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Re: Overgeneralization » utopizen

Posted by JonW on February 8, 2003, at 0:55:09

In reply to Re: Overgeneralization, posted by utopizen on February 7, 2003, at 17:43:02

> Jon,
>
> Most only means greater than 50%. That's what I was basing it on. I was basing it on every clinical trial I ever read that the drug companies use to brag about their meds. So if the drug co.'s thing 30% (rather than most) is something to brag about, why should I make it up?

I thought you were saying that they didn't exert any *effect* for most. I didn't know you were speaking in terms of remission. In any event, most clinical trials for SSRIs have response rates of 50% and greater. Paxil has the most research. I'm unsure where you are getting the 30% figure from.

> Obviously, most people don't get remission from SSRIs on their social anxiety, and I'm getting that DIRECTLY from the most highly acclaimed psychopharmacology department in the country-- MGH/Boston.

I think remission is something that requires CBT in combination with most any med for the majority of people with severe SP. At least until they come up with the magic pill.

> Oh, and I'd like to ask you what you're basing the "general pop" figure on if not a clinical trial--- what, a Gallop poll? How is a clinical trial LESS of an indicator for what the general pop will find?

Not that long ago I read an article that said the majority of outpatients don't qualify for clinical trials, and so naturally I wonder how important that is.

> It's not even a generalization anyway, so how could it be an over-generalization?

When you said most people with SP don't get any benefit from an SSRI it's an overgeneralization, but if we are talking about remission it is not. Anyway, I didn't mean to offend you in any way. I personally felt it was an overgeneralization I thought it should be phrased differently, but it's no big deal. I just don't want someone to think SSRIs are a waste of time because they serve as the cornerstone for remission for many people.

Jon


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