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rubinmd.bsky.social
Neuroscience, Affective Neuroscience, Psychiatry, Psychodynamic Therapy, Existentialism, Philosophy
12 posts 17 followers 164 following
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Oh the stories from my peer review conversations about hospitalized psychiatric patients! I asked one doc out of frustration - did you dream as kid to become a insurance reviewer and deny care, he called me unprofessional! šŸ¤·ā€ā™‚ļø
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Old terms are hard to gets out of common vocabulary. Need to replacement term! Even old ā€œcognitiveā€ and ā€œaffectiveā€ divide may not stand either
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But you haven’t tried ā€œcold plungeā€ or ā€œred light therapyā€? That cures all genetic and epigenetic ailments! ( I feel I have to say it’s a joke because some people have ā€œhumor deficit disorderā€)
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If only horses had gods, those gods won’t be greedy ! Just sayin!
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This is very disheartening for a clinician committed to ā€œevidence based medicineā€ ! If evidence is ā€œjunkā€ then what ? Field of ā€œmeta-scienceā€ needs to help us !
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If one already knows the conclusion, finding data to support that conclusion, is what cranks do, not researchers!
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There is a concept of ā€œcategoricalā€ vs ā€œdimensionalā€ diagnosis- I like more dimensional aspect rather than fixed labels from DSM - but the rigid insurance system likes DSM categories.
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Trait dependent vs context dependent behavior,not much research in this area- leads to poor diagnostic reliability in personality disorders.I was involved in a Bipolar study,out of about 100 people we screened who had been treated/labeled bipolar, only 3met stringent diagnostic evaluation criteria
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Bias and motivated reasoning is like ā€œhalitosisā€- everyone else has it, except me !šŸ˜‚
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When one gets into any sort of dualism,property vs substance dualism, you get endless metaphysical debates about emergence and to some sort of panpsychism or idealism in my view! Also if interested, balance Panksepps model with Barrett’s constructivist model of emotions based on Predictive coding
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Past Psychopharmacology clinical trials at UT Southwestern, Dallas. Now in clinical practice, trying to bring lessons from affective neuroscience to clinical practice. Appreciate if I could be added
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What is the flaw in hard physicalist view that you see in Panksepp’s model ? What would Substance dualism add to the model ?