Words Have Meanings

This isn’t as obvious as it used to be. 1. Before words were the weaponized tool in battleground of pathologic Western Narcissism this sickness was concerned primarily with affects, with specific feelings – guilt and shame.1 In the third generation there was a shift...

How to Cure your Erectile Dysfunction Without Drugs

Alone spent a lot of time writing about masturbation as a symptom of narcissism, most classically in this post. I can’t say it better than he can so I’m not going to try. I’m not a urologist, either; caveat emptor. What I can do is offer you the...

The Differences Between Logic and Intuition

I find in my practice that there is a great deal of confusion between these two concepts. Not surprising when Western culture has completely divorced itself from experiencing legitimate emotional suffering during the neuroplastic pruning processes of puberty. Let’s...

MAID in America

It’s not about him. Or him. I opened twitter this morning because, despite years of analysis, I still hate myself and discovered a new acronym: MAID, aka Medical Assistance (or aid) In Dying. This isn’t a new subject, anyone who was Gen Y or older could mustily recall...

The ABPN as Fetish

It has been nearly nine years since Alone wrote1 about the ABPN and the MoC. He felt so seriously about this subject that he actually put in the effort to get a proper article out in front of psychiatrists’ faces in the Psychiatric Times. It became a TLP blog post a...

Contemporary Laws of Psychiatry

Consider these a necessary addendum to the Laws of Mount Misery by Samuel Shem: Beware the hyphenated last name. Bad therapy is far more damaging than no therapy. Alcoholism may have a genetic component, but that doesn’t make it inherently a disease. CBT is the ideal...

Credo

“I don’t matter. It’s debatable whether my ideas matter, but for sure they matter much more than I do.” There is a vast space on the internet which an actively updated The Last Psychiatrist blog once occupied. His ideas are still worth speaking out loud to...