“Cruel Sanctimony”: Bugnut So-Called Reporter Makes Mental Health A Political Issue
I cannot write this the way I want. Doing so would invade the privacy of too many people. But I can’t be silent, either.
Last week, you see, President Obama spoke before a conference of mental-health advocates at the White House. It is necessary, he said, to remove the stigma of mental illness and make sure “people aren’t suffering in silence,” that they know they are not alone, but are supported by the rest of us as they face this challenge.
It would seem a plain vanilla thing to say. But in this endless era of smash-mouth politics, nothing is plain vanilla anymore.
So one Neil Munro, a “reporter” for the right-wing Daily Caller website, duly took exception. Under the headline, “Obama urges public to use government mental-health programs,” Munro in essence accused mental health professionals of making up illnesses. “In recent decades,” he wrote, “the professionals have broadened the definition from severe, distinct and rare ailments, such as schizophrenia and compulsive behavior, to include a much wider set of personal troubles. Those broader problems include stress and sadness, which are medically dubbed ‘anxiety’ and ‘depression’ by professionals.”
Munro was having none of that. “Americans,” he wrote, “have typically responded to stress and sadness by urging stoicism, hard work, marriage, prayer and personal initiative. …”
In other words, we were self-reliant. We toughed it out. And if I could write this the way I want, I would tell you in detail about a friend who was self-reliant. She toughed it out. Right up until she shot herself.
If I could write this the way I want, I would gather people I know who suffer from the types of diseases Munro finds “real” — dissociative identity disorder, bipolar disorder, schizophrenia — and I’d let them describe for you the stigma that attaches even to those sicknesses. The notion that mental illness — any mental illness — should be toughed out is asinine. Would you tough out diabetes? Would you tough out cancer?
It is a statistical matter of fact (one in five of us suffers mental illness in any given year, said the president) that this touches many of us. So I suspect I am not the only one who has stories he cannot tell and names he cannot call. On behalf of those unnamed people, our family members and friends who daily struggle with crippling disorders they did not cause and do not deserve, let us call Munro’s writing what it is: cruel sanctimony.
If his name sounds familiar, it is because last year, he made news for heckling the president during a Rose Garden address. Though ostensibly a “reporter,” Munro was shown in photographs with his hands in his pockets and neither notepad nor tape recorder in evidence.
Which made it hard to see how he was “reporting,” and suggested he was less a member of the Fourth Estate than another ideologue playing dress-up, a fresh emblem of political divisions so broad they can no longer be bridged. So broad that even things we once all agreed upon — for example: reporters don’t heckle presidents during speeches — can no longer be taken for granted.
But what the ideologue play-acting at journalism either does not know, or does not care, is that this is not a game. There is a real-life consequence to spreading ignorance about matters of health. As the military deals with record suicide rates, one shudders to think of the soldier, afflicted with post-traumatic stress disorder, who will read Munro’s scribblings and feel affirmed in his belief that seeking help is somehow unmanly. As our parks fill with the homeless mentally ill, one sighs at the thought of some daughter reading this and believing her dad chose to be that way.
These are our people, said the president, and we should support them. Self-evident truth. Plain vanilla.
And Lord have mercy. Even that’s controversial now.
By: Leonard Pitts Jr., The National Memo, June 10, 2013
“An American Epidemic”: Reporting On Surging U.S. Suicide Rate, Media Downplays Gun Deaths
The suicide rate among middle-aged Americans, and especially among the middle-aged men, soared from 2000 to 2010, according recent findings from the Center For Diseases Control and Prevention. There were 38,350 suicides in 2010, making it the tenth leading cause of death in America, surpassing the annual number of car fatalities. Among men ages 50 to 59 years old, there was a nearly 50 percent spike in suicides over that ten-year span. More than half of all male suicides were carried out with a firearm.
The startling findings have produced a steady stream of news coverage in recent days. But it’s been coverage that has largely overlooked a central tenet of the escalating suicide crisis: Guns. And specifically, easy access to guns in America.
The oversight continues a troubling media trend of news reports routinely failing to put U.S. gun violence in context and failing to give news consumers a proper understanding of the size and scope of the deadly epidemic. Self-inflicted gun deaths remain the cornerstone of suicides in America, accounting for 56 percent of male suicides. And the gun rate is increasing. You simply cannot discuss suicide in America without addressing the pivotal role firearms play. Unfortunately, in recent days lots of news organizations have tried to do just that.
The truth is, gun suicides are rarely front-and-center in the firearms debate in this country, which instead is often focused on crime statistics and, sometimes even less rarely, the total number of people killed by guns annually. And according to researchers, there exists a clear connection between states that have high gun ownership rates and states that suffer high suicide rates.
Moreover, guns are especially lethal. Suicide attempts with a gun prove to be fatal 85 percent of the time, as compared to suicide attempts via pill overdoses, which prove fatal just two percent of the time, according to a study from the Harvard Injury Control Research Center.
In covering the CDC’s latest suicide findings though, news accounts have paid little attention to guns.
NBC News made just a single reference to firearms in its report about escalating suicides, despite the fact guns are used in early 20,000 suicides every year. The Wall Street Journal’s news report never referenced “guns” or “firearms” even once. The same was true of CBS’ Evening News on May 2. It aired a suicide report based on the CDC’s findings and never mentioned guns.
Meanwhile, the Associated Press dispatch included just one sentence acknowledging that guns are used for more than half of the suicides in the U.S. The AP included one additional sentence noting the CDC does not address the relationship between suicide rates and gun ownership.
Lobbied by the NRA, Congress in 1996 effectively banned the CDC from conducting research on gun violence. That 17-year ban came to an end when President Obama this year issued an executive order in the wake of the Sandy Hook School massacre, granting the CDC permission to “conduct research on the causes and prevention of gun violence.” (NRA allies in the press still condemn the CDC as being anti-gun ownership.)
While the CDC hasn’t been studying and collecting data on gun violence, other researches have consistently confirmed a link between firearm ownership and suicide, which is why guns ought to be a key media focus for today’s surging suicide rate.
From the American Journal of Epidemiology:
Persons with guns in the home were also more likely to have died from suicide committed with a firearm than from one committed by using a different method.
Harvard School of Public Health:
The researchers found that states with higher rates of household firearm ownership had significantly higher rates of suicide by children, women and men.
The Journal of the American Medical Association:
The availability of guns in the home, independent of firearms type or method of storage, appears to increase the risk for suicide among adolescents.
University of California, Riverside:
With few exceptions, states with the highest rates of gun ownership — for example, Alaska, Montana, Wyoming, Idaho, Alabama, and West Virginia — also tended to have the highest suicide rates.
After researching the link between guns and suicide, Augustine Kposowa, a sociology professor at the University of California, Riverside, noted that new government policies aimed at regulating gun ownership would “reduce individual suicides.” But because the NRA and most Republicans oppose them, laws cannot be passed. And the suicide rate continues to climb.
That’s all the more reason for the press to connect the obvious dots between suicide and the larger gun violence debate in America.
By: Eric Boehlert, Media Matters for America, May 6, 2013
“Guns Make Us Safer Is A Cruel Lie”: The “NRA 500” Suicide Highlights Our Hidden Epidemic
News that a man shot and killed himself at a NASCAR race sponsored by the National Rifle Association Saturday night is sure to launch a thousand columns and politicians’ statements making liberal use of the word “irony” — and rightly so — but it also underscores a type of gun violence that is the least talked about in Washington but also the most common: suicide.
Here’s what we know about the incident: 42-year-old Kirk Franklin was found dead in the infield of the Texas Motor Speedway, where he had been camping. Police say the man died of a “self-inflicted” gunshot wound, apparently after getting into an argument with other campers. Alcohol may have been involved.
Of the more than 32,000 firearm-related deaths in 2011, almost 20,000 — 62 percent — were suicides. While horrific mass shootings like the one in Newtown, Conn., provoke national outrage and demands for legislation, they represent less than 1 percent of all gun deaths. It’s the kind of quotidian but lethal admixture of mental health issues, interpersonal dispute and the presence of a firearm that is responsible for the majority of all gun deaths in this country.
“Gun suicide is our ‘hidden’ epidemic — the type of gun violence that results in the most fatalities, yet which is rarely discussed by the media or legislators,” Ladd Everitt of the Coalition to Stop Gun Violence told Salon this morning.
“More than anything, Kirk Franklin’s death provides additional proof that the NRA’s ‘guns make us safer’ claim is a cruel lie. In the end, the gun that Franklin brought to the NRA 500 offered him no protection. Instead, in an intense moment of anger or depression, it allowed him to snuff out his own life in an instant—without any recourse to a second chance,” he added.
And these suicide attempts need not end in death, gun safety advocates say. Sure, people will find other ways to attempt suicide, but nothing is nearly as deadly as firearms, which are fatal 85 percent of the time they’re used in an attempt to take one’s life. By contrast, “Many of the most widely used suicide attempt methods have case fatality rates below 5 percent,” according to data from the Harvard School of Public Health.
“Easy access to guns by mentally ill people, even if it’s temporary insanity like among teenagers, can lead to depression turning into a death,” John Rosenthal of Stop Handgun Violence told Salon. “A gun in the home is three to five times more likely to be used against somebody in the home — in a teenage suicide or a domestic argument turning into a homicide. So many of these deaths are preventable.”
Meanwhile, the fact that an interpersonal dispute with some fellow campers, which might otherwise have run its course and been forgotten, became deadly is all too common. Indeed, it’s all too common that a domestic or other personal dispute leads to death simply because a firearm was available, as researchers from Johns Hopkins University have explained.
By: Alex Seitz-Wald, Salon, April 15, 2013
“Perpetrating A Healthcare Fraud”: Professors Go Unpunished In Glaxo $3 Billion Guilty Plea Over Paxil
The head of the UCLA hospital, Dr. David Feinberg, and twenty-one other academics are going unpunished despite their role in perpetrating a healthcare fraud that has resulted in the largest fine ever paid by a pharmaceutical company in US history.
On July 3 GlaxoSmithKline pleaded guilty to criminal charges and agreed pay $3 billion in fines for promoting its bestselling antidepressants for unapproved uses. The heart of the case was an article in a medical journal purporting to document the safety and efficacy of Paxil in treating depression in children. The article listed more than twenty researchers as authors, including UCLA’s Feinberg, but the Department of Justice found that Glaxo had paid for the drafting of the fraudulent article to which the researchers had attached their names.
The study, which, according to The Chronicle of Higher Education, had been criticized because it “dangerously misrepresented data” and had “hidden information indicating that the drug promoted suicidal behavior among teenagers,” was published in 2001 in The Journal of the American Academy of Child and Adolescent Psychiatry. The lead “author” was Martin B. Keller, at the time a professor of psychiatry at Brown University. He retired this month. The article had been exposed as fraudulent in a 2007 BBC documentary and in the 2008 book Side Effects: A Prosecutor, a Whistleblower, and a Bestselling Antidepressant on Trial, by Alison Bass. Glaxo’s guilty plea, according to the Chronicle, included an admission that “the article constituted scientific fraud.”
Paxil went on sale in the US in 1993 and, according to Bass, prescriptions for children “soared” after the study appeared, even though research showed Paxil was not more effective than a placebo. But in 2004, the Chronicle reports, British regulators warned against prescribing Paxil to children, after a study reported that children taking Paxil were nearly three times more likely to consider or attempt suicide. Then the US FDA issued a similar warning. Paxil sales totaled more than $11 billion between 1997 and 2005.
Brown University officials said they had no plans to take action against Keller. At UCLA, Dale Triber Tate, a spokesperson for the medical center and Dr. Feinberg, had no comment. The journal that published the fraudulent research has failed to retract it, and editor-in-chief Andres S. Martin, a professor of psychiatry at Yale, told the Chronicle he had no comment on the options the journal might take.
Feinberg and Keller were among twenty-two people listed as “authors” on the fraudulent article. Others included Karen D. Wagner, now professor and vice chair of psychiatry at the University of Texas Medical Branch at Galveston; Boris Birmaher and Neal D. Ryan, professors of psychiatry at the University of Pittsburgh; Graham J. Emslie, professor of psychiatry at the University of Texas Southwestern Medical Center at Dallas; and Michael A. Strober, professor of psychiatry at UCLA.
Although Glaxo pled guilty and paid $3 billion in fines, none of the academics have been disciplined by their universities for their roles in perpetrating research fraud. Moreover, according to the Chronicle, several continue to receive federal grants from the National Institute of Health.
By: Jon Wiener, The Nation, August 7, 2012
“In Memoriam”: Joe Biden Recalling Dark Days After Losing Family, “It Can And Will Get Better”
Vice President Joe Biden, in a moving speech to families of fallen troops on Friday, recounted the dark days following the tragic deaths of his wife and daughter and talked about understanding thoughts of suicide.
“It was the first time in my career, in my life, I realized someone could go out – and I probably shouldn’t say this with the press here, but no, but it’s more important, you’re more important. For the first time in my life, I understood how someone could consciously decide to commit suicide,” he said. ”Not because they were deranged, not because they were nuts, because they had been to the top of the mountain, and they just knew in their heart they would never get there again.”
Biden said he would sometimes call family just to hear someone say that he could get through it, that he could make it through the grief. He recalled the day he got the news in 1972, a few weeks after he had been elected to the U.S. Senate for the first time at the age of 29.
“I was down in Washington hiring my staff and I got a phone call, saying that my family had been in an accident,” he said. “And just like you guys know by the tone of the phone call, you just knew. You knew when they walked up the path. You knew when the call came. You knew. You just felt it in your bones: Something bad happened. And I knew — I don’t know how I knew, but the caller said my wife is dead. My daughter is dead. And I wasn’t sure how my sons were going to make it. They were Christmas shopping and a tractor trailer broadsided them.
“In one instant, killed two of them and, well…” Biden said, his voice trailing off before finishing the thought.
He was angry, he said, angry they were gone, angry at God, and he recalled walking through the rotunda at the Capitol, on his way home to identify the bodies.
“And I remember looking up and saying, ‘God,’ I was, as if I was talking to God myself, ‘You can’t be good, how can you be good?’”
Biden said he was lucky to have the support of his family, but as the days and weeks unfolded, it sometimes wasn’t enough.
“There was still something gigantic missing,” he said. “And just when you think, ‘Maybe I’m going to make it,’ you’re riding down the road and you pass a field, and you see a flower and it reminds you. Or you hear a tune on the radio. Or you just look up in the night. You know, you think, ‘Maybe I’m not going to make it, man.’ Because you feel at that moment the way you felt the day you got the news.”
And he said well-wishers would express their condolences and often tell him that they knew how he felt, something he resented.
“You knew they were genuine. But you knew they didn’t have any damn idea, right?” Biden told attendees at the TAPS National Military Survivor Seminar and Good Grief Camp in Arlington, Va.. “That black hole you feel in your chest like you’re being sucked back into it.”
He said a phone call finally jolted him out of despair. It didn’t take away his grief but showed him a path through it. Biden didn’t identify the caller by name but said he was a former New Jersey governor whose wife had also died suddenly. The caller told Biden to start marking in a calendar each day how he felt, and that, after a few months, he would find that he still had dark days but that they would grow fewer and further apart.
“He said, ‘That’s when you know you’re going to make it,’’” Biden said.
Biden concluded his remarks with some advice: to keep in mind what late loved ones would have wanted and that loved ones who are alive still need you.
“Folks, it can and will get better,” Biden said. “There will come a day – I promise you, and your parents as well – when the thought of your son or daughter, or your husband or wife, brings a smile to your lips before it brings a tear to your eye. It will happen.”
By: Donovan Slack, Politico, May 25, 2012
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