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By outside our perception I meant simply that we can choose to accept things as Truths, but can't make the argument that these Truths, no matter how many observations support them, are definitively TRUE. The motivation to move forward does not depend on Truth or reality, otherwise I don't know if I would ever get anything done, but rather focusing on the idea that our reality is only our personal reality when trying to solve a problem or dealing with a question only brings about more questions. I think there is absolutely space for philosophy in a discussion about mental health, but how much time and guesswork should be spent on it is questionable...