Skip to main content

Reframing Reality

Comorbidity refers to the simultaneous presence of two or more diseases or medical conditions in a patient. Common comorbidities include diabetes, obesity, heart disease, hypertension, dementia, and cancer. These are often described as pre-existing clinical conditions that require extra caution when assessing a patient’s health trajectory.

Reframing aligns with the concept of cognitive restructuring. It is a psychological technique that involves identifying and then changing the way situations, experiences, events, ideas, and emotions are perceived. However, caution is necessary here — without proper professional guidance, one may enter the realm of reality distortion.

An unhealthy example of reframing is excessive mentalisation. Many people engage in this because they believe that fixating on the details of a particular issue — such as a deadline — makes them more productive, when in reality, they are avoiding their emotions.

A more humorous example is reminiscent of old Chaves episodes, where a child would refuse to share their sweets with Chaves, prompting him to respond, “I didn’t want it anyway.” While this may seem like a harmless form of self-consolation, in adulthood, it is always worth questioning whether we are avoiding persistence and determination simply to take the easier path due to anxiety.

Returning to comorbidity, one common misconception is its unfortunate link with fatalism. This is especially damaging when someone convinces themselves that seeking treatment is pointless because a family member or friend did not improve. Ignoring the fact that medicine is constantly evolving is hardly a sign of mental clarity.

Comments

Popular posts from this blog

What Winter Asks

Lately, I’ve found myself anticipating winter — not because it is here, but because its presence has begun to register. A shift in tone. A quiet deviation from the familiar. We are still within autumn, yes, but the pattern is clear: a cooling, a thinning of light, a withdrawal. Winter does not arrive with grandeur. It infiltrates. It operates in intervals — a guest that does not overstay, yet rearranges the room all the same. It brings with it not only the chill, but a quiet audit of our habits. Our homes, designed for air and openness, falter in the face of this visitor. We adjust. Coats reappear. Blankets are retrieved from high places. Improvisation becomes method: Havaianas with woollen socks. Soup, made not only to nourish but to ground. This is where hygge emerges — not as aesthetic, but as principle. The deliberate act of creating warmth within transience. A structured comfort, built from attentiveness. Outside, clouds obscure the light. Inside, a countermeasure: sof...

On slowing time: multivitamins, acupuncture, and the art of ageing well

A major randomised, double-blind, placebo-controlled trial, recently published, has demonstrated that daily multivitamin supplementation may decelerate biological ageing, as assessed by epigenetic markers. Conducted by researchers at Columbia University and Brigham and Women’s Hospital, the study followed over 2,200 participants aged sixty and above for a period of two years, evaluating the long-term effects of daily micronutrient intake. Epigenetic age — distinct from chronological age — was estimated via DNA methylation, a biomarker increasingly recognised for its accuracy in gauging biological ageing. The results revealed a marked slowing of this process among those receiving the multivitamin: on average, participants exhibited approximately two years less biological ageing when compared with their counterparts in the placebo group. These findings lend weight to the hypothesis that subtle yet chronic micronutrient deficiencies may hasten the ageing process, even in the a...

The Navel and the Whole

In the course of daily life, concepts such as knowledge, self-knowledge, and the practice of goodness ought never to be forgotten. Yet not only are they neglected — they are actively abandoned, especially when they stand at odds with the ambitions of humankind. And therein lies the blind spot of human pride: the self — the ever-contemplated navel. I see it manifest in the most absurd of circumstances, where there is no sincere interest in understanding the other. The affluent denigrate the poor; the poor resent the affluent. But where, I ask, is our shared humanity? Where is the recognition that the destiny of one is bound to the destiny of all? That recognition remains — dimmed, tucked away in some forgotten recess — awaiting the rekindling of light. When I welcome a homosexual patient, I see someone in search of that very light, navigating life in a conservative, restrictive city that offers little room to breathe. When I receive someone ensnared in substance use, I encou...