Guest guest Posted October 2, 2002 Report Share Posted October 2, 2002 This was written *before* the stock market crash, but it takes little imagination to believe that many politicians, just like stockbrokers, have altered their brain chemistry with antidepressants. I think we as a people have a right to know if our selected President is taking a mood-altering pharmaceutical that may be careening us toward his personal apocalypse. Is Prozac Driving Wall Street? by Robert Wright " Is it possible that the general economic expansion in the US since '93 or so is directly related to the growing use of anti-depressants? Consider the symptoms of depression: lack of energy, motivation, general apathy etc. Then consider the demographics of a large percentage of anti-depressant users: professional, intelligent, in general much more competent than they believe themselves to be while suffering from depression. What would be the effect of removing said symptoms from such a population? Greatly increased productivity and entrepreneurism. An artificially inflated stock market would of course be an unfortunate side-effect. " --Lauren Lundblad Back in college, I once heard a guy fantasize about somehow getting cocaine into Wall Street's water supply and making a fortune by betting on the bull market this would trigger. Or, for that matter, he could bet on the bear market that would ensue a couple of hours later. In psychopharmacology, after all, what goes up must come down. At least, that was the thinking back then, before Prozac. With Prozac, you supposedly can defy the law of gravity: get the bull moods without the bear moods‹and, presumably, get a bull market without an immediately ensuing bear market. Don't laugh. One noted psychiatrist is now speculating that maybe Prozac and other antidepressants are being gobbled in such volume as to account for the stock market's seemingly unshakeable self-esteem. Randolph Nesse, author (with George Williams) of Why We Get Sick: The New Science of Darwinian Medicine, estimates that about 20 million Americans are on antidepressants. And at least some people who take these drugs " become far less cautious than they were before, worrying too little about real dangers. This is exactly the mind-set of many current investors. " If indeed " investor caution is being inhibited by psychotropic drugs, " a Wall Street bubble " could grow larger than usual " before popping " with potentially catastrophic economic and political consequences. " Nesse's theory was mass-e-mailed to journalists (e.g., me) by his agent, John Brockman. Brockman asked his clients to opine on the subject of " today's most important underreported story, " then sent their opinions far and wide. The idea, of course, is to turn these underreported stories into overreported stories, thus turning his underpublicized clients into overpublicized clients. In this case, Brockman's plan may work. Nesse, a professor at the University of Michigan, is a personable, articulate (and smart, if it matters) guy who comes off well on video. Coupled with his Wall-Street-on-Prozac theory, he now becomes a wildly proliferating sound bite just waiting to happen. I give him a 50-50 shot at being on CNBC within a week--maybe even one of the networks. After all, there is an issue here that goes beyond Wall Street. What happens when the serotonin-specific antidepressants render some users nearly numb to caution, impervious to negative feedback, in various realms of life? Do they get uppity with bosses and get fired? Do they quit jobs, certain that they can succeed in any endeavor of their choosing? Do they become babbling, obnoxious bores? Take it away, Dr. Nesse. Is the Market on Prozac? by Randolph M. Nesse, M.D. " After devoting the last ten-plus years to researching and writing about these serotonergic agents, working with those who have had adverse reactions to the drugs, and testifying as an expert witness in criminal cases involving these drugs, I can state without hesitation that I have seen similar reactions in patients on these antidepressants for years. I have even mentioned that these drugs really keep the economy moving - unfortunately the overspending keeps the bankruptcy courts busy as well. (Note how bankruptcy has sky-rocketed since the introduction of these drugs.)It is way past time for the world to wake up the most devastating drug problem the world has ever seen which is the result of the use of these so-called antidepressants. The very fiber of our society is almost gone as a result. They have created many new terms and situations that we have never witnessed prior to the introduction of SSRI antidepressants--such as: " Murder-Suicide " , " Suicide by Cop " , " Road Rage " , " False Memory Syndrome " , " Workplace Violence " , " School Shootings " , mothers killing their children (approximately 90% of these mothers are on these drugs), women committing violent crimes, out of the blue one family member kills their entire family, etc. And those are only the psychiatric side effects. The physical side effects are just as destructive: diabetes, heart damage, MS, fybromyalgia, chronic fatigue syndrome, to list only a few of so many reported to the FDA. " --Dr. Ann Blake Tracy The social effects of psychotropic medications is the unreported story of our time. These effects may be small, but they may be large, with the potential for social catastrophe or positive transformation. I make no claim to know which position is correct, but I do know that the question is important, unstudied, and in need of careful research. The press has been preoccupied with possible explanations for the current extraordinary boom. Many articles say, as they always do while a bubble grows, that this market is " different. " Some attribute the difference to new information technology. Others credit changes in foreign trade, or the baby boomer's lack of experience with a real economic depression. But you never see a serious story about the possibility that this market is different because investor's brains are different. There is good reason to suspect that they are. Prescriptions for psychoactive drugs have increased from 131 million in 1988 to 233 million in 1998, with nearly 10 million prescriptions filled last year for Prozac alone. The market for antidepressants in the USA is now $6.3 billion per year. Additional huge numbers of people use herbs to influence their moods. I cannot find solid data on how many people in the USA take antidepressants, but a calculation based on sales suggests a rough estimate of 20 million. What percent of brokers, dealers, and investors are taking antidepressant drugs? Wealthy, stressed urbanites are especially likely to use them. I would not be surprised to learn that one in four large investors has used some kind of mood-altering drug. What effects do these drugs have on investment behavior? We don't know. A 1998 study by Brian Knutson and colleagues found that the serotonin specific antidepressant paroxetine (Paxil) did not cause euphoria in normal people, but did block negative affects like fear and sadness. From seeing many patients who take such agents, I know that some experience only improved mood, often a miraculous and even life-saving change. Others, however, report that they become far less cautious than they were before, worrying too little about real dangers. This is exactly the mind-set of many current investors. Human nature has always given rise to booms and bubbles, followed by crashes and depressions. But if investor caution is being inhibited by psychotropic drugs, bubbles could grow larger than usual before they pop, with potentially catastrophic economic and political consequences. If chemicals are inhibiting normal caution in any substantial fraction of investors, we need to know about it. A more positive interpretation is also easy to envision. If 20 million workers are more engaged and effective, to say nothing of showing up for work more regularly, that is a dramatic tonic for the economy. There is every reason to think that many workers and their employers are gaining such benefits. Whether the overall mental health of the populace is improving remains an open question, however. Overall rates of depression seem stable or increasing in most technological countries, and the suicide rate is stubbornly unchanged despite all the new efforts to recognize and treat depression. The social effects of psychotropic medications is the unreported story of our time. These effects may be small, but they may be large, with the potential for social catastrophe or positive transformation. I make no claim to know which position is correct, but I do know that the question is important, unstudied, and in need of careful research. What government agency is responsible for ensuring that such investigations get carried out? The National Institute of Mental Health? The Securities and Exchange Commission? Thoughtful investigative reporting can give us preliminary answers that should help to focus attention on the social effects of psychotropic medications. Randoph M. Nesse, M.D., is Professor of Psychiatry, Director, ISR Evolution and Human Adaptation Program, The University of Michigan and coauthor (with George C. Williams) of Why We Get Sick: The New Science of Darwinian Medicine. Quote Link to comment Share on other sites More sharing options...
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