The real art exists in the encounter, not the object.
This place is a working and ever-evolving record of one psychiatrist's exploration of new, old, and strange ways of thinking about psychiatry.
“Polarize me, sensitize me
Criticize me, civilize me
Compensate me, animate me
Complicate me, elevate me.”Rush, “Animate”
AI is a tool. A strange one, a powerful one, and one about which most of us are unsure how to feel. This site is a working experiment in how I (a psychiatrist) is using AI for improving education, writing, research, clinical work, and even as a medium of self expression.
(My dear viewer. I am aware this is starting to sound a little culty. I promise nothing is being sold, no one is being recruited. There is no billion year contract. There are no weird, ignominious carnal coercions. And there certainly is no newsletter. It's just a website. My art project website.)
Most of what's here is meant to be touched. Drag the sliders. Mark the boxes. The pieces are written to be completed, not just read.
None of this is a pitch. It's a record of what's being built, and a small argument for leaning into the unknown.
Doubt is not a pleasant condition, but certainty is absurd.Voltaire
Imagine telling a friend they're cheating because they used TurboTax. Or that a carpenter who reaches for a nail gun isn't a real craftsman. Or that the farmer who climbs onto a tractor has lost touch with the soil. We'd find it strange. Tools are tools — we've spent the last several thousand years building them precisely so we don't have to do every difficult thing the hard way.
And yet, somehow, when the tool is AI, something shifts. The writer who used it to draft an email is lazy. The student who used it to outline an essay has cheated. The developer who used it to scaffold a project didn't really build the thing. The feeling these words carry is familiar — it belongs to an older emotional register, the one reserved for work we think ought to have cost more.
There is something worth sitting with here. Not because the feeling is wrong, and not because it is right, but because feelings like this tend to be about more than what they name. What is the suspicion protecting? What is it anxious to preserve? What older question is it trying, in its way, to answer?
These are not questions a checklist can settle, and they are older than AI. People have been asking some version of them every time a tool arrives that changes what a person is capable of being. Before we look at how they've asked it — and how often they got it wrong, which is in some ways beside the point — sit with the question itself, in five movements.
The Athenians preserved Theseus's ship by replacing each rotting plank as it failed. After enough years, no original wood remained. The wheel below represents the vessel's planks — each one ages, is replaced, and begins its own slow aging again. Watch it move on its own, or drag the slider to travel through its years yourself.
Your skin renews every few weeks. Your skeleton, every decade. The atoms that composed the "you" of childhood are scattered across continents now — breathed out, washed away, recomposed into other people and other things. By the strict standard of material continuity, you are not the person who began reading this sentence. And yet something in you insists that you are.
The figure below is made of moving particles. They appear, drift through the form, and dissolve back into the field. Every few moments, nothing visible in it is what was there before. The shape remains.
Watch it circulate on its own, or drag through your years yourself — and then ask the question Plutarch asked, turned inward.
If you cannot name the year you stopped being you, the puzzle is not really about cells. It is about what we mean by same.
The same question, fitted to our own moment. Authorship may never quite have been a binary — and what if it is something more like a position on a dial, a position that moves with every decision you make? Mark what is true of your work, and notice what the dial reflects back.
Whatever the dial gave you was partly about your work and partly about you. The questions you answered with confidence and the questions you answered with a flinch — the AI didn't write either set. The dial only reflected what it was handed. The reading is yours.
This is true of more than the dial. It is true of the whole site you have been moving through. Some readers lingered at Theseus's ship; others scrolled past. Some hovered over the chaos button without pushing. Some pushed it. Some read the projects and saw a clinician working seriously; others saw a clinician overreaching. The piece itself did not change. What changed was who arrived at it.
What this site tells you about AI is partly what it actually says, and partly what you brought with you when you opened it. The fear, the optimism, the suspicion of hype, the hunger for a new tool, the reflex against new tools — those were here before you arrived. The site does not produce them. It surfaces them.
Which is, in its way, the deepest thing the dial was ever going to tell you. Not what percentage of the work was yours. But how much of the answer you supplied before the question was asked.
The dial gave you a reading. The reading is honest enough, as readings go. But it was built on assumptions inherited from a world where the only thing that could co-author with you was another person — a colleague, an editor, a teacher, a ghostwriter. Whatever the AI is, it is not quite any of those things, and we do not yet have a steady word for what it is instead.
So perhaps the dial is not wrong, exactly. Perhaps it is asking the wrong questions — or asking right questions in a vocabulary that was built for an older kind of collaboration.
These are not questions a checklist can settle. They are the questions every previous generation faced, in a smaller form, every time a new tool arrived and changed what a person was capable of being. Some of what they worried about was real. Some of it was displacement — older anxieties finding a new surface to land on. It is hard, in the middle of a change, to tell which is which.
That may be what makes the wondering matter.
The line has always been blurry. Every generation has encountered some new thing that threatened to dissolve it, and every generation has had to figure out — often badly, often in public — what the new thing was actually changing and what was only a shadow on the wall of the change. A brief tour of how we've wondered before:
"This invention will produce forgetfulness in the minds of those who learn to use it."
Physicians warned that speeds above 30 mph would cause the brain to rattle, the uterus to fly out, and "railway madness" to set in.
Medical journals diagnosed "bicycle face" — a permanently flushed, hardened, masculine expression acquired by women who rode.
"The menace of mechanical music... a marked deterioration in American music and musical taste."
The UK Musicians' Union formally resolved to ban synthesizers and drum machines. Queen stamped "No Synthesizers!" on their albums as a purity certificate.
"Rap music isn't really music." — Ben Shapiro, 2019, reciting a script from the 1920s with the words lightly changed.
None of the original critics were fools. They were credentialed, serious people. They were also, with some consistency, surprised by what the new tool turned out to be for — and sometimes surprised by what they themselves turned out to be for, once they had it. Humans do not stay still when a new tool arrives. We adapt; the tool gets absorbed; something new comes out the other side that neither party fully predicted.
The plow did not make the farmer less of a farmer. The sampler did not make the producer less of an artist. What AI will make of the clinician — or what the clinician will make of AI, or what both, together, will make of the work — is a thing we are presently finding out.
What can be asserted without evidence can also be dismissed without evidence.Christopher Hitchens
Somewhere, something incredible is waiting to be known.Carl Sagan
Most of what's written about AI in medicine is about efficiency. Faster notes, cleaner charts, better triage. That matters. It's also not the whole story.
AI can be an instrument — one that helps people manifest the thing they've carried for years and never quite knew how to get it out. Writers who weren't sure they were writers. Musicians who never really practiced but felt the music. Painters with no brushes. (Ok, OK — I think you, the reader, gets the point.) The bottleneck between imagination and expression is getting thinner, and that turns out to be its own quiet revolution.
This section (just like this very website) is a slow, ongoing exploration and experiment of what that means — and what psychiatrists, of all people, might have to say about it. Disclaimer: No 5ht2a receptor agonists were used in the conceptualization, creation or editing of this website.
A 130-second visual essay on depression, intervention, and the network finding its shape again. Asynchrony, reorganization, resynchronization — three movements rendered as a living network.
A child's painting, a conversation, and the code that built it — three panels held in a single frame. Paint breathes; the process is part of the work; the apparatus is part of the painting.
“I'm reaching up and reaching out.
I'm reaching for the random
or whatever will bewilder me.
Whatever will bewilder me.”Tool, “Lateralus”
This page is itself the demonstration — built end-to-end through psychiatrist-AI collaboration, including the part you're reading right now. Code, copy, visual design. The content created here wouldn't exist in this form without the tools we so curiously explore and with which we experiment. Below is an interactive demonstration of what happens when you remove the substrate from a thing made of code.
Family, mentors, and the long lineage of voices that taught me how to think, how to make, and why it matters.
We shall not cease from exploration, and the end of all our exploring will be to arrive where we started and know the place for the first time.T.S. Eliot
A working collection of voices, books, and films — the ones that have shaped how I think about intelligence, mind, and what we are becoming. Or maybe what we have always been.