron castle
        • Largo House
        • Lucky Scaup
        • Siberia
        • St Fort, Newport, Fife
        • The Binn
        • The Temple of Decision
        • Thornton Fever Hospital
      • Forth Valley
        • Alloa Inch
        • Avondale House
        • Bandeath armaments depot
        • Bannockburn House
        • Carnock House
        • Carron House
        • Club’s Tomb
        • Cowiehall
        • Dunmore House
        • Glenhove tomb
        • Jawhills
        • Kennetpans
        • Lathallan House
        • Lochgreen
        • Orchardhead, Bothkennar
        • Scotland’s Close, Bo’ness
        • Stockiemuir Anti-Aircraft Battery
        • Tamrawer
      • Glasgow
        • Balmoral Crescent
        • Dreghorn Mansion, Glasgow
        • Ewing’s Harmonium Emporium
        • Garngad House
        • Glasgow Green Station
        • Petershill
        • SINGER Factory, Clydebank
        • Walkinshaw House
      • Highlands
        • An Dachaidh
        • Dalnawillan Lodge
        • Helen’s Well
        • Mains of Ulbster
        • Poltalloch
        • Vallay
      • Invernesshire
        • Allt Catanach
        • Badnambiast
        • Ballachroan
        • Blaragie
        • Easter Limekilns
        • Glenbanchor
        • Heatherbell
        • Moy House
        • Ruichlachrie
        • Sronphadruig Lodge
      • Lanarkshire
        • Boathouse, Blantyre
        • Carmichael House
        • Carnbroe
        • Carstairs Mausoleum
        • Douglas Support
        • Dykehead, Strathaven
        • Eastend, Carmichael
        • Gilbertfield castle
        • Keeper’s House for Hamilton Mausoleum
        • Rawyards Cotton Mill
        • Shark’s Mouth, Coatbridge
        • Smyllum Park
      • Lochery
      • Lochrosque
      • Lothian
        • Amisfield, Haddington
        • Gosford Mausoleum
        • Hatton estate
        • Mavisbank
          • Mavisbank (as Clerk’s “villa”)
          • Mavisbank (maps and plans)
          • Mavisbank (newspaper cuttings)
          • Mavisbank (the Asylum years)
          • Mavisbank: Repeats its Love
          • Mavisbank: Talk to the Civic Trust Conference
        • Roseberry steading
        • Roslin Curling Pond
        • STOBS Gunpowder Mills
      • Perth
        • Custom House, Bridgend, Perth
      • Perthshire
        • Apollo’s Temple
        • Argaty House
        • Arnhall castle
        • Arnmore House
        • Auchloy
        • Auld Fossoway
        • Balboughty Dairy
        • Bardrill
        • Bishopsfauld
        • Blackford Farms Ltd
        • Boreland Cottage
        • Boreland Farmhouse
        • Braes of Doune
        • Broadley
        • Buttergask
        • Charlotte’s Cave
        • Craigmill cottage, Inverpeffray
        • Dillot
        • Duke’s Tower, Colquhalzie
        • Dunalastair
        • Duncrub house
        • Dupplin West Lodge
        • Eilean nam Faoileag Folly, Loch Rannoch
        • Evelick castle
        • Feddal castle
        • Gascon Hall
        • Glendevon castle
        • Glenside
        • Glentulchan
        • Haldrick
        • Holmehill House
        • House of Nairne
        • Inchbrakie
        • Invermay – ‘The Guzebo’
        • Inverpeffary castle and library
        • Keirwoodhead
        • Kilmadock old churchyard
        • Knowehead, Blackford
        • Lairhill
        • Lanrick castle (demolished)
        • Little Tullybelton
        • Lynedoch
        • Maidsmill
        • Millearne
        • Muir o’Gill
        • Newton of Condie
        • Pitmiddle village
        • Rosecraig, Strathbraan
        • Side of Balhaldie
        • Straid
        • Stronhavie
        • Stronvar House
        • The Esher-Stank mausoleum
        • The Mercer Obelisk
        • Topfauld farm
        • Tullybeagles Lodge
        • Upper Quoigs
        • West Dron Hill Farm
        • Wester Bow
        • Wester Clow
        • Whaick
        • Williamsfield cottage
      • Renfrewshire
        • Balrossie
      • Skye
        • Gesto House, Skye
        • Kingsborough, Skye
        • Totarder
      • Stirling
        • Borrowmeadow Farm
        • Carim Lodge
        • Haugh of West Grange
        • Heathershot
        • Keir Home Farm
        • MARIEVILLE
        • Polmaise castle
        • Shielbrae
        • Steuartfield
        • Wanderwang
      • The Borders
        • Ellemhaugh
        • Haughhead
        • Hundy Mundy
        • Huntershall Inn, Dun Law
        • Lion Gate, West Lodges, Ladykirk House
        • Roxburgh House, Kelso
      • West Lothian
        • Almond or Haining castle
        • Auchengray House
        • Balbardie
        • Duntarvie castle
        • Grovemount
        • Kipps
        • Kirkhill Astronomical Pillar
        • Leadloch farm
        • Polkemmet Mausoleum
        • The REGAL Cinema
        • Waterloo Tower
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