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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

What I Wish People Understood About Mental Health Problems

I have a new opinion piece in the New York Times, “We’re Thinking About Mental Health Diagnoses All Wrong” (gift link for access) (published with several other titles, including “Here’s What Psychiatrists Mean When They Say You Have A.D.H.D...

7 days ago
100
1

Make Deprescribing Boring

There are two broad mindsets or flavors when it comes to talk of “deprescribing” in psychiatry.

The first is the mindset of competent, collaborative, patient-centered practice, one that treats taking patients off medications that are no lo...

11 days ago
104
11

Notes from a South American Psychiatrist on the Future DSM

Dr. Gonzalo Amador Rivera is a psychiatrist and philosophy graduate. He works at the Hospital de Psiquiatría de la Caja Nacional de Salud in La Paz, Bolivia. He writes online at Psiquiatría Subterránea.

The article is published below in bo...

12 days ago
30
2

Philosophical Considerations Around HiTOP - Commentaries and Response

Follow-up to:


In March 2026, I shared a summary of a new paper I had co-authored with folks from the HiTOP Revisions Workgroup. ‘Examining the Foundational Assumptions of the Hierarchical Taxonomy of Psychopathology’ was published i...

15 days ago
24

Twilight of the Psychopharmacologists

Robert Haim Belmaker and Pesach Lichtenberg, Psychopharmacology Reconsidered: A Concise Guide Exploring the Limits of Diagnosis and Treatment (Springer, 2023).

There is a particular kind of book that can only be written late in one’s caree...

17 days ago
123
7

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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.

  • 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

  • Haim Belmaker
  • 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.

  • Austin Ratner
  • Nev Jones

    Associate Professor in the School of Social Work & affiliate psychiatry faculty at the University of Pittsburgh.

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