Manufacturing depression (57 page)

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186
   
When an observant brat
: Kline, “Monoamine Oxidase Inhibitors,” 194.

 

186    
Rauwolfia serpentina
: Goenka, “Rustom Jal Vakil and the Saga of
Rauwolfia serpentina
,” 196.

 

187
   
the glaziers at his hospital
: Kline, “Use of
Rauwolfia serpentina
Benth. in Neuropsychiatric Conditions,” 121.

 

187
   
would relieve simple depression
: Kline, “Monoamine Oxidase Inhibitors,” 197.

 

188
   
“immediately led me to speculate”
: Ibid., 198.

 

188
   
“Here indeed was a fairly unique situation!”
: Ibid., 200.

 

188
   
Kline arranged to testify
: Loomer, Saunders, and Kline, “Iproniazid: An Amine-Oxidase Inhibitor.”

 

188
   
“a side effect of an anti-tuberculosis drug”
: Harrison, “TB Drug Is Tried in Mental Cases.”

 

189
   
“a disease is what the medical profession recognizes”
: Jellinek,
The Disease Concept of Alcoholism,
12.

 

189
   
“On the antidepressant drugs”
: Rusk, “Drugs and Depression.”

 

189    “
eudaemonia
”: Laurence, “Drug Called a Psychic Energizer Found Useful in Treating Mental Illnesses.”

 

189
   
“moral and social implications”
: Kuhn, “Treatment of Depressive States,” 464.

 

189
   
“could improve ordinary performance”
: Laurence, “Drug Called a Psychic Energizer.”

 

190
   
“persistent moderate depression”: New York Times,
“Death of Woman Laid to ‘Pep Pills,’” April 11, 1958.

 

190
   
dose intended for “severe depression”: New York Times,
“City Agents Hunt Supplies of Drug,” April 12, 1958, 1.

 

190
   “
CITY RESTRICTS SALE OF ENERGIZING DRUGS
”: Ibid.

 

190
   “
DRUG INVESTIGATED IN 2 DEATHS IN CITY
”:
New York Times
, April 15, 1958, 1.

 

190
   
reports of jaundice
: Kline, “Monoamine Oxidase Inhibitors,” 202.

 

191
   
“headline hunting”: New York Times,
“Physician Warns on Wonder Drugs,” April 13, 1960.

 

191
   
the roster of “wonder drugs”
: Ibid.

 

192
   
Even the Puritans
: Levine, “The Discovery of Addiction,” 144–46.

 

192
   
$14 billion a year
: That’s the drug czar’s estimate for 2008. It doesn’t include the costs of incarceration. See Office of National Drug Control Policy, “National Drug Control Strategy,”
http://www.whitehousedrug policy.gov/publications/policy/09budget/exec_summ.pdf
.

 

192
   
$14 billion is only a little more
: You can add it up yourself. See “Pharmacy Facts and Figures,” Drug Topics website,
http://drugtopics.modern medicine.com/drugtopics/article/articleList.jsp?categoryId=7604
.

 

193
   
“If a drug makes you feel good”
: Klerman, “Psychotropic Hedonism vs. Pharmacological Calvinism,” 3.

 

193
   
From Sad to Glad
: Kline,
From Sad to Glad: Kline on Depression
.

 

194
   
the “inaugural article” of the antidepressant era
: Healy,
Antidepressant Era
, 148.

 

195
   
They ran a controlled clinical trial
: Davies and Shepherd, “Reserpine in the Treatment of Anxious Patients.”

 

195
   
an excellent account
: Healy,
Antidepressant Era
, 152–55.

 

196
   
“There is good evidence”
: Schildkraut, “The Catecholamine Hypothesis,” 517.

 

197
   
“at best, a reductionistic oversimplification”
: Ibid.

 

197
   
“considerable heuristic value”
: Ibid., 518.

 

198
   
the “soups” and the “sparks”
: Valenstein,
War of the Soups and the Sparks.

 

198
   
a British team
: Curtis and Eccles, “Excitation of Renshaw Cells.”

 

198
   
John Gaddum figured out
: Gaddum, “Push-Pull Cannulae.”

 

198
   
brilliant, beautiful photos
: Dahlstrom and Carlsson, “Making Visible the Invisible.”

 

198
   
one of the most-cited papers in the medical literature
: Healy,
Antidepressant Era
, 156.

 

CHAPTER 10

 

Page

203
   
“it was discovered”
: Thomas,
The Medusa and the Snail,
159.

 

203
   
A total of seventy-four trials
: Turner et al., “Selective Publication of Antidepressant Trials.”

 

204
   
another analysis of clinical trials
: Kirsch et al., “The Emperor’s New Drugs.”

 

204
   
the FDA’s own director of clinical research
: Leber, “Approvable Action on Forrest Laboratories, Inc.”

 

204
   
according to a team of reviewers
: Turner et al., “Selective Publication of Antidepressant Trials.”

 

204
   
severe depressions blunt the placebo effect
: Kirsch et al., “Initial Severity and Antidepressant Benefits.”

 

205
   
the American Medical Association, in its first code of ethics
: Brody,
Hooked,
139–41.

 

205
   
there were two kinds in the world
: See Liebnau,
Medical Science and Medical Industry,
4–10.

 

205
   
Cuforhedake Brane-Fude
: Young,
The Medical Messiahs,
3–12.

 

206
   
the U.S. government, just then on the cusp of its Progressive Era
: Temin,
Taking Your Medicine,
18–37.

 

206
   
a highly publicized stunt
: Ibid., 28.

 

206
   
“the greatest instrument”
: Liebnau,
Medical Science,
91.

 

207
   
“any statement…which shall be false”
: Temin,
Taking Your Medicine
, 30.

 

207
   
the Harrison Anti-Narcotics Law
: Liebnau,
Medical Science
, 94.

 

207
   
Dr. Johnson’s Mild Combination Treatment for Cancer
: Young,
Medical Messiahs
, second photo after 204.

 

207
   
“with reference to plain matter of fact”
: Temin,
Taking Your Medicine
, 33.

 

208
   
outlaw “any statement”
: Ibid.

 

208
   
Franklin Roosevelt, the president’s son
: “Prontosil,”
Time
, December 28, 1936.

 

209
   
“just throw drugs together”
: Brody,
Hooked
, 248.

 

209
   
the FDA found that its only recourse
: Temin,
Taking Your Medicine
, 42–43; Brody,
Hooked
, 250–51.

 

209
   
Had Massengill named its drug
: Marks,
Progress of Experiment
, 82.

 

209
   
doctors would dispense the information necessary
: Marks,
Progress of Experiment
, 83–89; “Prontosil,”
Time,
December 28, 1936.

 

210
   
“there is no scientific evidence”
: Marks,
Progress of Experiment
, 96.

 

211
   
“the wives of my Congressional group”
: Ibid., 96–97.

 

211
   
This was the regulatory environment
: Lasagna, “Congress, the FDA, and New Drug Development,” 323.

 

212
   
The doctor of today
: Lasagna, “The Controlled Clinical Trial,” 353.

 

212
   
the number of pages of
JAMA: Temin,
Taking Your Medicine
, 85–86.

 

213
   
“He who orders”
: Kefauver,
In the Hands of a Few
, 8.

 

213
   
“safe and efficacious in use”
: Temin,
Taking Your Medicine
, 122.

 

213
   
The company hawked the drug
: Knightley et al.,
Suffer the Children
, 26.

 

213
   
She was concerned about reports
: Ibid., 73–81.

 

214
   
Merrell’s medical director
: Ibid., 73–81.

 

215
   
The story was reported on the front page
: Mintz, “‘Heroine’ of FDA Keeps Bad Drug off Market,” A1.

 

215
   
“thalidomide was already barred”
: Lasagna, “Congress, the FDA, and New Drug Development,” 328.

 

215
   
For the first time
: Temin,
Taking Your Medicine
, 121–24.

 

215
   
The answer was that “substantial evidence”
: Ibid., 127.

 

215
   
“even though there may be preponderant evidence”
: Lasagna, “Congress, the FDA, and New Drug Development.” See also Temin,
Taking Your Medicine
, 124.

 

216
   
Louis Lasagna cited a momentous event
: Lasagna, “The Controlled Clinical Trial,” 367.

 

216
   
“Their cases were as similar”
: Lind,
A Treatise of the Scurvy
, 192–93. Key passages from this 1753 work can be found at the James Lind Library,
http://www.jameslindlibrary.org/trial_records/17th_18th_Century/lind/lind_kp.html
.

 

216
   
Franklin and Mesmer had different ideas
: Kaptchuk, “Intentional Ignorance,” 394.

 

217
   
“at hazard, and in parts very distant”
: Ibid., 396.

 

219
   
an RCT is much more suited
: See Healy,
Mania,
128–34.

 

219
   
“taken the blindfold test”
: “Morgan’s Old Gold,”
Time
,
http://www.time.com/time/magazine/article/0,9171,786005,00.html
.

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