Telepsychiatry: First Week in the Trenches
January 22nd 2014The transition to telepsychiatry is great, but the benefits, many. In this humorous piece, it becomes clear to this clinician that telepsychiatry can be a viable, valuable, and timely addition to the psychiatric profession, despite minor mishaps in the first week.
Fake Signing at the Mandela Memorial: Because It Was Not Thought Upon
January 16th 2014If clinicians are to take anything from the Johannesburg debacle, it is that we must be even more mindful of distress and despair. Like Poe’s purloined letter, profound sorrow may lie in plain sight under one’s clinical gaze-but not yet “thought upon.”
Final Ruling Can Benefit Psychiatrists and Their Patients
January 7th 2014The mental health community was given some much needed relief when the Obama Administration implemented the final rule be put in place from the 2008 Mental Health Parity and Addiction Equity Act. The new mandate will ensure that most health plans cover mental health and addiction services in the same way they treat other medical issues.
A Freudian Screening of Group Tours and Internet Etiquette
January 6th 2014Apologies seem rare, as does asking for forgiveness, when it comes to Internet ethics and cyber-bullying. Given the “Wild West” nature of Internet communication-with no commonly accepted rules-what might be done? Is there a communication model that might work better? Yes there is, according to this psychiatrist.
The Maintenance of Certification Exam as Fetish
December 21st 2013In the opinion of this psychiatrist, the point of the MOC test isn’t to measure competence, but to convey the impression that competence was measured. The point of the test is to say that a test was given-and nothing else. More in this commentary.
Eulogies for Psychiatrists Who Inspired: April 1, 2012–June 30, 2013
October 29th 2013A range of psychiatrists are remembered-from pioneers in psychoanalysis to trance studies; from psychopharmacology to reality therapy; from the normality of homosexuality to the psychopathology of “brain fag” syndrome; from flowers to film; from childhood to old age; from everyday clinicians to courageous challengers of the status quo; and from student to expert.
Film Review: The Last Interview of Thomas Szasz
October 22nd 2013A documentary film review that compels one to wonder if Szasz’s alleged suicide should be seen as a courageous adherence to the principles by which he lived or a symptom of a pathological avoidance of helplessness. Dr Szasz might reply that either way, it was his choice.
Why Psychiatrists Are Physicians First: Country Calm Before the Storm
October 16th 2013Most New Yorkers were afraid to venture outdoors after the Twin Towers toppled, so a short term, part-time locums post opened upstate, an escape from the decaying metropolis and retreat to the country. What could go wrong in such an idyllic setting?
The Doctor/Patient Relationship Comes First, Last, and Always
October 14th 2013Psychiatrists have patients who need help and we have the tools to help them. Some of these tools are technical and specific (meds; CBT); but even these work best only in the context of a rich therapeutic relationship that is based on all that makes us human.
Science, Psychiatry, and Family Practice: Positivism vs. Pluralism
October 14th 2013The physician’s knowledge is almost always fragmentary and incomplete--and often, “we see through a glass, darkly.” But we must not allow these limitations to deter us from diagnosing and treating our patients to the best of our ability.
Why DSM-III, IV, and 5 are Unscientific
October 14th 2013If science is defined as some kind of systematic study of observed experience applied to hypotheses or theories, and then confirmation or refutation of those hypotheses or theories, followed by new hypotheses or theories that are further tested and refined by new observations – if this is the core of any scientific inquiry, I think that no objective observer can attribute the history of DSM-III, IV, and 5 to anything that approximates this process.
We Are All at Least a Little Lost and Off-Putting: On Transformation
September 25th 2013We avoid a basic aspect of human existence-namely, we are all a little lost and not knowing, and we had better accept this. In reminding our patients that the worst fate in life is not to suffer-but to suffer alone-we also remind ourselves.