I have/had BPD. I definitely did fear abandonment but it’s deeper than anyone can fully realize. At the core is the lack of Self, which is so abstract it’s almost useless, until you find (or build) the self. Then it’s all visible.
The fear of abandonment is fear of annihilation because you are identified with the other. Losing the other feels like losing your self, it feels like dying. Like you cannot possibly survive without them.
The way to heal is to build internal scaffolding for the self, which people do unconsciously when they develop normally. But with BPD, you have to do it consciously. It’s hard work but it can be done.
“If you haven't read hundreds of books, you are functionally illiterate, and you will be incompetent, because your personal experiences alone aren't broad enough to sustain you.”
— James N. Mattis
People saying pacific rim almost had them fighting demons are missing out on the artist (Wayne Barlow) own rendition of hell itself, which is even more wicked.
Talarico should do the opposite of 2018 Beto and just be super pro gun. He's clearly on the cusp of a winning coalition but he has to be able to convince traditional minded independents that he's spiritually Texan
New painting from a recent suggestion.
In 1997 a fissure near Pillan Mons erupted on #Jupiter's moon #Io. It Produced huge amounts of lava that reached a nearby caldera Called Pillan Patera creating massive lava falls almost 3 km high.
I tried to depict this event here.
I genuinely — and I do mean genuinely — feel sorry for all those who could watch watch this and see it as anything less than the most perfect goodbye to Luke possible. This is what you get when a filmmaker has something to say that’s louder than what the studio has to sell.
When simulation becomes the norm, it weakens the human capacity for discernment. As a result, our social bonds close in upon themselves, forming self-referential circuits that no longer expose us to reality. We thus come to live within bubbles, impermeable to one another. Feeling threatened by anyone who is different, we grow unaccustomed to encounter and dialogue. In this way, polarization, conflict, fear and violence spread. What is at stake is not merely the risk of error, but a transformation in our very relationship with truth.
“Expecting an algorithmic description to instantiate the quality it maps is like expecting the mathematical formula of gravity to physically exert weight.”
Rethinking the placebo & nocebo effect in psychiatry 🧠
- Placebo effects have long been treated as a nuisance in clinical trials — but new neuroscience and surprisingly large placebo responses (up to ~50% remission in some depression device trials) suggest we should be asking how to *harness* them, not just control for them.
- Nocebo effects — where negative expectations worsen symptoms or side effects — are equally important. New research is exploring how to *mitigate* these through education and reframing strategies.
- This review explores practical approaches including open-label (honest) placebos, conditioned dose reduction, mindset shifts, and enhancing the therapeutic context — all with ethical considerations front and centre.
- The takeaway: understanding how mind, brain, and body interact through placebo and nocebo effects isn't just relevant to psychiatry — it matters across all of medicine.
https://t.co/DhnNrv7x7X
#psychiatry