As terapias da moda são herdeiras do iluminismo mais ingênuo. Acham que se você entender o seu problema cognitivamente, você se conserta. É o império do pensamento positivo. A psicanálise, não. Ela sabe que o homem é um bicho cindido, que o inconsciente é um território selvagem e que nós somos guiados por forças que desconhecemos e, muitas vezes, detestamos. Ela não promete que você vai ser feliz. Ela promete que você vai deixar de ser um idiota cego diante do próprio destino. Ela troca a miséria neurótica pelo sofrimento comum da vida. E isso é de uma maturidade brutal.
Japan is the most perfect place for people who want to do things alone. On my left, a lady eating salad from her bento; a little ahead, an elderly person reads a book; on my right, women look at their phones- everyone alone, but like together . 🌿
Unemployed people in:
1990:
- Wake up
- Have breakfast
- Chill
- Dad finds you a job
2002:
- Meet up with friends
- Binge-watch a movie
- Enjoy sunny weekends
- Friends connect you to a job
2026:
Academics write for each other, not for people.
Steven Pinker has spent over four decades doing the opposite, and thinks current academic writing is "enormous wasted effort."
"There's an awful lot of brilliant work, really smart people in academia. Why are they doing it? Just to entertain each other? Taxpayers pay for it. It should be accessible. Why should I have to read a paragraph five or six times?
It gets under my skin when academics devote so much brainpower into the scholarship and then just blow off the essential task of letting the world know what you've done."
A reflection on my clinical psychology internship 45 years ago.
Forty-five years ago, during my clinical training, I watched a mentor psychologist spend an entire hour talking with a severely disturbed patient about a single meal.
They walked through every vegetable, every texture, every detail.
At the time, I wasn’t entirely sure what I was witnessing.
Now, decades later, it brings tears to my eyes.
Not because the meal mattered.
Because the person mattered.
We seem increasingly tempted to measure, code, diagnose, document, and move on. Yet some of the deepest healing begins when we slow down enough to enter another person’s world, however small that world may be at the moment.
I worry that psychology is gaining efficiency while losing some of its heart and soul.
We can theorize and pontificate about psychiatric care until we’re blue in the face. It only really matters online. In real life, people with psychosis, mania, severe depression, etc. get observably better on psychiatric medications. No family member cares about the nosology
Family members don't care because they want peace and quiet. Peace and quiet isn't quality of life, it's a lifetime of sedation. You blunt psychosis with antipsychotics but you also blunt everything that gives life meaning, and a huge amount of functionality.
I work with family members who hate the destructive effects of psychosis but also hate the half-life they see their loved ones leading.
This isn't healing, it's just better than nothing.