‘There is always a well-known solution to every human problem – neat, plausible, and wrong.’ From Prejudices (1920) by H L Mencken There has never been a problem facing mankind more complex than understanding our own human nature. And no shortage of neat, plausible, and wrong answers purporting to plumb its depths. Having treated many thousands of psychiatric patients in my career, and having worked on the American Psychiatric Association’s efforts to classify psychiatric symptoms (published as the Diagnostic and Statistical Manual of Mental Disorders, or DSM-IV and DSM-5), I can affirm confidently that there are no neat answers in…

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