Evolutionary Epistemology (Darwin, Popper, Deutsch), Psychiatric Medicine, Theoretical Economics, Dogs, Relationships.

Antipsychotics are literally life-saving when patients are acutely manic and psychotic. They stop patients from banging their head, cutting their fingers off, and pulling out their eyes. I’ve seen it all. Those who deny their efficacy just can’t imagine what they have never seen.
The idea that antipsychotics do not provide clinically meaningful benefits in acute treatment of psychosis is so disconnected from scientific & clinical evidence that I consider contorted arguments for it as a proxy for one’s ability to engage in supercharged confirmation bias.
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Michael Golding retweeted
In the UAE, antisemitism is a crime, not an opinion. Yes, not an opinion, as it seems to be treated these days in parts of the West. Zero tolerance for terrorists, and no calling terrorists "activists." If anyone has a problem with Muslims or Arabs, understand this clearly: THE UAE is DIFFERENT. And before lecturing the UAE about extremism, ask one question: has your own country even banned the Muslim Brotherhood? The UAE has. To everyone questioning what happened on flydubai flight FZ1073 or rushing to conclusions: the UAE is not just another country in the Middle East. Here, no identity, nationality, religion, rank, or position stands above the law. It’s well known that the UAE will not replace an investigation with speculation or evidence with conspiracy theories. The facts will come out through the proper investigation, transparently and without hysteria. And if any wrongdoing is established, those responsible will face justice. The UAE has confronted terrorism and extremism for years, from ISIS and al-Qaeda to threats from Iran and its proxies. It is also one of the safest places in the world and the safest in the Middle East. The threats are understood. The dangers are understood. Security is built through vigilance, professionalism, preparation, and the rule of law. And that is why the heroism of flydubai’s Indian pilot, Captain Smit Machchhar, has been recognised. The flydubai pilot faced extraordinary danger and a potential catastrophe, and he showed courage when courage mattered most. His professionalism, sense of duty, and moral courage helped protect human life. Training matters. Professionalism matters. Choosing the right people matters. Courage matters. Every person found responsible for endangering innocent lives must be held accountable. Every person who helped save those lives deserves gratitude. No collective blame. No conspiracy theories. No hatred against Arabs or Muslims. No excuses for extremism. Justice for those responsible. Honour for those who saved lives. Protection for everyone, regardless of who they are. That is the UAE. The UAE of law. The UAE of courage. The UAE of humanity. And to all the antisemitic trolls: UAE-Israel relations continue to thrive, and on rainy days, friends stand together.
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Easier said than done, but true 😊
Psychological maturity recognizes that shame is often relational. When someone shames you, their reaction may not be entirely about you. It may be their own shame colliding with something in you that reminds them of what they fear, regret, reject, or have not yet accepted in themselves. That does not mean every criticism is projection. We still need the maturity to listen, take responsibility, and examine our behavior honestly. But shame is different from accountability. Accountability addresses what happened. Shame attacks who you are. When someone tries to make you feel small, defective, or unworthy, pause before accepting their judgment as truth. Ask yourself: Is this useful feedback—or is someone else’s unresolved shame being placed on me? Psychological maturity means being willing to look at yourself without defensiveness, while also refusing to carry shame that does not belong to you. Sometimes the healthiest response is: “I can reflect on my behavior without accepting your shame as my identity.”
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Michael Golding retweeted
Replying to @ariel_oseran
In Hinduism devotion to your profession is the most important think we say your Karma is your Dharma !! Pilot giving his. everthing to protect his filght is nothing short of that !!
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Michael Golding retweeted
HERO PILOT, Captain Smit Machchar, stabbed mid-flight on flydubai FZ1073, reportedly FOUGHT OFF the co-pilot and helped save 174 people. One year ago he talked about how people often don't treat the cabin crew properly. "When things are going wrong, you need them." WATCH:
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“[AI]….. doesn’t eliminate the need to decide which question deserves attention, which assumptions should be challenged, what evidence is sufficient, what should be done, or who bears the consequences.” Yeah. That. And research universities can, should, will, and are participating, as well.
Replying to @GregoryConti19
Schools are already zombies. Dead but don’t realize it yet. Answers are now cheap The real value is the skill of asking your own questions
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3) The laws of physics today are modeled as Turing compatible. Until that changes our best thinking is that neurons and brains and software and all of that can be fully simulated on computers.
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4) None of that means we are even close to creating AGI at this time. People don’t even know how to make a chess program that can program itself to keep getting better, as we program computer chess programs to keep getting better.
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Unlike @AbdulElSayed, I’m an Arab who is actually from Israel. My family lived through the establishment of the state of Israel and what he calls the “Nakba.” The Holocaust was nothing like the events of the “Nakba” where my grandfather was told to flee by Arab leaders (not Jews) so the Arabs could “defeat the Jews.” He refused, and all the Arab residents who stayed were given citizenship. Those who fled, a large number by choice, were not permitted to return, as often happens in war. That is a catastrophe, a “nakba” of their own making. But there was no choice in the Holocaust, there was no citizenship for those who stayed. You are intentionally comparing a war and a genocide. They are not the same. Your vile attempt to co-opt the largest massacre of the Jewish people in history, the systematic murder of six million people simply because they were Jews, for your own dystopian pro-terror Muslim Brotherhood agenda is despicable. I see through you Abdul. You may be able to fool Western Americans with your garbage, but we know who you really are. یا کذاب ابن کذاب
Clash Report
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Perfect for kids and adults.
This might be the greatest thing I have ever seen 🤣
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Should not romanticize the past. True.
Your ancestors would have given anything for antibiotics, insulin and a tetanus jab. You're being sold "ancestral wellness" by someone who'd have died at 34 of an infected tooth.
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True. Well said.
Nah. Everything is made out of atoms but that doesn’t make creating a book that contains a proof of the Riemann hypothesis into a chemistry problem (even though it’s just an arrangement of atoms). The same is true the other way around.
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Great article by a fellow Popperian. And, YES!!!!! People pay lip service to Darwin, honestly think they agree with him, but don’t. They don’t realize that he (and therefore Popper) were right. All knowledge/organization, beyond the laws of physics, is EVOLVED! “Admittedly, it’s often hard going. I find that even intelligent, well-educated people—people who accept without question that Darwinian evolution accounts for the emergence of order in the biological world—nevertheless find it hard to imagine any alternative to intelligent design when it comes to things like human technology and human institutions.”
"Free people make a lot of mistakes, but—as long as [they] acknowledge and take responsibility for their mistakes—that is a good thing. The more mistakes we make, the more opportunities we have to learn." ourkarlpopper.net/2020/10/26…
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People have no idea how dangerous even a little bit of cannabis use is in those with any predisposition to mental illness. Usually, our patients figure it out the hard way…. and sometimes they never do.
Cannabis induced psychosis is no picnic.
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True.
"Antipsychiatry" causes: 1)The few incompetent psychiatrists 2)Excessive expectations- eg people dont blame cancer MDs when treatment fails 3)Generalization: If treatment didnt work for me wont work for anyone 4)Common enemy=within group support 5)Never meet people who benefitted
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Michael Golding retweeted
Lithium is dirt cheap. It is not patentable. It is very studyable both with experimental mechanisms (for example moving drinking water from one area to another) or observational mechanisms with better controls. There seems to be a signal there but we keep reporting on it and not chasing it. Please please researchers of the world. Design good lithium studies. There might be something there. Zero venture capitalists are going to help you because it's not psychedelics or some other bullshit. We're going to have to do this on our own.
📝 Narrative Review: Low-dose #Lithium exposure is linked to neuroprotective effects, reduced #Dementia risk, and cognitive stabilization in mild cognitive impairment, supporting further clinical evaluation. ja.ma/4gS4Xay
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Michael Golding retweeted
Playing a video game after a car accident reduced intrusive memories by ~62% over the following week
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Psychiatrists vs NPs shouldn't be the debate. 🚨 We (Psychiatrists) must ask ourselves - What is our role / expertise and what skills ‘make’ a Consultant Psychiatrist Substitution happens when our role is reduced to tasks that are easily substituted: diagnose, prescribe, review, repeat. Our value should lie in what is harder to replace: formulation, managing complexity and uncertainty, psychopharmacology, psychotherapy, risk–benefit thinking, ethics, collaboration and critical appraisal. These are 10 foundational principles I believe define specialist psychiatric practice. If we want to protect the role, we need to be clear about the expertise.
In modern psychiatric practice, many psychiatrists--MDs or DOs who have completed a year of internship, and three years of psychiatric residency--are being replaced by PMHNPs (psychiatric mental health nurse practitioners) with markedly less training requirements, and much lower salaries. But given the limited breadth of knowledge that's required to diagnose patients (checklists of superficial signs and symptoms), and to select medications accordingly, I doubt that treatment varies much between these two disciplines. I think that psychiatrists might have dumbed down their practice so much that their own professional credentials are unnecessary in practice. Not that I think patients are actually that simple to treat. I just believe that psychiatry has stripped away the depths and demands of our job--drunk on a simplistic illusion of mastering what is the most complicated object in the known universe, the human brain/mind.
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