At the end of life, in your 80’s, it’s not money, fame, or cholesterol that determines your health and happiness, it’s the quality of your relationships.
It is not a lack of love, but a lack of friendship that makes marriages unhappy
The medical profession is being bought by the pharmaceutical industry, not only in terms of the practice of medicine, but also in terms of teaching and research. The academic institutions of this country are allowing themselves to be paid agents of the pharmaceutical industry. I think it’s disgraceful.
It is simply no longer possible to believe much of the clinical research that is published, or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor of the New England Journal of Medicine
The case against science is straightforward: much of the scientific literature, perhaps half, may simply be untrue. . . . flagrant conflicts of interest, together with an obsession for pursuing fashionable trends of dubious importance, science has taken a turn towards darkness.
There is no such things as a spontaneous anxiety or endogenous depression. If a patient is anxious, there is something to be scared of. If a patient is depressed, there is something to be depressed about. If it is not in consciousness, then it is unconscious. If it is not in the present, then it is in the past and something in the present symbolizes it
Psychiatry is a profoundly political enterprise. The way we understand the problems we now refer to as “mental disorders” is strongly influenced by the social and political requirements to neutralize distress and manage disturbing behavior
Psychiatric drugs don’t correct biochemical imbalances - they cause them; the fact that a drug sometimes makes us feel better does not mean that it’s correcting a biochemical imbalance
SSRIs have no obvious place in the treatment of depression. I can think of no good reason to prescribe them at all.
Uncertainty, in the presence of vivid hopes and fears, is painful but must be endured if we wish to live without the support of comforting fairy tales
Enjoy the present moment, it is all that’s real, all else is vanity, chasing the wind
The scientific approach, humanly speaking, is an ability to be objective, that is to say, to have the humility to see the world as it is, or other people, other things, and ourselves, and not to distort the reality by our wishes and our feelings: to have faith in the power of our thought for recognizing the truth, the reality, but to be willing all the time to change the results of our thinking by new data that we find, and by being honest and objective in not avoiding data that we might find in order to avoid changing our own picture
Psychology without spirituality is arid and ultimately meaningless. Spirituality without grounding in psychological work leads to vanity and illusions
We are what we repeatedly do; excellence, then, is not an act but a habit
. . . the real cause of suffering is not being able to tolerate uncertainty - and thinking that it’s perfectly sane, perfectly normal, to deny the fundamental groundlessness of being human
It is necessary for every individual to give an answer to the question of his existence . . . the human situation is characterized by profound dichotomies and contradictions ... confronted with these contradictions in our existence, we have to make some sense of our life