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- Title
Drug Firms, the Codification of Diagnostic Categories, and Bias in Clinical Guidelines.
- Authors
Cosgrove, Lisa; Wheeler, Emily E.
- Abstract
The possibility that industry is exerting an undue influence on the culture of medicine has profound implications for the profession's public health mission. Policy analysts, investigative journalists, researchers, and clinicians have questioned whether academic-industry relationships have had a corrupting effect on evidence-based medicine. Psychiatry has been at the heart of this epistemic and ethical crisis in medicine. This article examines how commercial entities, such as pharmaceutical companies, influence psychiatric taxonomy and treatment guidelines. Using the conceptual framework of institutional corruption, we show that organized psychiatry's dependence on drug firms has led to a distortion of science. We describe the current dependency corruption and argue that transparency alone is not a solution. We conclude by taking the position that the corruption of the evidence base in diagnostic and practice guidelines has compromised the informed consent process, and we suggest strategies to address this problem.
- Subjects
UNITED States; INDUSTRIES; PHARMACEUTICAL industry; MEDICINE &; culture; PUBLIC health; CORRUPTION -- Social aspects; EVIDENCE-based medicine; DIAGNOSTIC &; Statistical Manual of Mental Disorders (Book); PSYCHIATRIC diagnosis; AMERICAN Psychiatric Association; MARKETING ethics; PSYCHIATRIC drugs; MENTAL illness drug therapy; ORGANIZATIONS &; ethics; CONFLICT of interests; ENDOWMENT of research; INFORMED consent (Medical law); MEDICAL ethics; MEDICAL protocols; CLASSIFICATION of mental disorders; PROFESSIONAL associations; PSYCHIATRIC ethics; PSYCHIATRISTS; PSYCHIATRY; UNITED States. Food &; Drug Administration; DECISION making in clinical medicine; NATIONAL Academy of Medicine (U.S.); INSTITUTIONAL cooperation; RESEARCH personnel; ETHICS
- Publication
Journal of Law, Medicine & Ethics, 2013, Vol 41, Issue 3, p644
- ISSN
1073-1105
- Publication type
Article
- DOI
10.1111/jlme.12074