Conflicts of interest in medical education: Disclosure may not help

Yesterday’s New York Times had an interesting op-ed, “Stumbling into Bad Behavior,” about corruption and unethical conduct in corporate and financial settings. The authors, Max H. Bazerman and Ann E. Tenbrunsel, are academics who wrote a book about ethical blind spots. They note that regulators, prosecutors, and journalists tend to focus on corruption caused by […]

Diagnostic alphabet soup

Earlier this year a reader asked me:

“I would be very interested to hear your thoughts on patients becoming too focused on diagnoses. […] While I was in an RTC as a teenager, and recently in the hospital as an adult, I have found that people almost treat their diagnoses as a competition. I was […]

If I accused you of being a Martian...

Cross-posted from “Sacramento Street Psychiatry“.

In dynamic psychotherapy, patients often say how hurt and victimized they feel as a result of unkind judgments or criticisms by others:

“My coworker called me a hypocrite!”

“My mother told me I neglect her by not visiting enough.”

“My husband complains I’m too self-centered.”

Although sharing such complaints with […]

Bull in a china shop

Reposted from Sacramento Street Psychiatry.

Sometimes an unruly character disrupts the surrounding peace and quiet. Loud, gruff words and ill-considered behavior mar the scene. Onlookers cringe, awaiting the impending destruction. For this beastly fellow is bound to break something: wreck a friendship or relationship, make a workplace intolerable. All the worse if the setting harbors […]

Would you trade years of life for happiness?

Cross-posted from “Sacramento Street Psychiatry“

The New York Times blog called “Well” recently asked: “Will Olympic Athletes Dope if They Know It Might Kill Them?” The answer is surprisingly clear: Many would if they could. In bi-annual surveys conducted from 1982 to 1995, researcher Bob Goldman asked elite athletes whether they would take a drug […]