Finally, whenever I talk about specific pharmacologic treatments I need to disclose that in addition to my academic work I have given lectures for two pharmaceutical companies in the last year: Lilly and Wyeth.

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The doom-laden lectures from the Americans and others in Washington last week did achieve something: Europe's policymakers now recognise that more must be done.

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Last week, the American Psychiatric Association decided to phase out drug-company sponsored lectures and meals at its annual meeting.

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But his first run at the subject, which grew out of a series of lectures delivered in early 2006 and comes out in Britain later this month after being published in America last September, holds up remarkably well despite all that has happened.

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