A thank you letter

I want to thank the BMJ for publishing this letter and to thank all of the authors for writing it. This is a thank you letter to  l i v … Continue reading A thank you letter


The Swedish poet, Tomas Tranströmer, in a Transatlantic letter to his friend Robert Bly, expressed concern about a human failing to always polarise everything into utter good or utter evil: … Continue reading Polarization

The President of my College

I was recently asked by a friend what I made of some of the responses by the President of the Royal College of Psychiatrists on the potential for antidepressants to … Continue reading The President of my College

Should not be confused with

I am principled and so (despite my narcissism) (subjectivity) (which matters) (at least to me) I find that I cannot promote what I create. Yet my work is generally based … Continue reading Should not be confused with

“Nothing but waffle”

On the 9th January 2018, Brian Whittle, MSP, began his questioning of those giving evidence on Targets and Indicators with this statement:  

Quality Improvement and Ethics

In a recent Healthcare Improvement Scotland blog, Karen Ritchie asked: “Do we need perfect evidence when making decisions?” I posted this response on the 26th September 2017: Dear Karen, What … Continue reading Quality Improvement and Ethics

The stories we hear and the stories we tell

The stories we hear and the stories we tell from omphalos Forgive me for worrying about the lack of philosophy and ethics in science and healthcare today.

The forgetfulness of others

“To grow old, as Simone de Beauvoir said “is to define oneself” and being defined is privative as well as positive” I have always been interested in the history of … Continue reading The forgetfulness of others

PART I: Dementia: the “epidemic” of metaphors

At the creative heart of science is a spirit of open-minded enquiry[1]. The history of my profession has revealed this to me alongside the realisation that if dementia is to … Continue reading PART I: Dementia: the “epidemic” of metaphors