
Contents
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52 Contagion, Identity, Misinformation: Challenges for Psychiatric Ethics in the Age of the Internet
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Introduction Introduction
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Existing Financial Conflicts of Interest in Psychiatric Professional Organizations Existing Financial Conflicts of Interest in Psychiatric Professional Organizations
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Diagnostic and Clinical Practice Guidelines Diagnostic and Clinical Practice Guidelines
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Patient Advocacy Patient Advocacy
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Continuing Medical Education Continuing Medical Education
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Gaps in Current Solutions Gaps in Current Solutions
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COI Policies and Disclosure COI Policies and Disclosure
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Beyond Disclosure: Zero Tolerance for FCOI and Checks and Balances Beyond Disclosure: Zero Tolerance for FCOI and Checks and Balances
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Informed Consent Informed Consent
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Moving Forward: Recommendations Moving Forward: Recommendations
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COI Policies for Clinical Guidelines COI Policies for Clinical Guidelines
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Patient Advocacy Patient Advocacy
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Continuing Medical Education Continuing Medical Education
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Educating the Public Educating the Public
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Conclusion Conclusion
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Summary of Recommendations Summary of Recommendations
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References References
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70 Animal Welfare Considerations and Ethical Oversight of the Use of Animals in Psychiatric Research
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56 Curing Financial Conflicts of Interest in Psychiatric Professional Organizations
Get accessOmar Sultan Haque, M.D., Ph.D., Warren Alpert Medical School, Brown University; and Program in Psychiatry and the Law, Harvard Medical School.
Alicia Lu, B.A., Warren Alpert Medical School, Brown University
Daniel Wu, M.A., Department of Sociology and Harvard Law School, Harvard University
Lisa Cosgrove, Ph.D., College of Education and Human Development, University of Massachusetts, Boston
Harold J. Bursztajn, M.D., Program in Psychiatry and the Law, Harvard Medical School
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Published:03 November 2014
Cite
Abstract
Most of the attention to the problem of financial conflicts of interest (FCOI) in psychiatry has centered on the actions of individuals. But what if the problem is much larger, and has infected entire organizations? Using the conceptual, and normative framework of “institutional corruption,” we describe how organized psychiatry has developed values, norms, and practices that have undermined its public health mission. Specifically, we argue that institutionalized FCOI have distorted the evidence base upon which psychiatric research, diagnosis, and treatment depends. We argue that current strategies such as simple transparency of commercial ties and “managing” FCOI are insufficient and vulnerable to gamesmanship. Following the IOM’s most recent (2011) recommendations for preventing bias when there are academic–industry relationships, we offer ideas for responding to the ethical and intellectual crisis in psychiatry, and emphasize the importance of training practitioners to think critically when assessing the evidence base of industry-sponsored research.
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