"The media, and the drug industry all conspire to sell us reductionist, bio-medical explanations for problems that might more sensibly and constructively be thought of as social, political, or personal. And this medicalisation of everyday life isn’t done to us; in fact, we eat it up.
In a bid to sell pills, people sell a wider explanatory framework, and as George Orwell first noted, the true genius in advertising is to sell you the solution and the problem.
The pharmaceutical industry is in trouble: the golden age of medicine has creaked to a halt, the low-hanging fruit of medical research has all been harvested, and the industry is rapidly running out of new drugs. Because they cannot find new treatments for the diseases we already have, the pill companies have instead had to invent new diseases for the treatments they already have.
Recent favourites include social anxiety disorder, female sexual dysfunction, the widening diagnostic boundaries of “restless leg syndrome”, and of course “night eating syndrome” to name just a few: all problems, in a very real sense, but perhaps not necessarily the stuff of pills, and perhaps not all best viewed in reductionist biomedical terms. In fact, you might consider that reframing intelligence, loss of libido, shyness and tiredness as medical pill problems is a crass, exploitative, and frankly disempowering act.
Glossy magazines told stories about couples with relationship problems who went to their GP, and the GP didn’t understand their problem (the first paragraph of any medical story in the media). Then they went to the specialist, and he didn’t help either. But then they went to a private clinic. Here they did blood tests – hormone profiles, esoteric imaging studies of clitoral bloodflow – and then they understood. The solution was in a pill, but that was only half the story, and the diagnosis was almost more important: she had a mechanical problem. Rarely was there a mention of any other factors, that she was feeling tired from overwork, that he was exhausted from being a new father, or finding it hard to come to terms with the fact that his wife was now the milky mother of his children, and no longer the nubile sex vixen he first snogged on the floor of the student union building to the sound of Don’t You Want Me? by the Human League in 1983.
This is because we don’t want to talk about these issues, any more than we want to talk about social inequality, the disintegration of local communities, the breakdown of the family, the impact of employment uncertainty, changing expectations and notions of personhood, or any of the other complex, difficult factors that play into the apparent rise of antisocial behaviour in schools." (
source)

This is an edited extract from Bad Science by Ben Goldacre, published by Fourth Estate today at £12.99. To order a copy for £10.99 with free p&p, call 0870 836 0875 or visit
guardianbookshop.co.ukYou can also
buy it from Amazon for £6.49, and I recommend doing so, because the price might go up later, and then you’d feel a right charlie. At least you can give it to your local headteacher/quack/MP if you don’t like it.
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