Entrepreneurs with "disruptive" business models are driven idealists and rebels, impatient with current practice. In this way they are like adolescents. Our future is in their hands, but they need guidance.
Traditional medical ethics puts patient welfare first. As corporations increasingly control health care, business ethics replace medical ethics. Doctors and patients must work together to defend the doctor-patient relationship.
What is a competent psychiatrist? Harsh critics declare the question moot, official bodies print long lists of "competencies." Is the answer in between? What does it take to understand and help troubled people?
Excessively paternalistic doctors are reviled by many patients today. But is a servile physician better? By avoiding both extremes doctors may demean neither their patients nor themselves — and in the process deliver the best healthcare.
OpenNotes is a national initiative to let patients view their doctors' notes online. Advocates say it improves collaboration, gives patients more control of their care, and can correct factual errors in the record. Doctors and patients who use it say they like it. So why it is a bad idea?
DARPA, the people who brought you the internet, now want to implant chips in the brains of psychiatric patients. This isn't science fiction, it's well-funded research. What are the potential risks and benefits of this high-stakes venture?
Psychiatrists (and primary care doctors, e.g., family practitioners) face diagnostic and treatment uncertainty every day. What separates those who merely tolerate this uncertainty, from those who welcome and even enjoy it?
Psychiatry has embraced neurobiological research, a promising area for discovery. Unfortunately, the term itself has become a buzzword, falsely implying we know the etiology (cause) of psychiatric disorders. Instead of overreaching rhetoric, the field should embrace the uncertainty that has always characterized psychiatry.
Traditional therapy is often caricatured as endless, with a complacent therapist silently growing cobwebs, listening to a patient who never plans to leave. Our aim, instead, should be to make ourselves obsolete.