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Healthy Skepticism Library item: 18276

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

Marwick C
US doctor warns of misuse of prescribed stimulants
BMJ 2003 Jan 11; 326:(7380):67
http://www.bmj.com/cgi/content/extract/326/7380/67


Abstract:

Europe is being targeted by the drugs industry as the next major market for increasing the use of stimulant drugs such as methylphenidate (Ritalin) and dexamfetamine, a Californian doctor specialising in behavioural paediatrics warned at a recent meeting of the President’s Bioethics Council.

Dr Lawrence Diller has become known in the United States as a critic of the inappropriate use of stimulants such as methylphenidate for the management of children with attention deficit hyperactivity disorder. Besides its therapeutic uses methylphenidate has also attracted non-therapeutic uses: pacifying unruly children, enhancing performance, and, as Dr Diller told the Council, “helping parents be better parents and teachers to teach better.”

But now, Dr Diller said, the use of these stimulants is beginning to expand outside the United States. In the 1990s the United States led the world in the use of these stimulants, with 90% of global use. In recent years this has . . .

 

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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