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Medical Forum / General / Alternative / January 2005

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More on Amalgam / Psychiatric - Somatization Label

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Courtney - 29 Jan 2005 18:19 GMT
I've seen several of these studies, and they generally find that
amalgam sufferers report more somatization (higher scores on the
Symptom Checklist 90 R) than the controls. Unfortunately, I don't know
what the individual items on the SC-90-R look like. I would guess that
they go something like "I go to the doctor for treatment for symptoms,
but the doctor says there's nothing wrong with me". A person that would
endorse such an item would be
assessed as somatizing. PLEASE NOTE: the author of the SC-90-R,
DeRogatis, did not write the scale with Hg poisoning in mind, but it is
often used to assess amalgam sufferers.

Another aspect of these studies (of which yours appears to be a typical
example) is that the researchers screen subjects for their "amalgam
sufferer" and "control" groups so that they are matched on the number
of amalgam surfaces, age, sex, etc. The only difference is that the
"sufferer" group has physical complaints which they ascribe to the Hg,
while the control group does not. By definition, this must lead to the
conclusion that the Hg cannot be responsible for any of the physical
complaints.
Carolyn
Mark Thorson - 29 Jan 2005 19:05 GMT
> I've seen several of these studies, and they generally find that
> amalgam sufferers report more somatization (higher scores on
[quoted text clipped - 3 lines]
> doctor for treatment for symptoms, but the doctor says
> there's nothing wrong with me".

You be guessing wrong.  The SC-90-R is a copyrighted,
proprietary document, so you won't find it on the net.
But it was developed from the Hopkins Symptoms
Checklist, which is available:

http://www.nelmh.org/downloads/other_info/ hopkins_symptom_checklist.pdf

DeRogatis developed both checklists.

> A person that would endorse such an item would be
> assessed as somatizing.

Except that no such item (or anything like it) is on the list.

> PLEASE NOTE: the author of the SC-90-R,
> DeRogatis, did not write the scale with Hg poisoning
> in mind, but it is often used to assess amalgam sufferers.

It's an assessment of psychological distress, without regard
to cause. There's no more reason for it to be oriented
for or against alleged amalgam sufferers than other objective
measures, such as instruments for taking body temperature
or weight.

> Another aspect of these studies (of which yours appears to be a
> typical example) is that the researchers screen subjects for their
[quoted text clipped - 4 lines]
> By definition, this must lead to the conclusion that the Hg cannot
> be responsible for any of the physical complaints.

How does your conclusion follow from your argument?
There is nothing about the experimental design of either
study for which I posted abstracts which mandates their
conclusions.  In both cases, they looked for a
correlation between mercury levels and symptoms,
and none was found.  If they had found a correlation,
that would have been interpreted as indicative of a
causal relationship, but no such correlation was found
in either case.
 
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