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bpyenson's picture

Levels of Precision

I suppose the most thought-provoking thing we discussed last week for me was that Dr. Grobstein insisted that psychotherapy was the most precise method of altering the mind, followed by drugs, and then surgery.  I was wondering why this hierarchy is inherently so?

One anecdote I can relate with is being drugged up on valium (prescribed pain-killer) before getting my wisdom teeth out about 4 or 5 years ago.  That experience (initiated by a drug, perhaps also partially constructed by my I-function recognizing that I was on a mind-altering substance) was pretty powerful and I would argue mind-altering.  Moreso, I would argue that this experience was more powerful (precise?) than many psychotherapy-type conversations I have had over the years.  So, does precision = potency here?  What exactly does Dr. Grobstein mean by 'precision'.  Is precision identifiying one of those boxes and being able to isolate it from the network of other ones?  Indeed that is a difficult task and I would like to hear a rationale for why this hierarchy of precision exists.

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