Views & Reviews From the Frontline

The perils of commissioning bias

BMJ 2008; 336 doi: (Published 07 February 2008) Cite this as: BMJ 2008;336:332
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}

    The late Friday night debriefing in the kitchen: “You’re not listening.” I have that male trait of being easily distracted by other ideas.

    She was right, but fortunately we’d had this discussion many times. “Well, you believe that ADHD is not a ‘condition,’ but an evolutionary trait of men. That boys need exercise to function and that in modern society, and in particular our education system, this is lacking. Boys are like puppies—coop them up, and they will chew the legs off your furniture and shred the newspaper. That vigorous exercise should be used …

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