On 7 Feb 2010 at 14:00, Paul C Bernhardt wrote:
> 
> I've generally found Begley a solid skeptical scientific writer, providing 
> high quality summaries of
> scientific work. But, found this article not so satisfying. <snip> 

> The most annoying point was when Begley said that the serotonin link to 
> depression is not established
> (called it "built on a foundation of tissue paper"). She said it was based in 
> an old association from an
> early anti-depressant drug and that there has not been any good scientific 
> support for there being reduced
> serotonin levels or activity in persons who are depressed. 

It's a terrific article, and I fully agree with it, _especially_ the part 
about the serotonin link to depression not being established. 
Based on my past reading, going back at least as far as eminent 
neuroscientist Elliot Valenstein's (2002) book "Blaming the 
Brain: The Truth About Drugs and Mental Health", none of what 
Begley says is surprising (although she says it very well),  and 
there is an extensive literature supporting her. 

For example, take a look at Lacasse and Leo's (2005) article 
"Serotonin and depression: a disconnect between the 
advertisements and the scientific literature" (PLoS Medicine, v 
2, issue 12, e392 at 
http://www.plosmedicine.org/article/info:doi/10.1371/journal.pme
d.0020392 or http://tinyurl.com/csznr5

They say:

"To our knowledge, there is not a single peer-reviewed article 
that can be accurately cited to directly support claims of 
serotonin deficiency in any mental disorder, while there are 
many articles that present counterevidence".

Yet as they point out, drug manufacturers make a point of 
advertising that depression is caused by serotonin deficit which 
can be treated with their pills.  

They  also say:

"There is a growing body of medical literature casting doubt on 
the serotonin hypothesis, and this body is not reflected in the 
consumer advertisements. In particular, many SSRI 
advertisements continue to claim the mechanisms of action of 
SSRIs is that of correcting a chemical imbalance...Yet as 
previously mentioned there is no such thing as a scientifically 
established correct "balance" of serotonin."

It appears that the neurochemical deficit  hypothesis of mental 
disorder treatable with magic bullet  drugs which restore 
"balance"  is just one more unstoppable myth of our times.

Stephen 

-----------------------------------------------------------------
Stephen L. Black, Ph.D.          
Professor of Psychology, Emeritus   
Bishop's University               
 e-mail:  [email protected]
2600 College St.
Sherbrooke QC  J1M 1Z7
Canada
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