April 21st, 2011 Yesterday’s New York Times had an interesting op-ed, “Stumbling into Bad Behavior,” about corruption and unethical conduct in corporate and financial settings. The authors, Max H. Bazerman and Ann E. Tenbrunsel, are academics who wrote a book about ethical blind spots. They note that regulators, prosecutors, and journalists tend to focus on corruption caused by […]
February 28th, 2011 The following is my article originally published in San Francisco Medicine (Vol. 83 No. 10, December 2010), the monthly journal of the San Francisco Medical Society. This issue was devoted to “Psychiatry for the Nonpsychiatric Physician.” Reprinted by permission.
The practice of psychiatry is rife with ethical issues. Some critics, such as author-psychiatrist Thomas Szasz, […]
November 18th, 2010 Earlier this year a reader asked me:
“I would be very interested to hear your thoughts on patients becoming too focused on diagnoses. […] While I was in an RTC as a teenager, and recently in the hospital as an adult, I have found that people almost treat their diagnoses as a competition. I was […]
October 23rd, 2010 I apologize to my loyal readers for not posting in a long while. Fortunately, I was awakened from my torpor by an eye-opening new database that lists some of the money paid to specific doctors by pharmaceutical companies. The Pulitzer Prize winning investigative journalists at ProPublica tapped the public disclosures of seven companies that have […]
April 11th, 2009 What could be worse than Bristol-Myers Squibb marketing its powerful and risky antipsychotic Abilify for simple depression, when there are so many effective and safer alternatives? How about AstraZeneca marketing its equally powerful and risky antipsychotic Seroquel for depression and generalized anxiety? A few days ago the FDA heard arguments from the company to do […]
March 25th, 2009 Here are three recent New York Times articles that caught my eye. On March 13th, Tara Parker-Pope’s health blog “Well” reprinted “The 12 Most Annoying Habits of Therapists.” Actually, the list comes from PsychCentral, a blog written by psychologist John M. Grohol, and in my opinion reads better there. I won’t list all 12 habits […]
March 18th, 2009 I’ve written about this before — the expanded use of antipsychotic medication for indications other than psychosis. These run the gamut from acute mania, where a solid rationale exists, all the way to simple insomnia, for which there is no good rationale. Somewhere in between, but closer to the insomnia end of the scale, is […]
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