Leer primera carta abierta - http://dx.doi.org/10.6084/m9.figshare.1367730 - dirigida a la comunidad académica de la Universidad del Valle (Spanish and English Versions).
He declarado desde hace varios meses que mis opiniones no necesariamente comprometen las de la institución para la cual trabajo, no obstante les he pedido a ustedes como directivos desde hace 1 año asumir una postura frente a temas como estos:
Ante esto (los tres lo sabemos muy bien) que la respuesta ha sido: “su comentario esta pendiente de moderación”
Deseo recordarle al rector (Dr. Ivan Enrique Ramos) que esto hace parte de la misión de la Universidad del Valle.
…“Atendiendo a su carácter de institución estatal, asume compromisos indelegables con la construcción de una sociedad justa y democrática.”
Deseo recordarle al decano (Dr. Gerardo Campo) que esto hace parte del ideario de la facultad de salud de la Universidad del Valle.
“Valora, promueve e incentiva el interés por identificar los problemas que afectan el bienestar de la sociedad.”
“Construye respuestas oportunas a los requerimientos de la sociedad, relacionadas con formación, investigación y extensión, acordes con sus principios, valores, posibilidades y potencialidades.”
“Capacitada para resolver problemas fomentando el trabajo interdisciplinario, involucrando para ello no sólo actores idóneos y pertinentes de la misma Facultad y de la Universidad, sino también del conjunto de sociedad.”
Mi periodo de prueba termino el 16 de Febrero de 2015.
El periodo de prueba de la Universidad del Valle comienza hoy 21 de Abril de 2015 y su duración será indefinida. Pienso que nuestra obligación como miembros de la institución que nos formo académicamente – para la cual además trabajamos actualmente – es llevarla a escenarios de discusión académica en donde demuestre la excelencia que la misma Universidad del Valle ha auto-proclamado con su lema.
En este mensaje les estoy solicitando por favor que asuman, finalmente y por primera vez, una postura sobre estás guías de práctica clínica.
“EL bilingüismo es una necesidad para profesores y estudiantes.” — Dr. Mauricio Palacios.
— Re: Agreed, but disagreed:
“The greatest enemy of clear language is insincerity.” ― George Orwell, 1984
If you actually do research and even go further to publish your findings in peer-review biomedical journals, the problem is that the very same institution where you studied then makes every effort to suppress your ideas because are a clear threat to vested interests.
The following URL(s) have evidence to support the statement that suppression of dissent occurred during my tenure track at the University of Valle, Cali, Colombia
“Unchallenged, opinions became respected precedent then exceptionless concepts and sometimes even civil and academically accepted social law.” — Bucky Fuller
I would like to challenge all tenured professors at the University of Valle to support the null hypothesis (i.e., this is not a case of suppression of dissent) reject the statement above about the events that happened during my tenure track at the University of Valle, Cali, Colombia.
Professors of some other institutions in the region (e.g., Icesi University) or anywhere else are very welcome to try debunking me if you find insufficient evidence to support any statements or arguments in the links above.
“So, how do we have these conversations more easily and more often? Well, the University of Delftrequires that its PhD students have to submit five statements that they’re prepared to defend. It doesn’t really matter what the statements are about, what matters is that the candidates are willing and able to stand up to authority. I think it’s a fantastic system, but I think leaving it to PhD candidates is far too few people, and way too late in life. I think we need to be teaching these skills to kids and adults at every stage of their development, if we want to have thinking organizations and a thinking society.” — Margaret Heffernan: Dare to disagree
“For the first time in the history of science, nonprofessional politicians started telling scientists how to do the “right kind of science,” and anything other than the right kind was pronounced wrong.”
— Helen Lavretsky. Schizophrenia Bulletin 1998. The Russian Concept of Schizophrenia: A Review of the Literature.
In the best of my knowledge is the first time that political abuse of psychiatry (Soviet Union style) is used to suppress, repress and oppress a dissenting scholar at the University of Valle.
Be aware that this is not the first time that I put a challenge to reject a hypothesis.
Re: Evidence based medicine: a movement in crisis? Hypothesis: hierarchical levels of evidence based medicine are wrong
I have data to support the hypothesis described in the title of this letter.
Before rejecting the null hypothesis I would like to ask the following open question:
Could you support with data that hierarchical levels of evidence based medicine are correct? (1,2)
Additional explanation to this question:
– Only respond to this question attaching publicly available raw data.
– Be aware that more than a question this is a challenge: I have data (i.e., evidence) which is contrary to classic (i.e., McMaster) or current (i.e., Oxford) hierarchical levels of evidence based medicine. An important part of this data (but not all) is publicly available.
1. Ramirez, Jorge H (2014): The EBM challenge. figshare. http://dx.doi.org/10.6084/m9.figshare.1135873
Competing interests: I endorse the principles of open data in human biomedical research
—13 August 2014Professor of PharmacologyCll 4B 36-00 Univalle sede San. Fdo. Edificio 116.
The previous “change-management” plan of the University of Valle clearly states the necessity of bilingualism for their professors and students. I am surprised that a new “change-management” plan (i.e., “Plan Estratégico de Desarrollo 2015-2025”) will be written before knowing the achievements of the previous document. Fortunately, there is an opportunity right here for a critical assessment of this very important competency.
The achievement of bilingualism as a crucial competency of professors and students at the University of Valle is unsatisfactory.
But there is always the possibility to accelerate the realization of this institutional objective. I am very pleased to be able to collaborate on this common goal of students and professors alike.
- Empecemos - Let's begin - Cominciamo - Commençons -
1st – Word: Bribes.
2nd – Word: Torture.
3rd – Statement: There is a growing body of compelling evidence about the criminal activities of pharmaceutical companies, crimes committed with the complicity of doctors and their professional associations.
Hat Tip: Professor Peter C. Gøtzsche.
4th – Two Words: Widespread Bribery.
5th – One Word: Corruption.
6th – Three Words: Undisclosed Competing Interests.
7th – Two Words: Ostracism and Stonewalling.
Psychol Rev. Author manuscript; available in PMC 2009 Oct 19.Reactions to Discrimination, Stigmatization, Ostracism, and Other Forms of Interpersonal Rejection: A Multimotive Model.
8th – One Word: Dissent
9th – Two Words: Medical Ethics.
10th – Complex sentence: There is no negotiation when it comes to broken principles of medical ethics, political abuse of psychiatry, and lack of accountability at individual and institutional levels.
11th – Two Paragraphs:
There have been other cases of abuse of psychiatry at the University, non-political characteristics, but the systematic violation of one or more of the principles of medical ethics. I am also aware of several cases of undergraduate students that received forced psychiatric treatment, involuntary placement and irrational prescriptions of psychiatric drugs. Many of these students are hesitant to speak up because their minds were labelled with insanity and irrationality, they often received a psychiatric diagnosis without sufficient evidence of an underlying mental disease.
It is a system of coercion, whether ‘subtle’ (e.g., referral to a psychiatrist’s) or forced psychiatric treatment with involuntary placement and administration of medicines without patient consent. This is only possible through the systematic violation of patient autonomy, which goes along with breaking the principles of medical ethics, overdiagnosis of mental disease and overtreatment with a profitable business of a growing list of psychiatric drugs with unknown safety and effectiveness. Widespread bribery and corruption, involving undisclosed liaisons between doctors and the drug industry, human rights are violated every day by forced psychiatric treatment and no one seems to note it, only after being coerced and ill-treated by these coercive methods of dictatorial “medicine”.
12th – Sentence: there is no need to be over-polite.
14th – Reblogged post:
15th – Word: Trust
“Trust is confidence in the honesty or integrity of someone or something. It involves a complex mixture of cognitive and emotional beliefs and expectations that create an attitude of optimism about the motives and competence of the person being trusted.
Trust requires the calculation that someone has the knowledge and expertise to do what they are being trusted to do, but it also necessitates believing that whatever they are being trusted to do is done in good faith with honesty, sincerity, and integrity.
Trust presupposes adherence to moral principles, codes of conduct, and ethical standards and requires an implicit conviction that the other person aspires to help and not to harm.
Political abuse of psychiatry is the “misuse of psychiatric diagnosis, detention and treatment for the purposes of obstructing the fundamental human rights of certain groups and individuals in a society.”
It is more often seen under totalitarian rule (the Soviet Union, China) where dissent was disapproved, often punished, and those perceived as threats to the existing political system could be effectively “neutralized with trumped up psychiatric illness. By this stigmatization reputations were ruined, power was diminished, and voices were hushed.
It involves the deliberate action of diagnosing someone with a mental condition that they do not have for political purposes as a means of repression or control.
It is important to recognize that the unique role of discrediting opinion and dehumanizing those with one whom disagrees is not limited to totalitarian regimes. The coercive use of psychiatry represents a violation of basic human rights in all cultures.” — Dr. Michael L. Langan.
16th – Two Words: Pharmaceutical Rape
“Rape involves a bodily violation. Something is put into your body that causes harm, something that you didn’t consent to, something that if you had known about you might have made a different choice.
Pharmaceutical rape involves trusting and having that trust violated.
As with physical rape, the victims are everywhere, walking among us unrecognized. Many may not even know they are victims of rape.
Pharmaceutical rape involves suffering physical, emotional, mental, social, and spiritual damage at the hands of those holding power who deny any wrongdoing and remain free to do the same to others.” — Dr. David Healy
Dear Dr. Healy,
Thank you for writing and sharing this post.
I would like to share my own story about pharmaceutical rape (i.e., forced administration of midazolam and haloperidol + involuntary placement + coercion into psychiatric treatment).(1,2)
I don’t know if you are already aware that I am also a critic of the drug industry because I recently (about 1 year) started to engage in public debates via my blog, journals, and social media. I still have a lot to learn from other influencers like you Peter and other academics of high respectability. Nonetheless, I don’t know if anyone of you have already experienced coercion into psychiatric treatment as a method (a desperate resource indeed) to silence your critical opinions about the drug industry, including (but not restricted to) psychiatric drugs.(3)
Finally, I would like to mention that my research data independently supports Peter statement regarding psychiatric drugs.(4)
Jorge H. Ramírez
– Read more at http://davidhealy.org/pharmaceutical-rape
17th – Word: Irony.
18th – Word: Whistleblowing
“The disclosure by a person, usually an employee in agovernment agency or private enterprise, to the public or tothose in authority, of mismanagement, corruption, illegality, orsome other wrongdoing.” — http://legal-dictionary.thefreedictionary.com/Whistleblowing
19th – Word: Truth
“Truth is the basis for the power of a whistleblower, one that can withstand the assault of unprecedented odds against being heard put forth by that sum of political power, expediency, and money.”
Kruszewski SP (2005) Why We Whistleblowers Are Passionate in Our Convictions. PLoS Med 2(8): e281. doi:10.1371/journal.pmed.0020281
20th – Word: Acquiescence
Origin of ACQUIESCE
“A silent or passive assent or submission, or a submission with apparent content; – distinguished from avowed consent on the one hand, and on the other, from opposition or open discontent; quiet satisfaction.”
— Re: Agreed.
— Jorge Ramírez (@Jor_H_R) abril 24, 2015