Map of life expectancy at birth from Global Education Project.

Tuesday, April 19, 2005

How to Achieve Bliss

If you take Thomas Gray's advice -- Where ignorance is bliss, / ‘Tis folly to be wise -- then the quickest route to happiness is to read the newspapers and watch TV.

How many of my 2 1/2 dedicated readers already know that according to a randomised, placebo controlled trial -- the Gold Standard -- published in the Archives of General Psychiatry about two weeks ago -- cognitive therapy, a form of counseling, is just as effective as antidepressants at treating moderate to severe depression, and that in fact, patients treated with cognitive therapy rather than drugs were less likely to relapse? Oh yeah -- cognitive therapy doesn't cause agitation, loss of libido, dry mouth, or suicide.

So here we have a multi-billion dollar annual industry, pumped up by all those television ads featuring ecstatic people running through meadows, advertisements in medical journals depicting your patients going from a lonely corner in a black and white world to a technicolor carnival of life -- persuasive enough that primary care physicians hand out happy pills by the billions. Not that the drug companies had to spend all that money on advertising, really: the corporate media were happy to do the advertising for them, laying forests to waste and treating the planets around nearby stars to the world transforming news of the miracle of Prozac. Did you hear a whisper, a hint, an intimation, that maybe, after all, IT WAS ALL A CROCK? Here's a newsflash you won't be hearing on ABC, Fox, or CNN. Antidepressants do not work. (By the way, cognitive-behavioral therapy is a brief, limited intervention. It does not resemble long term, or lifelong, psychoanalysis.)

A new book by Richard A. Deyo and Donald L. Patrick, "Hope or Hype: The Obsession with Medical Advances and the High Cost of False Promises," explains what's going on (although they don't discuss antidepressants specifically.) Judy Foreman, in her review in NEJM, says it better than I could. (Okay, almost as well.)

Deyo and Patrick make a well-documented -- if depressing -- argument that doctors, scientists and laypersons alike are far too easily seduced by industry hype for merely new (as opposed to truly better) drugs and medical devices. . . . [W]e are all too ready to believe that new, expensive or aggressive care must be better than older, cheaper, or milder treatments.


Uhuh. Heroic researchers conquering unhappiness and death make for exciting tales. But there's something else going on here. Cognitive behavioral therapy can't be patented, the profits can't be captured by a giant corporation and oh yeah, there's no advertising revenue to be had from it. But don't dare call the corporate media whores. It isn't nice.

8 comments:

viagra online said...

I agree with the author when he said that happyness could be experienced when reading a book or watching TV. It is vital to learn how to get bliss in small things we have every day!

Anonymous said...

cialis super active plus Bestellen
proscar Bestellen Online
Ohne Rezept cialis soft
strattera acheter
viagra soft Rezeptfrei Bestellen
viagra Prix de Vente
Kaufen cialis soft Online
Order lasix Online
zithromax Bestellen Rezeptfrei
strattera Ohne Rezept Bestellen
flagyl Rezeptfrei Bestellen
flagyl Rezeptfrei Kaufen
cialis Rezeptfrei Bestellen

muebles en alcala de henares said...

Goodness, there's a great deal of useful info in this post!

Anonymous said...

acheter Diflucan
acheter Wellbutrin Sr en ligne
comprar Kamagra Soft sin receta
Eriacta prix en france
Wellbutrin Sr discount
achat Kamagra Soft
Eriacta prix discount
Female Viagra vendita italia
Viagra Soft sin receta españa
Tadalis Sx discount
Avodart comprar españa
Levitra sin receta en farmacias
Female Viagra vendita
acheter Amoxil sans ordonnance
Vigora sin receta en farmacias
Plavix senza ricetta
vendita Plavix italia
acheter Kamagra Oral Jelly en ligne
Propecia precio

GETTY CENTER said...

wooooooow great fun! This is a wonderful post shared here. Really a great indeed job. In future i will visit again thanks again.

price per head said...

I enjoyed reading your articles. This is truly a great read for me. I have bookmarked it and I am looking forward to reading new articles an i keep a nice post

Anonymous said...


Viagra Pharmacie
Viagra Pharmacie

Anonymous said...


hacking slots
monopoly slot
slot tournaments in vegas
free casino gams slots
quick hit slot machine game
party poker roulette online gambling blackjack
blackjack accesories
sony laptop dimm socket slot loose
blackjack ii review
samsung's blackjack cell phone
hdmr slot
online free atlantic city blackjack
around best slot virtual
game machine pc pocket slot
oriental slot machine manuel
message free chip slot purchase
playin4keeps casino promotion
blackjack guide