Archive for May, 2010
Another Bnet link via Beyond Meds, an increasingly reliable pairing for getting me infuriated about the state of a pharmaceutical industry virtually devoid of ethics.
It was established years ago thatPaxil carries a risk of suicide in children and teens, butGlaxoSmithKline (GSK) has for the last 18 months been conducting a study of the antidepressant in kids as young as seven — in Japan…
The drug carries a “black box” warning on its patient information sheet, warning doctors and consumers that the antidepressant is twice as likely to generate lethal thoughts than a placebo…
Paxil is being tested against a placebo, so the results won’t be very surprising — even terrible drugs work better than sugar pills.
To what degree Paxil triggers suicide is only a secondary aim of the study. If the results suggest a lower suicide risk, expect GSK to play them up. If they’re bad, expect the company to dismiss them in favor of the primary endpoint results.
About 130 children have been enrolled, according to ClinicalTrials.gov, which puts about 65 patients in each arm. That means the results won’t be too statistically robust — there only need to be two or three outlier results to skew the numbers by several percentage points.
When do we reach the limit? When is enough enough? For all the talk of evidence based practice and apparently wiping out the need to scientifically determine things like the chemical imbalance these drugs are sold to “correct”, how is it somehow not enough that real world evidence shows Paxil in particular and drugs like it have terrible outcomes in a lot of people and markedly more so in children? On top of that we have the studies showing that the only effects SSRIs are known to have in appreciably greater amounts than placebo are the negative effects. The kids have already been guinea pigs long enough for use to know the results are not good and certainly not controllable.
It’s gotten to the point that when you see a child in the news that kills himself strangely young and seemingly out of nowhere or shoots his classmates or kills his parents, you can all but assume that child is on antidepressants. Those are the increasingly predictable behaviors that have earned this class of drugs their little black box. We need to realize that we are putting children on mind altering drugs and unless we know precisely how they work, we have no say over how these forming minds will be altered — here or in Japan.
You may have heard — you should have heard — of a woman named Esmin Green. She was involuntarily admitted to the psychiatric emergency room of Kings County Hospital, a place already known for a long record of violence, sexual assault, abuses and neglect. Unfortunately for Ms. Green and countless others, when you are someone who is allowed be shoved into places against your will, you have no say about which places and what standards, if any, are upheld there. Esmin died face down on the floor of the psych ER after being neglected for more than 24 hours.
As a telling video of the staff’s complete and ultimately fatal disregard for her was released, they had little choice but to go into public relations overdrive. They agreed to make all kinds of policy changes and rules about accountability as if adhering to policy and truthfully recording their actions was something they were good at. Knowing that if you throw money at a problem people read it as care, they also built a $153 million replacement for the notorious G building where all of these abuses were happening. Not surprisingly, the horrors continue — even under federal monitoring. Kings County’s Building R is little more than a multi-million dollar snake pit.
Last year, I attended a vigil in Esmin’s memory and a protest of the hospital’s neglect and continued abuses against people labeled mentally ill. It was organized by We The People and was as successful as we might have hoped, though the work is not done. Survivors of psychiatric abuses had an opportunity to speak out — and what some of these survivors had to say is not to be missed. I heard from several people that have helped inform and shape my approach toward activism and human rights.
This year, two years after her death, We The People will not let it drop as the problem clearly continues and I intend to stand with them in protest of a place that, for all their talk and money, is clearly beyond reform. We need to stand in solidarity with those behind locked doors and let the ones with the keys know we’re watching. Come out June 18th – 19th and demand justice, choice and human rights in mental health, voice your disapproval of the current standard of care and show them that there is a growing opposition in the public. Human rights are universal and a diagnosis cannot be allowed to erode that or even worse — invite abuse. When we look back in the light of hindsight at an era that saw basic human and civil rights denied people labeled ill and how many times we’ve collectively turned a blind eye to staggering amounts of abuse, we will look back in disgust. At least I’ll know which side I was on.
See below fliers for details and feel free to copy, repost and display them in support of the event.
Gianna Kali’s always informative and often pharma-critical blog, Beyond Meds was up for a Dosie — a new award “created to find the best examples of social media in pharma and healthcare.” Out of the 550 nominees, not surprisingly, blogs critical of the pharmaceutical industry and the accepted current standard of health care did not figure largely in the competition. Gianna cut through the pack though and made it to the finals — a feat unto itself. While she didn’t win, it has to be said — even if it sounds like a variation an all too familiar cliche — that when you are ever more informed and informing, nobody loses. So, congratulations to Gianna for a successful blog, for sticking to your guns and for toughing out a very difficult and ongoing recovery.
In an entry on her blog, written to be posted in the event that she won (but worth posting anyway so I’m glad she did), Gianna loses none of the bite that makes Beyond Meds worth checking out and, like any gracious recipient would do, she offered a thank you to the those that helped her get to where she is today (emphasis mine).
I’d like to personally name the two drug companies that are most guilty of my own physical demise, though all the psychotropic drugs are potentially nasty and debilitating on them and in some cases especially in withdrawal.
Lamictal and Klonopin as far as I can tell worked together synergistically to make me as sick as I am right now. So that’s GlaxoSmithKline and Roche who are most responsible for my iatrogenisis.
Lamictal acts on glutamate and Klonopin (as all benzos) acts on GABA. Both these drugs have widely unrecognized withdrawal syndromes. For information on benzo issues see here. For Lamictal problems here.
The GABA/glutamate system doesn’t just regulate mood. It regulates muscle movements, digestion, and sex — anything that involves anything communicating with anything anywhere in your body. When the drugs are removed after many years all hell breaks loose and is experienced by the whole body and mind. Thanks GSK and Roche for the loss of several years of my life.
Never missing an opportunity to raise the important questions, Gianna sums up what many outside of the accepted mental health paradigm are asking every day in one way or another — questions that are certainly fundamental to Spit, Bristle and Fury. It would have been awesome to see these things brought up in the faces of the pharma marketing circle directly but what she does is vital to a movement to question the paradigm and she’s not just preaching to the choir. Ask the questions, seek the answers and engage in the discussion
And what is mental illness, anyway? Does anyone deserve to be the arbiter of normalcy? Why does Western psychiatry get to limit the parameters of human experience, oftentimes through coercion, based on an incomplete and flawed science of the mind and brain? And, more tellingly, are our tactics for dealing with troubled human beings more or less compassionate using chemical restraint? Or, have we as a nation abandoned the obvious violence of the lobotomy for the secretive and bloodless path of the neurotoxic pill? What are the consequences for humanity as this paradigm of care is exported to the rest of the world?
Kendra’s Law, a controversial New York state law enacted in 1999 under the Mental Hygiene Law, is due to sunset in June. If you hear about it from both sides enough, it’s easy to overcomplicate things and muddy the waters but what it really comes down to is that Kendra’s Law enables the state to drug people who they think might become criminals. Kendra’s law is in place solely to allow the forced treatment of people deemed mentally ill using fear of violence, however unfounded, as its leverage. It enables the state to strip people of their rights based on a diagnosis. Last I knew, the constitution (at least on paper) applied to all of us and not just those the state deems mentally qualified to share in the rights it’s meant to guarantee. That is a very scary path to be on and make no mistake — we are on it.
While its future is unclear, Kendra’s Law might very well be extended for another five years but not without a fight from a grassroots organization (no, not that one — a real grassroots organization) formed to protect the rights of people regarded as mentally ill — We The People. I, for one, hope they are able to help turn things around. They’ve been making their presence and stance as advocates for rights in mental health known and are taking part in meetings with Assemblyman Felix Ortiz in an effort to help restore the rights and dignity of New Yorkers.
From the Legislative Gazette:
Bill opponents, such as We The People, a group describing themselves as survivors of psychiatric atrocities in the mental health system, said this bill would extend the reach of the law to further encroach upon the civil rights of those from lower socioeconomic backgrounds unfairly labeled as “mentally ill.” Especially, they said, because it removes a provision that requires a physician to testify at the court hearing.
We The People want another woman to be remembered besides Kendra — Esmin Elizabeth Green, a mother of six who suffered from depression. She collapsed on the waiting room floor of the psychiatric ward in Kings County Hospital Center in June 2008. She died soon after, unattended and unnoticed by hospital staff.
This incident is just one example of the mistreatment of the mentally ill, law opponents say, because the assisted outpatient treatment system amounts to coercion, oppression and “torture.”
I’m not sure why the author felt the need to put torture in quotes. It reads like undue editorializing to me — as if to say it’s a stretch to call it torture. There’s a reason there’s a survivor movement and it’s not because the system has a healthy way of dishing out a healthy version of care. These drugs wreak havoc on your body, alter your mind and take you over in so many instances and in so many ways.Of course, once you become someone for whom force is considered an option, these things are just details, secondary to your being kept under control. Force does something sinister that rights and law can’t quite touch. Where you were once a person worthy of care, you become a problem to be solved.
Lauren Tenney, a coordinator of We The People, said, “They designed this [assisted outpatient treatment] to make it sound nicer. It was designed to fool the public to make people think it stops people from killing people, but they’re just getting drugs and no support. The research is entirely flawed.”
AOT should be referred to as IOC, she said, involuntary outpatient commitment.
She said the law is coercive and denies people their civil rights because it forces people into taking psychotropic drugs without their consent and does not provide the proper therapeutic support.
“I’ve seen people tortured and dead from their medication,” said Tenney.
If you have something to say, sign on to add your name and voice to the action We the People are taking. Contact Assemblyman Ortiz directly. Time is limited. Do you really want the kind of guy who wants to ban salt in restaurants making decisions regarding your mental health rights? Probably not, but that’s the situation. Don’t let it happen while you sit quietly. If you think you’re out of reach because you don’t live in NY, think again. Forced treatment laws are being introduced or strengthened all over. This is not just an issue of mental health rights but basic human rights and civil liberties. Drugging to prevent crime? That’s one step too far and a decade too long.
Mental Disability Rights International (MDRI) whose simple slogan is “Disability rights are human rights” has issued a report on the abuses at Judge Rotenberg Center calling on the Special Rapporteur, The Obama Administration and the Department of justice in their effort to put a stop to the establishment’s longstanding abuses against children and adults in their alleged “care”.
You may remember my posting about JRC in the past. The abuses that occur there are astounding and I and many others are left wondering how such abuses can carry on without any outside interference from the governing bodies that are supposed to protect all of our citizens — certainly those among us most vulnerable to mistreatment. In its report MDRI rightfully calls this mistreatment nothing short of torture.
From MDRI’s front page:
Washington, DC – April 29, 2010 – Mental Disability Rights International (MDRI) has found children and adults with disabilities tortured and abused at a “special needs” residential facility in Massachusetts and has filed an “urgent appeal” with the United Nations Special Rapporteur on Torture to demand the United States government end the torture immediately.
MDRI’s latest report, Torture not Treatment: Electric Shock and Long-Term Restraint in the United States on Children and Adults with Disabilities at the Judge Rotenberg Center (JRC),documents the use of electric shocks on the legs, arms, torsos and soles of feet of people with disabilities – for weeks, months and sometimes years. JRC uses punishments as treatment and US advocates have been trying for decades to close the school and end these practices. The school also uses 4-point restraint boards, tying children to the boards while simultaneously shocking them for hours; mock assaults; food deprivation; shock chairs; isolation and long-term restraint. Residents at JRC are diagnosed with a variety of behavioral, intellectual and psychiatric disabilities such as autism, bi-polar disorder and learning disabilities.
Laurie Ahern, President of MDRI and author of the report, states, “The cruelty perpetrated against children and adults at JRC is psychological and physical abuse, couched in the name of ‘treatment.’ The severe pain and suffering leveled against residents there violates the United Nations Convention against Torture. And to the best of our knowledge, JRC is the only facility of any kind in the US – and perhaps the world –that uses electricity combined with long-term restraint and other punishments to intentionally cause pain to children with behavioral challenges and calls it treatment.”
MDRI calls on the Special Rapporteur, along with the Obama Administration and the Department of Justice, to end the abuses against people with disabilities at JRC. MDRI is an international human rights and advocacy organization dedicated to the rights protection and full participation in society of people with disabilities worldwide. Help us put an end to the torture of children with disabilities in JRC.
I sincerely hope this report and urgent appeal are not falling on deaf ears. MDRI presents a clear opportunity for the system to take a stand on institutional abuse and torture under the pretense of care. We need to stop drawing lines across which we’re willing to allow these things to happen. No perceived mental illness or disability can be allowed to take away our basic human rights. This is their chance to show us that human rights are universal. If they can’t do that, what are they good for?