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Ah. Thank you! That’s an entirely reasonable theory that fits the data. I didn’t realize he blogged about his patients. Do you happen to know of any examples o

Ah. Thank you! That’s an entirely reasonable theory that fits the data. I didn’t realize he blogged about his patients. Do you happen to know of any examples of articles he published along those lines? Now I’m curious what he said...

Barrin92 6y ago
https://slatestarcodex.com/2016/07/12/34/ https://slatestarcodex.com/2016/07/12/34/ here's one, I don't know if he put that preface on all of them, apparently he fictionalises them and mixes them up.
- sillysaurusx 6y ago
  https://slatestarcodex.com/2014/08/31/radicalizing-the-romanceless/ https://slatestarcodex.com/2014/08/31/radicalizing-the-roman... is another. I think your theory is spot on.
- searchableguy 6y ago
  > I know that if I don’t change the medication, he will probably be a zombie like this until such time as somebody else does change it, which may be never. But if I do change the medication…well, there must be some reason somebody put him on that, and the idea of somebody who needed that much medication not being on it is too horrible to imagine. Also, I’m only seeing him once, and then he gets transferred to someone else. What do I do? > The maxim is “do what lets you sleep at night”, so I punted. I kept him on his medications and turned him over to the next guy. I just hope the next guy gets my documentation instead of thinking “Dr. Alexander kept him on all this medication…I wonder what he knows that I don’t.” Oh man, I have noticed this same behaviour with doctors. I think how we portray doctors and hospitals as isn't aligned with practice. People really lack the skills to express their issues succinctly to doctors and expect them to figure out everything when they couldn't in months or years. The idea that a 30 min conversation is enough for doctors to know your entire life and medical history to prescribe you relevant medicine and diagnosis is flawed. Many people omit details out of fear and shame. Not that doctors are better at communicating that as a message. It's really like an interview.
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- DanBC 6y ago
  Just for clarity: In England that would be professional misconduct and something for his employer, and his professional regulator, to look at.
- unityByFreedom 6y ago
  > Sometimes I worry I might be the worst person in the world to do psychotherapy. My coping strategy is to not talk about or react to my emotions and wait for them to go away. This usually works. I know this is exactly the opposite of what psychotherapy is supposed to teach, and all I can say is that it works for me and I seem to be pretty psychologically healthy and maybe I am just a mutant. Um, yes, burying your emotions is unhealthy! I'm surprised to see this coming from anyone in the realm of mental health. It is much more surprising coming from a supposed mental health professional who created a decently sized discussion forum via his blog. He continues, > My relationship strategy is the same. Date really low-conflict, low-drama, agreeable people. If we have a conflict anyway, then agree to disagree and wait for the problem to go away. Apparently this is terrible Yes... Yes it is. When you are motivated to be your best and you still fail, such as when people have kids, you realize you're better off dealing with your emotions rather than ignoring them. Some people realize this earlier than others. I hope the number of people practicing in mental health while maintaining this blogger's attitude is small.

Barrin92 6y ago

https://slatestarcodex.com/2016/07/12/34/ https://slatestarcodex.com/2016/07/12/34/ here's one, I don't know if he put that preface on all of them, apparently he fictionalises them and mixes them up.

sillysaurusx 6y ago
https://slatestarcodex.com/2014/08/31/radicalizing-the-romanceless/ https://slatestarcodex.com/2014/08/31/radicalizing-the-roman... is another. I think your theory is spot on.
searchableguy 6y ago
> I know that if I don’t change the medication, he will probably be a zombie like this until such time as somebody else does change it, which may be never. But if I do change the medication…well, there must be some reason somebody put him on that, and the idea of somebody who needed that much medication not being on it is too horrible to imagine. Also, I’m only seeing him once, and then he gets transferred to someone else. What do I do? > The maxim is “do what lets you sleep at night”, so I punted. I kept him on his medications and turned him over to the next guy. I just hope the next guy gets my documentation instead of thinking “Dr. Alexander kept him on all this medication…I wonder what he knows that I don’t.” Oh man, I have noticed this same behaviour with doctors. I think how we portray doctors and hospitals as isn't aligned with practice. People really lack the skills to express their issues succinctly to doctors and expect them to figure out everything when they couldn't in months or years. The idea that a 30 min conversation is enough for doctors to know your entire life and medical history to prescribe you relevant medicine and diagnosis is flawed. Many people omit details out of fear and shame. Not that doctors are better at communicating that as a message. It's really like an interview.
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DanBC 6y ago
Just for clarity: In England that would be professional misconduct and something for his employer, and his professional regulator, to look at.
unityByFreedom 6y ago
> Sometimes I worry I might be the worst person in the world to do psychotherapy. My coping strategy is to not talk about or react to my emotions and wait for them to go away. This usually works. I know this is exactly the opposite of what psychotherapy is supposed to teach, and all I can say is that it works for me and I seem to be pretty psychologically healthy and maybe I am just a mutant. Um, yes, burying your emotions is unhealthy! I'm surprised to see this coming from anyone in the realm of mental health. It is much more surprising coming from a supposed mental health professional who created a decently sized discussion forum via his blog. He continues, > My relationship strategy is the same. Date really low-conflict, low-drama, agreeable people. If we have a conflict anyway, then agree to disagree and wait for the problem to go away. Apparently this is terrible Yes... Yes it is. When you are motivated to be your best and you still fail, such as when people have kids, you realize you're better off dealing with your emotions rather than ignoring them. Some people realize this earlier than others. I hope the number of people practicing in mental health while maintaining this blogger's attitude is small.