Guest guest Posted August 9, 2004 Report Share Posted August 9, 2004 > SSRI-Research > Sun, 8 Aug 2004 13:37:35 -0400 > [sSRI-Research] HISTORY OF THE FRAUD OF > BIOLOGICAL PSYCHIATRY > > > HISTORY OF THE FRAUD OF BIOLOGICAL PSYCHIATRY > > By Fred A. Baughman Jr., MD © July 19, 2000 > > http://www.familylifehealthcenter.com/add.html > > The epidemic of psychiatric drugging in the US as > nowhere else in the developed world has risen from > 150,000 in 1970, to 9-10 million today; 15 to 20% of > all US schoolchildren. The ADHD/Ritalin portion now > stands at an estimated 6-7 million. Other ‘chemical > imbalances’ treated with other ‘chemical > balancers’—drugs--make for a total to 9-10 > million—all of them normal until the first > brain-altering, brain damaging drug courses through > their systems. > > From 1965 to the present, the number of physicians > in the US has grown 5 times faster than the > population, from 140 physicians /100,000 population > to 280/100,000! [1] Today, each physician has half > the number of patients they had 35 years ago. But > their incomes have kept pace! To compensate they > resort to 'physician-induced need,' or what the > Health Care Finance Administration (HCFA) refers to > as an increased 'volume' and 'intensity' of > prescribing. When heightened prescribing no longer > compensates, they take to the inventing of diseases, > as typified by psychiatry. The physician glut and > it’s attendant 'physician-induced need,' is the > primary cause of the US health care crisis. > > WHEN DID PSYCHIATRY BEGIN DIAGNOSING ‘DISEASES’? > > In 1948, the combined specialty of 'neuropsychiatry' > was divided into 'neurology,' dealing with organic > or physical diseases of the brain, and 'psychiatry' > dealing with emotional and behavioral problems in > normal human beings. Nor was there any dispute as to > the division of labor; psychiatrists made no claim > that they diagnosed or treated actual brain > diseases. Finding no organic disease in patients > with non-specific symptoms, non-psychiatric > physicians, refer patients to psychiatrists. In > other words, finding no objective abnormalities > (disease) it can safely be concluded that the > patient’s symptoms are psychological in > origin—psychogenic! This is the main pre-condition > for referral of a patient to a psychiatrist or to > any mental health professional. > > As the physician glut worsened, medical costs rose > and health maintenance organizations (HMOs) evolved > to control costs. HMOs demanded accountability in > diagnosis and treatment that cut deeply into > psychiatry’s open-ended, fictitious, diagnosing (and > resultant prescribing). Psychiatry had already cast > its lot with the pharmaceutical industry [2]. By the > late 1960's psychiatric drugs were 'big' business,’ > growing ‘bigger.’ > > By 1970, it was apparent that psychiatry and the > pharmaceutical industry had agreed upon a joint > marketplace strategy: they would call psychiatric > disorders, that is, all things emotional and > behavioral, 'brain diseases' and would claim that > each and every one was due to a 'chemical imbalance' > of the brain [3]. Further, they would launch a > propaganda campaign, so intense and persistent that > the public would soon believe in nothing but > pills--'chemical balancers' for 'chemical > imbalances' [4]. > > Just as the National Institute of Mental Health > (NIMH) is the primary author of the psychiatric > condition/disorder-as-a-disease, deception, > attention deficit hyperactivity disorder (ADHD) is > their prototypical, most-successful-by-far, invented > disease. They regularly revise it's diagnostic > criteria, not for any scientific purpose, but to > cast a wider marketplace ‘net.’ In collusion with > Ciba-Geigy (now Novartis), Children and Adults with > Attention Deficit Disorders (CHADD), and the US > Department of Education they proclaim ADHD a > ‘disease’ so real and terrible that the parent who > dares not believe in it, or allow it's treatment, is > likely to be deemed negligent, and no longer > deserving of custody of their child. This is > happening in family courts across the country by the > hundreds of thousands. > > Every patient’s right of informed consent requires a > complete, honest portrayal both of the condition to > be treated (including it’s prognosis or course, > untreated) and of the treatment(s) proposed (and how > it/they will alter the course of the condition). > Lacking either, the informed consent would be > incomplete--invalid. Few, if any, questions about > ADHD can be answered without an honest answer to the > question: " Is ADHD a disease with a confirmatory > physical (including chemical) abnormality, or isn’t > it? (asking this question of any physician or > researcher, ask for reference to the specific > article in the scientific literature, that documents > the confirmatory physical (including chemical) > abnormality proving it is a disease.) > > IS IT A DISEASE OR ISN’T IT? > > All physicians—psychiatrists included, complete a > course of study of disease—pathology. They know, > full-well, that it is the physician’s first duty, > patient-by-patient, to determine whether the patient > has an actual disease or does not—the " disease " / " no > disease " determination. We learn that substantial > numbers of patients seek help from their physicians > for what are " emotional, " " psychological, " or > " psychiatric " symptoms, due to the stresses of > everyday life. Such patients have no disease per se > (ruled out by finding no abnormalities— no > pathology, nothing objective, on physical > examination, laboratory testing, x-ray, scanning, > etc.). > > There were few claims by psychiatry in the sixties > and seventies, of a biologic basis of psychiatric > disorders, i.e., that they were " diseases. " Such > claims, without scientific evidence, began, in > earnest, in the eighties and nineties, with the > American Psychiatric Association’s Diagnostic and > Statistical Manual-III-R (DSM-III-R) [5] and DSM-IV > [6]. ADHD has become psychiatry’s number one, > " biologically-based " " disease. " > > PSYCHOPHARMACOLOGY: INVENTED DISEASES, BIG BUSINESS > > The American Psychiatric Association’s Diagnostic > and Statistical Manual has grown from 112 mental > disorders in its initial, 1952 edition [7], to 163 > in the 1968, DSM-II [8], to 224 in the 1980, DSM-III > [9]; 253 in the 1987, DSM-III-R [5], and, 374 in the > 1994, DSM-IV [6]. That there is more to the > explosion of psychiatric " diseases " than scientific > naiveté is obvious. To the extent that such research > and its dissemination abrogates informed consent and > becomes standard practice, is it not fraud? That it > is a joint, psychiatric-pharmaceutical industry > strategy is obvious. > > ONE PHYSICIAN’S QUEST FOR AN ANSWER > > Diseases are natural occurrences in the plant and > animal world. Scientific physicians, veterinarians, > botanists, and others observe, describe, and > validate the pathology (abnormality), making them > diseases. Diseases are not conceptualized in > committee or decided upon by consensus, as > biological psychiatry would have it. > > In 35 years as a private practice, adult/child > neurologist, making " disease " / " no disease " > determinations daily, I have discovered and > described real diseases but have found myself unable > to validate ADHD, by whatever name, as an actual > disease. > > In 1971, Baughman [10] discovered the curly > hair-anklyoblepharon (fused eyelids)-nail dysplasia > syndrome (CHANDS). Its description was published in > the Birth Defects: Original Article Series. In 1979, > Toriello, et. al. [11] (myself included) established > its autosomal recessive mode of transmission and > published our findings in the Journal of Medical > Genetics . In 1959, Turcot, et al [12], suggested > that the combination of polyposis of the colon with > gliomas of the brain was an autosomal recessive > trait. In 1969, Baughman, et al, [13] described the > second, " confirmatory " example of the > glioma-polyposis syndrome—Turcot’s syndrome. Anyone > asking whether or not CHANDS exists, whether or not > it has been proven to be " genetic " or, whether or > not Turcot’s syndrome exists, can look up the > references and access the proofs. Such is the way of > medical science—with the notable exception of > biological psychiatry. > > On September 23, 1993, I [14] testified in hearings > on the National Institutes of Health (NIH) Research > on Antisocial, Aggressive, and Violence-Related > Behaviors and their Consequences: > > " If, as I am convinced, these entities are not > diseases, it would be unethical to initiate research > to evaluate biological interventions—unethical and > fatally flawed scientifically. That such unethical, > unscientific research has, and is, going on, should > be the focus of investigations. " > > My testimony, and with it, all consideration of the > fundamental " disease " / " no disease " issue, was > effectively expunged from their 1994, final report. > Moreover, they have refused to share with me > informed consent documents used in such research > which would have had to state how they characterize > ADHD, CD and ODD to parents of children who are > research subjects. > > AND ALL THE OTHER BIOPSYCHIATRIC DISEASES, TOO? > > Regarding their re-conceptualization of psychiatric > " disorders " as " diseases, psychiatrist, Donald > Goodwin, [15] acknowledged " a narrow definition of > disease that requires the presence of a biological > abnormality. " > > Kety and Matthysse [16] write: " … the recent > literature does not provide the hoped-for > clarification of the catecholamine hypotheses, nor > does compelling evidence emerge for other biological > differences that may characterize the brains of > patients with mental disease. " > > The Congressional Office of Technology Assessment > [17] concludes: " Mental disorders are classified on > the basis of symptoms because there are as yet no > biological markers or laboratory tests for them. " > > Arthur C. Clarke, scientific thinker, author of > " 2001: A Space Odyssey " reminds us: " Science, unlike > politics or diplomacy, does not depend on consensus > or expediency—it progresses by open-minded probing, > rigorous questioning, independent thought and, when > the need arises, being bold enough to say that the > emperor has no clothes. " > > Biological psychiatry has " no clothes! " ADHD has " no > clothes! " There being no scientific explanations, we > must look elsewhere for answers to the epidemic > drugging of US schoolchildren in the name of ADHD > and every other invented, fraudulent psychiatric > ‘disease,’ those whose only intent is to make > ‘patients’ of every mis-educated, mis-parented, > troubled, pained, biologically normal, child. > > I TRY TO LEARN THE TRUTH ABOUT ADHD > > From 1993 to the present, I have written to leading > agencies and researchers, asking to be referred to > the one or few articles in the peer-reviewed, > scientific, literature that constitute proof that > ADHD a disease or syndrome (medical) with a > confirmatory, physical abnormality? > > On December 24, 1994, Paul Leber, MD, of the FDA > responded: " …as yet no distinctive pathophysiology > for the disorder has been delineated. " > > On October 25, 1995, Gene R. Haislip of the DEA > wrote: " We are also unaware that ADHD has been > validated as a biologic/organic syndrome or > disease. " > > On September 1l, 1996, as if unfamiliar with the > concept of scientific proof, Joyce Moscaritola, MD, > Medical Affairs Vice President, Ciba-Geigy (now > Novartis) responded: " A comprehensive computer > search of the literature yielded several articles > which discuss the various hypotheses for the > etiology (cause) of ADHD. " > > Turning to the top ADHD researchers in the country, > those at the NIMH, I sent, by Fed-Ex, the following > request, individually, to Doctors Peter S. Jensen, > F. Xavier Castellanos, Alan J. Zametkin and Judith L > Rapoport, all on the same day, November 3, 1995: > > " I would like you to direct me, specifically, to > those reports in the literature which constitute > proof that ADHD is a disease or a syndrome and thus > organic/biologic. " > > The response came not from any one of the four to > whom I had directed the question—all purveyors of > the proposition that ADHD is a " disease " and that > the children are abnormal, but from L. Eugene > Arnold, M.Ed., MD, December 8, 1995, after > consultation with the four. Not until the final > paragraph of a two page letter, replete with 35 > references, having nothing to do with my question, > did Arnold get to the question: > > However, I suspect you are more interested in > evidence that ADHD is organic/biologic…The evidence > here is more nascent, with exciting new reports at > each professional meeting. It is very likely that > multiple causes will be established. > > This, of course, was a non-answer. > > The 1995, Report of the International Narcotics > Control Board [18] voiced concern regarding the > diagnosis of ADD: > > The INCB requests the authorities of the United > States to continue to carefully monitor future > developments in the diagnosis of ADD in children…in > order to ensure that these substances are prescribed > in accordance with sound medical practice, as > required under article 9 paragraph 2, of the 1971 > Convention. > > On June 7, 1996 I wrote to the INCB asking: > > With no confirmation that so-called > attention-deficit disorder with or without > hyperactivity (ADHD) is a disease, a " discrete > diagnostic entity " or anything organic or biologic, > how could it possibly be sound medical practice? > > Replying on July 3, 1996, INCB Secretary, Herbert > Schaep, expressed satisfaction with the > newly-launched Ciba-Geigy campaign to inform the > community about the abuse potential of > methylphenidate—Ritalin, but left the more > fundamental question of the validity of a ADD/ADHD > as a disease/medical syndrome un-addressed. > > Conner, he of the parent-teacher behavior scales, > replied on September 15, 1998. He enclosed his > April, 1997, article [19]: " Is ADHD a disease? " by > way of response. Therein, he summarized: > > …we see that there is no agreement on a core > psychological defect, anatomic locus, neurochemical > or genetic basis, or neuropsychological pattern, > that is characteristic of ADHD… What is wrong with > our approach…that we should have so little success > in identifying a specific marker for the ADHD > disease, almost a century after George Still > identified the disorder? > > On September 15, 1997, I wrote to Director of > National Drug Control Policy, General (ret.) Barry > R. McCaffrey and Secretary of the Department of > Health and Human Services, Donna Shalala, charging: > > that ADHD—the fraudulent, never-validated, > " disease " —was fabricated by experts at the National > Institute of Mental Health (NIMH) " and that " On no > less than four occasions (by registered mail as > well) I have asked NIMH experts, Doctors Peter S. > Jensen, F. Xavier Castellanos, Judith L. Rapoport > and Alan J. Zametkin to refer me to those > articles…that prove that ADHD is a " disease " (or a > medical syndrome) with a confirmatory, > characteristic abnormality (pathology). > > At long last, I elicited a reply to my question—or > so I thought—from the one person, who, more than any > other, speaks of and for ADHD and oversees ADHD > research in the U.S.—Peter S. Jensen, MD, Chief, > Developmental Psychopathology Research Branch, NIMH, > NIH, Department of Health and Human Services (DHHS). > Dr. Jensen urged that I: > > " note within the pages of the prestigious British > journal Lancet an article will soon be forthcoming > (James Swanson, et al. [20] ) that reviews all of > the biologic evidence for the establishment of ADHD > as a bona fide disorder… " > > What Dr. Jensen failed to state, once again, is > whether or not the " soon…forthcoming " Lancet > article, or any, anywhere in the peer-reviewed > literature on ADHD, yet constitutes proof of an > abnormality within the child—one that can be tested > for and found patient-by-patient, one proving that > we are not drugging millions of normal children. > > On December 5, 1997, I wrote and faxed James M. > Swanson, Ph.D., Director, Child Development Center, > Department of Pediatrics, University of California, > Irvine, and author of the " soon…forthcoming " Lancet > article asking that he: > > please send me a copy or reprint of the article > referred to by Dr. Jensen in his letter to me of > October 12, 1997 (enclosed). Can you cite final, > confirmatory proof that ADHD is a disease/medical > syndrome with a definite, discernible (patient by > patient) physical or chemical abnormality/ marker? > > Getting no response from Swanson, I re-sent my > original letter (that of December 5, 1997) on > January 12, 1998, this time by registered mail. In > so doing, I learned that the address I had been > using was correct and that the registered letter had > been received and signed for. But still, no response > to my scientific, collegial inquiry. > > Next, Swanson appeared as a substitute speaker at a > meeting I was attending in San Diego, that of the > American Society for Adolescent Psychiatry, March > 5-8, 1998. He spoke, among other things, of the MRI > brain scan research of Castellanos, et al [21,22], > and Filipek, et al [23], alleged to show brain > atrophy in subjects with ADHD, but not in controls. > > I spoke from the audience, pointing out that 93% of > the subjects in the Castellanos [21,22] studies had > been on chronic stimulant therapy, and inquired as > to the stimulant status of those in the Filipek [23] > study. Swanson acknowledged that Filipek et al [23], > also utilized ADHD subjects who had been on chronic > stimulant therapy—an acknowledgment nowhere to be > found in a review of this research either in the in > the Lancet article [20] or in the more recent Report > of the Council of Scientific Affairs of the American > Medical Association [24]. > > Here, we had strong, replicated evidence that > chronic stimulant therapy (methylphenidate, > amphetamine) causes brain atrophy, not confirmation > of an ADHD phenotype at all, as we were led to > believe. > > Next--much to my surprise--came the answer to the > AD/HD " disease " / " no disease " question. Swanson > (from the tape recording of the session): > > " I would like to have an objective diagnosis for the > disorder (ADHD). Right now psychiatric diagnosis is > completely subjective…We would like to have > biological tests—a dream of psychiatry for many > years… I think we will validate it. I do not think > these drugs are dangerous or addictive when used > this way. " > > " I think we will validate it, " he said. At long > last—an open, honest, truly scientific appraisal > from one within the ADHD industry! > > At last, I had my answer from Swanson, and from the > greater ADHD industry. He thinks they will validate > ADHD. What he neglected to say was how he describes > ADHD, today, in obtaining informed consent from the > parents of children he treats with stimulants and > from those of children in their research studies > using positron emission tomography (PET) scans, > spinal taps and indwelling venous catheters, from > which to draw blood drug levels. I have written him > requesting copies. I am still waiting (7/19/00). > > On May 13, 1998, F. Xavier Castellanos or the NIMH > wrote to me: > > " …I have noted your critiques of the diagnostic > validity of ADHD. I agree that we have not yet met > the burden of demonstrating the specific > pathophysiology that we believe underlies this > condition. However, my colleagues and I are > certainly motivated by the belief that it will be > possible in the near future to do so. " > > Swanson thinks " we will validate it! " Meanwhile, > Castellanos and his colleagues are " … motivated by > the belief that it will be possible in the near > future to do so. " > > On August 5, 1998 William B. Carey, MD, of the > Children’s Hospital of Philadelphia, wrote to me: > > " There are no such articles (constituting proof that > ADHD is a disease). There are many articles raising > doubts but none that establish the proof you or I > seek. " > > Barkley [25], implies that brain atrophy > characterizes and validates ADHD as a disease. He > cites MRI studies by Castellanos, et al. [21,22] the > first of which showed that " Subjects with ADHD had a > 4.7% smaller total cerebral volume, " while the > second showed: " Vermal (cerebellar) volume was > significantly less…with ADHD. " Not mentioned was the > fact, acknowledged in the original report [21], that > 93% of ADHD subjects had been on chronic stimulant > therapy and, that the same, treated, cohort was used > in the second study. No drug-naïve group (not on > Ritalin, or other stimulants or psychiatric drugs) > has been shown to have brain atrophy. It can only be > concluded that their brain atrophy is a function of > their chronic stimulant therapy—the only physical > variable. > > What does this say about ADHD " science " and > " scientists? " NIMH, NIH Publication No. 94-3572, > states: " Brain scan images produced by positron > emission tomography (PET) shows differences between > an adult with Attention Deficit Hyperactivity and an > adult free of the disease. " Nowhere in their > peer-reviewed literature do we find disavowals of > their claims of " disease. " > > In 1986, Ross [26], a psychiatrist, chided: > > …dealing with symptoms or syndromes as if they were > specific disease reflects a trend in psychiatry to > regard mental illnesses as biological entities…But > in this surrealistic world of pseudo-entities, the > psychiatrist abdicated reality to embrace biological > reductionism. > > In 1990, Pam [27], a psychologist, supposing > psychiatrists to be naïve, sought to impose > scientific standards. He wrote: > > …any studies that do not meet standards for proper > research procedures or interpretation of data must > not be accepted for publication or, if already > published must be discredited within the > professional literature…the possibility that that > emotional experience (love, hate, fear, grief) may > be physiologically non-specific gets short shrift…If > each emotion is not physiologically distinctive, > there can be no biological marker for each type or > subtype of emotional pathology, and thus most > current research would be methodologically > inappropriate…the preponderance of research > contributed by biological psychiatry up to the > present is questionable or even invalidated by the > criticisms just made. > > With research and the peer-reviewed scientific > literature substantially or wholly (as in the case > of drug-related research) funded by industry—who > speaks for science? To what extent are scientific > findings muted? Perverted? Are diseases invented > where they don’t exist? Treatments? Acknowledgments > appearing on published articles regarding research > funding and sponsorship are wholly inadequate. > Readers have every right to detailed knowledge > regarding research funding and the researchers, as > well. Without such information, informed consent is > not fully informed. > > In the Clinical Psychiatric News of December, 1994, > Houston psychiatrist, Theodore Pearlman wrote: > > " I take issue with Dr. Harold Alan Pincus’ (of the > Committee of the Diagnostic and Statistical Manual > of the American Psychiatric Association) assertion > that elimination of the term " organic " in the DSM-IV > has served a useful purpose for psychiatry…Far from > being of value to psychiatry, the elimination of the > term " organic " conveys the impression that > psychiatry wishes to conceal the nonorganic > character of many behavioral problems that were, in > previous DSM publications, clearly differentiated > from known central nervous system diseases. " > > Baughman, wrote in the same issue of Clinical > Psychiatric News (December, 1994): > > " The fact that DSM-IV eschews the distinction > between organic disease and disorders …that are not > organic, does not mean that treating physicians > can…to contend that something is a disease when that > has not been established is to fail to provide the > patient with information sufficient to make an > informed decision. " > > In a 1995 review of the neuro-imaging literature on > ADHD, Ernst [28] commented: > > " The definition of ADHD has changed over time. This > change has contributed to the selection of research > samples with differing clinical characteristics, > making comparisons among studies difficult…samples > of children with ADHD who were diagnosed according > to DSM-III-R (1987) criteria include children who do > not meet DSM-III (1980) criteria. " > > What Ernst pointed out is that the ADD of DSM-III > (1980), the ADHD of DSM-III-R (1987), and the ADHD > of DSM-IV (1994) are 3 separate, incomparable > entities. Moreover, the ADHD of DSM-IV has been > divided (also by consensus-altered diagnostic > criteria) into three sub-types: (a) > hyperactive-impulsive, (b) inattentive, and (c ) > combined—none comparable to the other or, to the ADD > of DSM-III (1980) or the ADHD of DSM-III-R (1987). > If the neuro-imaging literature for each is separate > and incomparable, then the same is true of the > literature on biochemistry, genetics, epidemiology, > co-morbidity, psychopharmacology, etc. None are > comparable, one with the other. Is this science? > > In all of medicine, other than psychiatry, there is > no inventing or conceptualizing of ‘diseases’ > in-committee. Rather, diseases are natural > occurrences, recognized as > abnormalities—diseases--by physicians who, in turn, > find upon review of the literature, that they have > not been previously described, who then describe > them. Nor are diseases revised in committee, as is > regularly done at the American Psychiatric > Association for consecutive editions of the DSM. > Rather, new features of established diseases are > recognized by astute physicians who, in turn, learn > that the feature is new, hitherto un-described, and > describe it. > > Why do ADHD experts regularly extol the sheer volume > and longevity of their research record, as if this > alone, as opposed to particular proofs, were what > mattered. For example, the Report of the Council on > Scientific Affairs of the AMA [24] states: " ADHD is > a childhood neuropsychiatric syndrome that has been > studied thoroughly over the past 40 years. " ADHD, as > such, did not appear until the publication of > DSM-III-R in 1987. Nor have I mentioned it’s many > pre-DSM-III, 1980, conceptualizations. Consider: > > The high frequency of " soft " neurologic findings led > to designating the condition " minimal brain > dysfunction " , with the expectation that a consistent > neurologic lesion or set of lesions would eventually > be found [29]. > > Typical of biopsychiatry, " minimal brain > dysfunction, " circa, 1960-1970, better known by it’s > acronym, " MBD, " was, itself, re-conceptualized > before " a consistent neurologic lesion or set of > lesions " could be found. Nor was it the same or > comparable, to any subsequent > conceptualization—another chapter of the research > record, down the drain. > > Writing in the Journal of the American Medical > Association (JAMA), in 1995, biological psychiatry > spokesmen, Marzuk and Barchas [30] stated: > > Perhaps the most significant conceptual shift (from > DSM-III-R, 1987, to DSM-IV, 1994) was the > elimination of the rubric organic mental disorders, > which had suggested improperly that most psychiatric > disorders…had no organic basis. > > Notice that these authors have assumed, but not > proven, that " most psychiatric disorders " have an > organic basis, making it improper for anyone to > suggest otherwise. They would shift the burden of > proof to those who doubt and question, hardly in > keeping with science. What they and the American > Psychiatric Association (APA), with it’s DSM-IV, > have done, was to absolve psychiatry of every > physician’s obligation to make a fundamental, > patient-by-patient, " organic " / " not organic, " > " disease " / " no disease " determination. They have > absolved themselves, and, anyone wishing to join > them in such diagnosing, of having to demonstrate an > abnormality—pathology, by way of proving that > psychiatric " disorders " / " diseases " are actual > diseases. > > In fact, the essential first step in all diagnosis, > even in the diagnosis of psychiatric disorders, is > to make the fundamental " Is it a disease or isn’t > it? " determination. This determination is usually > made by physicians other than psychiatrists; usually > by those referring patients to the psychiatrist (or > psychologist, or other mental health professional). > What psychiatrists do from that point on, is > nothing, more or less, than, semantic > classification, based upon subjective symptoms, > alone, in patients already-proven to have no > disease. The absence of organic disease, over time, > stands as the strongest evidence that a patient’s > symptoms are psychogenic. > > An ad placed by " America’s Pharmaceutical Research > Companies " in Newsweek, October 7, 1996, read: " A > chemical that triggers mental illness is now being > used to stop it. " Here again, is the " big lie. " > There is no mental illness with a proven chemical > abnormality. In their scheme of things, however, > scientific facts are less important, by far, than > that the public at large become believers in the > " chemical imbalance " —chemical " balancer " (pill) view > of mental health. When and in which board-room did > they meet to adopt their " disease " - " chemical > imbalance " - " pill " model of all human emotional > distress? > > Biopsychiatry’s researchers are aware that without > proven diseases, syndromes (in a medical sense) > genotypes or phenotypes, that the " disease " and > " control " groups are both physically normal and, > indistinguishable. They know from the outset that > their research is destined to prove nothing and to > remain forever theoretical. (this means that all of > their biological research on entities known not to > be biological, i.e., known to have an objective > abnormality or physical marker, are doomed to prove > nothing and are fraudulent). > > Pam [26] asks: > > …how can we account for the tendency to seriously > compromise research and review standards within a > medical discipline (all of psychiatry, its governing > bodies and journals) known for its commitment to the > scientific method? > > …and, ventures an answer: > > " The sociology of knowledge developed by Mannheim > [31] postulates that all intellectual > systems—science included—are influenced by special > interest and social considerations; a body of > information is never unrelated to a > political-economic context… " > > 1998,THE AMA COUNCIL ON SCIENTIFIC AFFAIRS > > With no proof that ADHD is a disease with a > confirmatory, physical abnormality, the ADHD > " epidemic, " has grown from 150,000 in 1970, to five > million in 1997; Ritalin production, in the US, rose > 700%, between 1990 and 1997, and the AMA, Council on > Scientific Affairs [24] has seen fit to conclude: > " …there is little evidence of widespread > overdiagnosis or misdiagnosis of ADHD or of > widespread overprescription of methylphenidate. " > Without a confirmatory physical or chemical > abnormality to make of it a disease, with which to > diagnose it, child-by-child, how could they possibly > know whether or not there was " …overdiagnosis or > misdiagnosis of ADHD or of widespread > overprescription of methylphenidate " ? > > Ten years earlier, in 1989, the same AMA Council on > Scientific Affairs [32], evaluated " dyslexia, " > a.k.a. " specific reading disability, " and duly, and > scientifically, concluded there was no satisfactory > definition—that it was not a disease. Why, today, in > 1998, does the Council fail to provide a forthright, > scientific answer to the same question about ADHD? > " Is it a disease with a confirmatory physical > abnormality, or isn’t it? " > > What factors have changed which allowed the Council > to speak forthrightly—scientifically--on the issue > of " dyslexia " in 1989, but not on ADHD, in 1998 > [24]? > > Is industry (pharmaceutical) control of the practice > of medicine more nearly complete today? How often > are scientific conclusions, not friendly to the > " bottom line " published? Quashed? > > The AMA and Goldman, et al, authors of the Council > Report are, no doubt, aware of the influence their > report will have on the ADHD field in these times of > continued proselytizing and incredible growth of the > ADHD/Ritalin/psychotropic drug epidemic and growing > doubts as to the validity of it all. Is their > mandate to represent science, or have they sided > with industry to protect the ADHD " golden goose. " I > am shocked at their avoidance of the main scientific > question—the " disease " / " no disease " question. > > Armed only with the illusion of a disease, no proof > that a disease (ADHD) exists, or that the children > are other than normal, the RECOMMENDATIONS of the > AMA [24] are: > > " The AMA encourages physicians to use standardized > diagnostic criteria in making the diagnosis of ADHD, > such as the American Psychiatric Association’s > DSM-IV… " > " The AMA encourages the creation and dissemination > of practice guidelines for ADHD by appropriate > specialty societies and their use by practicing > physicians… " > " The AMA encourages efforts by medical schools, > residency programs, medical societies, and > continuing medical education programs to increase > physician knowledge about ADHD and its treatment. " > " The AMA encourages the use of individualized > therapeutic approaches for children diagnosed as > having ADHD, which may include pharmacotherapy, > psychoeducation (whatever that is), behavioral > therapy, etc., etc. " > " The AMA encourages physicians and medical groups to > work with schools to improve teachers’ abilities to > recognize (diagnose?) ADHD and appropriately > recommend that parents seek medical evaluation… " > " The AMA reaffirms Policy 100.975, to work with the > FDA and the DEA to help ensure that appropriate > amounts of methylphenindate and other Schedule II > drugs are available for clinically warranted patient > use. " > RECOMMENDATIONS (5) and (6) are particularly > reprehensible. The former (5), further encourages > the teachers of the nation to make a diagnosis > leading to the prescription of controlled > substances—constituting, in my opinion, the practice > of medicine without a license. The latter (6) pushes > drugs of addiction, Schedule II drugs, upon a > population free of any demonstrable physical > abnormality. > > Nor are the editors of the Journal of the American > Medical Association (JAMA) unaware of the > fundamental problem concerning ADHD—the need—still, > for a forthright answer to the " disease " / " no > disease " question. In a 1993, letter to the editor > of the JAMA [33], I wrote: > > Unlike definite syndromes, such as Klinefelter’s, > Brown-Sequard, and Down’s, in which there is a > constancy of symptoms and signs (objective), the > Diagnostic and Statistical Manual of Mental > Disorders, Revised, Third Edition allows any > combination of 8 of 14 behaviors for a diagnosis of > attention-deficit hyperactivity disorder. Is this > the validation of a syndrome, or does it redefine > the term syndrome?…If attention-deficit > hyperactivity disorder is not a proven syndrome, how > can cause be inferred? How can therapies be > evaluated? > > In 1995, an article by AJ Zametkin [34], entitled > Attention-deficit Disorder: Born to Be Hyperactive > was published in the JAMA. In an letter to the > editor of JAMA that was rejected, I wrote: > > Without a statement that there has never been proof > that ADHD is a syndrome, a disease, organic or > biologic, the review by Zametkin is incomplete and > misleading. Under the heading " Pathophysiology " –as > if there were a " pathophysiology " —he writes only, > " the cause of ADHD is unknown. " …The ADHD literature > reveals that there was never syndrome validation to > begin with. Is this not a fatal flaw?…Regarding > ADHD, the " informed consent " should include the > statement that ADHD has never been proven to be a > syndrome/disease; biologic/organic. > > Upon rejection of my letter, I wrote to JAMA, Senior > Editor, Margaret A. Winker, MD, September 21, 1995, > stating: > > …I would be especially disappointed if it turns out > that you do not plan to publish any correspondence > asking for such clarification…JAMA would not wish to > be seen as failing to disclose the status of what > science there is regarding what is commonly referred > to as ADHD. > > Although I was assured that my letter was passed on > to Zametkin, I never received a reply from him. > Would JAMA, the AMA, and the AMA Council on > Scientific Affairs wish to be seen as failing to > disclose the scientific status of ADHD? > > I have sought, unsuccessfully, for 17 years to get a > straightforward " Yes! " or " No! " answer to the " Is > ADHD an actual disease or not? " question, from the > leaders of the ADHD research establishment, > including, most prominently, Peter S. Jensen, MD, of > the NIMH in Rockville, MD, and James M. Swanson, > Ph.D., of the University of California, Irvine (both > members of the Professional Advisory Board of > Children and Adults with Attention Deficit > Disorders-CHADD, as well). > > As unthinkable as it may seem, what we are dealing > with here, is nothing, more or less, than a > for-profit, invented " disease " and a for-profit > invented " epidemic, " perhaps the most successful of > all time, in monetary terms. At the same time it has > been one of the most diabolical and inhuman, of all > time, if not, the most diabolical and inhuman. > > Psychiatrist, Walter E. Afield,[35], said it best, > and, most succinctly. He testified before the Select > Committee on Children, Youth, and Families, House of > Representative, April 28, 1992, on the psychiatric > hospital fraud of the 1980’s, as follows: > > " …The DSM-III, we’re talking about everyone in this > room will fit into two or three of the diagnoses…In > DSM-II, homosexuality was a disease. In III, it’s > not. In IV, there’ll be some new diseases. Every new > disease that’s defined gets a new hospital program, > new admissions, a new system and a way to bilk it, > and this bilking continues… > > THE SEARCH FOR ADHD 1998 TO THE PRESENT? > > On April 15, 1998, I wrote to Attorney General Janet > Reno charging: > > " the representation of ADHD as a disease, the > children as abnormal, and the psychiatric drugging > of the millions of schoolchildren said to have it, > was the greatest health care fraud of the century. " > > In May 13, 1998, F. Xavier Castellanos of the NIMH > wrote me: > > " I agree we have not yet met the burden of > demonstrating the specific pathophysiology that we > believe underlies this condition. " (haven’t found it > yet) > > As the main invited speaker at the November 16-18, > 1998, NIH, Consensus Conference on ADHD, on the > subject: " Is ADHD a Valid Disorder? " Professor > William B. Carey concluded: > > " ...common assumptions about ADHD include that it is > clearly > > distinguishable from normal behavior, constitutes a > neurodevelopmental > > disability, is relatively uninfluenced by the > environment... All of these > > assumptions...must be challenged because of the > weakness of empirical > > (research) support and the strength of contrary > evidence...What is now > > most often described as ADHD in the United States > appears to be a set of > > normal behavioral variations... This discrepancy > leaves the validity of > > the construct in doubt... " > > With no proof with which to counter Carey's > assertions, the final statement of Consensus > Conference on ADHD (11/18/98) read (p.3, lines > 10-13): > > " ...we do not have an independent, valid test for > ADHD, and there > > are no data to indicate that ADHD is due to a brain > malfunction. " > > Richard Degrandpre, author of Ritalin Nation, and a > participant in the Consensus Conference, took a > stand for science, asserting: > > " … it appears that you define disease as a > maladaptive cluster of characteristics…in the > history of science and medicine, this would not be a > valid definition of disease. " > > My own, invited, entirely public, Consensus > Conference, testimony, 11/17/98 (un-rebutted), was: > > Without an iota of proof or credible science, the > National Institute of Mental Health (NIMH) has > proclaimed the behaviors of ADHD a " disease, " and > the children " brain-diseased, " " abnormal. " CHADD > (Children and Adults with Attention Deficit > Disorders), 35,000-strong, funded by Ciba-Geigy, > manufacturer of Ritalin, has spread the > " neuro-biological " lie. The US Department of > Education, absolving itself of controlling the > children and rendering them literate, coerces the > labeling and drugging…ADHD is a total, 100% fraud. " > > In the press conference that followed (11/18/98), > National Public Radio correspondent, Joe Palca > addressed the Panel: > > " What you're telling us is that ADHD is like the > Supreme Court's definition of pornography, 'You know > it when you see it.' " > > My response to the 1998, Report of the Council on > Scientific Affairs of the AMA was published in the > Journal of the American Medical Association, April > 28, 1999: > > " Once children are labeled with ADHD, they are no > longer treated as normal. Once methylphenidate > hydrochloride or any psychotropic drug courses > through their brain and body, they are, for the > first time, physically, neurologically and > biologically, abnormal. " > > In the January, 2000, Readers Digest, F.X. > Castellanos summarized a quarter of a century of > ‘biological’ research on ADHD: > > " Incontrovertible evidence is still lacking…In time > I’m confident we’ll confirm the case for organic > causes. " > > Here, Castellanos speaks of " organic causes " when > they have yet to confirm ADHD as a disease, a > syndrome, or anything at all, " organic. " Twenty-five > years and 6-7 million patients after it’s > ‘invention,’ and " incontrovertible evidence is still > lacking! " > > More recently still, J.N. Giedd, writing in > Attention, the magazine of CHADD [March/April, 2000, > p. 19], confessed: > > " …clinical history remains the gold standard of > AD/HD diagnosis. " > > This, of course, means that there are no objective > abnormalities to be found. This does not deter CHADD > President, Matthew Cohen, Esq., from continuing to > insist to the public that ADHD is a ‘neurobiological > disorder’ when it is neither neurological or > biological; when children said to have it are > normal. > > ENDLESS MARKET: NORMAL HUMANS--CRADLE TO GRAVE > > As if 8-10 million, K-12, on psychiatric drugs were > not enough, Zito, et al [36] reported a two- to > three-fold rise of psychiatric diagnosing and > drugging of normal infants, toddlers and > preschoolers between 1990 and 1995. We know these > drugs are addictive, dangerous and even deadly. We > know that Ritalin and all amphetamines, cause growth > retardation, brain atrophy, seizures, psychosis, > tics, and Tourette's syndrome. We know that Cylert, > yet another stimulant, can kill the liver. We know > that Canadian officials, but not those in the US, > have banned it. > > RECENT DAMAGES FROM ADHD DRUGS—HEART & BRAIN > > I have been consulted in 3 cases in which there > appear to have been cardiac deaths due to > Ritalin/amphetamine treatment for ADHD. Stephanie > Hall, 11, of Canton, Ohio, died in her sleep the day > she started an increased dose of Ritalin. In March > 21, 2000, Matthew Smith, 14, of Clawson, Michigan, > fell from his skateboard, moaned, turned blue and > died. His myocardium (heart muscle) was diffusely > scarred, it’s coronary arteries, diffusely narrowed. > Ritalin was, indisputably, the cause of death. Randy > Steele, 9, of Bexar, County, Texas, became > unresponsive and pulseless while being restrained in > a psychiatric facility. His heart was found to be > ‘enlarged.’ He had had ADHD and had been on > Dexedrine; d-amphetamine. Of the 2,993 adverse > reaction to Ritalin, reported to the FDA, from 1990 > to 1997, there were 160 deaths and 569 > hospitalizations. 126 of these adverse reactions > were 'cardiovascular.' > > Further, the brain damaging potential of Ritalin and > other of the psychostimulants (most of them > amphetamines, has become increasingly clear. And > with this new clarity, a particularly heinous crime > on the part of ADHD researchers has become clearly > apparent—the close-held news that these drugs cause > brain atrophy, that is brain shrinkage. Over the > past 15 years, psychiatric researchers have > maintained that the brains of children with ADHD, as > seen on brain scans, were, on average, 10% smaller > than those of normal controls. What they have > withheld from the public as well as their readership > and professionals that attend their professional > meetings, is that virtually all of the ADHD subjects > in these many studies over the past 15 years, had > been on long-term stimulant treatment and that this > treatment was the only physical difference between > the ADHD subjects and the normal controls and the > only plausible cause of the brain atrophy. Swanson > failed to acknowledge this role of the drugs in his > March 6, 1998, address to the American Society of > Adolescent Psychiatry and Swanson, again, speaking > for Swanson and Castellanos, failed again to present > these facts in his address to the ADHD Consensus > Conference, November 17, 1998. It was left to me to > ask him about the role of drugs from a microphone in > the audience. He then confessed there were no brain > scan studies on record other than those using ADHD > subjects on drugs. > > Sensitive now to being held accountable for what > they say and write on the issue, Castellanos (NIMH) > was quoted in the January, 2000 Reader’s Digests as > saying some critics claim that such brain > differences in ADHD children might actually be > caused by Ritalin. To address this, Castellanos has > now embarked on another study, imaging the brains of > ADHD youngsters who have not been treated with > drugs. With 15 years of brain scanning research > suggesting that the drugs used in millions of > children are shrinking their brains, and they have > just, now, decided to look at the brain scans of a > cohort of children with ADHD before starting the > drugs. > > A study, which will be highlighted at the Society > for Neuroscience annual meeting in Miami, Florida > from October 23-28,Yale University researchers have > found that brief, low-dose, amphetamine use in > primates caused possibly permanent cognitive > impairment. Researcher Stacy Castner concluded: " It > may be the case that even a brief period of low-dose > amphetamine abuse in early adolescence or early > adulthood can produce profound cognitive deficits > that may persist for a couple of years or more after > amphetamine use has ended. " Yet, the researchers > observe, Ritalin (generally identical to > amphetamines) is being prescribed to millions of > children--including toddlers--who have been loosely > " diagnosed " with ADHD. > > Whether ‘loosely’ diagnosed or not, the bottom line > is that ADHD simply does not exist—the children are > normal! At least they were until the amphetamines > were started. > > THE MARKETPLACE STRATEGY OF BIOLOGICAL PSYCHIATRY > > Present-day biological psychiatrists speak to one > another, the public and to their patients as though > all emotional and behavioral pains were > diseases--chemical imbalances. This nomenclature > serves no scientific or Hippocratic-healing purpose. > It serves only to gain their acceptance of > one-dimensional, drug treatment. It makes ‘patients’ > of normal persons and serves only the profit motive. > In every single case, as well as in virtually all of > their drug, electroshock, and psychosurgical > research, they intentionally violate the informed > consent rights of the patient. Quite simply, there > is no disease on the risk side of the risk/benefit > equation in psychiatry. Instead, there are normal, > troubled, pained, educable, remediable, adaptable, > human beings--human beings who, if treated > appropriately, have the potential to improve, to > prevail, and to lead happy, normal, productive > lives. > > Until such time as the diagnosis of a disease has > been objectively confirmed, a physician has no right > to proceed with any treatment, which is, itself, a > source of risk. > > I would not be justified in starting insulin for > diabetes, based only on history, without > confirmatory, elevated, blood sugar levels in hand. > I would not be justified in surgically removing a > breast based upon the naked eye appearance of a > tumor, without microscopic confirmation of the > presence of a cancer. > > Psychiatrists speak to their patients as though > their emotional and behavioral problems were > ‘diseases.’ They do so to gain patient acceptance of > drug treatment, when this, and this alone, is in the > best financial interest of both, psychiatrists, and > their pharmaceutical industry partners. > > A week ago I got a letter from Frank Heutehaus of > Don Mills, Ontario, a father-of -divorce, whose son > is on Ritalin. He enclosed the Toronto Sun article > on the death of Matthew Smith and in his post-script > added. " In regards to my case, I am entertaining the > prospect of bringing criminal charges of assault and > battery against some of the doctors who claimed my > son had a disease that doesn't exist. " > > Such ‘biological’ psychiatrists, violate the > informed consent rights of their every patient. This > is medical malpractice. Their is no scientific, > medical or moral justification for their > pseudo-biological diagnosing or, for the drugging > that invariably follows. > > On May, 25,2000, I [37 ] wrote to the JF Lucey, > Editor of the journal Pediatrics, stating: > > (your) Clinical Practice Guideline opens: > " Attention-deficit/hyperactivity disorder is the > most common neurobehavioral disorder of childhood. " > " Neurobehavioral, " implies an abnormality of the > brain; a disease. And yet, no confirmatory, physical > or chemical abnormality of the brain (or anywhere > else in the body) has been found…With no evidence > that ADHD is a disease, where has the notion come > from that it is a disease? …It has become apparent > that virtually all professionals who are part of the > extended ADHD ‘industry’ convey to parents, and to > the public-at-large, that ADHD is a disease and that > children said to have it are ‘diseased’-‘abnormal.’ > This is a perversion of the scientific record and a > violation of the informed consent rights of all > patients and of the public-at-large. > > We cannot but conclude that medicine, once a healing > mission, is now an enterprise. > > BIOLOGICAL RESEARCH INTO THINGS NON-BIOLOGICAL > > A closing word about our own National Institute of > Mental Health and their dedication to a program of > biological research into things emotional and > behavioral that are biologically indistinct. Ross > [26] and Pam [27] put it most succinctly. > > Ross [26], a psychiatrist, chided: > > …dealing with symptoms or syndromes as if they were > specific disease reflects a trend in psychiatry to > regard mental illnesses as biological entities…But > in this surrealistic world of pseudo-entities, the > psychiatrist abdicated reality to embrace biological > reductionism. > > Pursued as medical practice, is this not fraud? > > Pam [27] wrote: > > …any studies that do not meet standards for proper > research procedures (doing biological studies on > biologically indistinct entities) or interpretation > of data must not be accepted for publication or, if > already published must be discredited within the > professional literature…the possibility that that > emotional experience (love, hate, fear, grief) may > be physiologically non-specific gets short shrift…If > each emotion is not physiologically distinctive, > there can be no biological marker for each type or > subtype of emotional pathology, and thus most > current research would be methodologically > inappropriate…the preponderance of research > contributed by biological psychiatry up to the > present is questionable or even invalidated by the > criticisms just made. > > Consider the recent mission statement of Stephen E. > Hyman, Director of the NIMH, in relation to the > above statements of Ross and Pam. > > In the December 22/29, 1999 Journal of the American > Medical Association [JAMA. 1999;282:2290], we find > the musings of heads of the constituent institutes > of the National Institutes of Health, as to what the > future protends for their disciplines. > > Targeting the year 2020, Steven E. Hyman, MD, > Director of the NIMH states, remarkably enough: > > By 2020 it will be a truth, obvious to all, that > mental illnesses are brain diseases that result from > complex gene-environment interactions. We will be > reaping the therapeutic benefits that accrue from > the discovery of risk genes for autism, > schizophrenia, manic depressive illness, and other > serious mental disorders. > > We will also routinely analyze real-time movies of > brain activity derived from functional magnetic > resonance imaging, optical imaging, or their > successor technologies, working together with > magnetoencephalography or its successor technology. > In these movies, we will see the activity of > distributed neural circuits during diverse examples > of normal cognition and emotion; we will see how > things go wrong in mental illness; and we will see > normalization with our improved treatments. > > Amazingly, not a single mental, emotional or > behavioral disorder has been validated as a disease > or a medical syndrome with a confirmatory physical > or chemical abnormality or marker within the brain > or body. Furthermore, Hyman knows this. And yet the > NIMH and all in academic psychiatry and mental > health regularly represent all of the " serious > mental disorders " as though they were, and would > have the public, the legislature, and the judiciary > believe that they are. > > Further, with not a one psychiatric entity having a > confirmatory physical abnormality or marker or any > prospect that any technology will validate a one as > a disease, Director Hyman pledges the application > from decade to decade of every evolving technology > to confirm his/biological psychiatry’s belief that > " mental illnesses are brain diseases " . Observe his > use of the term " normalization " establishing, > etymologically at least, that those with mental > illnesses are abnormal. > > Because psychiatric disorders are > biologically/physically > indistinct--biological/physical research, no matter > how long or expensively pursued, or how > sophisticated the technology applied, is doomed to > prove nothing. I suspect that Dr. Hyman and all at > the NIMH know this. Might it be pure fraud?. Might > the only purpose of such research be to establish a > ‘medical’/biological’ literature, and, illusions of > biology, neurology and disease, where nonesuch > exist. Without illusions of disease there would only > be normal children, no patients. > > Why else would Pam [27]have written: > > If each emotion is not physiologically distinctive, > there can be no biological marker for each type or > subtype of emotional pathology, and thus most > current research would be methodologically > inappropriate…the preponderance of research > contributed by biological psychiatry up to the > present is questionable or even invalidated by the > criticisms just made. > > One final point. Billions upon billions has been > spent on NIH/NIMH sanctioned biological psychiatry > research, funded not just with pharmaceutical > industry millions but with the hard-earned tax > dollars of US citizens. Is there any legitimacy to > biological research in psychiatry or is it entirely > fraudulent—a deception of the people funded with > their very own tax. > > Bibliography—HISTORY OF THE FRAUD OF BIOLOGICAL > PSYCHIATRY > > Baughman, F.A. To Many Doctors, to Little Control. > San Diego Union-Tribune, May 29, 1996. > In Bed Together at the Market. Dumont, M.P. Am. J. > Orthopsychiat, 60 (4), October 1990. > Federal Involvement in the Use of Behavior > Modification Drugs on Grammar School Children of the > Right to Privacy Inquiry—Hearing before the > Subcommittee of the Committee on Government > Operations, House of Representatives, 91st Congress, > 2nd Session, September 29, 1970 > The Deception of Biopsychiatry (unpublished), > Baughman, F.A., October 3, 1996. > American Psychiatric Association. Diagnostic and > Statistical Manual of Mental Disorders, 3rd > edition-revised (DSM-III-R). Washington, DC. 1987. > American Psychiatric Association. 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Dis > Colon Rectum. 1959;2:465-468. > Baughman FA, List CF, Williams JR, Muldoon JP, > Segarra JM, Volkel JS. The Glioma-Polyposis > Syndrome. N Engl J Med. 1969;281:1345-1346. > Baughman FA. Testimony to the Panel on NIH Research > on Antisocial, Aggressive, and Violence-Related > Behaviors and their Consequences, September 23, > 1993. > Donald W. Goodwin, MD. Is Alcoholism Hereditary? > Ballantine Books, 1988. > Kety SS, Matthysse S. The New Harvard Guide to > Psychiatry. Harvard University Press, p. 148, 1988. > Congress Office of Technology Assessment. The > Biology of Mental Disorders, US Government Printing > Office, 1992, pp13-14, 46-47. > Report of the International Narcotics Control Board, > 1995, p.28. > Conners CK. Is ADHD a disease? Journal of Attention > Disorders. 1997;2:3-17. > Swanson JM, Sergeant JA, Taylor E, Sonuga-Barke EJS, > Jensen PS, Cantwell DP. Attention-deficit > hyperactivity disorder and hyperkinetic disorder. > Lancet. 1998;351:429-433. > Castellanos FX, Giedd JN, March WL, et al. > Quantitative brain magnetic resonance imaging in > attention-deficit hyperactivity disorder. Arch Gen > Psychiatry. 1996;53:607-616. > Castellanos FX, et al. Cerebellum in > attention-deficit hyperactivity disorder. Neurology. > 1998; 50:1087-1093. > Filipek PA, Semrud-Clikeman M, Steingard RJ, Renshaw > PF, Kennedy DN, Biederman J. Volumetric MRI analysis > comparing subjects having attention-deficit > hyperactivity disorder with normal controls. > Neurology. 1997;48:589-601. > Goldman LS, Genel M, Bezman RJ, Slanetz PJ, for the > Council on Scientific Affairs, American Medical > Association. JAMA. 1998; 279:1100-1107. > Barkley RA. Attention-Deficit Hyperactivity > Disorder. Scientific American. September, > 1998:66-71. > Ross, C. Biological Tests for Mental Illness—Their > Use and Misuse. Biological Psychiatry, 1986, > 21:431-435 (editorial). > Pam A. A critique of the scientific status of > biological psychiatry. Acta Psychiatrica > Scandinavica. 1990;82 (Supplement 362):1-35. > Ernst M. Neuroimaging in Attention-Deficit > /Hyperactivity Disorder (p. 95-117). In Nadeau, KG > (ed), A Comprehensive Guide to Attention Deficit > Disorder in Adults. Brunner and Mazel, Inc. New > York. 1995. > Clements SD, Peters JE. Minimal brain dysfunction in > the school-aged child: diagnosis and treatment. Arch > Gen Psychiatry. 1962;6:185-190. > Marzuk PM, Barchas JD. Psychiatry. In Contempo,1995. > JAMA. 1995; 273:1715-1716. > Mannheim K. Ideology and Utopia. N.Y.; Harvest, 1936 > (originally published in German, 1929). > Council of Scientific Affairs of the American > Medical Association. Dyslexia. JAMA. 1989;261:2235. > Baughman FA. Treatment of attention-deficit > hyperactivity disorder. JAMA. 1993;269:2368 > (letter). > Zametkin AJ. Attention-deficit disorder: born to be > hyperactive? JAMA. 1995;273:1871-1874. > Afield WE. The Profits of Misery: How Inpatient > Psychiatric Treatment Bilks the System and Betrays > Our Trust. Hearing before the Select Committee on > Children, Youth, and Families, House of > Representatives, Washington, DC, April 28, 1992. > Zito J, et al. February 23, 2000, Journal of the > American Medical Association. > Letter to Jerold F. Lucey, MD, Editor, PEDIATRICS, > May 25, 2000, Re: Clinical Practice Guideline: > Diagnosis and Evaluation of the Child with > Attention-Deficit/Hyperactiviity Disorder. Committee > on Quality Improvement, Subcommittee on > Attention-Deficit/Hyperactivity Disorder. > PEDIATRICS. 2000;105:1158- > [Non-text portions of this message have been > removed] Quote Link to comment Share on other sites More sharing options...
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