Eli Lilly discounts on basis of withholding information

cym_pills.jpgStay Free Daily! has an article on a contract being used by pharmaceutical company Eli Lilly, which promises discounts to large purchasers of antidepressants, as long as they don’t inform physicians about certain negative information about the drug.

The Wall Street Journal have also covered the story (full text at Stay Free link):

The Cymbalta discount contract offers large purchasers of antidepressants a 5% discount, but specifies that they could lose most of that discount if they engage in, among other things, “negative D.U.R. correspondence to physicians.”

While not defined in the contract, D.U.R. is industry shorthand for “drug utilization review,” a kind of analysis of prescription patterns that insurers often use to identify inappropriate or risky practices and often also to cut costs.

Link to Stay Free Daily! story.
PDF of Eli Lilly contract.

Jury decides Atkins is not retarded, death sentence imposed

In the face of contradictory IQ test results, a jury has decided that convicted US murderer Daryl Atkins is not legally retarded making him liable for the death penalty. Judge Prentis Smiley has set the execution date for December 2nd.

The decision has been based on evidence from psychological testing to determine whether Atkins’ IQ is above 70. Executing people considered legally retarded (defined as a sub-70 IQ) was outlawed by the US Supreme Court in 2002.

Atkins IQ score was put at 59 when first measured, although recent tests put it at 74 and 76.

The Atkins case and construction of IQ was discussed earlier on Mind Hacks.

Link to story “Jury says Atkins isn’t retarded” from dailypress.com.

Pilot magazine for synaesthetes

syn_blocks.jpgGraphic designer Claire Mills has put together a magazine for people with synaesthesia, the uncommon condition where the senses are ‘connected’, so, for example, numbers have colours or tastes.

Claire consulted a number of people with synaesthesia to discuss her ideas about the project, and thought carefully about how layout, fonts and themes might be experienced across the senses.

The result is a proof-of-concept magazine, that documents her design process and the the numerous experiences of synaesthetes that she drew on.

Link to Claire Mills’ synaesthesia magazine (Thanks Laurie!)

PBS on outsider artist Henry Darger

darger_image.jpgHenry Darger was only known as a janitor for the majority of his life, until it was discovered, shortly before his death, that he had been working on an a 15,000 page manuscript since the age of 19.

PBS has put a website up to accompany a TV programme about Darger, with commentaries, audio, video and images of Darger’s paintings.

His manuscript, entitled The Story of the Vivian Girls, in What is known as the Realms of the Unreal, of the Glandeco-Angelinnian War Storm, Caused by the Child Slave Rebellion, contained an epic story and several hundred water colour illustrations.

The story is fantastic, bizarre and disturbing and recounts the tale of an ongoing and sometimes graphically bloody war between the Vivian Girls, sometimes aided by winged creatures called the Blengens, against child slavery imposed by the Glandelinians.

Darger was diagnosed with a mental illness in his youth, although his diagnosis was reportedly ‘masturbation’, which was thought by some doctors at the time to cause madness (not an uncommon belief throughout history).

It’s not clear whether this was thought to signify the likely cause of an obvious mental illness, or whether this was considered reason enough to justify a clinical diagnosis.

He is considered one of the most important of the ‘outsider artists‘, people who have had no formal training or contact with the mainstream art world, but produce highly regarded works.

Many significant outsider artists, such as Adolf Wölfli, were diagnosed as mentally ill or had experience of serious mental distress.

Link to PBS website ‘In the Realms of the Unreal’.
Link to Wikipedia page on Darger, with links to online galleries.

An embryonic science

fetus.jpgWhat were you doing for the 38 weeks before you were born? A hell of a lot actually, according to Professor Peter Hepper at Queen’s University, Belfast, who’s written about the nascent field of fetal psychology in the latest issue of The Psychologist magazine.

The article is packed full of fascinating observations including the fact that the fetus demonstrates handedness by 10 weeks of gestation – before any signs of hemispheric asymmetry, thus suggesting a predilection for movements on one side might lead to brain lateralisation, rather than the other way around.

Hepper also mentions the controversy surrounding whether or not the fetus feels pain. Of course it can’t be asked, but by 23 weeks gestation, the fetus does show a biochemical stress response to a needle puncture (during a blood transfusion), which suggests it hurt.

Doctors have no way of directly assessing the brain function of a fetus, but advances in fetal psychology mean aberrant patterns of behaviour can increasingly be used to identify neural problems the fetus may have.

The article is locked to subscribers but will be freely available after six months.

Link to The Visible Embryo
Link to videos of the fetus

BBC Material World on Chloroform

ChloroformMask.jpgBBC Radio 4 science programme Material World investigates the science and history of chloroform, one of the the original anesthetics, first synthesised in 1831.

Linda Stratmann, author of Chloroform: The Quest for Oblivion, and clinical toxicologist Professor John Henry, discuss its accidental discovery, early recreational popularity, original medical uses, how it is thought to work, and, of course, its reputation as a knock-out agent for the criminal underworld.

The section on chloroform starts 13 minutes into the programme, which is archived as a realaudio stream.

Link to programme webpage.
Realudio archive of programme.

New series of BBC All in the Mind

raj_persaud.jpgLast Tuesday saw a new series of the BBC version of All in the Mind hit the airwaves.

It’s broadcast on BBC Radio 4 and hosted by psychiatrist Raj Persaud, and is quite separate from the ABC Radio National version – also called All in the Mind – just to add to the confusion.

The BBC version has a different format to the Radio National All in the Mind, as it typically covers several topics in one week, sacrificing depth for breadth and variety.

All of the editions of the BBC programme are archived on the website as realaudio streams, and the first programme covers the psychology of negotation, happiness and a relatively new method of brain scanning called magnetoencephalography or MEG.

Link to BBC Radio 4 ‘All in the Mind’ website with realaudio archive.

Psychiatry’s dark debate, 1942

The latest issue of the History of Psychiatry journal contains an article by psychologist Jay Joseph, discussing a disturbing debate in a 1942 issue of the American Journal of Psychiatry, over whether the ‘feebleminded’ should be killed.

The debate was held between neurologist Robert Foster Kennedy, one-time president of the American Neurological Association, and psychiatrist Leo Kanner, famous for his work on autism.

In an article entitled ‘The problem of social control of the congenital defective: education, sterilization and euthanasia’, Kennedy made the argument that ‘defective’ or ‘feebleminded’ children, reaching the age of five, should be examined by a medical review board and if found to have ‘no future or hope of one’, should be killed, suposedly for the good of society.

Kanner argued strongly against this position in a reply entitled ‘Exoneration of the feebleminded’, although Joseph notes that he did believe sterilisation was appropriate for those ‘intellectually or emotionally unfit to rear children’.

Perhaps most shocking was an unsigned editorial in the same issue, siding with Kennedy’s ideas in the debate.

Joseph is a stark critic of genetic research into mental illness, and so perhaps it is not surprising that he finishes the article warning that such research could support similar views today.

Whatever you think of Joseph’s take on the issue, however, it is surprising to learn that respected clinicians in America were supporting eugenics during the the time of World War Two.

Link to summary of the paper ‘The 1942 ‚Äòeuthanasia‚Äô debate in the American Journal of Psychiatry’.

Drug use in 2025

foresight.jpg The U.K.’s Office of Science and Technology Foresight programme has published a free report “Drugs Futures 2025?” that seeks answers to how we can best manage the use of psychoactive substances in the future for the betterment of society. The report points to three areas that will be affected by our rapidly growing understanding of how substances act in the brain: treatment for mental health, drug addiction and the use of cognitive enhancers like modafinil and ritalin. The report draws on 15 state-of-the-science reviews, from experimental psychology, to genomics, to social policy that are also free to download.

NewSci special on deception

ns_20050730.jpgFor the third week in a row, New Scientist is full of mind and brain articles. This week, a special on the science of lying and deception.

The issue covers the psychology of lying, but also deception in the wider sense.

Mediums and fortune tellers are put under the spotlight. Even if some mediums are genuine, there must be many who aren’t, and yet still seem successful to their clients. One article analyses ‘cold reading’ and considers the techniques that could be used to give the impression of supernatural insight.

Another article looks at the psychology of stage magic, and the interview puts Derren Brown, television mind-manipulator (and Bristol University psychology graduate), in the hot seat.

Also for the third week in a row, none of the article are online, so it’s hard cash or the library for this one.

Link to New Scientist contents.

Dalai Lama to lecture on neuroscience amidst protests

dalai_lama.jpgTibetan Buddhist leader, the Dalai Lama, is to give a lecture to an international neuroscience conference, despite protests from some of the delegates.

His lecture on the neuroscience of meditation, and participation in a discussion on the ‘Science and Clinical Applications of Meditation’, is planned for the prestigious annual conference of the Society for Neuroscience, to be held in Washington DC in November.

The Dali Lama has a longstanding interest in neuroscience, having founded the Mind and Life Institute, to promote dialogue between science and buddhism.

The Institute has regular meetings between the Buddhist leader and leading neuroscientists, which has resulted in research collaborations and a number of books that have included transcripts and analyses of the gatherings.

His talk also comes at a time when therapies based on Buddhist ‘mindfulness’ techniques are being found to be increasingly effective for treating physical and mental distress in well-controlled scientific studies.

Some potential delegates are protesting his appearance, however, suggesting science and religion should not be mixed and declaring his views to be in ‘poor scientific taste’. Neuroscientist Jianguo G. Gu has reportedly started a petition against the Dalai Lama’s lecture.

The Society for Neuroscience have defended their decision and noted that the Dalai Lama will not be talking about ‘religion or politics’.

Link to Guardian article ‘Plan for Dalai Lama lecture angers neuroscientists’
PDF (5.5Mb) of programme for Society for Neuroscience Annual conference. Details of Dalai Lama’s participation on p8 and p27.
Link to Mind and Life Institute.
Link to scientific paper ‘Long-term meditators self-induce high-amplitude gamma synchrony during mental practice’.
Link to information on mindfulness therapy from Cambridge University’s Cognition and Brain Sciences Unit.

Epilepsy surgery on TV

BBC One is showing a television programme on Wednesday 27th July at 9pm on the work of neurosurgen Chris Chandler, as he completes an operation to prevent life threatening seizure in a 19 year-old woman.

19-year-old Sarah has epilepsy and suffers over 20 fits a day. Harry is seven, and his fits are so severe they can stop him breathing. Surgery is their only hope of a normal life, but the risks are high.

Brain surgeon Chris Chandler, who works at King’s College Hospital in London, is one of only a handful of surgeons able to perform this complex surgery. Their lives are in his hands.

UPDATE: BBC News has a story about the programme online.

Link to BBC TV listing.

All in the Mind: The Intimate Unconscious

ABC Radio’s All in the Mind has so many good shows, we almost require a permanent feed. This week is no exception with an excellent edition on ‘An Intimate History of the Unconscious’.

Our minds are wayward beasts. Many of the quirks of our conscious experience go unexplained. Could our conscious mind be but the tip of an iceberg, underpinned by the seething underbelly of the unconscious? Freud famously thought so. The Ancients appealed to gods, the gremlins and the underworld to explain our strange ways. Cognitive scientist Guy Claxton has unearthed the unconscious throughout history. Despite the exciting triumphs of neuroscience, he argues that mystical metaphors of the hidden mind still have their place.

Guy Claxton has written a book on the same topic, entitled The Wayward Mind: An Intimate History of the Unconscious, and shares some of the insights he discovered while writing it.

mp3 or realaudio to programme audio.
Link to transcript.

NewSci on speed, fatigue, denial and terrorism

ns20050723.jpgThis week’s New Scientist has a mixed bag of articles on psychology and neuroscience, covering the effects of amphetamine on the brain, and developments in understanding chronic fatigue syndrome, anosognosia and suicide bombers.

The effects of amphetamine are a hot topic at the moment, owing to recent sharp increases in its use, illegally – in the form of street speed, particularly methamphetamine or ‘crystal meth’, and on prescription – in the form or dexamphetamine and ADHD drug Adderall.

New Scientist has one of its lead articles on the debates over the potential damaging effects of amphetamine, and what this means for recreational users and the millions of children prescribed amphetamine-like drugs.

One worry is a lack of long-term studies into the effects of using such stimulant drugs in childhood, on adult health and functioning.

Another, shorter article, in the same issue, discusses a condition called anosognosia, where a brain-injured patient may be unaware of, or seem to deny, sometimes quite striking disabilities – for example, being blind or paralysed.

Other short articles tackle the social psychology of terrorism and the role of intra-group declarations of commitment in motivating suicide bombers, and recent findings on contributory genes for the still, largely mysterious, chronic fatigue syndrome.

None of the articles are online (grumble grumble), but your local library may have it if your newsagent doesn’t.

Link to New Scientist contents page.

Art, mind and belief

jerusalem_doorway.jpgThe Haunch of Venison Gallery in London has a show that has collected art on the themes of mind and belief. It has pieces by a number of renowned contemporary artists, and includes an intriguing piece by Nathan Coley, who focuses on the Jerusalem syndrome.

This controversial condition was first identified by psychiatrist Yair Bar El, who claimed some people who ended up in psychiatric care in Jerusalem, were previously stable tourists who had become overwhelmed, and had distinct religious delusions that seemed to abate when they left the area.

Others have disputed the fact that these people were mentally stable beforehand, and argue that this was simply a case of pre-existing psychosis flavoured by the environment.

Coley’s contribution to the exhibition is a video about the syndrome, including interviews with psychiatrists who have encountered presumed cases in Jerusalem.

The show runs from 7th July to 25th August.

PDF of press release for show ‘Changes of Mind: Belief and Transformation’.
Link to story from The Guardian on the exhibition.
Link to Haunch of Venison Gallery.

Social science research forum launches

An internet discussion board has been launched to allow psychologists and social scientists to swap advice, queries and concerns about research into human behaviour.

It’s free to join and should be a useful resource for researchers wanting advice on anything from ethics and implementation, to statistics and presentation.

Link to the ‘Research Companion Forum’.