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If you could change anything (or a few things) of (clinical) psychiatry, what would it be?
My number one would be doing away with the medicine-inspired nosology/categorisation of disease entities and adopting a more dimensional approach.
My number two would be, being related to my number one, doing away with the pervading notion that psychotic phenomena should be removed from the person (or his/her mind), instead of becoming more manageable or used advantageously, thereby making an inherent quality disqualifying for life: like amputating your legs because they are painful when you walk.
Edit:
My number three would be giving NPs more authority than psychiatrists or psychotherapists.
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Mania kills cells. Brain cells die. Memories become more reduced conceptually, making more efficient use of limited means. Memories shape our reality. Our memories are more or less split in two by abstractions, conceptual reductions. Mood states with memories, concepts, attached. Memories of pain and those of joy. It causes instability, changeability. Fearing that will leave an emptiness between pain and joy and a greater divide.
See Me, Feel Me, Touch Me, Heal Me.
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