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Healthy Skepticism Library item: 15180

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: Journal Article

Applbaum K.
Getting to Yes: Corporate Power and the Creation of a Psychopharmaceutical Blockbuster.
Cult Med Psychiatry 2009 Feb 27;
http://www.springerlink.com/content/u62742285u871576/


Abstract:

In this paper, I analyze documentary evidence from a pharmaceutical company’s strategic marketing campaign to expand the sale of an antipsychotic medication beyond its conventional market. I focus on the role of the managerial function known as channel marketing, the task of which is to minimize friction, achieve coordination and add value in the distribution of the company’s products. However, the path to achieving these objectives is challenged because members of the marketing channel, or intermediaries, may not be contractual members of the channel; in fact they may have widely divergent goals or may even be hostile to the manufacturer’s efforts at control. This can be construed to be the case for physicians and others who are in the pharmaceutical manufacturer’s distribution channel but not of it. Their views and actions must somehow be brought into alignment with the manufacturer’s goals. This paper seeks to show part of the process from the manufacturer’s strategic standpoint, in which potential dissenters are incorporated into the pharmaceutical company distribution channel. The routinization of this incorporation results in the diminishment of psychiatry’s professional autonomy by means of what is-paradoxically to them, but not to a student of marketing-a competitive threat. The paper concludes with a discussion of corporate power.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909