Posted by europerep on February 17, 2012, at 15:59:38
In reply to Re: This is ridiculous..., posted by SLS on February 17, 2012, at 14:54:21
> I am guessing that Dr. Bob has not yet found equitable grounds for censoring Lou Pilder. The doctor used to proscribe "over-generalization" and "exaggeration". Perhaps they can be used again. Is a post an exaggeration if it reflects accurately a citation located elsewhere on the Internet? Historically, many life-saving innovations were at one time considered to be bunk by the majority medical opinion. Lou Pilder does bring to the table challenges against mainstream thought regarding the safety of psychotropic drugs.
The point is, as Ed pointed out, that Lou does not *want* a discussion, or he isn't capable of having a "normal" discussion. Either way, whatever it is that he wants to bring to this forum, it doesn't contribute anything positive.
And, regarding the link to your post from 2000: when I was prescribed amitriptyline first in 2002, the package insert already contained warnings of possible suicidality. It's not exactly absurd to believe that a class of drugs that shares properties with and is used for the same purposes as another class of drugs, may also share "side effects" with that second class of drugs. Compare that to anything that Lou says here. His "sources", which he never cites, "reveal" to him, in a way he isn't willingly to explain, one crazy idea after another. I think that his sources are simply his delusions, and you will have a hard time finding someone who would claim that delusions are a valid source for any type of discussion.
Lastly, this is a forum about psychiatric *practice*. It's not about formulating hypotheses that could be beneficial for the progress of psychiatry as a science. It's about which drug to try next, about combinations of and interactions between drugs, about side effects, and so on. The people who post here (including me) are almost all in a very vulnerable and weak state of mind, and the nature of diseases like depression makes that they are especially susceptible to negative and pessimistic thoughts. What Lou does, when confronting posters with his "revelations", is to exploit the weakness of psychiatric patients to further his own personal agenda. This is beyond reprehensible; it's egoistic, disgusting and profoundly sick. I consider Dr. Bob's decision to not censor Lou on this board is bordering malpractice. If he had his own doctor's office, would he accept that people like Lou hang out in the waiting room, telling them about how he has seen the light and how the treatment that Dr. Bob would prescribe is the same that the Nazis used in their medical experiments? If so, Dr. Bob should switch from being a doctor to being a patient.
However, the very fact that we are still discussing all this shows that Dr. Bob has decision on whose side he stands. Of course, he will quote this and neatly lay out how he isn't technically choosing sides. I would expect him to be on the side of this forum, in order to ensure that it remains healthy, but he obviously thinks differently about that.