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Exploring critical, philosophical, and scientific debates in psychiatric practice and the psy-sciences

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Artwork for Psychiatry at the Margins

Latest Issues

On Suicidality

Sorbie Richner is a renegade independent scholar from the Midwest who writes on her substack, Miss Apprehension.

This essay contains descriptions of self-harm, suicide attempts, and suicides. It also contains spoilers for the film “Harold...

8 days ago
201
69

Some Predictions About the Future of “Withdrawal Studies”

In communities organized around antidepressant withdrawal and the broader iatrogenic harm and the deprescribing ecosystem, the term “withdrawal” has acquired an extraordinary breadth and scope. It’s an instance of concept creep on steroids....

15 days ago
52
10

The Brain Architecture of Schizophrenia-Bipolar Psychosis Spectrum

There has been a quiet transformation in how we understand the biology of psychotic disorders like schizophrenia and bipolar with psychosis, and I am surprised more people in the mental health field aren’t talking about it. Genome-wide asso...

22 days ago
84
9

Mixed Bag #26: Darby Saxbe on the Science of Fatherhood

“Mixed Bag” is a series where I ask a guest to select 5 items to explore a particular topic: a book, a concept, a person, an article, and a surprise item (at the expert’s discretion). For each item, they have to explain why they selected it...

24 days ago
28
4

The Ground Beneath the Clinic

Fred Weiss, Doctor’s Buggy, c. 1936

My friend and collaborator Alan Levinovitz recently posed a question to me that, slightly paraphrased, goes something like this… It’s relatively easy to argue against the hyperbolic view that mental illn...

a month ago
65
8

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Authors

The writers behind this newsletter.

  • Awais Aftab

    Psychiatrist with philosophical interests. My first book “Conversations in Critical Psychiatry” (OUP, 2024) is an edited collection of interviews.

  • Gonzalo Amador Rivera

    “Like a Rolling Stone”. Médico psiquiatra, licenciado en Filosofía, aficionado a la metafísica y a la música —pero de aquella que se hace escuchar—; hijo, hermano, amigo y ciudadano renegado.

  • Sorbie

    hot dog eater. diagnosed with Trouble In Michigan

  • Austin Ratner
  • Darby Saxbe

    Professor at the University of Southern California. I study the neurobiology of parenthood & wrote the book Dad Brain: The New Science of Fatherhood and How it Shapes Men's Lives.

  • David Heath

    Heath founded Canada’s first psychiatric hospitalization at home program in Kitchener Ontario in 1989. He is the author of Home Treatment for Acute Mental Disorders 2004 Routledge, NY. His website is intensivehometreatment.com

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