Who Gets to Define Human Suffering?

Psychiatry at the Margins | Awais Aftab | Substack

Exploring critical, philosophical, and scientific debates in psychiatric practice and the psy-sciences. Click to read Psychiatry at the Margins, by Awais Aftab, a Substack publication with tens of thousands of subscribers.

How to spot a psychopath: ‘It’s like the difference between a domestic cat and a wild cat’

People with persistent predatory personalities cause an inordinate amount of pain. Recently, our shared understanding of them has grown – and it could help protect us

Madness and Enterprise: Psychiatry, Economic Reason, and the Emergence of Pathological Value

Uncovers a powerful relationship between pathology and money: beginning in the nineteenth century, the severity of mental illness was measured against a patient’s economic productivity.  Madness and Enterprise reveals the economic norms embedded within psychiatric thinking about mental illness in the North Atlantic world. Over the course of the nineteenth century, various forms of madness were subjected to a style of psychiatric reasoning that was preoccupied with money. Psychiatrists across Western Europe and the United States attributed financial and even moral value to an array of pathological conditions, such that some mental disorders were seen as financial assets and others as economic liabilities. By turning to economic conduct and asking whether potential patients appeared capable of managing their financial affairs or even generating wealth, psychiatrists could often bypass diagnostic uncertainties about a person’s mental state. Through an exploration of the intertwined histories of psychiatry and economic thought, Nima Bassiri shows how this relationship transformed the very idea of value in the modern North Atlantic, as the most common forms of social valuation—moral value, medical value, and economic value—were rendered equivalent and interchangeable. If what was good and what was healthy were increasingly conflated with what was remunerative (and vice versa), then a conceptual space opened through which madness itself could be converted into an economic form and subsequently redeemed—and even revered.

Dopamine Nation — Anna Lembke, MD

In Dopamine Nation, Dr. Anna Lembke, psychiatrist and author, explores the exciting new scientific discoveries that explain why the relentless pursuit of pleasure leads to pain.

The New Wounded

This book addresses the issue of trauma and psychic wounds to stage a confrontation between psychoanalysis and contemporary neurobiology. In so doing, it reevaluates the brain as an organ that is not separated from psychic life but rather appears as its very locus. A philosophical approach of the “new wounded” (brain lesion patients) forms the matter of the confrontation.

The Wretched of the Earth

A distinguished psychiatrist from Martinique who took p…

Philosophy Officer on Instagram: "I AM SO EMOTIONALLY MATURE I have massive problems with this term. Most people would say it means something along the lines of: the ability to understand, process, regulate or communicate emotions in a healthy way. Now the issue is that all of the terms you use to explain it leave so much room for interpretation the definition becomes almost vacuous. To understand an emotion means to know what caused it? To know the impact it has on you physiologically? To understand how it affects your cognition? To know how it affects others? Same goes with the term healthy, get far enough into a discussion on what it means to be healthy and people will start to disagree. Mental health? Physical? Communal? Spiritual? What’s more is that this term is thrown around in place of simple personality traits or individual quirks. Because someone is more emotional are they now less mature because they have an objectively more difficult time regulating them? Is the person with a dark sense of humour immature because he can’t hold in a laugh when everyone else finds the situation morbid or cruel? I think, to a great extent, it’s a bit of a shield or barrier of a term that absolves ourselves from taking responsibility for our behaviours. At the end of the day we know ourselves best, or at least better than most people. This means we best understand our emotions, how we regulate them, how we control them etc. We have this epistemic bias towards ourselves, since we simply know more about ourselves therefore we will often reason that others have less. Sorry I couldn’t polish off my ideas more I gotta run bye friends"

102K likes, 186 comments - the_philofficer on July 6, 2026: "I AM SO EMOTIONALLY MATURE I have massive problems with this term. Most people would say it means something along the lines of: the ability to understand, process, regulate or communicate emotions in a healthy way. Now the issue is that all of the terms you use to explain it leave so much room for interpretation the definition becomes almost vacuous. To understand an emotion means to know what caused it? To know the impact it has on you physiologically? To understand how it affects your cognition? To know how it affects others? Same goes with the term healthy, get far enough into a discussion on what it means to be healthy and people will start to disagree. Mental health? Physical? Communal? Spiritual? What’s more is that this term is thrown around in place of simple personality traits or individual quirks. Because someone is more emotional are they now less mature because they have an objectively more difficult time regulating them? Is the person with a dark sense of humour immature because he can’t hold in a laugh when everyone else finds the situation morbid or cruel? I think, to a great extent, it’s a bit of a shield or barrier of a term that absolves ourselves from taking responsibility for our behaviours. At the end of the day we know ourselves best, or at least better than most people. This means we best understand our emotions, how we regulate them, how we control them etc. We have this epistemic bias towards ourselves, since we simply know more about ourselves therefore we will often reason that others have less. Sorry I couldn’t polish off my ideas more I gotta run bye friends".

Why major life decisions should be approached with ‘epistemic humility’ | Psyche Videos

At a crossroads in life? No matter how much you deliberate, one unknowable remains: the person you will be on the other side

Humanitarian Governance

This review examines humanitarian governance, defined as the increasingly organized and internationalized attempt to save the lives, enhance the welfare, and reduce the suffering of the world's most vulnerable populations. Political scientists and international relations scholars are only now beginning to explain this rapidly growing global governance of humanity, which is particularly evident in the developing literatures on humanitarian intervention, emergency relief, peacebuilding, and refugee protection. As they increasingly engage this relatively unexplored area of global life, political scientists are using the familiar analytics of the global governance literature to explain the origins, design, and effectiveness of this collective activity. This essay, though, interjects an alternative perspective, one that draws from critical theory, to widen the research agenda of the study of humanitarian governance. Specifically, the essay raises six central questions: What kind of world is being imagined and produced? What accounts for the tremendous growth of humanitarian governance over the last century? Who governs? How is humanitarian governance organized and accomplished? What are the principal techniques of control? By what authority do humanitarians govern and what do they do with that authority?

The Psychopathic Selection Hypothesis: The Rules of the Game Keep Us Trapped - The Great Simplification

In this episode, Nate is joined by Greg Elliott, a systems theorist and author of the Psychopathic Selection Hypothesis (PSH), to unpack why our institutions themselves have become so psychopathic, and how that affects the behavior of the average human.

Pluralistic: Three more AI psychoses (12 Mar 2026) – Pluralistic: Daily links from Cory Doctorow

"AI psychosis" is one of those terms that is incredibly useful and also almost certainly going to be deprecated in smart circles in short order because it is: a) useful; b) easily colloquialized to describe related phenomena; and c) adjacent to medical issues, and there's a group of people who feel very strongly any metaphor that implicates human health is intrinsically stigmatizing and must be replaced with an awkward, lengthy phrase that no one can remember and only insiders understand.

A world in turmoil: governing risk, establishing order in humanitarian crises

This special issue of Disasters on humanitarian governance focuses on risk and order. Its contributions show the tensions between humanitarian normative ideals and practical consequences, as many of ...

Blood tests for mental health problems | Eiko Fried

A new paper was published yesterday on a blood test for schizophrenia, by the same research team that in 2021 published a paper on a blood test for depression . The papers and...

[Article] The complex lived experience of schizophrenia diagnosis: a thematic analysis of online forum posts

109K subscribers in the schizophrenia community. Welcome! This is a community meant for a discussion of schizophrenia spectrum disorders, and related…