Welcome to Mad In America Radio. My name is Bob Whitaker, and today my guest is Italian psychiatrist, Giovanni Fava. From 1992 to 2022, Dr. Fava edited the journal Psychotherapy and Psychosomatics. We will be talking about the importance of that journal and what may be lost now that the publisher, Karger, may be taking it in a new direction.
Here's why this journal, under Dr. Fava’s leadership, was so important to us all. When psychiatry talks about how its drug treatments are evidence-based, it points to RCTs and meta-analyses of those RCTs as proof that its drugs are more effective than placebo.
However, Psychotherapy and Psychosomatics under Dr. Fava’s guidance presented a very different evidence base to its readers. First, his journal told of how clinical experiences should govern our understanding of the impact of psychiatric treatments, particularly over longer periods of time. Second, his journal told of how RCTs and meta-analyses when used to direct clinical practices can lead to harm. Third, his journal told of the corrupting influence of pharmaceutical money on the creation of psychiatric diagnoses and drug trials.
When Dr. Fava became editor of Psychotherapy and Psychosomatics in 1992, it had a low impact factor. When he resigned as editor in 2022, it had an impact factor that made it one of the most influential journals in psychiatry and psychology. He left the journal in good hands in 2022 and he remained involved as an honorary editor. However, in December, Karger fired one of the two editors in chief, Dr. Fava then resigned as honorary editor, and most of the editorial board resigned as well. The future of this journal, which had been so essential to our understanding of the impact of psychiatric treatments is now unclear.
***
Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow. https://www.madinamerica.com/donate/
To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850
© Mad in America 2025. Produced by James Moore https://www.jmaudio.org
Popular Podcasts
CrimeLess: Hillbilly Heist
It’s 1996 in rural North Carolina, and an oddball crew makes history when they pull off America’s third largest cash heist. But it’s all downhill from there. Join host Johnny Knoxville as he unspools a wild and woolly tale about a group of regular ‘ol folks who risked it all for a chance at a better life. CrimeLess: Hillbilly Heist answers the question: what would you do with 17.3 million dollars? The answer includes diamond rings, mansions, velvet Elvis paintings, plus a run for the border, murder-for-hire-plots, and FBI busts.
Crime Junkie
Does hearing about a true crime case always leave you scouring the internet for the truth behind the story? Dive into your next mystery with Crime Junkie. Every Monday, join your host Ashley Flowers as she unravels all the details of infamous and underreported true crime cases with her best friend Brit Prawat. From cold cases to missing persons and heroes in our community who seek justice, Crime Junkie is your destination for theories and stories you won’t hear anywhere else. Whether you're a seasoned true crime enthusiast or new to the genre, you'll find yourself on the edge of your seat awaiting a new episode every Monday. If you can never get enough true crime... Congratulations, you’ve found your people. Follow to join a community of Crime Junkies! Crime Junkie is presented by audiochuck Media Company.
Stuff You Should Know
If you've ever wanted to know about champagne, satanism, the Stonewall Uprising, chaos theory, LSD, El Nino, true crime and Rosa Parks, then look no further. Josh and Chuck have you covered.