Barry Blackwell’s Risk and Relevance of Lithium - Samuel Gershon’s comment 

Dr. Blackwell’s letter and the response from JAMA provide us with some insights, both on clinical usage and the attitude of journal editors in this competitive age of scientific publishing, that is, the journal’s interests are often directed to using pages to attain maximum impact factor scores. The author, Dr. Blackwell, was trying to present information that would not earn him the Nobel prize, but was to educate many psychiatrists of important practical issues about the use and management of lithium 65 years after its introduction with which many trainees and practitioners are not aware. This I think has created this apparent conflict.

Samuel Gershon

July 2, 2015