Researcher Who Challenged ADHD industry cleared of misconduct charges

Researcher Who Challenged ADHD industry cleared of misconduct charges

Sun, 16 Oct 2005

If you thought that academia could not prey to McCarthyite bullying tactics–or could not possibly fall prey to anything like the Salem witch hunts—think again.

Dr. Gretchen LeFever, a clinical psychologist and associate professor in the department of paediatrics at the Eastern Virginia Medical School, has been the butt of a witch hunt. She had previously been charged with scientific misconduct after allegations by an anonymous whistleblower charged that the wording in a questionnaire published in Psychology in the Schools was changed. Dr. LeFever was cleared of those charges. Earlier this year, she was told that her federally funded research was terminated and that her employment would also be terminated by the medical school after anonymous charges of scientific misconduct were filed against her.

Dr LeFever’s “crime:” She reported her findings of unprecedented prescribing of psychostimulants for children. Her research (published in 1999) showed that “8-10% of school children in two southeastern Virginia school districts were taking stimulant medication for ADHD.” She questioned whether doctors (and psychologists) may be overdiagnosing ADHD in schoolchildren.

The BMJ reports (below) that Dr. LeFever has been cleared of all charges.

If academics who challenge current practices are subjected to witch hunts by “anonymous” accusers–because they threaten the business interests of the academy and its partners in the pharmaceutical industry—how can we tell anyone else how to conduct their affairs?

Such persecution puts a stain on the American academic community which has mostly sat quietly and pretended not to see evil being perpetrated.

Shame on all those involved and shame on the complicit silent majority who didn’t lift a finger, silently “going along.”

Contact: Vera Hassner Sharav
212-595-8974
veracare at ahrp org

News roundup
http://bmj.bmjjournals.com/cgi/content/full/331/7521/865-a?ehom
Researcher cleared of misconduct charges
New York Jeanne Lenzer

A US researcher who was charged with scientific misconduct after she reported that doctors and psychologists may be overdiagnosing attention deficit hyperactivity disorder (ADHD) in schoolchildren has been cleared of all charges.

Gretchen LeFever, a clinical psychologist and associate professor in the department of paediatrics at the Eastern Virginia Medical School, was told earlier this year that her federally funded research was terminated and that her employment would also be terminated by the medical school after anonymous charges of scientific misconduct were filed against her (BMJ 2005;330:691).

The school seized her computers, saying that Dr LeFever had held a research trial without getting informed consent from the participants.

Dr LeFever had previously been charged with scientific misconduct – and later cleared by the school – after allegations by an anonymous whistleblower of changing the wording in a questionnaire published in Psychology in the Schools (2002;39:63-71) from that actually used.

The school’s most recent actions triggered international outrage. Thirty nine psychiatrists and psychologists signed a petition that they sent to the medical school’s president, saying that instead of threatening to fire Dr LeFever, the school “should have commended and promoted her for having the courage to be among the first to sound the alarm about these concerning trends.”

The petition stated that the school’s actions were “an egregious violation of academic freedom,” and that after Dr LeFever’s initial report in 1999 (American Journal of Public Health 1999;89:1359-64), showing that “8-10% of school children in two southeastern Virginia school districts were taking stimulant medication for ADHD,” other researchers documented “startling increases in the use of stimulant medication nationally,” and late last year the Centers for Disease Control and Prevention published data showing national rates of stimulant use for 2002 similar to those that Dr LeFever had found (www.cdc.gov/nchs/hus.htm ).

Dr LeFever says that the charge of scientific misconduct regarding patients’ consent was particularly unexpected since the consent agreement had been approved by the school’s own institutional review board.

A spokesperson for the Eastern Virginia Medical School told the BMJ via email that, “Gretchen LeFever, PhD, is associate professor of paediatrics and head of public health psychology in the department of paediatrics at Eastern Virginia Medical School. The issues between [the school] and Dr LeFever were satisfactorily resolved due to the professionalism of all concerned. She was cleared of all charges of scientific misconduct. She has been awarded a one year sabbatical to conduct research [that] focuses on community based efforts to prevent mental and behavioural disorders in children, an area of research that is recognised by [the school] as important work on behalf of our nation’s children.”

Dr LeFever has been outspoken about what she has called the overdiagnosis and overmedication of children said to have ADHD. She said that being charged anonymously felt like a witch hunt was underway. She told the BMJ, “It’s unfortunate that these allegations were made. However, I’m greatly relieved that I’ve been cleared of all wrongdoing and I am pleased that [the school] is honouring me with a sabbatical to continue my work promoting child development and mental health and that the dean of the medical school is supporting my application to be promoted to full professor.”

Related Article

Researcher to be sacked after reporting high rates of ADHD
Jeanne Lenzer
BMJ 2005 330: 691. [Extract] [Full Text]

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