AI “scribes” can work well when they keep notes general and reduce detail overload.

Human-coded sessions become training data, then metrics, and begin to define what counts as “good therapy” at scale. Not just what we do, but how we read what’s happening. $20/hour to code therapy sessions. www.lyssn.io/about-us/car...

Grateful to be presenting at NMTX Philosophical Society’s 76th annual meeting this week. Also feeling affirmed in placing this work across English, health humanities, and philosophy—each asking something different of the same questions. Looking ahead to Berkeley and OHST.

Two weeks. Back to back presentations. Not just on diagnosis— but on what happens after an interpretation is made. When it sticks. When it circulates. When it begins to organize what can be seen.

I’ve talked about mislabeling. It’s also about how the conditions for what counts as understandable get set in advance.

The framing is revealing. This is some of what I’m tracking. When care becomes “architecture,” clinical reasoning becomes a layer, safety a constraint, and therapy a protocol. But mental health care is interpretive work. The risk isn’t AI. It’s designing care around what systems can formalize.

Diagnostic overshadowing: cognitive bias in clinical diagnosis. Once a person carries a diagnosis, clinicians may attribute new symptoms to the same label rather than reassessing. But reassessment itself occurs within diagnostic frameworks that both guide and limit clinical interpretation.

Before anything diagnostic circulates, it must be recorded. Before it is recorded, it must be captured and interpreted. Once documented, clinical interpretations enter infrastructures that stabilize them as durable facts, long after the conditions that produced them have receded from view.

Not autopathography. Autotheory: lived experience used to examine the systems that tried to name it.

Ruha Benjamin reminds us that to focus on “exclusion,” the default solution becomes “inclusion”—without asking what we’re being folded into. The point isn’t simply to enter the room. It’s to change what the room makes possible. Vernā Myers—Not just invited to the party, but asked to dance.

Looking forward to presenting this spring at the NMTX Philosophical Society 76th Annual Meeting and the 2026 Health Humanities Consortium, continuing work at the intersection of philosophy, clinical practice, and the humanities.

Data requires interpretation. Correlation ≠ causation. Evidence shifts with context. Lack of a cause does not make an experience less real. But once defined, a category becomes required. It takes on a life of its own. It demands more proof. My critique is of systems, not the people navigating them.

We're hiring! Join us to work at the intersection of social interaction and language technology. Postdoc and PhD positions in my Futures of Language research group, based at Radboud University in Nijmegen, NL Read more: markdingemanse.net/futures/news... #linguistics #interaction #sts #emca #hci

AI can’t legally diagnose in the U.S. But in Sweden, research tools can now conduct full clinical interviews and hand clinicians a ready-made interpretation. www.youtube.com/watch?v=gaU7...

It's the little things, the little bits of humor, when combing through journal article after journal article. STAR, S. L. (1999). The Ethnography of Infrastructure. American Behavioral Scientist, 43(3), 377-391. doi.org/10.1177/0002... (Original work published 1999)

Grateful to share a brief update: I’ve been accepted as a visiting scholar in the Center for Science, Technology, Medicine & Society at UC Berkeley 2026-2027. I’ll have an academic affiliation while continuing work on diagnostic language, narrative authority, and their ethical afterlives.

New piece out today on The Polyphony. It looks at how diagnostic labels take on narrative power they were never built to hold—and how people find their way back to themselves.
thepolyphony.org/2026/01/28/w...

Capture: in research, to gather stories. In culture, dominant storylines. In tech, data extraction. I call it diagnostic capture: when a diagnostic label shapes the meaning of an event, not the identity of a person. It’s about interpretive dominance, not stigma or devaluation.

Delaware takes a bold step to safeguard patient care by passing a bill that bars AI and other nonhuman entities from holding clinical licenses or using protected healthcare titles. Learn more here #DE #AIEthics #CitizenPortal #HealthCareRegulation #PatientSafety

A diagnosis can offer language, structure, and belonging—and that can matter deeply. But diagnoses are also limited tools shaped by institutions, culture, and history. Naming its limits is about widening the frame, not closing it.

Not trauma memoir. Not recovery narrative. Not anti-psychiatry polemic.
 Not abstract philosophy. Critical narrative work with next piece forthcoming in The Polyphony.

The language of illness shifts responsibility away from systems and onto individuals as if individuals were not living inside the very structures that shape their lives

The 2026 Colgate Writers Conference will take place June 7–13. With expanded workshop offerings designed to support both emerging and established writers, as well as enhanced scholarship opportunities, the 2025 conference drew writers from more than 20 states and three countries. bit.ly/4stmUkF

🚀 Delighted to announce the publication of our new #MedHums101 brochure: ‘What is Medical Humanities?’ We hope it sparks your imagination, inspires your curiosity & encourages you to engage in our vibrant interdisciplinary field! tinyurl.com/what-is-med-...

Diagnosis is unstable. Institutions pursue stability because it is administratively useful. When unstable human experience is forced into stable categories, people adapt to survive. The costs increase when labels carry stigma, are treated as final, and systems resist acknowledging error.

For a time, my life intersected with a sociologist. Thirty years a professor. Critical theory: Marcuse. Alice’s Restaurant each Thanksgiving on San Diego radio. “You can get…” Eagleton, Jameson, Baudrillard, Berger. Postmodern theory in the air, in the arts. Today the meta-. Aware, reaching anyway.

The “Clinical Ceiling” Blocking Lived Experience Leadership Lived experience workers describe a “clinical ceiling” that confines peer roles to the margins while hospitals and services preserve traditional chains of command By Kelli Grant www.madinamerica.com/2025/12/the-...

6 Suggestions for DSM-6 Making the next DSM look less like a house of mirrors www.psychiatrymargins.com/p/6-suggesti...

Design thinking starts with empathy. Empathy isn’t sympathy, pity, or even sincere concern. It’s curiosity. It’s the practice of stepping into another’s shoes.

Clinicians know this tension well. You can recognize that a diagnosis is provisional and still be required to treat it as stable. That gap between what you know and what the system demands is not a personal failure. It is a structural problem we have not named clearly enough.

Not everything that resists classification is awaiting a better name. Some experiences are asking for care without capture. #CriticalPsychiatry #EthicsOfCare

St. Edward’s University, Austin, 2013. A counseling psych MA program. Prof: “There’s nothing wrong with you.” A little over a decade later: For the Misnamed. A call to restore the narrative.

Open Dialogue also sits on my internal map of alternative forms of care. An approach grounded in relationship.

Just a few months before the release of the results of 9 years of research into the Open Dialogue method of supporting mental health. There will be headlines & global impact #ODDESSI #MentalHealth

We use many languages to describe human difference. Some rely on diagnosis; others resist it. I’m interested in how these stories shape who we believe we can become.

James Baldwin: “People are trapped in history and history is trapped in them.” Sometimes the work is learning what we inherited, what we chose, and what we can name differently without losing ourselves.

Systems simplify. People don’t. That’s our saving grace, the part that keeps us whole.

UT. Abnormal Psychology. Psych 352. 1994. First day: “Who here can define normal?” Decades later, Grinker’s Nobody’s Normal (2021) made the question feel even louder. We keep studying “abnormality” without ever agreeing on what normal is.

Some focus on diagnostic architecture. I’m working on the epistemology beneath it.

Biopsychosocial: A framework. Human health and behavior as shaped by the interaction of three domains: • Biological factors (genetics, physiology, neurobiology) • Psychological factors (thoughts, emotions, beliefs, coping) • Social factors (relationships, environment, culture, systems)

Just had our fondly nicknamed "pretty pictures" paper published in Psych Medicine: doi.org/10.1017/S003... We mapped the repetition among the 1419 symptoms described in 202 diagnoses of adult psychopathology in Section II of the DSM-5, finding some cool results (and bad news for MDD) along the way.

Another place where classification shapes access is mental health law. SB 1164 in Texas keeps the danger requirement but broadens how danger is inferred through “lack of insight.” Anosognosia codified. Interpretive standards can be unevenly applied, especially to people without protection.

The old LGBTQ debates about who counted were never only about identity. They were about rights. Marriage. Protections. Safety. Stakes also feel high around diagnosing. Whenever rights hinge on a label, people draw tight lines. But lived experience is wider than the definitions built to contain it.

We can name a thing without ever capturing its essence. Yet the words we choose still enter the world and take on a reality of their own.

UT undergrad. Sociology. Reflecting back. The Thomas Theorem kept echoing: what’s defined as real becomes real. No wonder identity shifts when someone names your story before you can.

When my nephew was three, he pointed to a moth and shouted “bird!” Either way, we still had to help it back out of the house. We often reach for the nearest name we have, the closest our understanding can offer at the time.

My new essay in Please See Me explores the shadow side of a mental health diagnosis—the parts our diagnostic tools can’t hold and the slow work of finding language that truly fits. #Nonfiction #NarrativeEthics #LivedExperience #MentalHealth #NarrativeMedicine pleaseseeme.com/issue-17-fre...