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Borderline_Traits
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Name: Ken Country: United States State: California Metro: Sacramento Gender: Male
Interests: My kids, my wife, our little family, making music on my piano, guitar, mandolin, harmonicas, reading, people, psychiatry, autism, my dearest friend Erik, creative writing, the Fishtank Ensemble, Dar Williams, Jerry Garcia and Dave Grisman Expertise: Embellishing, ruminating, self-reprobation, self-aggrandizing, playing musical instruments, listening, talking, observing. Occupation: Child/Adolescent Psychiatrist Industry: Medical
Message: message meEmail: email me Website: visit my website AIM: quwixotic
Member Since:
8/18/2005
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| About Me, Becoming A Child Psychiatrist
Finishing my last year of post-medical school training, Chief Resident in the Child Adolescent Psychiatry program. I'm proud of what I've accomplished in these last 10 years, late life career shift with all its insecurities and blunders. This year is a journey onto itself. Trying to navigate my way through and find my own clinical style within a field full of as many contradictions as value (and a widely diverse set of values at that and not all of them palatable).
I am finding my skills and joys at being a child therapist, more confident about working with families, respecting their expertise and intentions for their children, but still feeling comfortable with offering my clinical expertise, confident (and humble) suggestions about what might be operating and unfolding within their children and their families and their communities. My direct work with kids has progressed. I am more at ease listening, being interested and curious without needing to establish diagnostic certainty. I've been working more dimensionally than categorically, and I take pride in being conservative and patient about choosing to prescribe medications.
My life is full with my work, and what's left I try to surround myself with my wife and kids and our lives together. We have such a sweet and exciting family. I don't spend enough time "meditating," on the joys in our little household, the interdependencies, rituals, deep love and (at one step remove) comical conflict.
I'm seeing kids in two outpatient clinics, one county run, more a clinic of last resort, and the second a UC Davis affiliated clinic, part of the training program. But I feel my relationships with my patients and their families are our own, these relationships we create together being a necessary component of any healing or supporting of their normal development. I am surprised to notice I have been seeing some children consistently for two years now, therapy expanding their potentials and scaffolding their successful and (hopefully) satisfying movement through childhood and adolescence. At the MIND Institute I see children with their families in an autism clinic, families with the worry and icy fear (although at rare times it seems more like a an entitled wish or insistance) that their children have Asperger's disorder or autism. I evaluate for autistic spectrum disorders and aim to help shape the choices that will best address these uniquely idiosyncratic children in their unique families. Other time I work in the local child and adolescent inpatient hospitals, stabilizing acute crises of psychosis, mania, abuse, behavior, inappropriate medication regimens or family dysfunction. Shriner's Hospital where I see kids with devastating burn injuries or spinal cord injuries and try to help them withstand these irreparable life altering wounds and maintain the hope that seems to be so abundant in children if their are encouraged in meaningful authentic ways and ultimately "allowed" to experience it.
Then there is my outside work, outside the training program that is. Weekends and holidays at the county psychiatric hospital, assessing patients for admission or discharge in the crisis unit. I wish you could be behind my eyes to see the magnificence of human beings' broken thinking, absurd delusions, bizarre phantasmal hallucinations, mania, anger, methamphetamine psychosis, delirium, depression and personality disturbance. The things I hear. You wouldn't believe me if I told you, and often I don't when I am there.
And none of this could have happened without my wife to work her magic in the family, inspire the kids to levels of creativity, imagination, friendship, responsibility, sense of self, character and love. I suppose I could have done it if I were single or if I didn't give a shit about the family, but to have done it together and make the choices we have for staying close, active, engaged with each other as a family. No, that I could not have orchestrated, that's her.
So meanwhile I still struggle with midlife angst, death panic, neurotic Jewish anxiety, feeling like an imposter, wishes for youth and the freedom of an open book of limitless choices, abundant energy (no need for naps...hehe). But I have a terrific therapist (have even considered going into formal analysis with him but a person can only handle so much, there are limits). I bought a beautiful acoustic guitar for myself, a rare generosity on my own behalf. That was a good thing. Makes me happier. And we have 5 chickens, 1 for each member of our family (Lulu, Fabrice, Cola, Crispy and Cleopatra) roaming around our tiny back yard, laying eggs in their coup and making more huge piles of bird shit (on the lawn, on our porch, in their coop etc...) than I ever imagined was possible, not that I spent any significant time imagining chicken shit prior to owning our own producers.
And then at the end of this academic year, next July, it finishes, finally, after post-bac-premed, med school, internship, residency, and fellowship. Then we have to pick our spot. Where to live, where to work, do we buy or keep renting etc...
That's about it for me, hope someone finds it interesting.
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| "One of the schools of philosophy on Tlon goes so far as to deny the existence of time; it argues that the present is undefined and indefinite, the future has no reality except as present hope, and the past has no reality except as present recollection." J.L. Borges.
"Many people need desperately to receive this message. 'I feel and think much as you do, care about many of the things you care about, although most people do not care about them. You are not alone.'" K. Vonnegut.
It's a cheap stunt to garner attention by noticing the genius of other people's fictions, but if I had said any of these things myself, I would have meant them just as genuinely.
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| Memory Residue
This must be what is meant by associations. Memory residues, sometimes long enduring but
infrequently presented for reflection, other times rediscovered as if for the
first time, but always familiar. Recalled liked fragments of a dream poorly
remembered.
Standing in Harvard Square at a crowded outdoor musical
performance, I am seventeen. The square is across the street from the noble archaic brick building where I share a dorm room with another summer
session student. Sunny and chilly, this summer's late morning smells of pavement, cold blue air, tobacco smoke, soft sharp breezes. Like a rising feeling of
nausea I find myself aware of an older man watching me
surreptitiously from across a smaller intersection. He is in his twenties, unshaven and gruff appearing, weathered skin,
his face in a scowl, looking right at me but shifting his eyes away from me as
I notice him. This is important, why now though? Driving to my work, thinking
about my patients for the day, unfinished clinical notes, my weekend
moonlighting schedule, I wonder about my unintentional recall of this event as
I take control of the memory and follow its course, intentionally now, through
the foggy narrative, rich with emotional resonance. He appears different
from the rest of the crowd, in sharper relief, more real or more important than
the multitudes engulfing us.
Everything is quiet in my mind, the music, the crowd noise
fades away. Two more figures become a part of our private sphere as if all three are connected
by dotted lines. Two men, associates of the first, dressed in street clothes, not unkempt but dangerous.
They too appear to be working hard at paying attention to me without attracting my
awareness. I move to another area of the crowded square, but quickly notice
their triangulation of my position once again. This is absurd. Am I paranoid or
at risk? Do I work through my anxiety or act to protect myself against
potentially imaginary blackguards? They are closer to me now, distant enough to be
out of physical contact but raising the ante of my sense of amorphous risk. My
skin crawls.
The story has by now unfolded itself to completion in my
memory. What's left is rumination and pondering the relevance, if any, of this
event and its need to be recalled. The summer has been a rich experience of learning and novel activity.
Apart from sitting in undergraduate law classes (my older never realized
ambition to become a lawyer), I have been working with an acting troop from
Brown University, performing Hair at the Hasty Pudding Theater. I am a "hanger-on," working as a volunteer usher for the performances, in love with the
cast and their off stage explorations into the life style portrayed in this
60's psychedelic love fest. I have felt myself on the margins all summer, not quite in my element, but this day I am alone, and feeling it profoundly.
I move again trying to blend in with the crowd like I'm dancing with my demons, temporarily out of site.
It is clear to me I am an intended victim, but of what I am
not sure. I am only certain of the nightmarish quality of my fear and the
constant guarded vigilance of the three men. In the crowd there is a large
black cop in uniform. How does one explain this need for help? What trumps the
day, my fear or the humiliation of asking for succor against a real but
unexplainable threat. My emotions are high in my throat as I explain the
impending crisis to him. As I speak his massive figure looms over me, listening
with a passive accepting face. He may think I am making things up, manipulating
for some devious gain myself, but I ask if he can help me get back to my dorm.
The first, "dangerous man," still stands across the street, no longer watching us but
still outlined as if in a spotlight in my mind's eye; the crowd vanishes away as I point him out.
The big policeman offers to drive me to the dorm in a circuitous route to
avoid giving away my place of residence. He is the hero of this real world children's story. Why is he so cooperative when I feel
so irrational? As I remember it, we don't speak during the drive, and he brings
me to the other gates of the dormitories to drop me off. The entire event plays
itself across my memory in less than a few seconds, this emotionally terrifying,
humbling but ultimately benign adolescent experience. I never did see these men
again or understand what they might have been after, although I can form an
image of the first man, vividly, now some 25 years past. My dream state fear is palpable. Hair completed its run (full frontal
nudity included), and for a few years after I tried to maintain friendships with
my favorite cast members who tolerated my doting hero worship as we gradually drifted
apart. I kept a weather worn copy of the poster advertising the play for many
years, the cast members' faces huddled together in blurred red ink on thick yellow card copy, a tangible connection to a time of rich memories and change in my life.
It is like a particularly favored song, hidden on a dusty and scratchy LP in the closet. My non-trauma plays itself unrequested on occasion, but I
can't explain to myself or you what brings it to mind. | | |
| Can an ass be tragic? To be crushed by a burden one can neither bear nor throw off? The case of the philosopher.
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