March 7, 2023 | Education, Narcissism, TLP |
1. The Last Psychiatrist is a mostly-anonymous Forensic Psychiatrist blogger who published blogs on TLP and Partial Objects1 from 2005-2014. He blogged extensively (but not exclusively) on the topic of narcissism. He modernized the term for clinical use as the main...
March 6, 2023 | Narcissism, TLP |
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...
February 15, 2023 | Education, Let's Fix the DSM
Some of the biases psychiatrists have amaze me. I’ll grant you that some of them are useful, such as if you say to me a young woman has Borderline Personality Organization I know what you really mean is bitch (because psychiatrists certainly aren’t using the term...
December 30, 2022 | Porn, TLP
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...
December 7, 2022 | Education, Let's Fix the DSM
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...
November 14, 2022 | Money, Narcissism, Politics, Psychiatry Gone Wild, TLP |
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...
November 9, 2022 | Education, Money, Politics
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...
November 4, 2022 | Psychiatry Gone Wild
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...
