Peter D. Kramer
@peterdkramer.bsky.social
Author, most recently, of Death of the Great Man, a novel. Also new: 30th anniversary edition of Listening to Prozac. peterdkramer.com
Pretty-convincing small trial finding dialectical behavior therapy more effective than SSRIs in reducing suicidality in highly vulnerable patients with borderline personality disorder.
psychiatryonline.org/doi/10.1176/...
psychiatryonline.org/doi/10.1176/...
Dialectical Behavior Therapy Versus Serotonin Reuptake Inhibitor Treatment for Suicidal Behavior in Borderline Personality Disorder: A Randomized Controlled Trial | American Journal of Psychiatry
Objective: The authors compared the efficacy of 6 months of dialectical behavior therapy (DBT) to 6 months of selective serotonin reuptake inhibitors with clinical management (SSRI/M) in reducing suic...
psychiatryonline.org
November 5, 2025 at 3:29 PM
Pretty-convincing small trial finding dialectical behavior therapy more effective than SSRIs in reducing suicidality in highly vulnerable patients with borderline personality disorder.
psychiatryonline.org/doi/10.1176/...
psychiatryonline.org/doi/10.1176/...
A clear test of whether the Supreme Court majority is originalist or merely political & subservient. If the Court rules against unbounded Presidential authority to impose tariffs, democracy still has a chance, despite SCOTUS's willingness to undermine it elsewhere
www.nytimes.com/2025/11/04/o...
www.nytimes.com/2025/11/04/o...
Opinion | Tune Into the Supreme Court on Wednesday. The Justices Will Be Squirming.
www.nytimes.com
November 4, 2025 at 2:24 PM
A clear test of whether the Supreme Court majority is originalist or merely political & subservient. If the Court rules against unbounded Presidential authority to impose tariffs, democracy still has a chance, despite SCOTUS's willingness to undermine it elsewhere
www.nytimes.com/2025/11/04/o...
www.nytimes.com/2025/11/04/o...
Quick email to Ramesh Ponnuru on what we know about SSRIs and violence www.nationalreview.com/corner/do-ss...
Do SSRIs Cause Violence? | National Review
An answer from Peter Kramer.
www.nationalreview.com
August 31, 2025 at 3:12 PM
Quick email to Ramesh Ponnuru on what we know about SSRIs and violence www.nationalreview.com/corner/do-ss...
At last. Today @nytimes.com has an essay describing Trump's routine acts as coming from an authoritarian playbook. That's what's often missing from reporting & opinion both: Reminders that a behavior under discussion not only ruptures norms but also serves in a campaign to undercut democracy.
August 3, 2025 at 3:40 PM
At last. Today @nytimes.com has an essay describing Trump's routine acts as coming from an authoritarian playbook. That's what's often missing from reporting & opinion both: Reminders that a behavior under discussion not only ruptures norms but also serves in a campaign to undercut democracy.
In 1969, when the Waldorf-Astoria had lost much of its glory, it rented rooms to Newsweek for staff who had to work late into the night. I was put up there when writing on the moonshot for the July 28 issue when "Newsweek beat Time" to the newsstand.
www.nytimes.com/interactive/...
www.nytimes.com/interactive/...
A Peacock’s-Eye View of the Waldorf Remade
Waldorf Astoria New York, one of the city’s grandest hotels, closed for renovations in 2017. After almost eight years and billions of dollars, it returns, reborn for the 21st century.
www.nytimes.com
July 20, 2025 at 1:48 PM
In 1969, when the Waldorf-Astoria had lost much of its glory, it rented rooms to Newsweek for staff who had to work late into the night. I was put up there when writing on the moonshot for the July 28 issue when "Newsweek beat Time" to the newsstand.
www.nytimes.com/interactive/...
www.nytimes.com/interactive/...
Not sure why the whole Web isn't saying this. Trump's Brazil tariff is illegal.
Presidents can impose tariffs only for limited economic reasons. Interfering with a prosecution abroad is not a permitted rationale.
The issue is both legislative & constitutional. Only Congress can levy taxes.
Presidents can impose tariffs only for limited economic reasons. Interfering with a prosecution abroad is not a permitted rationale.
The issue is both legislative & constitutional. Only Congress can levy taxes.
July 11, 2025 at 6:21 PM
Not sure why the whole Web isn't saying this. Trump's Brazil tariff is illegal.
Presidents can impose tariffs only for limited economic reasons. Interfering with a prosecution abroad is not a permitted rationale.
The issue is both legislative & constitutional. Only Congress can levy taxes.
Presidents can impose tariffs only for limited economic reasons. Interfering with a prosecution abroad is not a permitted rationale.
The issue is both legislative & constitutional. Only Congress can levy taxes.
Sad to learn of the death of Anna Ornstein, a yet more influential figure in psychiatry than this obituary suggests—and a sterling person.
Oddly, I just quoted her in a talk I gave in Germany last week.
www.nytimes.com/2025/07/04/h...
Oddly, I just quoted her in a talk I gave in Germany last week.
www.nytimes.com/2025/07/04/h...
Anna Ornstein, Psychoanalyst Who Survived the Holocaust, Dies at 98
www.nytimes.com
July 5, 2025 at 8:48 PM
Sad to learn of the death of Anna Ornstein, a yet more influential figure in psychiatry than this obituary suggests—and a sterling person.
Oddly, I just quoted her in a talk I gave in Germany last week.
www.nytimes.com/2025/07/04/h...
Oddly, I just quoted her in a talk I gave in Germany last week.
www.nytimes.com/2025/07/04/h...
SSA BS.
Is this politicization a first? Just got an email from the Social Security Administration patting the President on the back for the budget-busting bill
Irony (one of many) is that the bill changes the taxation of benefits in a way that threatens to deplete the fund a year early.
Is this politicization a first? Just got an email from the Social Security Administration patting the President on the back for the budget-busting bill
Irony (one of many) is that the bill changes the taxation of benefits in a way that threatens to deplete the fund a year early.
July 4, 2025 at 12:44 PM
SSA BS.
Is this politicization a first? Just got an email from the Social Security Administration patting the President on the back for the budget-busting bill
Irony (one of many) is that the bill changes the taxation of benefits in a way that threatens to deplete the fund a year early.
Is this politicization a first? Just got an email from the Social Security Administration patting the President on the back for the budget-busting bill
Irony (one of many) is that the bill changes the taxation of benefits in a way that threatens to deplete the fund a year early.
Yesterday, a friend said that last year, when reading my novel, Death of the Great Man, she had found an important section implausible. The protagonist's daughter-in-law, although married to an American citizen & under consideration for a Green Card, is suddenly slated to be deported to a war zone.
May 25, 2025 at 1:02 PM
Yesterday, a friend said that last year, when reading my novel, Death of the Great Man, she had found an important section implausible. The protagonist's daughter-in-law, although married to an American citizen & under consideration for a Green Card, is suddenly slated to be deported to a war zone.
Listening to a podcast about the Ortega y Gasset's Revolt of the Masses (1929) which, for my sins, I have not read. He warns that in modern democracy, the masses become spoiled children who enact spiritual barbarism based in a lack of awareness of the history of institutions.
May 24, 2025 at 8:43 PM
Listening to a podcast about the Ortega y Gasset's Revolt of the Masses (1929) which, for my sins, I have not read. He warns that in modern democracy, the masses become spoiled children who enact spiritual barbarism based in a lack of awareness of the history of institutions.
Reposted by Peter D. Kramer
@peterdkramer.bsky.social recent novel is worth your attention www.peterdkramer.com/death-of-the...
Death of the Great Man — Peter D. Kramer
www.peterdkramer.com
May 23, 2025 at 12:56 PM
@peterdkramer.bsky.social recent novel is worth your attention www.peterdkramer.com/death-of-the...
Medicare cuts. They're real.
4% per year x 10 years
if the House bill passes the Senate unchanged.
www.washingtonpost.com/business/202...
4% per year x 10 years
if the House bill passes the Senate unchanged.
www.washingtonpost.com/business/202...
Trump and GOP’s tax bill would force cuts to Medicare, CBO says
Some $500 billion in cuts to Medicare could be avoided if Congress instructs the White House budget office to disregard the reconciliation package’s debt impact.
www.washingtonpost.com
May 22, 2025 at 2:47 PM
Medicare cuts. They're real.
4% per year x 10 years
if the House bill passes the Senate unchanged.
www.washingtonpost.com/business/202...
4% per year x 10 years
if the House bill passes the Senate unchanged.
www.washingtonpost.com/business/202...
I just came across an email saying that three days ago, Psychology Today re-featured an essay of mine from 10 years ago that maybe does still have something to say about (our current whipping boys) antidepressants and the clinicians who use them. Take a look.
www.psychologytoday.com/us/blog/in-p...
www.psychologytoday.com/us/blog/in-p...
May 18, 2025 at 5:24 PM
I just came across an email saying that three days ago, Psychology Today re-featured an essay of mine from 10 years ago that maybe does still have something to say about (our current whipping boys) antidepressants and the clinicians who use them. Take a look.
www.psychologytoday.com/us/blog/in-p...
www.psychologytoday.com/us/blog/in-p...
It's possible that in the markets, US corporations have enjoyed a stability premium—up-valuation based on their being housed in a strong, predictable economy. Will they now, due to Trump's impulsivity & wrongheadedness, suffer an instability penalty, lower valuation simply for being based in the US?
April 21, 2025 at 3:06 PM
It's possible that in the markets, US corporations have enjoyed a stability premium—up-valuation based on their being housed in a strong, predictable economy. Will they now, due to Trump's impulsivity & wrongheadedness, suffer an instability penalty, lower valuation simply for being based in the US?
Hate to say this, but you've gotta head to X & explore the posts around this clever realization by James Surowiecki. He figured out the formula the While House used, which has nothing to do with reciprocal tariffs—& the Administration inadvertently confirmed his finding.
x.com/JamesSurowie...
x.com/JamesSurowie...
James Surowiecki on X: "Just figured out where these fake tariff rates come from. They didn't actually calculate tariff rates + non-tariff barriers, as they say they did. Instead, for every country, they just took our trade deficit with that country and divided it by the country's exports to us. So we" / X
Just figured out where these fake tariff rates come from. They didn't actually calculate tariff rates + non-tariff barriers, as they say they did. Instead, for every country, they just took our trade deficit with that country and divided it by the country's exports to us. So we
x.com
April 3, 2025 at 7:39 PM
Hate to say this, but you've gotta head to X & explore the posts around this clever realization by James Surowiecki. He figured out the formula the While House used, which has nothing to do with reciprocal tariffs—& the Administration inadvertently confirmed his finding.
x.com/JamesSurowie...
x.com/JamesSurowie...
Not sure how I missed this highly distressing piece by Thomas Edsall in @nytimes.com. It should have gotten more play. Trump is running what, in my novel Death of the Great Man, characters call a thanatocracy, government out to kill its own citizens (& others).
www.nytimes.com/2025/03/25/o...
www.nytimes.com/2025/03/25/o...
Opinion | ‘It Is Hard to Imagine a More Sweeping Agenda to Make Americans Less Healthy’
Trump says one thing about toxins and does another.
www.nytimes.com
March 30, 2025 at 1:08 PM
Not sure how I missed this highly distressing piece by Thomas Edsall in @nytimes.com. It should have gotten more play. Trump is running what, in my novel Death of the Great Man, characters call a thanatocracy, government out to kill its own citizens (& others).
www.nytimes.com/2025/03/25/o...
www.nytimes.com/2025/03/25/o...
Reposted by Peter D. Kramer
The president has no unilateral power to slash the budget passed by Congress. We cover *every* aspect of the argument for presidential impoundment power and show that nothing in the Constitution, federal case law, or American history supports it. Summarized: www.ifyoucankeepit.org/p/musk-and-v...
March 17, 2025 at 7:40 PM
The president has no unilateral power to slash the budget passed by Congress. We cover *every* aspect of the argument for presidential impoundment power and show that nothing in the Constitution, federal case law, or American history supports it. Summarized: www.ifyoucankeepit.org/p/musk-and-v...
Re-upping for the daytime crowd:
"Stop saying 'continuing resolution.' Start saying blank check for Elon Musk."
@jfallows.bsky.social on why Democratic Senators should vote No.
fallows.substack.com/p/the-only-p...
"Stop saying 'continuing resolution.' Start saying blank check for Elon Musk."
@jfallows.bsky.social on why Democratic Senators should vote No.
fallows.substack.com/p/the-only-p...
‘The Only Practical Check That’s Left Is the Power of the Purse.’
In the baffling haze of dealing with ‘everything, all the time,' a few clear signals of where to take a stand. Let's start with Democrats all voting NO on a blank check for Elon Musk.
fallows.substack.com
March 12, 2025 at 6:01 PM
Re-upping for the daytime crowd:
"Stop saying 'continuing resolution.' Start saying blank check for Elon Musk."
@jfallows.bsky.social on why Democratic Senators should vote No.
fallows.substack.com/p/the-only-p...
"Stop saying 'continuing resolution.' Start saying blank check for Elon Musk."
@jfallows.bsky.social on why Democratic Senators should vote No.
fallows.substack.com/p/the-only-p...
I need to post this note to correct an earlier one that got a lot of play.
For patients on Medicare and Medicaid, to cover PAXLOVID now that the government subsidy has lapsed, Pfizer has extended the Paxcess program. paxlovid.iassist.com . It's not insurance, but it provides free coverage.
For patients on Medicare and Medicaid, to cover PAXLOVID now that the government subsidy has lapsed, Pfizer has extended the Paxcess program. paxlovid.iassist.com . It's not insurance, but it provides free coverage.
PAXCESS Patient Support Program
paxlovid.iassist.com
March 11, 2025 at 5:46 PM
I need to post this note to correct an earlier one that got a lot of play.
For patients on Medicare and Medicaid, to cover PAXLOVID now that the government subsidy has lapsed, Pfizer has extended the Paxcess program. paxlovid.iassist.com . It's not insurance, but it provides free coverage.
For patients on Medicare and Medicaid, to cover PAXLOVID now that the government subsidy has lapsed, Pfizer has extended the Paxcess program. paxlovid.iassist.com . It's not insurance, but it provides free coverage.
PAXLOVID alert.
Went to a pharmacy to pick up a Paxlovid Rx for (for real) a friend. Out-of-pocket cost for one course of treatment was almost $800, discounted from Pfizer's charge of $1500.
Medicare subsidy for Paxlovid expired 2 weeks ago, & no one has given thought to how to make it accessible.
Went to a pharmacy to pick up a Paxlovid Rx for (for real) a friend. Out-of-pocket cost for one course of treatment was almost $800, discounted from Pfizer's charge of $1500.
Medicare subsidy for Paxlovid expired 2 weeks ago, & no one has given thought to how to make it accessible.
March 11, 2025 at 2:56 PM
PAXLOVID alert.
Went to a pharmacy to pick up a Paxlovid Rx for (for real) a friend. Out-of-pocket cost for one course of treatment was almost $800, discounted from Pfizer's charge of $1500.
Medicare subsidy for Paxlovid expired 2 weeks ago, & no one has given thought to how to make it accessible.
Went to a pharmacy to pick up a Paxlovid Rx for (for real) a friend. Out-of-pocket cost for one course of treatment was almost $800, discounted from Pfizer's charge of $1500.
Medicare subsidy for Paxlovid expired 2 weeks ago, & no one has given thought to how to make it accessible.
Reposted by Peter D. Kramer
History will remember this day— when an American President and Vice President abandoned all we stand for.
February 28, 2025 at 6:38 PM
History will remember this day— when an American President and Vice President abandoned all we stand for.
Reposted by Peter D. Kramer
Generations of American patriots, from our revolution onward, have fought for the principles Zelenskyy is risking his life to defend. But today, Donald Trump and JD Vance attacked Zelenskyy and pressured him to surrender the freedom of his people to the KGB war criminal who invaded Ukraine.
ZELENSKYY: Putin broke the ceasefire. What kind of diplomacy, JD, are you speaking about?
VANCE: I think it's disrespectful to come into the Oval Office and try to litigate this in front of the American media
VANCE: I think it's disrespectful to come into the Oval Office and try to litigate this in front of the American media
February 28, 2025 at 6:38 PM
Generations of American patriots, from our revolution onward, have fought for the principles Zelenskyy is risking his life to defend. But today, Donald Trump and JD Vance attacked Zelenskyy and pressured him to surrender the freedom of his people to the KGB war criminal who invaded Ukraine.
In Trump's 1st term, Covid upended the economy via illness, unemployment, supply chain disruptions, & later inflation.
Now, he seems intent on destroying a flourishing economy by creating illness, unemployment, supply chain disruptions, & inflation.
Hoping I'm wrong—but that if not, voters notice.
Now, he seems intent on destroying a flourishing economy by creating illness, unemployment, supply chain disruptions, & inflation.
Hoping I'm wrong—but that if not, voters notice.
February 28, 2025 at 3:52 PM
In Trump's 1st term, Covid upended the economy via illness, unemployment, supply chain disruptions, & later inflation.
Now, he seems intent on destroying a flourishing economy by creating illness, unemployment, supply chain disruptions, & inflation.
Hoping I'm wrong—but that if not, voters notice.
Now, he seems intent on destroying a flourishing economy by creating illness, unemployment, supply chain disruptions, & inflation.
Hoping I'm wrong—but that if not, voters notice.
@jfallows.bsky.social on how Trump's & Musk's mindless destruction of the advisory system for air safety is a marker for destruction of other systems that make us safe—and economically competitive.
open.substack.com/pub/fallows/...
open.substack.com/pub/fallows/...
‘They Were Careless People’: Taking Moments to Tear Down What Has Taken Lifetimes to Create.
The zealots of Doge and Project 2025 are out to ‘cut waste.’ They will certainly cost lives: An example from aviation.
open.substack.com
February 25, 2025 at 10:12 PM
@jfallows.bsky.social on how Trump's & Musk's mindless destruction of the advisory system for air safety is a marker for destruction of other systems that make us safe—and economically competitive.
open.substack.com/pub/fallows/...
open.substack.com/pub/fallows/...