From an ontological standpoint, both psychoanalytic formulations and psychiatric diagnoses work on an estimate of categorical fluency between cases, to form a framework of workable ingress. It is not for either to claim moral authenticity over the other.

Even Laing would agree.
To proffer some level of deeper understanding is reasonable for the former, but this does not provide a tautology in moral reasoning, other than reductionism in a more specific form. Neither promotes a fair epistemology, only a translation by which work is done.
From a more superficial and ideological standpoint, I suggest that political conflict between the approaches is one of secondary narcissism, not a significant variation in practical application. One is not the tail of the other, but both the tail of the unicorn.
From a clinical standpoint, to further elucidate this argument, we consider the role of psychotic vs neurotic experiences as non-diagnostic, but forgetting their categorical removal from a prescriptive norm, the further analysis of which creates patterns that form diagnoses.
As such, the psychiatric manual is simply a workable extension of psychological frameworks, where the recognition of trends provides ingress to those areas inaccessible to psychoanalytic work. As such, we should be thankful for each other.
And moreover, we should be thankful for the patients who allow us to make such observations, for without them we would have little to argue about.

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More from @drjanaway

28 Nov
Let's take a moment to address some of the conspiracies around #covid19 using psychology and sociology. Thread/

First off, some basic ground theory to put this into context. Human beings work on a very primal level when emotions are high, using a number of cognitive shortcuts
Our emotions serve a primary purpose in survival, and as such they work fast in influencing our behaviour. These are very old, existing before the more clever aspects of our brains, and can be referred to as 'survival mechanisms.'
They evolved during a different time, where major threats were more simple. Aggression, starvation, predators. As such they needed to move quickly, creating fear, alliances based on protection, formation of groups (tribes.)
Read 40 tweets
27 Nov
The #OmicronVariant , #COVID19, mandatory #masks and #vaccination; A thread of hope.

It has been a hard two years. Over 5 million have died, and daily new cases in the UK are over 40,000, with a much lower death rate than before. We can be thankful for this, but must think hard.
If we go back to the major waves, the death rates were much higher. There are multiple reasons for this, including a lower level of natural and vaccine-mediated resistance, and higher death rates in susceptible populations. The virus killed the most at risk.
We know this. Older age, obesity, ethnicity, presence of cancer, or other chronic issues all raised the risk. Although the overall death risk was small, higher risks in large populations still added up. For me, a 33-year-old, it's low, but for my grandma, the risk is intolerable.
Read 16 tweets
27 Nov
Mosaics are quite incredible. Not only do they present contemporary representations of culture that teach us about the past, but also show just how much passion there is for expression. Using sediment to create a totality, quite astonishing.
If anything, these remind me of the mandala approach to unconscious expressionism, not so much in the artistic design, but the time is taken and the knowledge that such things, by nature, are impermanent. This is an expression of the duality of mankind, a brief fire in the dark.
Regardless of the aesthetic appeal, we have to remember that art, from a Jungian perspective, is what unites us and forms the sublimation of our shared fears, loves, and phantasy. With mosaics, we listen to Yeats when he says 'tread softly because you tread on my dreams.
Read 4 tweets
31 Oct
No, not at all. You say that because then you can paint me as an elitist and make yourself seem a hero. Its very obvious, and no matter how much you bluff and try to shame me, your technique is obvious. Its an insult to the intelligence of your following to mislead them so.
If I felt people were beneath me, I would not engage with them. If I felt those who had different views were lesser than me, why would I talk to them as equals? All you accuse me of, you do yourself. You set yourself up like the messiah, the defender of the meek..
And im glad that your words help people, and that others find solace in your confidence. But if there is one thing I have learned, it is that often compromise and caution are more respectful and giving than bluster. Neither of us are heroes, so perhaps accept it.
Read 4 tweets
31 Oct
This here is the problem. People assume my career choice means I don't value people, or see myself as superior. Ask anyone who works in mental health if they believe 'we are better people.' We work with that society have excluded, and it is more humbling than you would know.
Over the last two years, we have gone from 'heroes' to 'enemies' and back, but we do the same job day after day. It is not us, but the political expediency by which we are portrayed for the gain of charlatans and government. Am I Adams's enemy? No. We simply disagree.
To paint myself, and most doctor, as some kind of elitist authoritarian is simply wrong. If we were elitist and authoritarian, we would not have gone into a job where we disproportionately help the poor and forgotten. Why? Because they suffer the most.
Read 8 tweets
25 Oct
Unpopular opinion:

Many vocal professional opponents of psychiatry will hide behind philosophy and pedantry to drum up business for their own benefit, whilst clearly aware of the hypocrisy of their ideological crusade.

Much of it is narcissism disguised as "protecting others."
As a psychiatrist also training in psychodynamics, we both work within working models adjusted by idiosyncracy and marred by our own subjectivity, so perhaps such poignant opposition tells us more about one's blindness than vision.
I have seen some force patients off medication, others make false allegations, and even more quote charlatans to undermine those who wish to help. None of us are perfect, but those who claim omnibenificence are, frankly, no better than snake oil salesmen.
Read 5 tweets

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