![]() ![]() ![]() I’m currently writing about a patient who was dying, she was very depressed. How does one take that leap into commitment and action when even engagement seems meaningless and arbitrary? On an existential note, you write that the problem of meaninglessness is best approached obliquely through engagement. ![]() Just this last week I made an offer to meet with the residents over at my home once a month just so they have exposure to this other form of thinking. I gave grand rounds a couple of weeks ago and I just see how students are really craving for some more teaching. But I feel at such a crossroads, even in my own department of psychiatry. Even so, the new studies on outcome showing psychodynamic therapy of 20-24 sessions is equally effective, perhaps more because it’s more long-lasting. ![]() This becomes foolish after a while because of the intricate, complex quality of things, you just can’t do that. And then the absolute maniacal need to empirically validate everything you do. All this, all the psychodynamics are just not getting to them. We’re not teaching our students the importance of relationships with other people: how you work with them, what the relational pathology consists of, how you examine your own conscience, how you examine the inner world, how you examine your dreams. ![]()
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