"Would that all excellent books were foundlings, without father or mother, that so it might be, we could glorify them, without including their ostensible authors!"
Melville, "Hawthorne and his Mosses"
Chief among the changes I'm considering is the whole anonymity thing--speaking for me personally, and without any implicit criticism of incognito bloggers (whose numbers are legion, and many of whose blogs I enjoy following), the mask hasn't really felt natural to me. To some degree this is because even apart from blogging, the Internet has forever limited physician privacy (well, everyone's privacy), particularly for those with any record in the public domain.
In my former job I published a dozen or so articles, mostly in fairly obscure academic journals. Before the Internet few non-academics would have had the misfortune to stumble upon those writings, but now any patient can Google my name and infer a good deal about my interests and points of view (these were not scientifically technical articles, but rather had to do with the ethics and humanities of psychiatry). And do I, personally, really want to place in the public domain anything that I would be ashamed to see in a newspaper or journal article?
Going cognito (?) would change the tone and approach somewhat, although not drastically. A couple of illustrations might vanish, and some flights of fancy may be a bit more disciplined (future ones--no retroactive editing here). But it needn't become drily professional either. Being a psychiatrist, therapist, or physician shouldn't prevent one from even personal or poetic self-expression in the public sphere so long as clinical care and patient privacy are inviolate.
No, I'm not imagining that this prospective self-disclosure is a matter of any particular excitement. But, again, as I consider a more straightforward approach, I solicit suggestions and recommendations. As I see it the 44 posts thus far can be broken down into these categories:
1. Examinations of literary works or figures with psychiatric ties or dimensions
2. Considerations of social and cultural trends and implications for mental disorders or psychiatry
3. Discussions of what the practice of psychiatry is like
4. Personal prose-poetic speculations, usually alarmingly bad and rather self-indulgent (these would probably decrease under the cognito plan)
Please let me know if anyone comes to this site hoping for more or less of any of these. Oh, and anonymous comments are welcome!