This is funny because today, after him being away for a while and helping with an intense thing that resolved, he greeted me with "Good morning, Dr. Archipelago." So I responded "Good morning, Dr. Therapist." Using our formal titles was a playful, teasing type of thing, because we were so glad to see each other and are generally very informal. But it is funny how titles do have this air about them. I really dislike using titles and am a bit suspicious when people insist.
I was at a school where the teachers insisted on being called Dr. X. I asked once why Dr. and not Prof. which you would think would be the "higher" title. Didn't get an answer. My therapist, who is an MD type doctor, wondered if psychologists have an issue with not being MDs and also being higher than MA level therapists that somehow they get hung up. Not sure, but it was a consistent thing.
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“Our knowledge is a little island in a great ocean of nonknowledge.” – Isaac Bashevis Singer
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