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Healthy Skepticism Library item: 19473

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Electronic Source

Thacker P
American Psychiatric Association Spooked about Ghostwriting
Project On Government Insight 2011 Apr 5
http://pogoblog.typepad.com/pogo/2011/04/american-psychiatric-association-spooked-about-ghostwriting.html


Full text:

When the New York Times raised ethical concerns about the American Psychiatric Association’s (APA) novel collaboration with a Big Pharma funded medical communications company to write a medical textbook, one would think the organization would go all out to rectify the situation. If you’re a creature of Washington, you know the drill:
First, deny culpability.
Second, apologize for what you didn’t do.
Third, announce new ethics rules, so that what didn’t happen will never happen again.
That’s typically how it works. But at APA and their publishing house, the APPI, brains seem to function differently from the rest of us.
Observing the APA try to bat away allegations of ghostwriting is like watching a silent slapstick where an actor trips on his own shoe laces and tries valiantly to maintain footing, before tumbling down a nearby flight of stairs, and dropping bottom first into an unfortunately positioned dirty mop bucket.
Comedy genius.
The most laughable moment was this absurd piece of journalism published in APA’s newsletter, Psychiatric News. About a third of the article is spent belaboring each and every point of the New York Times’ minor correction. You can read the story here.
It’s a Johnnie Cochran “[I]f it doesn’t fit, you must acquit” defensive ploy: magnify any tiny error in the vainglorious belief that it blots out all that awful, horrible, stinky evidence aimed in your direction.
The story also quotes Ron McMillen, chief executive officer of the APA’s publishing house APPI, who claims to have extensive files, proofs, and manuscript versions of the book that clearly demonstrate the active involvement of purported authors Drs. Alan Schatzberg and Charles Nemeroff.
“I’ve seen the files, and you can clearly see author involvement,” he said. “Schatzberg and Nemeroff have margin notes in all of the galleys with their initials throughout all of the various iterations.”
Three academics who have long criticized medicine’s cozy ties to industry sent a letter to Psychiatric News complaining about some…ahem…obvious holes in the story. After months of dithering, the editor of Psychiatric News sent them a terse email that they would not publish the letter.
As a general service to members of the American Psychiatric Association, POGO is publishing the letter here.
At POGO, we’re not certain if “margin notes” and initials on galleys constitute authorship. But we think the APA could easily put this matter to rest. All they need to do is post any records that explain the provenance of the textbook, including drafts, contracts with STI and/or GlaxoSmithKline, and any communications regarding editing.
If the APA has nothing to hide from its members, this shouldn’t be much of a problem. But we’re not holding our breath.

 

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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.