{"id":128054,"date":"2020-11-17T12:28:11","date_gmt":"2020-11-17T11:28:11","guid":{"rendered":"https:\/\/www.bordeaux-neurocampus.fr\/?p=128054"},"modified":"2020-11-17T12:46:09","modified_gmt":"2020-11-17T11:46:09","slug":"mallet-dumas-gonon-harvard-review-of-psychiatry","status":"publish","type":"post","link":"https:\/\/www.bordeaux-neurocampus.fr\/en\/mallet-dumas-gonon-harvard-review-of-psychiatry\/","title":{"rendered":"Estelle Mallet-Dumas and Fran\u00e7ois Gonon in <em>Harvard Review of Psychiatry<\/em>"},"content":{"rendered":"<p>On October 31, 2019, two psychiatrists from Harvard University wrote in the New England Journal of Medicine : <em>\u201cIronically, although these limitations (of \u201cbiologic treatments\u201d) are widely recognized by experts in the field, the prevailing message to the public and the rest of medicine remains that the solution to psychological problems involves matching the \u201cright\u201d diagnosis with the \u201cright\u201d medication. Consequently, psychiatric diagnoses and medications proliferate under the banner of scientific medicine, though there is no comprehensive biologic understanding of either the causes or the treatments of psychiatric disorders.\u201d<\/em><\/p>\n<p>Like other leaders in the field, Gardner and Kleinman admitted that the neurobiological analysis of psychiatric disorders has not yet been translated into improved clinical care. Moreover, they acknowledged, for the first time in a prestigious biomedical journal, that psychiatrists deliver another message to their non-psychiatric peers in medicine and to laypeople. Our team is working for ten years on the covering of biological psychiatry by mass media. Garner&#8217;s and Kleinman&#8217; opinion letter prompted us to publish the present perspective article. We review the academic literature describing the misrepresentations of biological psychiatry, their sources, diffusion through mass media, possible causes and social consequences.<\/p>\n<figure id=\"attachment_128053\" aria-describedby=\"caption-attachment-128053\" style=\"width: 770px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/www.bordeaux-neurocampus.fr\/wp-content\/uploads\/2020\/11\/gonon-nov2011.jpg\" rel=\"lightbox[128054]\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-128053 size-large\" src=\"https:\/\/www.bordeaux-neurocampus.fr\/wp-content\/uploads\/2020\/11\/gonon-nov2011-770x429.jpg\" alt=\"\" width=\"770\" height=\"429\" srcset=\"https:\/\/www.bordeaux-neurocampus.fr\/wp-content\/uploads\/2020\/11\/gonon-nov2011-770x429.jpg 770w, https:\/\/www.bordeaux-neurocampus.fr\/wp-content\/uploads\/2020\/11\/gonon-nov2011-360x201.jpg 360w, https:\/\/www.bordeaux-neurocampus.fr\/wp-content\/uploads\/2020\/11\/gonon-nov2011.jpg 813w\" sizes=\"auto, (max-width: 770px) 100vw, 770px\" \/><\/a><figcaption id=\"caption-attachment-128053\" class=\"wp-caption-text\">Figure. Dopamine transporter density in the striatum of patients with attention deficit hyperactivity disorder. The initial study by Dougherty et al. (1999) reported a 70% increase in 6 adult patients compared to 30 controls. Subsequent studies reported a smaller increase, no difference or a modest opposite effect. This initial study was widely covered by newspapers whereas all, but one, subsequent studies were not. This subsequent study was only covered by 3 newspapers and none mentioned that the initial study was disconfirmed. This example illustrates how biological psychiatry is often misrepresented in mass media. Because initial studies are more often published in high impact factor journals, they are echoed in mass media whereas subsequent studies that disconfirm them are not. Moreover, mass media almost neither inform the public when an initial study they have covered is disconfirmed by subsequent investigations (from Gonon et al. (2012) and Dumas-Mallet et al. (2017)).<\/figcaption><\/figure>\n<p><strong>Estelle Dumas-Mallet, Fran\u00e7ois Gonon<\/strong><br \/>\n<strong><a href=\"https:\/\/www.bordeaux-neurocampus.fr\/team\/physiology-and-pathophysiology-of-executive-functions\/\">Team : Physiologie et physiopathologie des fonctions executives<\/a><\/strong><br \/>\nIMN<\/p>\n<h3>Article<\/h3>\n<div><a href=\"https:\/\/journals.lww.com\/hrpjournal\/Fulltext\/2020\/11000\/Messaging_in_Biological_Psychiatry_.4.aspx\"><strong><em>Messaging in Biological Psychiatry : Misrepresentations, their Causes and Possible Consequences<\/em><\/strong><\/a><br \/>\nDumas-Mallet, Estelle ; Gonon, Francois<\/p>\n<section id=\"ejp-article-authors\">Harvard Review of Psychiatry: <span id=\"ej-journal-date-volume-issue-pg\">11\/12 2020 &#8211; Volume 28 &#8211; Issue 6 &#8211; p 395-403<\/span><\/section>\n<section id=\"article-journal-info\">\n<div id=\"ej-journal-doi\">doi: 10.1097\/HRP.0000000000000276<\/div>\n<\/section>\n<\/div>\n<div>\n<div>\n<div><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Messaging in Biological Psychiatry : Misrepresentations, their Causes and Possible Consequences<\/p>\n","protected":false},"author":108,"featured_media":130792,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[71,140],"tags":[],"class_list":["post-128054","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-highlight-en","category-for-all"],"_links":{"self":[{"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/posts\/128054","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/users\/108"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/comments?post=128054"}],"version-history":[{"count":0,"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/posts\/128054\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/media\/130792"}],"wp:attachment":[{"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/media?parent=128054"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/categories?post=128054"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/tags?post=128054"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}