Separation of anxiety and depressive disorders

doi:10.1136/bmj.327.7419.870

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Maybe pharmaceutical failure has created culture of niche diagnosis

Michael Joffe, reader in epidemiology (m.joffe@imperial.ac.uk)

Department of Epidemiology, Imperial College, St Mary's Campus, London W2 1PG

EDITOR—Shorter and Tyrer provide an important case study in the way that medicine and science can become subverted by commercial pressures.1 On one hand, new patents for drugs for mood and anxiety disorders have dwindled to almost nothing from a high point in the 1960s and 1970s. On the other, niche diagnoses have proliferated, apparently as a result of collusion between …