They knew that without validity and reliability, correlations between mental illness constructs and anything are “garbage-in-garbage-out” findings. Earlier Garbage-In-Garbage-Out ResearchIn scientifically examining any mental illness construct, the first problem is one of validity, and a second problem is reliability. Given that the Columbia University psychiatry department is considered extremely prestigious in academic psychiatry, what McFillin exacts from Girgis is especially illuminating. Does Taking Academic Psychiatry Seriously Impoverish Critical Thinkers? Academic psychiatry as represented by Girgis and the Columbia University psychiatry department creates a larger dilemma for critical thinkers.