Awais Aftab
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18 October
13 October
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29 September
- NewsletterADHD Beyond Attention Deficit
- x.com
26 September
From one piece I Believe in a Radical Abundance of Relational Care 3 beliefs, in the piece's order there
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Their words
When a patient has ready access to a full range of options, then medication becomes one tool among many, chosen deliberately, not defaulted to out of desperation.
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Their words
It is relatively easy to ask for and be prescribed medications, but quite difficult to see a physician who actually cares and listens and thoughtfully attends to diagnostic work-up and treatment risks and patient concerns.
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Their words
The problem with medical and psychiatric care is not necessarily that we do too much but that we do too much of some things because we have constrained the supply of all the other things.
19 September
From one piece Maybe Don’t Ask Your Doctor if Zoloft Is Right for You 3 beliefs, in the piece's order there
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Their words
When we start treating weak norms of consultation as strong norms, when we assign preemptive authority in areas where only contributory authority is justified, when we destroy traditional cultural means of support to shunt people into medical treatment, we erode people's capacity to meet suffering with the resources they already have or could have had outside medicine.
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Their words
Anyone selling you anything better than 'highly imperfect' in the realm of mental healthcare is a fool or a grifter.
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Their words
We have highly imperfect tools at our disposal, and more and more we rely on these tools in situations where their use is less-than-necessary.
12 September
From one piece The Lawsuit That Came to Symbolize the Fall of Psychoanalytic Psychiatry: Eric Caplan on Osheroff v. Chestnut Lodge 3 beliefs, in the piece's order there
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korrents.com
In providing care, there are no ideological sides — only the patient and what actually helps them.Their words
When it comes to providing care that helps patients, there are no sides. There is only the patient; the illness or disorder disrupting the patient's life and the lives of loved ones; and, in the case of mental illness and infectious disease, the question of whether that illness adversely affects the broader community.
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korrents.com
Uncertainty about a disease's underlying mechanism does not excuse withholding treatment from patients who want it.Their words
But not knowing is not a license to do nothing - to tell patients, well, come back in a decade and maybe we can help.
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korrents.com
Psychiatry's confidence in its theories of mind and brain exceeds the evidence supporting them.Their words
Psychiatry has unearned confidence in both its theories of mind and its theories of brain.
6 September
4 September
From one piece Postpartum Psychosis and Diagnostic Sclerosis 3 beliefs, in the piece's order there
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Their words
The only thing stopping the DSM is a bunch of self-imposed rules and conventions.
Postpartum Psychosis and Diagnostic Sclerosispsychiatrymargins.com
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Their words
I do not believe that DSM deserves the respect and authority we bestow on it.
Postpartum Psychosis and Diagnostic Sclerosispsychiatrymargins.com
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Their words
There is no consistency, no respect for evidence, no clear bar for when downstream implications matter and when they don't.
Postpartum Psychosis and Diagnostic Sclerosispsychiatrymargins.com
29 August
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31 July
25 July
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Their words
The Rumpelstiltskin effect is not a claim that receiving a diagnosis is a net benefit or a net positive. It is a claim that the mere act of receiving a diagnosis can be beneficial.
5 July
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Their words
The emotional and relational dynamics are not an intrusion upon the work of prescribing. They are a part of the work itself.
1 June
22 August 2025
From one piece The Rumpelstiltskin effect: therapeutic repercussions of clinical diagnosis (with 1 co-authors) 3 beliefs, in the piece's order there
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Their words
Likewise, self-diagnosis should be understood as an attempt to secure the therapeutic effect of a medical intervention to which patients do not have official access.
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korrents.com
Diagnoses that have therapeutic effects are medical interventions and should be treated and researched as such.Their words
If a clinical diagnosis can have a therapeutic effect, then, at least in some instances, diagnoses are medical interventions in themselves and ought to be treated and researched as such, with an eye to both positive effects and potential iatrogenic harms.
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korrents.com
Clinical diagnosis can have a therapeutic effect independent of any other intervention.Their words
Their experiences highlight a striking, neglected and unchristened medical phenomenon: The therapeutic effect of a clinical diagnosis, independent of any other intervention, where clinical diagnosis refers to situating the person's experiences into a clinical category by a clinician or the patient.
25 May 2025
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Readrcmnd.app
How Does the Psychiatrist Know?: On the Epistemology of Psychiatric Diagnostic ReasoningTheir words
Recently I reviewed Adrian Kind’s 2025 book, “How Does the Psychiatrist Know?: On the Epistemology of Psychiatric Diagnostic Reasoning,” on this substack. I had mentioned that Kind’s book is the first systematic, in-depth, book-length philosophical investigation into how psychiatrists arrive at their diagnostic conclusions.
23 May 2025
22 April 2025
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Recommendsrcmnd.app
Susan T. Mahler, MDTheir words
One of the finest writers in medical humanities today.
23 February 2025
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Likedrcmnd.app
Unshrunk: A Story of Psychiatric Treatment ResistanceTheir words
(publication date March 18, 2025, Viking) by Laura Delano is a compelling and troubling memoir of psychiatric patienthood, iatrogenic harm, and finding a meaningful and flourishing life outside of the mental healthcare system.
25 January 2025
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Likedrcmnd.app
Roll Back the World: A Sister’s MemoirTheir words
Deborah Kasdan’s Roll Back the World: A Sister’s Memoir (2023) is an honest and vulnerable account of her sister Rachel’s life with schizophrenia and the challenges this presented for the family.
1 December 2024
21 August 2024
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Recommendsrcmnd.app
The InfinitesimalTheir words
Extraordinarily perceptive critical commentary
13 June 2024
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Likedrcmnd.app
Psychedelic AlphaTheir words
Josh Hardman at Psychedelic Alpha provided a detailed live account of the advisory committee meeting, which I found very helpful in developing a more granular sense of how the meeting unfolded without having to watch it myself.
10 May 2024
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26 December 2023
1 September 2023
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14 June 2022
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1 November 2021
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