Paul Genova, MD

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Articles

Two Stories We Tell Ourselves About Cancer

November 02, 2008

Like more and more cancer patients today, I have outlived several prognoses and am still hanging around, in a diminished life, trying to outlive the latest. Sooner or later, all of us get swept up into one or another of the collectively available cancer story lines in the culture.

Cognitive Therapy's Faulty Schema

October 01, 2003

Cognitive Therapy's Faulty Schema

Dump the DSM>!

April 01, 2003

Decades of labor have been poured into the formulation of the DSM and its descendants. Is this system of classification still useful and relevant to clinical practice? Should psychiatrists continue to revise it or get rid of it altogether?

Numbing Out

November 01, 2002

How does a clinician deal with those patients for whom they can ultimately do nothing but help them stay numb for the majority of their days?

End of Story

September 01, 2002

The patient, a young gay man who once lived for a time in Salt Lake City, describes his pursuers: Mormons who know where he is and are trying to kill him. As the clinic visit goes on, I see the doubt in his eyes when I explain my medication increase, and ask about it. He admits he can't be sure; his voices are saying that I'm a Mormon too. Only, with much persuasion and oversight will he comply with my prescription, because he trusts his case manager more than anyone else in the world.

Psychotherapy After Mohamed Atta

February 01, 2002

Psychodynamic concepts such as the Self and the collective unconscious are helpful in understanding "our millennial event"3/4Sept. 11, 2001. Because it aims to help patients become aware of and free themselves from social contexts, psychotherapy may be more useful than ever.