Evidence map›Paper›PMID 35522310›Full record

ReviewDer Nervenarzt2023

[Everyday transgressions of borderlines: the scandalization of clinical drug trials of the psychiatrist Roland Kuhn].

Hanfried Helmchen

Abstract readEnglish AbstractReview
In one paragraph

Review in Der Nervenarzt, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Hanfried HelmchenKlinik für Psychiatrie und Psychotherapie, CBF, Charité - Universitätsmedizin Berlin, Hindenburgdamm 30, 12200, Berlin, Deutschland. hanfried.helmchen@charite.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

"Experimental case Münsterlingen: clinical trials in psychiatry, 1940-1980" is the name of the report of a control commission established by the government of the Swiss Canton Thurgau in 2016, after several articles in the press after 2012 had criticized the drug tests carried out by Roland Kuhn, the former clinical director of the cantonal mental hospital in Münsterlingen. The report discusses "fine discrepancies in everyday borderline transgressions" "from today's viewpoint". These borderline transgressions were seen especially in the missing, inadequate or undocumented informed consent of patients and in the usage of test substances, which varied between the (mostly) accepted or not refused intake and the camouflaged or (seldom) threatened application via injection. Thus, the report shows on the one hand, the considerable development of the normative context of treatment of mentally ill patients in the past 70 years and on the other hand, with its detailed descriptions, it can sensitize today's therapists to the pertinent context. But most of all this is the story of Roland Kuhn, the responsible psychiatrist and the drug testing discoverer of the antidepressive effect of imipramine. This story of the discovery is judged from very differing perspectives and is thus relativized, all the way from observations of a "provincial psychiatrist" to consideration for the Nobel Prize. At the same time critically evaluated traits of Kuhn's personality seem to have influenced the occasionally negative comments of the commission report. We should recognize, however, that with his qualitative and psychopathological individual case observations, Kuhn discovered the antidepressive effect of a test substance that as a hypothesis was verified by subsequent quantitative and statistical methods.

Indexed as

Persons with Psychiatric DisordersPsychiatryHospitals, PsychiatricHumansInformed ConsentPersonality DisordersAntidepressive effectClinical drug testsHistorical bias of evaluationInformed consentMisbehaviour

Identifiers

PMID35522310
PMCPMC9992051

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.