2
" The issues of antidepressant-associated suicide has become front-page news, the result of an analysis suggesting a link between medication use and suicidal ideation among children, adolescents, a link between medication use and suicidal ideation among children, adolescents, and adults up to age 24 in short term (4 to 16 weeks), placebo-controlled trials of nine newer antidepressant drugs. The data from trials involving more than 4.4(K) patients suggested that the average risk of suicidal thinking or behavior (suicidality) during the first few months of treatment in those receiving antidepressants was 4 percent, twice the placebo risk of 2 percent. No suicides occured in these trials. The analysis also showed no increase in suicide risk among the 25 to 65 age group. Antidepressants reduced suicidality among those over age 65. Following public hearings on the subject, in October 2004, the FDA requested the addition of “black box” warnings—the most serious warning placed on the labeling of a prescription medication—to all antidepressant drugs, old and new. "
― , Kaplan & Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry
3
" Since this often seems to come up in discussions of the radical style, I'll mention one other gleaning from my voyages. Beware of Identity politics. I'll rephrase that: have nothing to do with identity politics. I remember very well the first time I heard the saying " The Personal Is Political." It began as a sort of reaction to defeats and downturns that followed 1968: a consolation prize, as you might say, for people who had missed that year. I knew in my bones that a truly Bad Idea had entered the discourse. Nor was I wrong. People began to stand up at meetings and orate about how they 'felt', not about what or how they thought, and about who they were rather than what (if anything) they had done or stood for. It became the replication in even less interesting form of the narcissism of the small difference, because each identity group begat its sub-groups and " specificities." This tendency has often been satirised—the overweight caucus of the Cherokee transgender disabled lesbian faction demands a hearing on its needs—but never satirised enough. You have to have seen it really happen. From a way of being radical it very swiftly became a way of being reactionary; the Clarence Thomas hearings demonstrated this to all but the most dense and boring and selfish, but then, it was the dense and boring and selfish who had always seen identity politics as their big chance.Anyway, what you swiftly realise if you peek over the wall of your own immediate neighbourhood or environment, and travel beyond it, is, first, that we have a huge surplus of people who wouldn't change anything about the way they were born, or the group they were born into, but second that " humanity" (and the idea of change) is best represented by those who have the wit not to think, or should I say feel, in this way. "
4
" ...Cleveland was the first war over the protection of children to be fought not in the courts, but in the media...
Given that most of the hearings took place out of sight of the press, the following examples are taken from the recollection of child protection workers present in court. In one case, during a controversy that centred fundamentally around disputes over the meaning of RAD [reflex anal dilatation], a judge refused to allow ‘any evidence about children’s bottoms’ in his courtroom.
A second judge — hearing an application to have their children returned by parents about whom social services had grave worries told the assembled lawyers that, as she lived in the area, she could not help but be influenced by what she read in the press.
Hardly surprising then that child protection workers soon found courts not hearing their applications, cutting them short, or loosely supervising informal deals which allowed children to be sent back to parents, even in cases where there was explicit evidence of apparent abuse to be explained and dealt with. (p21)
[reflex anal dilatation (RAD): a simple clue which is suggestive of anal penetration from outside. It had been recognised as a valuable weapon in the armoury of doctors examining children for many decades and was endorsed by both the British Medical Association and the Association of Police Surgeons. (p18)] "
― , Creative Responses to Child Sexual Abuse: Challenges and Dilemmas