There's a lot more money in searching for genes than in providing treatment and support to the mentally ill and in alleviating the environmental stresses and childhood traumas that are bigger risk factors than any genes except in very rare cases.
Most biological psychopathologists (like Thomas Insel in this article) get to this confessional point eventually, but nothing ever actually changes. https://goo.gl/nfi413 pic.twitter.com/8BRhfxc9Di
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I agree. Mental illness research that doesn’t emphasize sociological factors shifts the blame and cost of illness to the individual.
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Insel is a scapegoat for the failure of psychiatry’s contemporary treatment model. Did the largest study ever of antidepressant therapy, and the results sucked—because ANTIDEPRESSANTS REALLY DON’T WORK THAT GREAT. The same conclusion is suggested by the recent CDC suicide study.
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Rather than acknowledge STAR*D’s reaffirmation of the obvious, the psychiatric industry chose to shoot the messenger. It’s my belief that rather than speak out openly on this subject, Insel’s been subtly trolling us ever since. And frankly, I admire his work.
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It seems to me the psychiatric industry will throw anyone under the bus rather than reflect on its own part in the current fucked up state of affairs. See George's comment above. Classic.
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True enough. However, Insel and the RDoC initiative had a powerful impact on changing the basic paradigm, from categorical (e. g., DSM, ICD) to hierarchical-dimensional models of psychopathology. Change was coming anyway, but he gave it a significant push.
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Because of the 20 billion dollars...
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See also research into addiction, I'd suggest. Funded through a different Institute, but v. similar problems.
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I guessed he missed the point - he had a much larger managed care industry working against him. He would have known that immediately if he was doing clinical psychiatry.
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Could be genetic
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Yup. It the nothing ever changes bit that bothers me. Isn't he now doing something equally farfetched with google x?
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