General Practitioner Quotes

Once, an elderly general practitioner consulted me because of his severe depression. He could not overcome the loss of his wife who had died two years before and whom he had loved above all else. Now, how can I help him? What should I tell him? Well, I refrained from telling him anything but instead confronted him with the question, “What would have happened, Doctor, if you had died first, and your wife would have had to survive you?” “Oh,” he said, “for her this would have been terrible; how she would have suffered!” Whereupon I replied, “You see, Doctor, such a suffering has been spared her, and it was you who have spared her this suffering — to be sure, at the price that now you have to survive and mourn her.” He said no word but shook my hand and calmly left my office. In some way, suffering ceases to be suffering at the moment it finds a meaning, such as the meaning of a sacrifice.

Nothing but the natural ignorance of the public, countenanced by the inoculated erroneousness of the ordinary general medical practitioners, makes such a barbarism as vaccination possible.......Recent developments have shown that an inoculation made in the usual general practitioner's light-hearted way, without previous highly skilled examination of the state of the patient's blood, is just as likely to be a simple manslaughter as a cure or preventive. But vaccination is nothing short of attempted murder. A skilled bacteriologist would just as soon think of cutting his child's arm and rubbing the contents of the dustpan into the wound, as vaccinating it in the same.

The willful amnesia afflicting the sciences in general contrasts sharply with the importance given to memory by the humanities. Literature, philosophy, politics, and the visual arts, including photography and filmmaking, feed on memory. Practitioners of the humanities need memory to deepen and refine their thinking.

As early as the sixth century BC, ayurvedic practitioners in India had recognized the general symptoms of anemia—the

Still, I repeat, there was a general impression that Lydgate was something rather more uncommon than any general practitioner in Middlemarch. And

On Ryukyu islands, the expert Kara-te practitioners, used their skills to subdue, control and generally teach bullies A lesson, rather than severely injure or kill their attackers. They knew full well the consequences of their actions and the trail of blood and retribution that would ensue

The vocation of psychotherapy confers a few unexpected fringe benefits on its practitioners, and the following is one of them. It impels participation in a process that our modern world has all but forgotten: sitting in a room with another person for hours at a time with no purpose in mind but attending. As you do so, another world expands and comes alive to your senses--a world governed by forces that were old before humanity began.

Generally speaking, we regard discomfort in any form as bad news. But for practitioners or spiritual warriors-people who have a certain hunger to know what is true-feelings like disappointment, embarrassment, irritation, resentment, anger, jealousy, and fear, instead of being bad news, are actually very clear moments that teach us where it is that we're holding back. They teach us to perk up and lean in when we feel we'd rather collapse and back away. They're like messengers that show us, with terrifying clarity, exactly where we're stuck.

I reflected a minute and then asked why he wanted to marry me. That seemed to fluster him a good deal, and he murmured that a wife was a great help to a general practitioner. The position seemed even more unromantic than before, and yet something in me urged towards its acceptance. Safety, that was what I was being offered. Safety—and a Comfortable Home. Thinking it over now, I believe I did the little man an injustice. He was honestly in love with me, but a mistaken delicacy prevented him from pressing his suit on those lines. Anyway, my love of romance rebelled.

Let me cite a clear-cut example: Once, an elderly general practitioner consulted me because of his severe depression. He could not overcome the loss of his wife who had died two years before and whom he had loved above all else. Now, how could I help him? What should I tell him? Well, I refrained from telling him anything but instead confronted him with the question, “What would have happened, Doctor, if you had died first, and your wife would have had to survive you?” “Oh,” he said, “for her this would have been terrible; how she would have suffered!” Whereupon I replied, “You see, Doctor, such a suffering has been spared her, and it was you who have spared her this suffering—to be sure, at the price that now you have to survive and mourn her.” He said no word but shook my hand and calmly left my office. In some way, suffering ceases to be suffering at the moment it finds a meaning, such as the meaning of a sacrifice.

....the power of a science seems quite generally to increase with the number of symbolic generalizations its practitioners have at their disposal.

present-day mental health practitioners have their heads firmly inserted in their asses and generally need more help than they provide.

Fiction in general holds little interest for me. Novels, in particular, arouse more suspicion than intrigue. It truly baffles me that any practitioner of make-believe should (especially in this day and age) feel the need to produce anything so gratuitous. The fact that certain examples of this fare can approach the length of your average dictionary seems inherently absurd.

Our solution was the line, “I’m not crazy. My mother had me tested.” And that put it to rest. Mary took Sheldon to a general practitioner in East Texas in 1990 who said, “Oh, he’s fine! He’s peculiar, but he’s fine!” It was probably a doctor who was still smoking! I think not having a label gave Jim a great deal of more freedom to play the part as he wanted to play it, as opposed to how we might have been pressured to do for a very-real syndrome that can be difficult.

I’d developed the concept over time as a practitioner back in my General Electric and International Paper days, and I’d been teaching the 4C’s to my students at the University of Carolina at Chapel Hill since I’d been appointed to the chair professorship in 1986 as well as expounding on it in executive education programs and consulting work I was doing in the U.S. and Europe during that same time. I was also writing a column for the leading trade magazine “Advertising Age” for a few years and I first wrote about the 4C’s for publication in one of those columns, sometime in the year 1990.

In the early 1970s, racial and gender discrimination was still prevalent. The easy camaraderie prevailing in the operating room evaporated at the completion of surgical procedures. There was an unspoken pecking order of seating arrangements at lunch among my fellow physicians. At the top were the white male 'primary producers' in prestigious surgical specialties. They were followed by the internists. Next came the general practitioners. Last on the list were the hospital-based physicians: the radiologists, pathologists and anaesthesiologists - especially non-white, female ones like me. Apart from colour, we were shunned because we did not bring in patients ourselves but, like vultures, lived off the patients generated by other doctors. We were also resented because being hospital-based and not having to rent office space or hire nursing staff, we had low overheads. Since a physician's number of admissions to the hospital and referral pattern determined the degree of attention and regard accorded by colleagues, it was safe for our peers to ignore us and target those in position to send over income-producing referrals. This attitude was mirrored from the board of directors all the way down to the orderlies.

the Yale Cancer Center, Dana-Farber Cancer Institute, and Massachusetts General Hospital supports this notion. It found that dying patients who had open conversations about their death experienced a better quality of life in the weeks and months leading to their passing, as judged by their family members and nurse practitioners.

I advise you to look for a chance to break away, to find a subject you can make your own. That is where the quickest advances are likely to occur, as measured by discoveries per investigator per year. Therein you have the best chance to become a leader and, as time passes, to gain growing freedom to set your own course. If a subject is already receiving a great deal of attention, if it has a glamorous aura, if its practitioners are prizewinners who receive large grants, stay away from that subject. Listen to the news coming from the hubbub, learn how and why the subject became prominent, but in making your own long-term plans be aware it is already crowded with talented people. You would be a newcomer, a private amid bemedaled first sergeants and generals. Take a subject instead that interests you and looks promising, and where established experts are not yet conspicuously competing with one another, where few if any prizes and academy memberships have been given, and where the annals of research are not yet layered with superfluous data and mathematical models.

Given the central place that technology holds in our lives, it is astonishing that technology companies have not put more resources into fixing this global problem. Advanced computer systems and artificial intelligence (AI) could play a much bigger role in shaping diagnosis and prescription. While the up-front costs of using such technology may be sizeable, the long-term benefits to the health-care system need to be factored into value assessments. We believe that AI platforms could improve on the empirical prescription approach. Physicians work long hours under stressful conditions and have to keep up to date on the latest medical research. To make this work more manageable, the health-care system encourages doctors to specialize. However, the vast majority of antibiotics are prescribed either by generalists (e.g., general practitioners or emergency physicians) or by specialists in fields other than infectious disease, largely because of the need to treat infections quickly. An AI system can process far more information than a single human, and, even more important, it can remember everything with perfect accuracy. Such a system could theoretically enable a generalist doctor to be as effective as, or even superior to, a specialist at prescribing. The system would guide doctors and patients to different treatment options, assigning each a probability of success based on real-world data. The physician could then consider which treatment was most appropriate.

Once, an elderly general practitioner consulted me because of his severe depression. He could not overcome the loss of his wife who had died two years before and whom he had loved above all else. Now, how could I help him? What should I tell him? Well, I refrained from telling him anything but instead confronted him with the question, “What would have happened, Doctor, if you had died first, and your wife would have had to survive you?” “Oh,” he said, “for her this would have been terrible; how she would have suffered!” Whereupon I replied, “You see, Doctor, such a suffering has been spared her, and it was you who have spared her this suffering—to be sure, at the price that now you have to survive and mourn her.” He said no word but shook my hand and calmly left my office.

Once, an elderly general practitioner consulted me because of his severe depression. He could not overcome the loss of his wife who had died two years before and whom he had loved above all else. Now, how could I help him? What should I tell him? Well, I refrained from telling him anything but instead confronted him with the question, 'What would have happened, Doctor, if you had died first, and your wife would have had to survive you?' 'Oh,' he said, 'for her this would have been terrible; how she would have suffered!' Whereupon I replied, 'You see, Doctor, such a suffering has been spared her, and it was you who have spared her this suffering—to be sure, at the price that now you have to survive and mourn her.' He said no word but shook my hand and calmly left my office. In some way, suffering ceases to be suffering at the moment it finds a meaning, such as the meaning of a sacrifice.

Once, an elderly general practitioner consulted me because of his severe depression. He could not overcome the loss of his wife who had died two years before and whom he had loved above all else. Now, how could I help him? What should I tell him? Well, I refrained from telling him anything but instead confronted him with the question, “What would have happened, Doctor, if you had died first, and your wife would have had to survive you?” “Oh,” he said, “for her this would have been terrible; how she would have suffered!” Whereupon I replied, “You see, Doctor, such a suffering has been spared her, and it was you who have spared her this suffering—to be sure, at the price that now you have to survive and mourn her.” He said no word but shook my hand and calmly left my office. In some way, suffering ceases to be suffering at the moment it finds a meaning, such as the meaning of a sacrifice.

Thinking would seem to be a completely solitary activity. And so it is for the other animal species. But for humans, thinking is like a jazz musician improvising a novel riff in the privacy of his own room. It is a solitary activity all right, but on an instrument made by others for that general purpose, after years of playing with and learning from other practitioners, in a musical genre with a rich history of legendary riffs, for an imagined audience of jazz aficionados. Human thinking is individual improvisation enmeshed in a sociocultural matrix.

GENERALLY SPEAKING, we regard discomfort in any form as bad news. But for practitioners or spiritual warriors—people who have a certain hunger to know what is true—feelings like disappointment, embarrassment, irritation, resentment, anger, jealousy, and fear, instead of being bad news, are actually very clear moments that teach us where it is that we’re holding back. They teach us to perk up and lean in when we feel we’d rather collapse and back away. They’re like messengers that show us, with terrifying clarity, exactly where we’re stuck. This very moment is the perfect teacher, and, lucky for us, it’s

First to find out a spacious house and ground about it fit for an academy, and big enough to lodge a hundred and fifty persons, whereof twenty or thereabout may be attendants, all under the government of one, who shall be thought of desert sufficient, and ability either to do all, or wisely to direct, and oversee it done. This place should be at once both school and university, not heeding a remove to any other house of scholarship, except it be some peculiar College of Law, or Physic, where they mean to be practitioners; but as for those general studies which take up all our time from Lilly 21 to the commencing,

Addicts of attrition," as Simpkin calls them, generally cannot think beyond the battle, and they consider that the only way--or at least the preferred way--to defeat an enemy is to destroy the physical components of his army, especially the combat portions (armored fighting vehicles, troops, guns, etc.). If the attrition addict appreciates war's intangibles at all (such as morale, initiative, and shock), he sees them only as combat multipliers with which to fight the attrition battle better. If the attrition warrior learns about maneuver, he sees it primarily as a way to get to the fight. In other words, he moves in order to fight. Maneuver theory, on the other hand, attempts to defeat the enemy through means other than simple destruction of his mass. Indeed, the highest and purest application of maneuver theory is to preempt the enemy, that is, to disarm or neutralize him before the fight. If such is not possible, the maneuver warrior seeks to dislocate the enemy forces, i.e., removing the enemy from the decisive point, or vice versa, thus rendering them useless and irrelevant to the fight. If the enemy cannot be preempted or dislocated, then the maneuver-warfare practitioner will attempt to disrupt the enemy,i.e., destroy or neutralize his center of gravity, preferably by attacking with friendly strengths through enemy weaknesses.

We must never forget that we may also find meaning in life even when confronted with a hopeless situation, when facing a fate that cannot be changed. For what then matters is to bear witness to the uniquely human potential at its best, which is to transform a personal tragedy into a triumph, to turn one’s predicament into a human achievement. When we are no longer able to change a situation—just think of an incurable disease such as inoperable cancer—we are challenged to change ourselves. Let me cite a clear-cut example: Once, an elderly general practitioner consulted me because of his severe depression. He could not overcome the loss of his wife who had died two years before and whom he had loved above all else. Now, how could I help him? What should I tell him? Well, I refrained from telling him anything but instead confronted him with the question, “What would have happened, Doctor, if you had died first, and your wife would have had to survive you?” “Oh,” he said, “for her this would have been terrible; how she would have suffered!” Whereupon I replied, “You see, Doctor, such a suffering has been spared her, and it was you who have spared her this suffering—to be sure, at the price that now you have to survive and mourn her.” He said no word but shook my hand and calmly left my office. In some way, suffering ceases to be suffering at the moment it finds a meaning, such as the meaning of a sacrifice.

Some people say he engineered his own arrest to gain an insight into modern methods of policing for a thriller he had planned. But you know what happens to artistic rats in prison: they have their rectums stretched, and not by overindulgence in Michelin-star food; they have their columns examined, and not by internet humorists or a qualified medical practitioner. I’m sure Rat knew this, too. Although he likes to accumulate a wide general knowledge, he would rather have a narrow rectum. A colon comes in handy here, before examples: two dots on top of one other, like the cowboys who copulate on Brokeback Mountain, on a slope so far away you need binoculars to see them properly. In prison there are too many insights and examples. Rat would never risk it.

There was a time when the public had an unquestionable faith in biomedicine and the practitioners who translated it into everyday patient care—and physicians believed that the public's trust was justified based on their educational qualifications and training. But today, many patients believe that individual clinicians must earn their trust, just as a close relative has earned it through shared experience. ...Gallop polling over the last several decades that demonstrates how much the public's confidence in most US institutions has deteriorated. Confidence in the medical system in particular fell from 80% in 1975 to 37% in 2015. Statistics from the General Social Survey confirm this troubling trend. Baron and Berinsky explain the historical reasons for this shift in attitudes, but the more pressing question is: How can individual clinicians, and the profession as a whole, regain the patients' trust? 

Psychologist Barry Schwartz demonstrated a similar, learned inflexibility among experienced practitioners when he gave college students a logic puzzle that involved hitting switches to turn light bulbs on and off in sequence, and that they could play over and over. It could be solved in seventy different ways, with a tiny money reward for each success. The students were not given any rules, and so had to proceed by trial and error.* If a student found a solution, they repeated it over and over to get more money, even if they had no idea why it worked. Later on, new students were added, and all were now asked to discover the general rule of all solutions. Incredibly, every student who was brand-new to the puzzle discovered the rule for all seventy solutions, while only one of the students who had been getting rewarded for a single solution did. The subtitle of Schwartz’s paper: “How Not to Teach People to Discover Rules

When students are taught psychoanalytic therapy as a prototypical technique from which unfortunate deviations are sometimes required, they quickly notice how inconsistently such an approach actually meets the needs of their clients. Beginning therapists rarely get the reasonably healthy, neurotic-level patients who respond well to strict classical technique. They can easily develop the sense that they are “not doing it right,” that some imagined experienced therapist could have made the conventional approach work for this person. Sometimes they lose patients because they are afraid to be flexible. More often, fortunately, they address their clients’ individual needs with adaptations that are empathic, intuitively sound, and effective. But then they suffer over whether they can safely reveal to a supervisor or classmate what they really did. When beginning therapists feel inhibited about talking openly about what they do, their maturation as therapists is needlessly delayed. Despite the fact that we all need a general sense of what to do (and what not to do) in the role of therapist, and notwithstanding the time-honored principle that one needs to master a discipline thoroughly before deviating from it, the feeling that one is breaking time-honored, incontestable rules is the enemy of developing one’s authentic individual style of working as a therapist.

The Blue Mind Rx Statement Our wild waters provide vast cognitive, emotional, physical, psychological, social, and spiritual values for people from birth, through adolescence, adulthood, older age, and in death; wild waters provide a useful, widely available, and affordable range of treatments healthcare practitioners can incorporate into treatment plans. The world ocean and all waterways, including lakes, rivers, and wetlands (collectively, blue space), cover over 71% of our planet. Keeping them healthy, clean, accessible, and biodiverse is critical to human health and well-being. In addition to fostering more widely documented ecological, economic, and cultural diversities, our mental well-being, emotional diversity, and resiliency also rely on the global ecological integrity of our waters. Blue space gives us half of our oxygen, provides billions of people with jobs and food, holds the majority of Earth's biodiversity including species and ecosystems, drives climate and weather, regulates temperature, and is the sole source of hydration and hygiene for humanity throughout history. Neuroscientists and psychologists add that the ocean and wild waterways are a wellspring of happiness and relaxation, sociality and romance, peace and freedom, play and creativity, learning and memory, innovation and insight, elation and nostalgia, confidence and solitude, wonder and awe, empathy and compassion, reverence and beauty — and help manage trauma, anxiety, sleep, autism, addiction, fitness, attention/focus, stress, grief, PTSD, build personal resilience, and much more. Chronic stress and anxiety cause or intensify a range of physical and mental afflictions, including depression, ulcers, colitis, heart disease, and more. Being on, in, and near water can be among the most cost-effective ways of reducing stress and anxiety. We encourage healthcare professionals and advocates for the ocean, seas, lakes, and rivers to go deeper and incorporate the latest findings, research, and insights into their treatment plans, communications, reports, mission statements, strategies, grant proposals, media, exhibits, keynotes, and educational programs and to consider the following simple talking points: •Water is the essence of life: The ocean, healthy rivers, lakes, and wetlands are good for our minds and bodies. •Research shows that nature is therapeutic, promotes general health and well-being, and blue space in both urban and rural settings further enhances and broadens cognitive, emotional, psychological, social, physical, and spiritual benefits. •All people should have safe access to salubrious, wild, biodiverse waters for well-being, healing, and therapy. •Aquatic biodiversity has been directly correlated with the therapeutic potency of blue space. Immersive human interactions with healthy aquatic ecosystems can benefit both. •Wild waters can serve as medicine for caregivers, patient families, and all who are part of patients’ circles of support. •Realization of the full range and potential magnitude of ecological, economic, physical, intrinsic, and emotional values of wild places requires us to understand, appreciate, maintain, and improve the integrity and purity of one of our most vital of medicines — water.

Not long ago I stood with a friend next to an art work made of four wood beams laid in a long rectangle, with a mirror set behind each corner so as to reflect the others. My friend, a conceptual artist, and I talked about the minimalist basis of such work: its reception by critics then, its elaboration by artists later, its significance to practitioners today, all of which are concerns of this book as well. Taken by our talk, we hardly noticed his little girl as she played on the beams. But then, signaled by her mother, we looked up to see her pass through the looking glass. Into the hall of mirrors, the mise-en-abîme of beams, she moved farther and farther from us, and as she passed into the distance, she passed into the past as well. Yet suddenly there she was right behind us: all she had done was skip along the beams around the room. And there we were, a critic and an artist informed in contemporary art, taken to school by a six-year-old, our theory no match for her practice. For her playing of the piece conveyed not only specific concerns of minimalist work - the tensions among the spaces we feel, the images we see, and the forms we know - but also general shifts in art over the last three decades - new interventions into space, different construction of viewing, and expanded definitions of art. Her performance became allegorical as well, for she described a paradoxical figure in space, a recession that is also a return, that evoked for me the paradoxical figure in time described by the avant-garde. For even as the avant-garde recedes into the past, it also returns from the future, repositioned by innovative art in the present. This strange temporality, lost in stories of twentieth-century art, is a principal subject of this book.

You’re right: if there’s sentient life behind the border, it probably won’t share my goals. Unlike the people in this room, who all want exactly the same things in life as I do, and have precisely the same tastes in food, art, music, and sex. Unlike the people of Schur, and Cartan, and Zapata — who I came here in the hope of protecting, after losing my own home — who doubtless celebrate all the same festivals, delight in the same songs and stories, and gather every fortieth night to watch actors perform the same plays, in the same language, from the same undisputed canon, as the people I left behind. “If there’s sentient life behind the border, of course we couldn’t empathize with it. These creatures are unlikely to possess cute mammalian neonate faces, or anything else we might mistake for human features. None of us could have the imagination to get over such insurmountable barriers, or the wit to apply such difficult abstractions as the General Intelligence theorem — though since every twelve-year-old on my home world was required to master that result, it must be universally known on this side of the border. “You’re right: we should give up responsibility for making any difficult moral judgments, and surrender to the dictates of natural selection. Evolution cares so much about our happiness that no one who’s obeyed an inherited urge has ever suffered a moment’s regret for it. History is full of joyful case studies of people who followed their natural instincts at every opportunity — fucking whoever they could, stealing whatever they could, destroying anything that stood in their way — and the verdict is unanimous: any behavior that ever helped someone disseminate their genes is a recipe for unalloyed contentment, both for the practitioners, and for everyone around them.

As in other Buddhist Tantric techniques, recommended preliminaries for these practices include developing skill at both calm-abiding (zhi gnas; śamatha) and insight meditation (lhag mthong; vipaśyanā). As in earlier Buddhist teachings, many Chöd dehadāna practices emphasize renunciation, purification, and self-transformation through the accumulation of merit and the exhaustion of demerit. Rather than suggesting that one must wait to accumulate adequate merit before offering the gift of the body, however, Chöd provides the opportunity for immediately efficacious offering of the body through techniques of visualization. Using a technique which echoes the traditional Buddhist teaching of the of the mind-made body (manomayākāya), the practitioner engages in visualizations which allow her to experience the non-duality of agent and object as she offers her body. The process of giving the body as a means of attainment is commonly articulated in Chöd practice texts (sgrub pa; sādhana). These practice texts exhibit the framework of mature Tantra sādhana, including the stages of generating bodhicitta, going for refuge, meditating on the four immeasurables, and making the eight-limbed offering. Generally speaking, the main section of a developed Chöd sādhana has three components. The first two—a transference of consciousness (nam mkha’ sgo ‘byed) practice, and a body maṇḍala (lus dkyil) practice—have distinctly purifying purposes. The Chöd transference of consciousness practice has parallels with other Buddhist practices called "’pho ba." In this part of the visualization practice, the practitioner’s consciousness is "ejected" from one's body through the Brahma aperture at the crown of one's head. At this time, one's consciousness can be visualized as becoming identical with an enlightened consciousness, which is embodied in a figure such as Machik, Vajrayoginī (Rdo rje rnal byor ma) or Vajravārāhī (Rdo rje phag mo). [....] In th[e] first stage of this transformation, the practitioner identifies with an enlightened being, thus overcoming attachment to her own body-mind aggregates and purifying them through this non-attachment. In the second stage, the practitioner can extend this identification: the practitioner identifies the microcosm of her body with macrocosms of the mundane and supramundane worlds. The body maṇḍala (lus dkyil) stage also allows the practitioner to reconceptualize her body as expanding through space and time and becoming indistinguishable from the realm of the supramundane, or the Dharmadhātu (chos kyi dbyings). Through the process of reconstructing her identity, the practitioner is able to see herself as the ultimate source of offerings for all sentient beings.

If philosophy had the power to establish incontrovertible truths, immune to doubt, and if philosophers were as a rule wholly disinterested practitioners of their art, then it might be possible to speak of progress in philosophy. In fact, however, the philosophical tendencies and presuppositions of any age are, to a very great degree, determined by the prevailing cultural mood or by the ideological premises generally approved of my the educated classes. As often as not, the history of philosophy has been a history of prejudices masquerading as principles, and so merely a history of fashion. It is as possible today to be an intellectually scrupulous Platonist as it was more than two thousand years ago; it is simply not in vogue.

A share looks cheap; you buy it; it goes down and looks cheaper; you buy more; it goes down and down, getting cheaper and cheaper, until it reaches what practitioners call euphemistically the ultimate cheapness – zero. This is what is generally called the value trap.

How long had the Doc been crazy? I don’t know. Quite some time, I guess. Don’t worry. He was only a general practitioner.

That Logic was invented by a philosopher is a significant fact. Many a profession could claim the indispensability of clear thinking for sound practice. So why was logic not invented by an admiral or a general, or by a physician or a physicist? Why indeed was logic not invented by a mathematician: why is Aristotle not the Gottlob Frege of the ancient world? Logos is nothing if not a corrective to common sense. Logos has an inherent obligation to surprise. It began with the brilliant speculations of the Pythagoreans-- the original neopythagoreans, as one wag has put it--with regard to a number theoretic ontology. Apart from the physicists, the great majority of influential practitioners of logos before Plato allowed logos to operate at two removes from common sense. The first was the remove at which speculative science itself would achieve a degree of theoretical maturity. But the second remove was from science itself. The first philosophers were unique among the practitioners of logos in that they created a crisis for logos. In the hands of the sophists, philosophy had become its own unique problem. It was unable to contain the unbridled argumentative and discursive fire-power of logos. In fact, philosophy has had this same sort of problem--the problem of trying to salvage itself from its excesses--off and on ever since. Thus, logic was invented by a philosopher because it was a philosopher who knew best the pathological problematic that philosophy had itself created. -Eds. Dov Gabbay & John Woods. (2004) John Woods & Andrew Irvine. "Aristotle's Early Logic." Handbook of the History of Logic, Volume 1: Greek and Indian Logic. PP. 27-100.

Here’s an example I’ve created as a tool to help you conceptualize this different energy field. In the slowest vibrations we have illness and disharmony. In faster, but still slow vibration we have ordinary human awareness. Thought and spirit are found in the fastest vibrations. Slow, solid 10,000 cyclesper second 20,000 cycles per second Sound, light, thought, spirit 100,000 cycles per second plus A....................................... B....................................... C....................................... 1. Illness 1. Symptom-free 1. Perfect health 2. Fear, anxiety, stress, depression emotionally 2. Feeling average 2. Incapable of being immobilized 3. Ego-consciousness 3. Group consciousness 3. God- or unity-consciousness Consider your physical health where most of your time is spent attempting to reach point B where you will feel okay because you have an absence of symptoms. Between point A and point B is where you take medicine, consult medical practitioners, and generally strive to get to a point of ordinary human awareness where you just feel okay. Point C represents superhealth where you feel exquisite. You can do five hundred sit-ups, run a marathon, and are toxin-free. Hypothetically, disease materializes at a very low energy frequency. Ordinary human awareness is what we call a normal frequency, and superhealth represents a balanced fast vibration which has the ability to counteract disease frequencies.

The question about comparing the success of a theory with that of other theories introduces the third element of the matrix, historical context; The historical work of Kuhn and others has shown that in general a theory is rejected only when (1) it has faced anomalies over a long period of time and (2) it has been challenged by another theory. Hence under the heading of historical context we must consider two factors relevant to demarcation: the record of a theory over time in explaining new facts and dealing with anomalies, and the availability of alternative theories. We can now propose the following principle of demarcation: A theory or discipline which purports to be scientific is pseudoscientific if and only if: 1. it has been less progressive than alternative theories over a long period of time, and faces many unsolved problems; but 2. the community of practitioners makes litde attempt to develop the theory towards solutions of the problems, shows no concern for attempts to evaluate the theory in relation to others, and is selective in considering confirmations and disconfirmations. Progressiveness is a matter of the success of the theory in adding to its set of facts explained and problems solved.

A Guaranteed Way To Find A Great Skin Care Specialist In One Day You should always be as honest and communicative as possible when explaining health conditions to your doctor; in response, they are going to offer effective alternatives during your visit. In order to communicate effectively with your Skincare specialist, you need to interact by asking educated questions. If you're unhappy with your Skincare specialist, follow our recommendations to help find a much better one. When your healthcare professional practitioner announces their retirement, immediately request a referral for a new New York City Dermatologist. Searching for a new New York City Dermatologist is difficult even when you set aside the time to start your search. Do not delay in asking for referrals from your healthcare professional practitioner or his or her personnel members. It's advisable to have a list of several health care providers you could select from. Everyone looks for a Skincare specialist with knowledge, particular skills, and a lot of experience practicing medicine, as well as an appealing manner. Many patients believe that their New York City Dermatologist's age is also an important factor. Older Skincare specialists are regarded as more experienced, although they might be too old school to simply accept new technologies. In contrast, people see younger Skincare specialists as more open-minded and technologically-experienced. In every state, there is a Healthcare professional Board that exists to handle patients' complaints about health care professionals. It is within your legal rights to contact the board if you certainly are a victim of malpractice or poor treatment. The healthcare professional board handles and investigates all cases against a Skincare specialist about malpractice or negligence claims. Legally, healthcare professional records have to be maintained for a certain amount of time because it's vital to your overall health care. You ought to be aware of where your healthcare professional records are being held and how long they'll be there in the event you need to access them. It's suggested that you retain your own information, so make sure to request duplicates of your healthcare professional history, even though you are required to pay a fee in order to receive them. Some New York City Dermatologists will charge a fee for making copies of your records. Truly dedicated healthcare staff make an effort to improve the physical and emotional state of each and every person they meet by treating them with compassion and respect. A qualified healthcare professional professional can provide you with the best treatments to improve your health. Taking the time to listen to concerns and afterwards to find the best possible treatment options are two things that every great New York City Dermatologist does. If your healthcare professional professional does not fit these general rules, you should seek a new one immediately. Bobby Buka, MD For more information, Visit us at : Best Dermatologist in NYC Address : 220 Front St New York, NY 10038 Phone : (212) 385-3700

The apothecary of this country is qualified by education to attend at the bedside of the sick, and, being in general better acquainted with pharmacy than the physicians of English universities ... is often the most successful practitioner. JEREMIAH JENKINS, OBSERVATIONS ON THE PRESENT STATE OF THE PROFESSION AND TRADE OF MEDICINE, 1810 For

This gave me a feeling of what seemed wrong with American medicine, that it consisted more and more of specialists. There were fewer and fewer primary care physicians, the base of the pyramid. My father and my two older brothers were all general practitioners, and I found myself feeling not like a super-specialist in migraine but like the general practitioner these patients should have seen to begin with.

There is no simple way to determine when and where to get help. Many factors come into play, including the child’s age, family’s financial status, insurance, knowledge of resources, religious affiliation, availability of services in community, and so on. Parents may seek outside assistance for their adopted child when other factors such as a divorce, job loss, or other stresses compound the family needs. Parents are generally in the best position to determine when to get help, but advice from relatives, family physicians, teachers, and others in a position to know the family should be carefully considered. Services for children with special needs are provided by a variety of professionals. A physician—pediatrician or the family practitioner—is usually the place to begin. Families may be referred to a neurologist for a thorough assessment and diagnosis of neurological functioning (related to cognitive or learning disabilities, seizure disorders or other central nervous system problems). For specific communication difficulties, families may consult with a speech and language therapist, while a physical therapist would develop a treatment plan to enhance motor development. A rehabilitation technologist or an occupational therapist prescribes adaptive aids or activities of daily living. Early childhood educators specializing in working with children with special needs may be called a variety of titles, including Head Start teachers, early childhood special education teacher, or early childhood specialist.

Failures as people: millions of Americans felt that this description fit them to a T. Seeking a solution, any solution, they eagerly forked over their cash to any huckster who promised release, the quicker and more effortlessly the better: therapies like “bioenergetics” (“The Revolutionary Therapy That Uses the Language of the Body to Heal the Problems of the Mind”); Primal Scream (which held that when patients shrieked in a therapist’s office, childhood trauma could be reexperienced, then released; John Lennon and James Earl Jones were fans); or Transcendental Meditation, which promised that deliverance could come if you merely closed your eyes and chanted a mantra (the “TM” organization sold personal mantras, each supposedly “unique,” to hundreds of thousands of devotees). Or “religions” like the Church Universal and Triumphant, or the Reverend Sun Myung Moon’s Unification Church, or “Scientology”—this last one invented by a science fiction writer, reportedly on a bet. Devotees paid cash to be “audited” by practitioners who claimed the power—if, naturally, you paid for enough sessions—to remove “trauma patterns” accreted over the 75 million years that had passed since Xenu, tyrant of the Galactic Confederacy, deposited billions of people on earth next to volcanoes and detonated hydrogen bombs inside those volcanos, thus scattering harming “body thetans” to attach to the souls of the living, which once unlatched allowed practitioners to cross the “bridge to total freedom” and “unlimited creativity.” Another religion, the story had it, promised “perfect knowledge”—though its adherents’ public meeting was held up several hours because none of them knew how to run the movie projector. Gallup reported that six million Americans had tried TM, five million had twisted themselves into yoga poses, and two million had sampled some sort of Oriental religion. And hundreds of thousands of Americans in eleven cities had plunked down $250 for the privilege being screamed at as “assholes.” “est”—Erhard Seminars Training, named after the only-in-America hustler who invented it, Werner Erhard, originally Jack Rosenberg, a former used-car and encyclopedia salesman who had tried and failed to join the Marines (this was not incidental) at the age of seventeen, and experienced a spiritual rebirth one morning while driving across the Golden Gate Bridge (“I realized that I knew nothing. . . . In the next instant—after I realized that I knew nothing—I realized that I knew everything”)—promised “to transform one’s ability to experience living so that the situations one had been trying to change or had been putting up with, clear up just in the process of life itself,” all that in just sixty hours, courtesy of a for-profit corporation whose president had been general manager of the Coca-Cola Bottling Company of California and a former member of the Harvard Business School faculty. A

Here are some of the handicaps mutual-fund managers and other professional investors are saddled with: With billions of dollars under management, they must gravitate toward the biggest stocks—the only ones they can buy in the multimillion-dollar quantities they need to fill their portfolios. Thus many funds end up owning the same few overpriced giants. Investors tend to pour more money into funds as the market rises. The managers use that new cash to buy more of the stocks they already own, driving prices to even more dangerous heights. If fund investors ask for their money back when the market drops, the managers may need to sell stocks to cash them out. Just as the funds are forced to buy stocks at inflated prices in a rising market, they become forced sellers as stocks get cheap again. Many portfolio managers get bonuses for beating the market, so they obsessively measure their returns against benchmarks like the S & P 500 index. If a company gets added to an index, hundreds of funds compulsively buy it. (If they don’t, and that stock then does well, the managers look foolish; on the other hand, if they buy it and it does poorly, no one will blame them.) Increasingly, fund managers are expected to specialize. Just as in medicine the general practitioner has given way to the pediatric allergist and the geriatric otolaryngologist, fund managers must buy only “small growth” stocks, or only “mid-sized value” stocks, or nothing but “large blend” stocks.6 If a company gets too big, or too small, or too cheap, or an itty bit too expensive, the fund has to sell it—even if the manager loves the stock. So

peaking at 100,000 and dropping to 8,400 with heady expectations, later abandoned, that the combat mission against the insurgent Taliban could end. But internally the experts knew it was futile. White House coordinator Lieutenant General Douglas Lute labeled the war “a house of cards” in a 2010 meeting soon after Obama added another 30,000 troops. Dr. Peter Lavoy, Obama’s deputy assistant secretary of defense for Asian and Pacific security affairs, later in charge of South Asia for the Obama NSC staff, was a soft-spoken authority on South Asia—Pakistan and Afghanistan. Lavoy was largely unknown to the public but critical to the functioning of the defense and intelligence world. He was both academic and practitioner. He believed the obsession with U.S. troop numbers had been the Achilles’ heel of the Obama administration policy in Afghanistan. “There are literally thousands of sub-tribes in Afghanistan,” Lavoy said. “Each has a grievance. If the Taliban ceased to exist you would still have an insurgency in Afghanistan.” Victory was far-fetched. Winning had not been defined. H. R. McMaster saw he would have a major confrontation with President Trump on the Afghanistan War.

How are prisons supposed to produce stability through controlling what counts as crime? Four theories condense two and a quarter centuries of experience into conflicting and generally overlapping explanations for why societies decide they should lock people out by locking them in. Each theory, which has its intellectuals, practitioners, and critics, turns on one of four key concepts: retribution, deterrence, rehabilitation, or incapacitation. Let’s take them in turn. The shock of retribution—loss of liberty—supposedly keeps convicted persons from doing again, upon release, what sent them to prison. Retribution’s specter, deterrence, allegedly dissuades people who can project themselves into a convicted person’s jumpsuit from doing what might result in lost liberty. Rehabilitation proposes that the unfreedom of

The rigidity of religious practitioners is exactly like the rigidity of the muscles that Reichian therapists encounter in the bodies of those people who have had their emotions repressed by their parents, society, trauma, and other factors. Why do you think that the Christian Revivalist movements in which people shake (The Shakers), quake (The Quakers), and generally shout and roll around on the floor in all sorts of gyrating movements (Christian Evangelical Revivalist Meetings), are so popular?

One of the risks of agile development is that it can lead to tactical programming. Agile development tends to focus developers on features, not abstractions, and it encourages developers to put off design decisions in order to produce working software as soon as possible. For example, some agile practitioners argue that you shouldn’t implement general-purpose mechanisms right away; implement a minimal special-purpose mechanism to start with, and refactor into something more generic later, once you know that it’s needed. Although these arguments make sense to a degree, they argue against an investment approach, and they encourage a more tactical style of programming. This can result in a rapid accumulation of complexity.

According to Jarvis and Clay Hallberg, it was common in the 1970s and 1980s to get meth from Doc Maynard, a general practitioner in nearby Winthrop, Iowa. Into his seventies,

British psychiatrist Duncan Double is a member of the Critical Psychiatry Network, a group of psychiatrists who have major concerns about current psychiatric practice. In a 2018 article Duncan Double wrote that the first official recognition in the medical literature that SSRI antidepressants can cause discontinuation problems was in a British Medical Journal editorial in 1998, more than ten years after the launch of the first SSRI, Prozac.[62] Double points out that the many members of the general public suspected six years earlier that antidepressants were addictive; ‘The Defeat Depression campaign was a five-year national programme launched in January 1992 by the Royal College of Psychiatrists in association with the Royal College of General Practitioners. A door-to-door survey of public opinion was undertaken to obtain baseline data before the campaign started and most of the people questioned in the sample, that is 78%, thought that antidepressants were addictive. This finding caused some consternation amongst those running the campaign, because, as far as they were concerned, the public was misinformed on this issue’.

A 2014 study, Race and Punishment: Racial Perceptions of Crime and Support for Punitive Policies not only confirms the reality of cumulative racial bias in criminal justice systems suffered acutely by African Americans and by other people of color, it also links this bias to entrenched stereotypes in dominant white culture generally, finding that: White Americans are more punitive than people of color. Whites routinely overestimate how much crime is actually committed by African-Americans and Latinos, and woefully underestimate the comparably much higher level of drug use and distribution perpetrated by members of their own white group. White dominant media’s crime coverage fuels racial perceptions of crime. Policy-makers’ actions and statements amplify the public’s racial associations of crime. Criminal justice practitioners also operate with and reinforce racial perceptions of crime.

English-speaking practitioners generally use the four following terms to refer to the influence of evil spirits: Oppression – demonic influence which seems to come from outside a person, causing heaviness, weariness or discouragement. Oppressive spirits may be acquired through exposure to a heavy presence of evil: e.g. by participating in deliverance ministry (defined below), by being in a place where occult activities are taking place, by being placed under a curse, by coming into contact with items of witchcraft. Oppressive spirits may be dispelled by a simple command to leave in the name of Jesus. Obsession – demonic influence which seems to reside inside a person, usually afflicting a certain area of a person’s life in the form of strong habitual temptations. A person may open oneself to such influence by deliberately seeking the presence or power of evil spirits through witchcraft, Satanism, or fortune-telling (ouija, tarot etc.); demonic obsession may also occur through other grave sins which are not explicitly associated with the occult, e.g. sexual activity by consecrated or ordained persons pledged to celibacy. The obsessing spirit usually needs to be identified by name and cast out (i.e. commanded to leave) or bound (i.e. forbidden from exerting any further influence). Possession is very rare, and only occurs when human beings wilfully hand over complete control of their life to Satan, by expressly doing so or by embracing grave sin. Formal exorcism, sanctioned by the diocesan bishop, is always required in such cases.Infestation is used to refer to the influence of evil spirits over objects, animals, houses or places.

The major religious fundamentalisms—Jewish, Christian, Muslim, and Hindu—certainly all demonstrate intense concern for and scrutiny of bodies, through dietary restrictions, corporeal rituals, sexual mandates and prohibitions, and even practices of corporeal mortification and abnegation. What primarily distinguishes fundamentalists from other religious practitioners, in fact, is the extreme importance they give to the body: what it does, what parts of it appear in public, what goes into and comes out of it. Even when fundamentalist norms require hiding a part of the body behind a veil, headscarf, or other articles of clothing, they are really signaling its extraordinary importance. Women’s bodies are obviously the object of the most obsessive scrutiny and regulation in religious fundamentalism, but no bodies are completely exempt from examination and control—men’s bodies, adolescents’ bodies, infants’ bodies, even the bodies of the dead. The fundamentalist body is powerful, explosive, precarious, and that is why it requires constant inspection and care… Nationalist fundamentalisms similarly concentrate on bodies through their attention to and care for the population. The nationalist policies deploy a wide range of techniques for corporeal health and welfare, analyzing birthrates and sanitation, nutrition and housing, disease control and reproductive practices. Bodies themselves constitute the nation, and thus the nation’s highest goal is their promotion and preservation. Like religious fundamentalisms, however, nationalisms, although their gaze seems to focus intently on bodies, really see them merely as an indication or symptom of the ultimate, transcendent object of national identity. With its moral face, nationalism looks past the bodies to see national character, whereas with its militarist face, it sees the sacrifice of bodies in battle as revealing the national spirit. The martyr or the patriotic soldier is thus for nationalism too the paradigmatic figure for how the body is made to disappear and leave behind only an index to a higher plane. Given this characteristic double relation to the body, it makes sense to consider white supremacy (and racism in general) a form of fundamentalism.

Some people think that expedient meanings are false and deceiving and thus should not be relied upon. Also, some Buddhists say, "We are practitioners of Madhyamaka" or "We just follow the Vajrayana," and deprecate the rest of the Buddha's teachings. Clearly, all such attitudes are completely mistaken. In general, the Buddha never said anything false or deceiving. Moreover, since all expedient meanings are pervaded by the definitive meaning, they are the methods of becoming introduced to the definitive meaning and realizing it. This is the same as when it is said that seeming reality is the means and ultimate reality is the outcome of this means. Thus, all the turnings of the wheel of dharma serve as means to cut through the entirety of reference points with regard to the way things appear and teach their true way of being.

Investors tend to pour more money into funds as the market rises. The managers use that new cash to buy more of the stocks they already own, driving prices to even more dangerous heights. If fund investors ask for their money back when the market drops, the managers may need to sell stocks to cash them out. Just as the funds are forced to buy stocks at inflated prices in a rising market, they become forced sellers as stocks get cheap again. Many portfolio managers get bonuses for beating the market, so they obsessively measure their returns against benchmarks like the S & P 500 index. If a company gets added to an index, hundreds of funds compulsively buy it. (If they don’t, and that stock then does well, the managers look foolish; on the other hand, if they buy it and it does poorly, no one will blame them.) Increasingly, fund managers are expected to specialize. Just as in medicine the general practitioner has given way to the pediatric allergist and the geriatric otolaryngologist, fund managers must buy only “small growth” stocks, or only “mid-sized value” stocks, or nothing but “large blend” stocks.6 If a company gets too big, or too small, or too cheap, or an itty bit too expensive, the fund has to sell it—even if the manager loves the stock. So there’s no reason you can’t

Lesbians were, in the public image, loathsome creatures. They were seen as hard, sophisticated females who seduced innocent girls or women into mysterious “perversions,” or as sad caricatures of men, trying to dress and act as males, and generally aping some of men’s worst characteristics. Hollywood made “butchy” women into repellent monsters, vampires, or other subhuman creatures, and the theater portrayed practitioners of the love that dares not speak its name as neurotic, tragic, or absurd. No woman in her right mind would want to be seen so negatively. No actress admitting to loving women would be a success.

CV-17 Chinese Point name: Shan Zhong;20 English translation: “Chest Center;” Special Attributes: Intersection Point of the Spleen, Small Intestine, Triple Warmer and the Conception Vessel. Additionally, it is the alarm point for the Pericardium Meridian; Location: On the centerline of the body on the same level as the nipples; Western Anatomy: Branches of the internal mammary artery and vein are found with the anterior cutaneous branch of the fourth intercostal nerve; Comments: This is a major point of interest to combative martial artists. A blow to CV-17 can affect the electrical pattern of the heart resulting in arrhythmia. Western science refers to this as Commotio cordis and it is documented with strikes to the chest as in a baseball striking the chest of a child. While interviewing a former infantry point man who served in Vietnam confirmation was added to the lethality of a strike to CV-17. According to this individual, a life-long karate practitioner, while he was walking point one night he actually bumped into an enemy soldier who was traveling down the same trail from the opposite direction. The American struck the Viet Cong with a strong punch to CV-17 killing him instantly. His small frame combined with the larger stature of the American allowed for a perfect 45-degree strike (strikes to CV-17 should be downward at a 45-degree angle). These strikes will generally be open palm or hammer fist type strikes given the height of an average sized opponent and the location of the point. Additional energetic disruption can be added by rotating your striking hand outward on contact.

and called for a general amnesty of Christian practitioners as long as they did not “offend good order

By the time I began my Ph.D., the field of artificial intelligence had forked into two camps: the “rule-based” approach and the “neural networks” approach. Researchers in the rule-based camp (also sometimes called “symbolic systems” or “expert systems”) attempted to teach computers to think by encoding a series of logical rules: If X, then Y. This approach worked well for simple and well-defined games (“toy problems”) but fell apart when the universe of possible choices or moves expanded. To make the software more applicable to real-world problems, the rule-based camp tried interviewing experts in the problems being tackled and then coding their wisdom into the program’s decision-making (hence the “expert systems” moniker). The “neural networks” camp, however, took a different approach. Instead of trying to teach the computer the rules that had been mastered by a human brain, these practitioners tried to reconstruct the human brain itself. Given that the tangled webs of neurons in animal brains were the only thing capable of intelligence as we knew it, these researchers figured they’d go straight to the source. This approach mimics the brain’s underlying architecture, constructing layers of artificial neurons that can receive and transmit information in a structure akin to our networks of biological neurons. Unlike the rule-based approach, builders of neural networks generally do not give the networks rules to follow in making decisions. They simply feed lots and lots of examples of a given phenomenon—pictures, chess games, sounds—into the neural networks and let the networks themselves identify patterns within the data. In other words, the less human interference, the better.

GENERALLY SPEAKING, we regard discomfort in any form as bad news. But for practitioners or spiritual warriors—people who have a certain hunger to know what is true—feelings like disappointment, embarrassment, irritation, resentment, anger, jealousy, and fear, instead of being bad news, are actually very clear moments that teach us where it is that we’re holding back. They teach us to perk up and lean in when we feel we’d rather collapse and back away. They’re like messengers that show us, with terrifying clarity, exactly where we’re stuck.

Suzuki-roshi never wanted to be called roshi, a title traditionally accorded only to the most esteemed Zen masters in Japan; it denoted not only advanced age but experience—as a teacher and of enlightenment. He felt the term was too grand for him. He preferred to be called Suzuki-sensei (sensei means teacher). Some of his students who'd been to Japan early on did call him roshi. Several students believe they were the first to do so. However, the term was used in 1961 in the very first Zen Center newslet- ter, and then it dropped out of general use. Richard remembers that he and another practitioner used the term early on. Most students credit Alan Watts with the widespread adoption of the title. Watts was bothered by the oddity of such references as Reverend Suzuki, and he wrote a note in 1966 urging everyone at Zen Center to urge their teacher to do just what he had said he didn't want to do and accept the roshi title, as would be tra- ditional in Japan. And he did. Thus, Suzuki-roshi.

Dr. Oakley was shaking his head, visibly nervous, frowning at the report in his fingers. He was a man whose courtly, warmly gracious manner could sometimes shade into awkwardness. He was an old-style general practitioner of an era that preceded what he perceived as trendy psychologies, "therapies.

I anticipate diagnostic AI will exceed all but the best doctors in the next twenty years. This trend will be felt first in fields like radiology, where computer-vision algorithms are already more accurate than good radiologists for certain types of MRI and CT scans. In the story “Contactless Love,” we see that by 2041 radiologists’ jobs will be mostly taken over by AI. Alongside radiology, we will also see AI excel in pathology and diagnostic ophthalmology. Diagnostic AI for general practitioners will emerge later, one disease at a time, gradually covering all diagnoses. Because human lives are at stake, AI will first serve as a tool within doctors’ disposal or will be deployed only in situations where a human doctor is unavailable. But over time, when trained on more data, AI will become so good that most doctors will be routinely rubber-stamping AI diagnoses, while the human doctors themselves are transformed into something akin to compassionate caregivers and medical communicators.

I came to realise that psychiatry is one of the only medical specialties (I would also include general practitioners in this category) where personality and bedside manner were not just a bonus, they were essential.

In the introduction, we derived one general prediction for beginning and intermediate practitioners of meditation from both the Hindu and Buddhist approaches (meditation yields generally positive psychological effects), but we did not deal with predictions that refer to advanced or final stages in the meditation practice. Here is such a prediction. Both Hindu and Buddhist approaches hold that practitioners of meditation might develop a kind of supercognition, special abilities (siddhis) that exceed our normal abilities. Buddhist theory predicts that six kinds of siddhis might arise.… Notably, the least spectacular one, destruction of the defiling impulses, is seen as the most significant. The others are psychokinesis, clairaudience, telepathic knowledge, retrocognitive knowledge …, and clairvoyance. The Yoga Sutras report more of these siddhis as a result of extended yoga practice. In both the Hindu and Buddhist approaches, siddhis are not regarded as very important, and the Buddha, as well as famous yogis, has warned of the dangers inherent in the siddhis.… Nonetheless, a theory about the effects of meditation would not be complete without consideration of these altered states of consciousness. There is some evidence that such states can occur spontaneously …, but the effects found in meta-analyses are usually quite small.… To the best of our knowledge, nobody has yet examined whether the respective effects are more pronounced for experienced practitioners of meditation, as both the Hindu and Buddhist approaches would predict

The monks used two types of meditation. Deity Yoga involves generating and holding a three-dimensional color image of a deity surrounded by his or her divine entourage. The other type of meditation is called Open Presence, in which attention is broadly distributed without focusing on any experiences, images, or thoughts that may arise. The claim tested about Deity Yoga was the assertion that highly complex images could be mentally maintained for minutes to hours. Kozhevnikov also tested nonmeditators and meditators who did not engage in their practice prior to the test. The results showed that all the groups performed at the same level before meditation, but after meditation, the Deity Yoga practitioners, according to Kozhevnikov, “demonstrated a dramatic increase in performance on imagery tasks compared with the other groups. Therefore, [Deity Yoga] specifically trains one’s capacity to access heightened visuospatial memory resources via meditation, rather than generally improving long-lasting imagery abilities” (p. 645).59

In 1999, a bunch of researchers published a study of about 1,600 adults examined in order to come up with equations to estimate kidney function. Just plug in the patient’s creatinine, age (because adults tend to lose muscle mass as we get older), and gender (because men tend to have more muscle mass than women), and voila!—an estimate of kidney function. Most laboratories can do this for us now. A rising creatinine level in the blood means the kidneys are not able to pee creatinine out as well as they used to, so the person’s estimated kidney function is lower. But wait—if the patient is Black, the study determined that you have to multiply by 1.2 to get a more accurate estimate. This finding was attributed to Blacks in the study having higher muscle mass than Whites and, therefore, higher amounts of creatinine in their bodies. Laboratories report the eGFR, and just below it, the eGFR if Black. Of course one of the problems with generalizations is that they aren’t always true. In medicine, in particular, they make us lazy and we often accept them without question—especially when they are in line with our underlying assumptions and beliefs. Like the belief that Black and African are inherently different from White and European at a DNA level, a belief that dates back to the days when American researchers were measuring Black-White differences in skull size to prove Black inferiority and justify slavery. But I wonder how often health-care providers make the mental adjustment that the “race adjustment” is really a proxy for muscle mass rather than just focusing on the race of the person in front of them when they are assessing lab results. I wonder if the person in front of them were a White male bodybuilder how many would tell him the race-adjusted estimate of kidney function, or a skinny Black woman the non-race-adjusted estimate. Then too I wonder how many health-care practitioners realize that equations derived from the original study of 1,600 people only included about 200 Blacks—and no American Samoans, no Hispanics, no Asians. These groups have very different body frames, but all are simply “not Black” in our equations. The implication, then, is that only Black people are different. This shortcut has the potential for a significant negative impact on Black patients who happen to not have a high muscle mass. Patients like Book of Eli. When the non-race-adjusted eGFR is 20 (when a person can be placed on the waiting list), the race-adjusted value is closer to 25. Just as the difference between eGFRs of 20 and 10 can be several years for many patients, so can the difference between 25 and 20. Years of accruing time on the kidney transplant waiting list when thirteen people on the waiting list die every day waiting for a kidney.

David Unwin, a general practitioner in England who in 2016 won the National Health Service innovators award for advocating LCHF/ketogenic eating to his patients with diabetes, describes this as “turning everything that was white on your plate to green.” Even with equal or greater calories, the plate on the bottom is part of a weight-loss program (a fad diet, Atkins!); the plate on the top is likely what you’ve been eating all along and has contributed to making you fatter.

In the following paragraphs I will show how faith and surrender are present in the practice of all the limbs of Yoga. The foundation of any authentic yogic approach is moral discipline or yama (restraint or control). This is meant to regulate the social behavior of spiritual practitioners. Moral integrity is a must for the yogins and yoginīs who do not wish to fall prey to any attitudes and habits that countermand their spiritual aspirations. Through the universal application of the rules of yama, they ensure that they will never abuse the power—whether psychic or social—that is acquired in Yoga. There are five such rules. The root of all of them is said to be nonharming (ahimsā). This Sanskrit word is also frequently translated as “nonviolence.” It consists in unconditional nonmaliciousness toward all beings at all times and in all situations. Ahimsā has to be practiced not only in deed, but also in word and in thought. Thus it includes refraining from gossip and even thinking ill of a person, a whole group of people (e.g., xenophobia, racism, etc.), or even animate beings in general (i.e., speciesism). This presupposes a considerable degree of detachment or dispassion (vairāgya), which, as readers of the Yoga-Sūtra will know, is one of the two poles of Yoga—the other pole being constant application (abhyāsa) to the practical disciplines. How can ahimsā be said to be an expression of surrender and faith? The faith component in it is found in the recognition that our authentic Being, the Self, is beyond hurt (ahimsā), beyond ill (anāmaya), beyond sorrow (aduhkha), beyond pain (aklesha). We may surrender to it by acknowledging that our own authentic Being also is the authentic Being, or Self, in all other creatures and by treating them not as potential or actual enemies but as that universal benign Self. The virtue of nonharming, then, is grounded in the recognition that there is no cause for fear with regard to anybody or anything, since everyone and everything is that same Reality, or Singularity. Once we have overcome this fundamental fear, which is conjured up by the ego experiencing itself as an island apart from others, we also will be able to practice nonharming with consummate skill. The second constituent of the category of yama is truthfulness (satya). Here the traditional scriptures again demand of us that we cultivate this virtue in action, speech, and thought. The yogins or yoginīs who practice truthfulness in this way cannot possibly be prone to lying, hypocrisy, or deception. It is easy to see how this virtue is rooted in the moral principle of nonharming. Our faith in truthfulness is our faith in Truth, also called satya. And Truth is another name for the transcendental Reality, the Self. The Self is that in which there is not a single trace of falsehood; it is the Real. The sages also refer to it as tattva (thatness) and tathatā (thusness).

The seventh limb of the classical yogic path is meditation (dhyāna). This is a deepened state of concentration in which the same object is held unwaveringly for a long period. It is a more complete form of surrendering the mind. It is no longer a mental effort, but a state of reposing in a noncontracted condition of the body-mind. This condition is beautifully described in a passage in the ancient Chāndogya-Upanishad (7.6.1) where we can read: “Meditation certainly is more than thought (citta). The Earth meditates as it were; the atmosphere meditates as it were . . .” That is to say, meditation is abiding in the natural state, without mental complications. The practitioners of Yoga surrender the mind’s tendency to appropriate different objects, whether external or internal. Instead they trust in the Self as the Experiencer of all, the unfailing Continuity behind the incessant change of the finite world. The last limb of Patanjali’s eightfold path is samādhi, which is generally rendered as “ecstasy.” The world-renowned historian of religion Mircea Eliade proffered an alternative rendering—enstasy. This coinage takes into account that samādhi is not so much a state of exuberance, as suggested by the word “ecstasy,” but a condition of great stillness and focusedness in which we “stand in” (en stasis) our true nature. Eliade’s coinage, however, has not achieved wide currency, and therefore, after using it in several of my publications, I reverted to the more common term “ecstasy.” The previously described techniques of concentration and meditation cause a slowing down of the movement within the mental world. In the state of samādhi, our inner architecture can be said to collapse altogether. For the practitioner surrenders the characteristic feature of human consciousness, which is its bipolar nature, its tension between subject and object. In samādhi, the experiencing subject becomes the contemplated object. At the highest level of this paradoxical condition, the experiencing subject awakens as the transcendental Self, realizing that he or she has never been anything else but the Self.

Prescribing a drug results from clinical judgment based on a thorough assessment of the patient and the patient’s environment, the determination of medical and nursing diagnoses, a review of potential alternative therapies, and specific knowledge about the drug chosen and the disease process it is designed to treat. In general, the best therapy is the least invasive, least expensive, and least likely to cause adverse reactions. Frequently, the choice is to have nonpharmacological and pharmacological therapies working together.

The United States alone sports an inventive spectrum of psychotherapeutic sects and schools: Freudians, Jungians, Kleinians; narrative, interpersonal, transpersonal therapists; cognitive, behavioral, cognitive-behavioral practitioners; Kohutians Rogerians, Kernbergians; aficionados of control mastery, hypnotherapy, neurolingustic programming, eye movement desensitization- that list does not even complete the top twenty. The disparate doctrines of these proliferative, radiating divisions, often reach mutually exclusive conclusions about therapeutic propriety: talk about this, not that; answer questions, or don’t; sit facing the patient, next to the patient, behind the patient. Yet no approach has ever proven its method superior to any other. Strip away a therapist’s orientation, the journal he reads, the books on his shelves, the meetings he attends- the cognitive framework his rational mind demands – and what is left to define the psychotherapy he conducts? Himself. The person of the therapist is the converting catalyst, not his order or credo, not his spatial location in the room, not his exquisitely chosen words or denominational silences. So long as the rules of a therapeutic system do not hinder limbic transmission - a critical caveat - they remain inconsequential, neocortical distractions. The dispensable trappings of dogma may determine what a therapist thinks he is doing, what he talks about when he talks about therapy, but the agent of change is who he is.

Managers; academics; software engineers; computer scientists; and proponents of UML, RUP, and CMM all tend to be formalists. Practitioners, as Robert Glass has shown, generally are informalists. XP and object thinkers aspire to be aformalists.

Every client presents a practitioner with a novel and unique problem to solve. A therapist has to be a general problem-solver, and part of this expertise is grounded in an experimental style of reasoning originally developed for scientific purposes.

Arts of energy management and of combat are, of course, not confined to the Chinese only. Peoples of different cultures have practised and spread these arts since ancient times. Those who follow the Chinese tradition call these arts chi kung and kungfu (or qigong and gongfu in Romanized Chinese), and those following other traditions call them by other names. Muslims in various parts of the world have developed arts of energy management and of combat to very high levels. Many practices in Sufism, which is spiritual cultivation in Islamic tradition, are similar to chi kung practices. As in chi kung, Sufi practitioners pay much importance to the training of energy and spirit, called “qi” and “shen” in Chinese, but “nafas” and “roh” in Muslim terms. When one can free himself from cultural and religious connotations, he will find that the philosophy of Sufism and of chi kung are similar. A Sufi practitioner believes that his own breath, or nafas, is a gift of God, and his ultimate goal in life is to be united with God. Hence, he practises appropriate breathing exercises so that the breath of God flows harmoniously through him, cleansing him of his weakness and sin, which are manifested as illness and pain. And he practises meditation so that ultimately his personal spirit will return to the universal Spirit of God. In chi kung terms, this returning to God is expressed as “cultivating spirit to return to the Great Void”, which is “lian shen huan shi” in Chinese. Interestingly the breathing and meditation methods in Sufism and in chi kung are quite similar. Some people, including some Muslims, may think that meditation is unIslamic, and therefore taboo. This is a serious mis-conception. Indeed, Prophet Mohammed himself clearly states that a day of meditation is better than sixty years of worship. As in any religion, there is often a huge conceptual gap between the highest teaching and the common followers. In Buddhism, for example, although the Buddha clearly states that meditation is the essential path to the highest spiritual attainment, most common Buddhists do not have any idea of meditation. The martial arts of the Muslims were effective and sophisticated. At many points in world history, the Muslims, such as the Arabs, the Persians and the Turks, were formidable warriors. Modern Muslim martial arts are very advanced and are complete by themselves, i.e. they do not need to borrow from outside arts for their force training or combat application — for example, they do not need to borrow from chi kung for internal force training, Western aerobics for stretching, judo and kickboxing for throws and kicks. [...] It is reasonable if sceptics ask, “If they are really so advanced, why don't they take part in international full contact fighting competitions and win titles?” The answer is that they hold different values. They are not interested in fighting or titles. At their level, their main concern is spiritual cultivation. Not only they will not be bothered whether you believe in such abilities, generally they are reluctant to let others know of their abilities. Muslims form a substantial portion of the population in China, and they have contributed an important part in the development of chi kung and kungfu. But because the Chinese generally do not relate one's achievements to one's religion, the contributions of these Chinese Muslim masters did not carry the label “Muslim” with them. In fact, in China the Muslim places of worship are not called mosques, as in many other countries, but are called temples. Most people cannot tell the difference be

It is no wonder that social work, which inevitably confronts its practitioners with disquieting social phenomena that belie the expressive individualist myth and occasionally succeeds in confronting the general public with the same news, has been granted low status by society and has seen many of its best opt for a redefinition of their professional role into something more socially and financially rewarding and palatable.

Most of the general considerations in the chapter on 'The Evolution of Ideas' equally apply to the evolution of art. In both fields the truly original geniuses are rare compared with the enormous number of talented practitioners; the former acting as spearheads, opening up new territories, which the latter will then diligently cultivate. In both fields there are periods of crisis, of 'creative anarchy', leading to a break-through to new frontiers-followed by decades, or centuries of consolidation, orthodoxy, stagnation, and decadence-until a new crisis arises, a holy discontent, which starts the cycle again. Other parallels could be drawn: 'multiple discoveries' -the simultaneous emergence of a new style, for which the time is ripe, independently in several places; 'collective discoveries' originating in a closely knit group, clique, school, or team; 'rediscoveries'- the periodic revivals of past and forgotten forms of art; lastly 'cross-fertilizations' between seemingly distant provinces of science and art. To quote a single example: the rediscovery of the treatise on conic sections by Apollonius of Perga, dating from the fourth century B.C., gave the ellipse to Kepler who built on it a new astronomy-and to Guarini, who introduced new vistas into architecture.

My pastor says you have to be baptized with water before you can be baptized by the Spirit,” the boy explained, a general practitioner recommending me to a specialist from across the monkey bars. “You should probably get that taken care of.

Good old general practitioner Morell, with his cozy harmless air, gave him a sense of security from the very beginning.