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Weight Loss for People with Schizophrenia? STEPWISE Didn’t Work. On the Big Paper, the Not-So-Big Result & Negative Results

"Years ago, I worked with a patient who lost 70 pounds with an aggressive regiment of exercise. His determination was exceptional but his struggles with obesity weren’t. People with schizophrenia are twice as likely as the general population to deal with weight problems.
Oct 11 / 2018

What Actually Is a Belief? And Why Is It So Hard to Change?

"Beliefs are a slippery concept. What actually are they? Philosophy has long struggled to define them.2 In this post-truth and ideologically polarized world, we need a better understanding of beliefs. As a psychiatrist, my job frequently involves identifying distorted beliefs, understanding how they formed, and helping people to learn to be more skeptical of their own beliefs.
Oct 7 / 2018

Social Media & Paranoia — the new Acta Paper; Also, How Do We Change Docs? A Reader Responds

"Politicians tweet about townhall meetings; celebrities put vacation pictures on Instagram; your cousin in Europe has her own YouTube channel. Our world is very different than it was just a few short years ago. (Fun fact: Facebook – a decade and a half old – claims to have more than 2 billion active monthly users.)
Oct 4 / 2018

Do Antidepressants Beat Placebo? Does Measurement-based Care Work? Four Papers and Some Thoughts on a Fourth Anniversary

"This month, the Reading of the Week – in its present form – turns four. Today, the Readings are emailed out from sea to sea to sea. It’s a big evolution from the first Readings, started more than six and a half years ago, with me handing out photocopies of papers on the inpatient ward where I worked.
Sep 27 / 2018
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