Anorexia Nervosa: Olanzapine (Zyprexa)-Veganism
Anorexia Nervosa: Bach
Anorexia Nervosa: What If!
A Brief History of Time: Anorexia Nervosa
©2008 Am Ang Zhang
“… Quinoa (KEEN-wah) is a powerful supergrain that's been used in
The Incas must have known as they had strong warriors.
“……Quinoa (Chenopodium quinoa Willd.) is being considered as a potential "new" crop for NASA's Controlled Ecological Life Support System (CELSS). The CELSS concept will utilize plants to remove carbon dioxide from the atmosphere and generate food, oxygen, and water for the crew of long-term human space missions. Criteria for selection of potential crops include nutritional composition, harvest index, canopy stature, and life cycle duration……”
Quinoa is said to be almost perfect as a grain. It has all the essential minerals and amino acids (including lysine, which is deficient in most grain crops) that are required for a balanced human diet.
Be sure to include it in your diet or get the shares of the companies that market it. Quinoa can be used to replace rice or couscous and there are loads of recipes around, e.g. quinoa, tomato and broccoli salad, quinoa and lentils salad, quinoa pilaf, quinoa salad with raspberry vinaigrette.
…. Millions of people taking commonly prescribed antidepressants such as Prozac and Seroxat might as well be taking a placebo, according to the first study to include unpublished evidence….”
She remembered hearing the same from me quite a few times a number of years ago.
The paper that attracted the latest media attention is ”Initial Severity and Antidepressant Benefits: A Meta-Analysis of Data Submitted to the Food and Drug Administration”. It was published in PloS (Received: January 23, 2007; Accepted: January 4, 2008; Published: February 26, 2008). The authors were listed as: Irving Kirsch, Brett J. Deacon, Tania B. Huedo-Medina, Alan Scoboria, Thomas J. Moore, Blair T. Johnson.
This is how the authors described the methods and findings:
“… We obtained data on all clinical trials submitted to the US Food and Drug Administration (FDA) for the licensing of the four new-generation antidepressants for which full datasets were available. We then used meta-analytic techniques to assess linear and quadratic effects of initial severity on improvement scores for drug and placebo groups and on drug–placebo difference scores. Drug–placebo differences increased as a function of initial severity, rising from virtually no difference at moderate levels of initial depression to a relatively small difference for patients with very severe depression, reaching conventional criteria for clinical significance only for patients at the upper end of the very severely depressed category…. ”
This looks exceedingly similar to the report in USA Today on 7th July 2002:
… Through a Freedom of Information Act request, two psychologists obtained 47 studies used by the FDA for approval of the six antidepressants prescribed most widely between 1987-99.
… More than half of the 47 studies found that patients on antidepressants improved no more than those on placebos… “
The drugs included in his evaluation were: Celexa, Prozac, Paxil, Zoloft, Effexor and Serzone. The findings were released in a paper titled “The emperor's new drugs: An analysis of antidepressant medication data submitted to the U.S. Food and Drug Administration” published in Prevention and Treatment, an e-journal of the American Psychological Association on 15th July 2002. The authors were listed as: Kirsch, Irving (a
A paper titled “Another view: Talking back to Prozac” in Psychology Today, Jul/Aug 94 (Article ID: 1471) also came to mind. It was written by Peter Breggin who has been the most vocal against SSRIs and drug treatment for ADHD.
As early as on 19th March 1999, CNN reported: “Study: Prozac no better than older depression drugs”
Yet today the Guardian reported:
“Prozac, used by 40m people, does not work say scientists.
.…The review breaks new ground because Kirsch and his colleagues have obtained for the first time what they believe is a full set of trial data for four antidepressants.
… They requested the full data under freedom of information rules from the Food and Drug Administration, which licenses medicines in the
Then I checked my Web Bookmarks:
14 September, 2004: Prozac raises child suicide risk
8 August, 2004: Prozac found in drinking water
8 February 2008:
Groundhog Day or otherwise, raising public awareness is no bad thing. No matter, some big Pharmas must be holding emergency meetings.
What we have to consider is not only whether anti-depressants have the desired effect, but also what undesirable effect they may have.
Only a few days ago, CNN reported:
.… Steven Kazmierczak had been taking three drugs prescribed for him by his psychiatrist, the
…. Jessica Baty said Steven Kazmierczak was irritable but not erratic before his shooting rampage.
…. Jessica Baty said Tuesday that her boyfriend of two years had been taking Xanax, used to treat anxiety, and Ambien, a sleep agent, as well as the antidepressant Prozac…”
Just who can we trust now? An article in the Independent (27th February) read:
After antidepressant treatments are discredited, fears grow tht other products may be ineffective ..."
“Oh, when will they ever learn? Oh, when will they ever learn?”
(From: Where have all the flowers gone - 1962 Debut Album.)
Peter, Paul and Mary saw us through medical school!
I wrote in my book:
“……But Miss Horowitz you cannot fault. Her father was a famous child psychiatrist and she was really an Anna Freudian. Not so much of the penis envy or bad breast good breast stuff that Gail kept talking about……”
Miss Horowitz was my psychotherapy supervisor. We spent an hour and a half every week talking about my patients. It was years later when I realised the essence of her approach and therefore that of Anna Freud’s is the naturalness.
Much has been written about Sigmund Freud as a person with what looked like unresolved personal problems. He had without doubt influenced our thinking for at least thirty years as the Nobel Laureate Kandel conceded. He provided a framework for our further understanding of the working of the human psyche. Much as physical medicine is being continually updated by newer findings based on new scientific discoveries, later psychiatrists have been able to modify and improve upon Freud’s original ideas. I always view with suspicion the rigid adherence to classical ways in matters of the mind.
At the time when I was working at the Tavistock, Anna Freud (December 3, 1895 - October 9, 1982, sixth and last child of Sigmund and Martha Freud) continued to give seminars on Wednesdays at lunch time at her home opposite the Hampstead Clinic. This is now the Freud Museum. Anna Freud herself would already have been seated even if you made special effort to arrive early in order to have a seat. She would invariably be knitting and the few times I was there she seemed to be knitting this enormous scarf or even blanket. It spread over her knees and the floor in front of her as if to say “This is my space.”
Arthur Couch, who had 6 ½ years of psychoanalysis with Anna Freud, wrote a paper to try to give a picture of Anna Freud's views about adult psychoanalytic technique. The following excerpts gave particular insight:
“……She seemed not to know the orthodox 'Freudian' rules of technique about such restrictions. At times she even expressed her own opinions on certain realistic issues I was talking about. I recall telling her I was surprised that she should say such things; she answered : ‘Why are you surprised?’ …… I came to realize that I had previously assumed something too rigidly limited about Freudian clinical principles…….”
“……As I recounted these various failed attempts each day, Anna Freud seemed to increase the intensity of her knitting, which she did most of the time so silently that I hardly noticed it. Finally, in one session, she began to speak about the issue of my soft-spoken patient. I expected her to give a very important interpretation about my difficult situation. But what Anna Freud simply said was: ‘Tell her to speak up.’ This I did, and it solved that particular problem for the rest of a long analysis……”
“………Erikson's wife was pregnant, and he was spending many sessions talking about his worries about her pregnancy and what having a baby meant to him. Being very involved with this topic and wanting his analyst's full attention and concern, Erikson expressed his irritation to her that she was not speaking about it, but Anna Freud just kept knitting with increasing intensity while remaining silent……. when Erikson came into his session and announced that his new baby son had been born, Anna Freud gave him a blanket she had been knitting all along for his baby……”
Anna Freud once said: “The trouble with common sense is that it is so uncommon.”
Buy the book: The Cockroach Catcher
Photo courtesy of Associated Press - Images taken about every 20 minutes show the moon passing through the shadow of the earth as photographed Wednesday, Feb. 20, 2008, in
Then I thought to myself, as far as I can remember from early childhood, there is an old Chinese Tung Sing (Almanac) that has been used by generations of Chinese for deciding on important events. Farmers refer to it for most of the important ploughing, sowing, planting and harvesting schedules. In the almanac are also dates and times of eclipses.
In my book, I wrote:
“……the Jesuits were generally regarded as the greatest scholars. They brought Western culture and religion to the East. They must have had a glimpse of the Chinese understanding of the universe and the world. Yet for so long the religious view of Flat Earth held true. Did the Jesuit scholars know the truth or did they pretend not to in order to avoid persecution and possible death?....”
In the footnote I quoted Joseph Needham’s monumental work:
“…… Joseph Needham's multivolume Science and Civilisation in China is recognized as one of the great works of historical scholarship in the twentieth century. The conception of world history that frames and shapes its arguments, however, has gone unnoticed……”
In the west, scientific discovery and progress was hindered by religious dogma and it is not my intention to further labour the point. In
Fortunately astronomical studies in
Chinese Science is essentially observational science.
……The damage done by the Jesuits was not so much a result of their initial conservatism, but of their continued clouding of the issue until well into the eighteenth century……”
I am enthusiastic about
The Cockroach Catcher’s wife’s recipe has just been published on one of the best foodie blogs around – Helen Yuet Ling Pang’s World Foodie Guide. It is all there. After reading my post on Chinese New Year and The Goose, Yuet Ling asked if my wife would share the family recipe with her readers. Full marks to her for initiative!
“…The scene was set for a three game match between the consultant and his patient to decide if his patient could go for a short week-end leave.
Even the headmaster came out to watch, shaking his head in disbelief.
It was spring, still cold but sunny. The sun was streaming in. I lost the first game. I had not played for fifteen years. I took off my jacket. I barely managed the second. That brought some cheers…”
and in the chapter “Wrong Foot” concerning a boy with a limp:
“…One day I was having a game with him after lunch and noticed that he was limping on the wrong foot. So before my next serve, I said to him: Tommy, wrong foot. He saluted me and said thanks and went back to limping on his right foot again….”
In another chapter, paper planes came into play with a mute boy:
a paper plane
I hit on the idea of my faithful friend.
I built one, then two. He had one and I had the other. They flew, made beautiful loops, did aerobatics and he was thoroughly enjoying it.
I sensed that he wanted to take them home to show his dad….”
Of course the child psychiatrists had a wide selection of “proper” toys too, so much so that:
“….One little boy once observed, “Do you live here, Dr Zhang? It must be fun, with so many toys to play with.”….”
Buy the book: The Cockroach Catcher