Manufacturing depression

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by Gary Greenberg


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  ACKNOWLEDGMENTS

  At Simon & Schuster: Dedi Felman, David Rosenthal, Michele Bové, Gypsy da Silva, and, above all, Sarah Hochman.

  At Harper’s Magazine, in which I first told the story of my clinical trial: Jennifer Szalai, Roger Hodge, and Ted Ross.

  For research materials: David Healy, who generously provided transcripts of his interviews with the early psychopharmacologists, and Joseph Dumit, whose recordings of television ads were indispensable.

  For granting me interviews, all of which were lengthier than they bargained on: Per Bech, Alan Broadhurst, Arvid Carlsson, Donald Klein, Janis Schoenfeld, and Betty Twarog.

  For research and editorial assistance: Beth Card, Lucy Green, Richard Green, Wally Izbicki, Richard Kokoska, Rosalba Onofrio, Sian Oram, and Amy Ryan.

  For close reading and commentary: Bill Musgrave, Jennifer Percy-Dowd, Stuart Vyse, and Rand Cooper (who also provided German lessons).

  For general aiding and abetting: Carrie Billy, Henry Bowers, Glenn Cheney, Bill Finnegan, Ruth Grahn, Karen Greenberg, Richard Greenberg, Julie Holland, Garret Keizer, Maureen Kelleher, Lindsey Lane, Bart Laws, Karyn Marcus, Errol Morris, Jim Rutman, Michael Silverstone, Jeff Singer, and John Vaillant.

  For sharing me with my book: Joel Powers.

  For putting up with me, and for her blue eyes: Susan Powers.

  INDEX

  Abbott Pharmaceuticals, 2, 6, 268

  Abramson, Lyn, 116–17

  Abu Ghraib prison, 107

  Adams, Samuel Hopkins, 206

  Addams, Jane, 86, 87

  Adderall, 335

  Adjustment disorder, 227, 244, 278, 279

  Affective psychoses, 147, 183

  Against Depression (Kramer), 20–21, 33, 39

  Age of Desire, The (Kovel), 121

  Agfa Healthcare Corporation, 48

  Agnew, Spiro, 266

  Agriculture Department, U.S., 206

  Bureau of Chemistry, 206–8

  Albert, Prince, 45

  Alcoholics Anonymous, 360

  Alice (film), 352

  Alice in Wonderland (Carroll), 300

  Allen, Woody, 352

  Alloy, Lauren, 116–17

  Alpert, Richard, 165

  Ambivalence, 114–15, 117, 155, 295

  Amen, Daniel, 318–22, 326, 328, 330, 334–36, 351, 367

  American Journal of Psychiatry, 183, 196, 259

  American Medical Association (AMA), 205, 213, 308

  American Nervousness (Beard), 91

  American Phrenological Journal, 324

  American Psychiatric Association (APA), 14, 40, 238, 243, 267, 271, 342, 346

  cognitive therapy approved by, 298, 304

  Committee on Nomenclature and Statistics, 239, 242

  descriptive nosology adopted by, 62–64, 104

  homosexuality delisted as disease by, 62, 236, 345

  Insel and, 316–17

  Kline and, 188

  Meyer and, 94–95

  origins of, 90

  see also Diagnostic and Statistical Manual of Mental Disorders

  American Psychological Association, 301

  Amherst College, 322

  Amitriptyline, see Elavil

  Amnesia, shock-therapy induced, 142, 144

  Amphetamine, 167, 173, 184, 259

  Amygdala, 327, 333

  Anabolic steroids, 191

  Anesthetics, 174–76, 178–79

  Anger, 88, 108, 366

  parental, 107

  repressed, 288

  turned inward, 111

  Aniline, 47, 48, 195

  Animal studies, 1–5, 166, 179–80, 187, 194–96, 325

  Anthrax, 52

  Antibiotics, 209, 211, 223, 255, 272, 280

  Antidepressant Era, The (Healy), 195

  Antidepressants, 2, 6–11, 52, 130, 150, 242, 355–57, 365, 366

  accidental discovery of, 137

  catecholamine hypothesis and, 195–97

  clinical trials of, 38, 40, 121, 174–75, 195–96, 202–4, 216, 223, 315

  cognitive therapy versus, 302–3, 307–8, 310, 311

  diagnostic standards for, 104

  electroconvulsive therapy compared versus, 147

  FDA approval of, 202, 211

  g
lutamates and, 175

  lethal overdose of, 17

  LSD and, 173, 178

  marketing of, 23, 197, 259, 267–80

  minor tranquilizers versus, 261, 265

  pharmacological Calvinism and, 192

  placebo effect and, 258

  serotonin-imbalance theory and, 6, 175, 187, 194

  see also Selective serotonin reuptake inhibitors; Tricyclic antidepressants; specific drugs

  Antihistamines, 179

  Antipsychotics, 179, 298

  see also specific drugs

  Anxiety disorder, 243

  generalized, 227

  Aphasia, 325

  Archives of General Psychiatry, 174

  Aristotle, 52, 189, 254

  Armstrong, Louis, 264

  Arsenic, 54, 58

  Ash, Philip, 234

  Association of Assistant Physicians of Hospitals for the Insane, 90

  Astra Pharmaceuticals, 10–11, 268–69

  Astronomy, Ptolemaic, 247–48

  Atoxyl, 54

  Attention deficit/hyperactivity disorder (ADHD), 319, 320, 333

  Auden, W. H., 9, 81

  Axelrod, Julius, 196

  Ayd, Frank, 262–65, 272, 280, 298, 317, 358, 363

  Baden Aniline and Soda Factory (BASF), 48

  Barbiturates, 179

  Basal ganglia, 319, 328

  Battle Creek Sanitarium, 90

  Bayer AG, 48, 205

  Beard, George M., 91–93, 122–23, 263

  Beck, Aaron, 288–90, 302–5, 309, 311, 313, 314

  Beck, Judith, 287–88, 290–92, 295, 297, 307, 311–12, 314, 316

  Beck Depression Inventory (BDI), 302–3

  Becker, Howard, 257

  Beck Institute for Cognitive Therapy and Research, 288, 292, 294

  Beers, Clifford, 100

  Behavior therapy, 289

  Bellevue Hospital (New York), 134, 151

  Benadryl, 179

  Benzedrine, 259

  Benzodiazepines, 260, 266, 267

  Bereavement, 247–48, 250, 295

  see also Grief; Mourning

  Bernays, Edward, 99, 100

  Berrios, German, 261

  “Beyond the Pleasure Principle” (Freud), 113–14

  Bini, Lucino, 143

  Biological Psychiatry, 151

  Biopsychosocial model, 233, 238

  Block, Adam, 277

  Blood pressure, 344

  medications for lowering, 59, 212

  role of serotonin in regulation of, 4, 166, 268

  Blue Cross, 251

  Bodoni, Pietro, 179

  Boston Medical Society, 322

  Brain-derived neurotrophic factor, 327

  Brain imaging techniques, 317–19, 329, 334–35

  British Medical Journal, 276

  British National Institutes for Health and Clinical Excellence, 204

  British Psychological Society, 166

  Broadhurst, Alan, 182, 187

  Broca, Paul, 325, 326

  Bronk, Detlev, 5

  Brown, John, 323

  Bush, George W., 39

  California, University of, 278

  California Medical Board, 322

  Callahan, Christopher, 261

  Calvin, John, 122

  Calvinism, pharmacological, 192, 193, 265, 267, 310, 348, 355

  Campbell, Alan, 133

  Camphor, 140–41

  Cardiazol, 144

  Carlsson, Arvid, 10, 12, 194–95, 198, 267–69, 335

  Carter’s Little Liver Pills, 260

  Catecholamines, 169, 195–99, 205, 224

  Celexa, 42, 270

  Centers for Disease Control (CDC), 10, 15

  Central Intelligence Agency (CIA), 164

  Cerebellum, 319, 321

  Cerletti, Ugo, 142–46

  Change Your Brain, Change Your Life (Amen), 318

  Charcot, Jean, 83, 90, 98, 150

  Charité Hospital (Berlin), 50, 55, 67

  Charles Pfizer and Company, 59

  Chemie Grünenthal, 213

  Chestnut Lodge, 298–99

  Chicago, University of, 82, 83, 85

  Chlorothiazide, 59

  Chlorpromazine (Thorazine), 180–83, 191

  Cholera, 50

  Cingulate gyrus, 319, 321, 328, 330

  City of London School, 45

  Civilization and Its Discontents (Freud), 119–20, 123, 173

  Clark, Dick, 358

  Clark University, 83

  Clayton, Paula, 246, 248

  Clemens, Samuel, see Twain, Mark

  Cleveland, Grover, 84

  Cleveland Clinic, 4

  Clinical trials, 40–42, 109, 135, 164, 228

  basic assumptions of, 131

  of cognitive therapy, 288, 297, 302–5

  diagnosis for, 41, 48, 61–63, 348, 350

  FDA approval and, 270

  intake interviews for, 170

  marketing and, 262

  placebo effect in, 8, 109, 201–4, 219, 254–56, 280, 284–86, 306, 316

  randomized, 202, 216, 218–24

  signal-to-noise ratio in, 355

  statistical procedures in, 307

  theoretical foundations for, 174–75

  Coal tar, 46–47

  see also Aniline

  Cognitive-behavioral therapy, 116, 252, 364

  Cognitive Therapist Rating Scale, 302

  Cognitive therapy, 286–98, 302–16, 334

  Cognitive Therapy: Basics and Beyond (Beck), 292

  Collier’s magazine, 206

  Columbia Psychoanalytic Institute, 240

  Columbia University, 336

  Columbus, Christopher, 55

  Commonsense psychiatry, 95–97

  Communism, 266

  Computerized tomography (CT), 317

  Congress, U.S., 188, 190–91, 208, 209, 211, 215

  Consciousness, 103, 128, 163, 223

  altered states of, 176–78 (see also LSD; MDMA)

  brain structures and, 66, 322, 351

  collective, 20

  depression and, 231, 282

  public, 144

  Consumer Reports, 300

  Copernicus, 337

  Cornell University, 219

  Corticosteroids, 212

  Cortisol, 346

  Cosmopolitan magazine, 274

  Countergan, 213

  see also Thalidomide

  Cronkite, Kathy, 358–60

  Cronkite, Walter, 358

  Cuforhedake Brane-Fude, 205, 207

  Cullen, William, 242

  Cytokine, 327

  Darkness Visible (Styron), 29

  Darwinism, 92

 

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