JND in Top 100 Mental Health and Psychology Blogs

Just Noticeable Differences has been mentioned in the Top 100 Mental Health and Psychology Blogs. It is an interesting site, and I found some good stuff there. I appreciate the mention, especially when I haven't blogged since May. My goal this year was to blog weekly, and I haven't come close.

I have been extremely busy. Work has gotten chaotic and I have been spending all my free time at home either working on the house or, more often, writing reports. After you've spent several hours on a weekend writing such deathless prose as, "On examination, Mr. Johnson was alert and oriented in three spheres," blogging isn't high on the list.

There are several reasons work has gotten chaotic. First, as I've said elsewhere, fees for psychotherapy services are static. I will get a 3% raise soon, but with inflation about 5.6%, I will still still have to work more hours to stay even.

Making matters worse, there has been a lot of conflict in my office. I think it's due mismanagement, but hey, nobody listens to me, anyway. At this point, I'm so disgusted that I'd like to leave and restart my private practice. Unfortunately, I am the source of health insurance in my family and I would have to purchase insurance separately if I resigned. I calculate that if I and my wife were lucky enough to qualify for it, we would pay through the nose. There is also no guarantee that if we got sick and tried to use it we would be able to keep it. So, isn't this great? I get both ends of the health insurance mess at the same time.

I've learned one critical lesson from this. Republican opposition to national health insurance has nothing to do with taxes or small government or any other nonsense. Republicans oppose national health insurance because it makes employees more dependent on their employer. Because I can't just pick up and start a private practice, my employer has more control over me.

Like many Republican policies, this is at best penny-wise and pound foolish. At worst, it is self defeating. Opposing national health insurance helps the large corporations, but it hurts the US economy. The lack of national health care almost certainly hinders small business formation. Small businesses are an important part of our economy. It is small businesses that bring innovation into the marketplace.

So, I'm watching the campaign very closely this year. Having a Republican in the White House will probably mean 4 more years of this nonsense. Unfortunately, Obama has apparently inherited the Dukakis strategists: McCain is beating up on him and he's on vacation.

First Birthday

March 26 is the first anniversary of Just Noticeable Differences. I was shocked to see that the year went so fast. Now that I'm approaching 60, time just flies by.

It has been an interesting year. Blogging has been more difficult than I thought. I had forgotten (or repressed) the experience of writer's block from when I was writing my dissertation. Fortunately, unlike my dissertation, I can get up and leave the computer until my brain reconnects.

Blogging has been very rewarding; it's helped me met some interesting people. The attention I've gotten from readers has been gratifying and a bit surprising. One reason I had named myself Free Operant was because I wasn't sure I was going to get any readers. As a result, I thought, most of what I was writing would be free operants. I'm happy to find out that some people have indeed been reading what I write. Thank you all.

One interesting thing I've found in this year. Blogging anonymously has its own set of limitations, some positive and some negative. On the positive side, I realized it isn't fair for me to attack people from behind a shield of anonymity. I've tried to eliminate snarkiness when responding to people who write under their own name. I may disagree with them, but I should do it respectfully. Their reputation is out there and mine isn't. I think that limitation has made me a better writer. It's easier to be snarky than to be respectful and still disagree.

On the negative side, I also decided that I would create a wall between my real person and Free Operant. Free Operant will never comment on what I do under my real name, and I will never comment on Free Operant under my real name. This is proving frustrating because I am working on another project under my real name that I can't reference.

Finally, even with my anonymity, I would love to discuss events that have happened in therapy, but I can't. A recent article addressed that particular pitfall for medical doctors who blog. I think confidentiality is too critical to come even close to breaching it. Before I ever wrote my first post, I decided to put up a "fence around the law," to use a Talmudic phrase, and never write about anything that ever happened in therapy. There was one point where I was going to post a comment on another blog about an event occurring 30 years ago in therapy. I didn't. It killed me because it was hysterically funny, but I didn't post it.

Overall, it's been a good year. I look forward to many more.