Results: Of the 170 DSM panel members 95 (56%) had one or more financial associations with companies in the pharmaceutical industry.
And now the new extra quack 2013 DSM has added another 13% worth of Financial Conflicts of Interest for a power packing total of 69% of its panelists being in the tank for Pharma. So just exactly When does the FTC step in, if ever, and demand the APA drop their pretense of this DSM thing being anything more than an advertorial for the makers of Psychiatric Drugs?
And remember that Democracy Rules here. Yes, that much vaunted and brazenly bruited about by Everyone with an Agenda to shove Themselves and Their group to the head of the line: the Tyranny of the 51% Majority.
Psychiatric ‘Illnesses’ are Democratically voted into and out of existence/inclusion/omission. They’re not brain chemical/brain scan/genetically discoverable, or verifiable.
Here's a piece of Psychiatric "DEMOCRACY" for you.
In this example, the screening test identified 174 individuals as at risk for illness; 75 (43%) are correctly classified, and 99 (57%) are incorrectly classified. Thus, even with high specificity, more individuals identified by the screening test are false positive than true positive. Furthermore, as specificity decreases, the proportion that are false positive rapidly increases. For example, if the specificity were 90%, then the screening test would identify 1,065 individuals as at risk, 990 (93%) of whom would be false positive. Dr. Davidson and colleagues reported a "validated specificity" of 99.7% for their screening tool.
So, with the APA's NEW shelf groaner they're admitting they DEMOCRATICALLY screwed up last time and the DSM V is needed to fix it.
Does this mean that everyone who got diagnosed by the APA (which will be admitting they’ve been stuck in an ongoing 13 year welter of schizophrenic/psychotic, diagnostic delusions Themselves), will then receive a Get out of Nutz free card for those diagnoses the DSM V drops, …. as all those State Physician Impairment/Diversion Programs are currently Continuing to hose away the APA’s Mentally/Politically Ill Stink from the 15% of their fellow MD surgeons who show up drunk or hung over, and Certifiably, DSM Nutz?
All it takes is 2 drinks.
If it’s medical enough for consumers without a trade guild like the AMA to wear, it's equally DEMOCRATICALLY medical enough for AMA members themselves to be financially, socially, and professionally torpedoed with.
And Now, let's get to those delicious FCOI insights on all those DEMOCRATIC, "Raise your Hand if you Ideate that you can Make A Buck by sliming Other people with This Opinion", Disease Mongering, Scientific FRAUDS.
1 Edmond J. Safra Center for Ethics, Harvard University, Cambridge, Massachusetts, United States of America, 2 Department of Counseling Psychology, University of Massachusetts, Boston, Massachusetts, United States of America, 3 Department of Urban and Environmental Policy and Planning, and Department of Public Health and Community Medicine, Tufts University, Medford, Massachusetts, United States of America
- The American Psychiatric Association (APA) instituted a financial conflict of interest disclosure policy for the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM).
- The new disclosure policy has not been accompanied by a reduction in the financial conflicts of interest of DSM panel members.
- Transparency alone cannot mitigate the potential for bias and is an insufficient solution for protecting the integrity of the revision process.
- Gaps in APA's disclosure policy are identified and recommendations for more stringent safeguards are offered.
Gaps in APA's Disclosure Policy Top
Although the APA has made the disclosure of FCOIs of DSM panel members more transparent, there are important gaps in the current policy that need to be addressed:
- The current APA disclosure policy does not require panel members to specifically identify speakers' bureau membership but rather cloaks it under “honoraria.” (A speakers' bureau usually refers to an arrangement between a commercial entity or its agent whereby an individual is hired to give a presentation about the company's product. The company typically has the contractual right to create and/or control the content of the presentation.) Therefore, despite increased transparency, it remains unclear how many individuals participate on speakers bureaus, because panel members may simply list “honoraria.” None of the DSM panel members identified participation on a speakers bureau. When we did an internet search of the 141 panel members, we found that 15% had disclosed elsewhere that they were members of drug companies' speakers bureaus or advisory boards. These internet searches were conducted for sources published in the years 2006 (1 year before the task force was appointed) to 2011, a time period congruent with published research on financial conflicts of interest. Searches included peer-reviewed articles, conferences, participation in continuing medical education events (i.e., courses and/or seminars for health professionals) and self-reporting of any industry ties following interviews with the media. Speakers bureau and advisory board participation were included in our analysis only when there was unambiguous information (e.g., “Dr. Smith discloses that he serves on the speakers bureau for Eli Lilly and Pfizer”) and both authors (LC, SK) were in agreement. The nature of these relationships needs to be spelled out more precisely; speakers bureau participation is usually prohibited elsewhere (e.g., for faculty in medical schools), as it is widely recognized to constitute a significant FCOI. Pharmaceutical companies refer to individuals who serve on speakers bureaus as “key opinion leaders” (KOLs) because they are seen as essential to the marketing of diseases as well as drugs.
- Exclusions to the APA DSM-5 disclosure policy include unrestricted research grants ; that is, panel members are not required to disclose unrestricted research grants from industry. However, we would argue that this exclusion allows for commercial interests to be reflected in the revision process: there is no evidence to suggest that simply because money comes in the form of a large “unrestricted” research grant it does not create an obligation to reciprocate or invoke an implicit bias.
- The current policy places high and arbitrary threshold limits on monies allowed from industry: DSMpanel members are allowed to receive US$10,000 per year from industry (e.g., for consultancies), and panel members are allowed to have up to US$50,000 in stock holdings in pharmaceutical companies.
- In contrast to other disclosure policies (e.g., the Physician Payments Sunshine Act of 2007 and the 2011 US National Institutes of Health policy on conflicts of interest), APA's policy does not require disclosure of the amount of money received from industry.
However, transparency alone cannot mitigate bias. Because industry relationships can create a “pro-industry habit of thought” , having financial ties to industry such as honoraria, consultation, or grant funding is as pernicious a problem as speaker's bureau participation. Over four decades of research from social psychology clearly demonstrates that gifts—even small ones—create obligations to reciprocate–. Also, because of the enormous influences of diagnostic and treatment guidelines, the standards for participation on a guideline development panel should be higher than those set for an average faculty member ,.
The DSM-5 will be published in about 14 months, enough time for the APA to institute important changes that would allow the organization to achieve its stated goal of a “… transparent process of development for the DSM, and …an unbiased, evidence-based DSM, free from any conflicts of interest” [emphasis added] . Toward that goal we believe it is essential that:
- As an eventual gold standard and because of their actual and perceived influence, all DSM task force members should be free of FCOIs.
- Individuals who have participated on pharmaceutical companies' Speakers Bureaus should be prohibited from DSM panel membership.
- There should be a rebuttable presumption of prohibiting FCOIs among the DSM work groups. When no independent individuals with the requisite expertise are available, individuals with associations to industry could consult to the DSM panels, but they would not have decision-making authority on revisions or inclusion of new disorders.
These changes would accommodate the participation of needed experts as well as provide more stringent safeguards to protect the revision process from either the reality of or the perception of undue industry influence.
Author Contributions Top
Analyzed the data: LC SK. Wrote the first draft of the manuscript: LC. Contributed to the writing of the manuscript: LC SK. ICMJE criteria for authorship read and met: LC SK. Agree with manuscript results and conclusions: LC SK.
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Remember folks; THIS, is DEMOCRACY.
Now please review:
Democracy Is NOT Freedom
Cultural Marxism: The Doom Of Language