![Michael Ostacher, MD, MPH Profile](https://pbs.twimg.com/profile_images/1849219484550070272/VYWVr15W_x96.jpg)
Michael Ostacher, MD, MPH
@RecoveryDoctor
Followers
3K
Following
37K
Statuses
18K
Professor of Psychiatry & Beh Sciences @StanfordMed decreasing stigma/increasing evidence/improving care. Food tweets. Digital Ed @BMJMentalHealth Opinions mine
Stanford, CA
Joined January 2013
@m_aadil One can certainly switch to sublingual buprenorphine monotherapy if you have concerns about tolerability of buprenorphine/naloxone before switching to long-acting injection.
0
0
0
RT @MentalHealthAm: Philadelphia Eagles wide receiver (and Super Bowl LIX champion!) A. J. Brown has been open about his mental health sincâŚ
0
52
0
@drjohnm writes âmaking outsized conclusions from weak evidence shreds trust in the medical professionâ and we should listen to him. No, cannabis use disorder doesnât clearly cause massive increases in mortality and the authors should know better.
0
0
0
@drjohnm writing âmaking outsized conclusions from weak evidence shreds trust in the medical professionâ may be the most important thing you read today. Stop it with the causality determinations from obviously biased and confounded data. Cannabis â Death.
0
0
0
@drjohnm writes âmaking outsized conclusions from weak evidence shreds trust in the medical professionâ and we should listen to him. No, cannabis use disorder doesnât clearly cause massive increases in mortality and the authors should know better.
0
0
0
@MarkLRuffalo Politics is politics and always has been. It has existed as long as humankind lived in groups. There has never been a time without politics. Itâs not a new thing. It just is.
0
0
2
RT @StefanKertesz: This is a solid account of how research universities are financed and likely how they will be impacted by NIHâs âŹď¸ of âiâŚ
0
9
0
The wisdom of @KeithNHumphreys again. If he can get @NickKristof to come around to understanding how misguided policies led an addiction (and public safety) crisis in the Western states then you might should listen to him too.
0
1
2
@DiacoNick Tuition is a direct cost on grants. Perhaps the NIH will get the idea that they shouldnât pay that either, or to give salaries to students. âShouldnât students pay to go to school? Why should the American Public pay these elites to learn?â But go ahead and post this stuff.
3
0
9
@taperclinic @awaisaftab @joannamoncrieff You are doing the same thing she does @taperclinic. It is a bad faith argument to insist that âthe status quoâ is somehow wrong and that destroying it is always good. There are risks and benefits to any treatment, include what you ask people to pay to do.
1
0
1
Read this brilliant piece by @awaisaftab. While he describes the process by which the anti-psychiatry movement makes its arguments, it is the same process by which all scientific and medical expertise is undermined, destroying public faith in all our institutions.
Anatomy of Moncrieff's Anti-Medication Playbook @joannamoncrieff has a carefully honed 3-step strategy of attacking psychiatry, which she has used with remarkable power against the medical establishment. Step 1: Identify a narrow, technical assertion pertaining to the neurobiology or medical treatment of mental health problems, and show that the evidence supporting that assertion is not as strong or high quality as commonly believed. Step 2: Use the uncertainty of evidence to make the claim, or imply, or pretend that the assertion has been shown to be false. [This step is a logically invalid inference since weak evidence in favor of thesis A does not equal strong evidence in favor of inverse A.] Step 3: Use the claim as a stepping stone to bash medical psychiatry by making claims that extend far beyond the scope of the narrow, technical assertion in step 1. Rely on rhetoric, ignorance of the audience, and prevalent prejudices to pull this off, and make strategic motte-and-bailey retreats when needed. This 3-step attack is bolstered by 2 ancillary moves: a) Make isolated demands for rigor, and set the required bar of evidence to a level that favors oneâs own position, while simultaneously lowering the bar or shifting the burden of proof when it suits your favored positions. b) Pretend your personal opinion carries the same epistemic weight as the clinical consensus of the medical community. See details of how this play out in my post:
10
15
30
RT @ProfRobHoward: I think this is a very important tweet. Awais articulates what many of us believe about my UCL colleague and the argumenâŚ
0
20
0