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By Hole Ousia Posted on May 3, 2023December 19, 2023

‘Medicine remains a conflicted as ever’

In my previous post I shared a transcription of the latest podcast in the At the Back of Your Mind Series for Inspire The Mind: In this post I would … Continue reading ‘Medicine remains a conflicted as ever’

Categories: Antidepressant prescribing, History of medicine, Medical humanities, NHS Hospitality Registers, Pharmaceutical industry and Medical Education, Psychiatry, Sunshine Act for ScotlandTags: a blot a stain or perhaps something worse, a letter in the times, a number of newspapers described this as a "U-turn", A Sunshine Act, A Sunshine Act for Scotland, A timeline following a letter in the Times, a conflation between marketing and education, ABPI, akathisia, antidepressant, antidepressants, Antidepressants (Overuse), Antidepressants and depression, Antidepressants withdrawal and addiction - where are we now, APPG Prescribed Medication Review, Are guidelines evidence-based, At the Back of Your Mind, ‘Evidence Based Medicine’ or ‘Industry Biased Medicine’, BAP 'educator' on prescribing received $3, biomedical determinism, BMJ, British Association for Psychopharmacology, British Association for Psychopharmacology Guidelines, British Psychiatry: Marketing as 'Education', Business is booming [favouring the narrative controllers], Business is booming [Porter's Bell], chemical imbalance, chemical imbalance theory, CME, Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder, Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: a systematic review and network meta-analysis, competing interests, conflicts of interest, Continuing Medical Education, CPD, Credible or incredible - experience is evidence, Cumberlege Review, Cumberlege review exposes stubborn and dangerous flaws in healthcare, Cumberlege Review: what is the position of RCPsych?, declaration, declaration of interest, Defeat Depression Campaign, dependence, Depression, Depression - pills and dependence, Depression: pills and dependence [a timeline following a letter in the Times], Disclosure UK, disinterested science, dollars for docs, esketamine, Expert Statement, first do no harm, fully informed consent, Gathering public views on a register of interests for Scotland, he lamentable lack of long term studies, Health experts are in denial over prescription pills withdrawal risk, Hole Ousia, honoraria, I have been one of the leading advocates for full transparency of competing financial interests. My career has suffered as a result., I have noticed how Psychiatry (my profession) has seemed to be struggling with any threat to its authority, I know antidepressant withdrawal symptoms are real. Why didn’t doctors?, Iatrogenic harm, Imbalance, Independent Medicines and Medical Devices Safety Review, industry-biased psychiatry, Influencers, informed consent, Inside Health, Inspire The Mind, Julian Baggini offers these considerations on the 'Serotonin hypothesis', kept in the dark, Ketamine, Key Opinion Leader, Key Opinion Leaders, KOL, Lancet meta-analysis, Letter in the TIMES, Maintenance Treatment in Recurrent Depression, Many have died in the full realisation that they will never be believed, marketing, marketing has no place in education, mass prescribing, Medicine remains a conflicted as ever, misguided pursuit, My prescription is considered by my profession to be for "maintenance treatment.", Narrative control, Narrative controller, Narrative Controllers, never again must victims be silenced or ignored, Newspaper reactions to the Position statement : 'not a moment too soon', NICE guiudelines, Paid Opinion Leader, paid opinion leaders, paid opinion leaders are a blot on medicine’s integrity and we should make them a thing of the past, Parliament: PE1493: A Sunshine Act for Scotland, Pattern language: the professionals, PE1493, PE1493 by Peter John Gordon on a Sunshine Act for Scotland. To close the petition, PE1651, PE1651: Prescribed drug dependence and withdrawal, Peter Gordon, Physicians of the future: Renaissance of Polymaths, Pills for depression, Podcast, Position Statement, Position statement by Psychiatry: 'not a moment too soon', Position Statement on antidepressants and depression, Position Statement: "a top priority on our research agenda", Position Statement: "FACTS", Position Statement: "the so called withdrawal reactions", Position statement: frequency of withdrawal reactions, Prescribed drug dependence and withdrawal, Prescribed harm, primum non nocere, Prof Carmine Pariante, Prof David Nutt, Professor Carmine Pariante, Professor Carmine Pariante was quoted across the world: "this meta-analysis finally puts to bed the controversy on antidepressants . . . ", Psilocybin, psychedelics, psychiatrist, Psychiatry, Psychiatry (my profession) has seemed to be struggling with any threat to its authority, Psychiatry dependent on its authority is finding withdrawal seriously difficult, Psychiatry in Fabula, Psychopharmacology Committee, RCPsych, RCPsych on Sunshine legilsalation, Realistic Medicine, Realistic Psychiatry, rebel antiquary, Revision of NICE guidance on Depression, Room under my umbrella, Roy Porter, Royal College of Psychiatrists, RSM Health Matters Podcast: Episode 1, Satellite symposia and paid opinion leaders, Science Media Centre, Science Media Centre Promotes Corporate Views of Science, Scottish Government figures show that nearly 1 in 5 of the adult population are taking an antidepressant and many on a long term basis, Selective Serotonin Reuptake Inhibitor, Selective Serotonin Reuptake Inhibitors, serotonin, serotonin hypothesis, Serotonin: What is its role in treating depression?, side effects, SMC, Social maverick, Some immediate reactions, SSRI, SSRIs, Stigma and psychiatry: Window Tax, Submission on PE1651: Prescribed drug dependence and withdrawal, suicidality, suicide, Sunshine Act, sunshine label, Sunshine legislation, Tapering of SSRI treatment to mitigate withdrawal symptoms, The Antiquary, The British Journal of Psychiatry rejected "On the other side of the fence", The Chemical Imbalance, The common theme expressed in these expert opinions demonstrates an unwillingness to consider beyond the short term, The control of the narrative of science remains firmly in the hands of those in power., The defeat depression campaign, The Expert told Parliament that there is “compelling evidence” for long-term treatment with antidepressants, The Medical Model in Mental Health, The Narrative Controllers, the other side of the fence, The Psychedelic Renaissance, the race is on to get it to market, The Rebel Antiquary, The report of the Independent Medicines and Medical Devices Safety Review, The Royal College of Psychiatrists on sunshine legislation, The Royal College of Psychiatrists Position Statement on antidepressants and depression was published on the 30th May 2019. Following its publication there was immediate reaction, The Science Media Centre, there is a dearth of research regarding the long term effects of taking antidepressants and sadly the SUSANA Survey will not shine much light in this area, there is a problem with the E in CME, there is compelling evidence of benefit for maintenance treatment for antidepressants for at least 3 years, This "U-turn" by the Royal College of Psychiatrists has taken 30 years., This 'U-turn' has taken 30 years, This is a matter for the Government to decide, timeline of responses made by influential UK doctors, Too much Medicine, Transparency, True science is disinterested, U-turn, volte face, We cannot be in the pockets of the Pharma companies, We have an appropriately puritanical relationship with Pharma, We know that in the vast majority of patients any unpleasant symptoms experienced on discontinuing antidepressants have resolved within two weeks of stopping them, What hell/terror it has been - for over these three decades - for anybody struggling with harmful experiences of prescribed psychiatric drugs to be believed let alone to find help, Where Gordon Bennett meets the headlines, where science meets the headlines, Why are efforts to ensure realistic prescribing failing, withdrawal, www.inspirethemind.org

By Hole Ousia Posted on July 14, 2022March 21, 2023

Medicine remains as conflicted as ever

This opinion piece by Dr Margaret McCartney was published in the BMJ on 27 May 2022. It can be accessed in full here. Medicine remains as conflicted as ever—we need … Continue reading Medicine remains as conflicted as ever

Categories: History of medicine, Medical Education, Medical humanities, NHS Hospitality Registers, NHS Scotland, Pharmaceutical industry and Medical Education, Sunshine Act for ScotlandTags: 2022;377:o1344, 27 May 2022, after 18 years of advocating, Antiquary, BMJ, disinterested science, Dr Margaret McCartney, Dr Peter Gordon, GP, Hole Ousia, kept in the dark, let the people petition and be heard, Listen let the people petition and be heard, May 2022, Medicine remains as conflicted as ever, PE1493, PE1493 by Peter John Gordon on a Sunshine Act for Scotland. To close the petition, Peter Gordon, rebel antiquary, Social maverick, Sunshine Act, Sunshine legislation, The Antiquary, The Rebel Antiquary, The Scottish Government has missed an opportunity, The Scottish Government rejects sunshine legislation, This opinion piece by Dr Margaret McCartney was published in the BMJ on 27 May 2022, Transparency, True science is disinterested, we need a new world

By Hole Ousia Posted on June 12, 2022March 21, 2023

‘Chumcentric’

There is no such word as ‘chumcentric’. You will not find it in a dictionary.It is interesting to consider it in relation to these dictionary definitions:

Categories: Medical humanities, Pharmaceutical industry and Medical Education, Philosophy, Psychiatry, This is Not yesterday, Two culturesTags: Antiquary, chumcentric, chumocracy, democracy, disinterested science, Disinterestedness, Dr Peter Gordon, Hole Ousia, ignoring the interests of others, Key Opinion Leader, Key Opinion Leaders, Narrative controller, Narrative Controllers, neologism, objectivity, Paid Opinion Leader, paid opinion leaders, paid opinion leaders are a blot on medicine’s integrity and we should make them a thing of the past, Peter Gordon, rebel antiquary, Science, scientific, self-rule, Social maverick, subjective-objective divide, The Antiquary, The Narrative Controllers, The Rebel Antiquary, There is no such word as 'chumcentric'. It is interesting to consider it in relation to these dictionary definitions, There is no such word as 'chumcentric'. You will not find it in a dictionary., whose subjectivity was being studied

By Hole Ousia Posted on November 14, 2021March 20, 2023

An extraordinary divide

These days I am a gardener. Sometimes I am reminded of my previous occupation. For 25 years I worked as an NHS psychiatrist. In my training I was taught how … Continue reading An extraordinary divide

Categories: Alzheimer's disease, Antidepressant prescribing, Dementia, Medical Education, Medical humanities, Pharmaceutical industry and Medical Education, Philosophy, Psychiatry, StigmaTags: Allan Beveridge, An extraordinary divide, Antiquary, carefully chosen to justify the contributor's view point, dichotomy, disinterested science, Disinterestedness, divide, divides, double-blind, Dr Allan Beveridge, Dr Peter Gordon, For 25 years I worked as an NHS psychiatrist. In my training I was taught how to divide the 'subjective' from the 'objective'. This approach always bothered me., Hole Ousia, Investigator allegiance, mental health research, Peter Gordon, Psychiatric Bulletin, Psychiatry, Psychiatry chose not to abandon this divide as a recent exchange on social media has demonstrated, RCT, rebel antiquary, Social maverick, the academic is granted a priviledged position, The Antiquary, the clinician's perspective is taken as superior, the doctor is granted a privileged position, The Rebel Antiquary, This dichotomy is an extraordinary one, Time to abandon, Time to abandon the subjective–objective divide?, Unfortunately psychiatry chose not to abandon this divide and it continues to be 'taught' to trainee doctors

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