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Neil Scheurich
Raleigh, North Carolina
I am a psychiatrist in private practice with an interest in the narrative dimensions of diagnosis and treatment.
Recent Activity
A throwaway article in a "throwaway" journal (Psychiatric Times) sums up the worldview of the famed cognitive therapist Albert Ellis as follows: if you're unhappy about your situation, change it; if it is beyond your ability to change, accept it because it is reality. Why is this so hard to... Continue reading
Posted Sep 17, 2012 at Narrative Psychiatry
Anthony Gottlieb persuasively argues the basic irrelevance of evolutionary psychology to the practical understanding of human culture. Once we became conscious beings blessed (cursed?) with the ability to deliberate about possible courses of action, we were thrown into the realm of the moral, the political, and the aesthetic; that is,... Continue reading
Posted Sep 16, 2012 at Narrative Psychiatry
As if on cue, vis a vis the last post, a post at Shrink Rap considers the ethics of physicians enjoining their patients to lose weight (when, after all, lasting weight loss is uncommonly successful and the health effects of less-than-morbid obesity remain debatable). There is a fine line always... Continue reading
Posted Sep 9, 2012 at Narrative Psychiatry
The purpose of moral judgement, whether of others or oneself, is the modification of behavior in the name of a desired ideal. Indignation becomes pathological when it persists far beyond its realistic ability to shape events, rather than acting in creative tension with radical acceptance of things as they are. Continue reading
Posted Sep 8, 2012 at Narrative Psychiatry
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Robert Hughes on the Surrealists (from The Shock of the New): "They would rather have been seen as bad priests than as good engineers." Continue reading
Posted Aug 27, 2012 at Narrative Psychiatry
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The disputes about psychiatric diagnosis and medication are not scientific disagreements, per se, but rather are debates about personal responsibility and meaning. To what degree is the sick role empowering or infantilizing? Does a medication enhance or corrupt the vision of the good life? These are at once theoretical and... Continue reading
Posted Aug 26, 2012 at Narrative Psychiatry
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Even if one had a full knowledge of human nature and its evolutionary history, and a radically intimate and complete acquaintance with one's own neurobiology and unconscious dispositions, one would still have to decide--contingently in the devising of a life--what to do next. So free will is a social and... Continue reading
Posted Aug 25, 2012 at Narrative Psychiatry
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Aug 25, 2012