Dina Paul
@dinapaul.com
Retired clinical social worker, LCSW. Thirty years in child welfare, psychiatric crisis work and nursing homes. Essays about care. THE ROOM THEY GAVE ME, a memoir, finished and with publishers. Notes on Care, a monthly letter. Asheville, NC.
Pinned
Dina Paul
@dinapaul.com
· 11d
Thirty years a clinical social worker: child welfare, psych crisis, ERs, nursing homes. Retired from practice, writing essays about care and the rooms nobody sees. The Room They Gave Me: A Memoir of Care is out with publishers. Asheville. Caregivers, nurses, aides, writers: tell me who to read.
Hello,
Please read and subscribe to my newsletter Notes on Care.
First issue is out and includes my recent published article on Nursing Home Orphans, an issue I am passionate about.
Next issue is about my month and Mayo “from the other chair”
dinapaul1.substack.com/p/the-reside...
Please read and subscribe to my newsletter Notes on Care.
First issue is out and includes my recent published article on Nursing Home Orphans, an issue I am passionate about.
Next issue is about my month and Mayo “from the other chair”
dinapaul1.substack.com/p/the-reside...
The residents no one visits
Notes on Care · Issue 1
dinapaul1.substack.com
November 8, 2026 at 3:34 PM
Hello,
Please read and subscribe to my newsletter Notes on Care.
First issue is out and includes my recent published article on Nursing Home Orphans, an issue I am passionate about.
Next issue is about my month and Mayo “from the other chair”
dinapaul1.substack.com/p/the-reside...
Please read and subscribe to my newsletter Notes on Care.
First issue is out and includes my recent published article on Nursing Home Orphans, an issue I am passionate about.
Next issue is about my month and Mayo “from the other chair”
dinapaul1.substack.com/p/the-reside...
Reposted by Dina Paul
Reposted by Dina Paul
#Narcissism is a real thing, and #empathy that is not performative is a major challenge for me. Even my instinct to examine my own favorite writer and evaluate his work as it relates to, um, myself is, let's face it, symptomatic...
yusuftoropov.substack.com/p/the-proble...
yusuftoropov.substack.com/p/the-proble...
November 7, 2026 at 5:32 PM
#Narcissism is a real thing, and #empathy that is not performative is a major challenge for me. Even my instinct to examine my own favorite writer and evaluate his work as it relates to, um, myself is, let's face it, symptomatic...
yusuftoropov.substack.com/p/the-proble...
yusuftoropov.substack.com/p/the-proble...
Reposted by Dina Paul
#NPD and not evil. Just prone to freeze up at inopportune moments.
yusuftoropov.substack.com/p/npd-and-no...
yusuftoropov.substack.com/p/npd-and-no...
November 4, 2026 at 2:17 PM
#NPD and not evil. Just prone to freeze up at inopportune moments.
yusuftoropov.substack.com/p/npd-and-no...
yusuftoropov.substack.com/p/npd-and-no...
Reposted by Dina Paul
“Objective judgment, now, at this very moment. Unselfish action, now, at this very moment. Willing acceptance—now, at this very moment—of all external events. That’s all you need.” — Marcus Aurelius
August 6, 2025 at 7:24 AM
“Objective judgment, now, at this very moment. Unselfish action, now, at this very moment. Willing acceptance—now, at this very moment—of all external events. That’s all you need.” — Marcus Aurelius
The residents no one visits
Notes on Care · Issue 1
dinapaul1.substack.com
November 3, 2026 at 4:50 PM
November 3, 2026 at 4:40 PM
Reposted by Dina Paul
Book as quilt
Listeners to the work in progress
yusuftoropov.substack.com
November 3, 2026 at 9:11 AM
Reposted by Dina Paul
#Empathy in #NPD is not necessarily absent;it can fluctuate
We recognize another person's distress but struggle to respond
Shame, fear, vulnerability, overload can interfere w/empathic engagement
Withdrawal can occur at the moment emotional engagement is expected
pmc.ncbi.nlm.nih.gov/articles/PMC...
We recognize another person's distress but struggle to respond
Shame, fear, vulnerability, overload can interfere w/empathic engagement
Withdrawal can occur at the moment emotional engagement is expected
pmc.ncbi.nlm.nih.gov/articles/PMC...
Empathy in Narcissistic Personality Disorder: From Clinical and Empirical Perspectives
Narcissistic personality disorder (NPD) is associated with an assortment of characteristics that undermine interpersonal functioning. A lack of empathy is often cited as the primary distinguishing fea...
pmc.ncbi.nlm.nih.gov
November 2, 2026 at 8:24 AM
#Empathy in #NPD is not necessarily absent;it can fluctuate
We recognize another person's distress but struggle to respond
Shame, fear, vulnerability, overload can interfere w/empathic engagement
Withdrawal can occur at the moment emotional engagement is expected
pmc.ncbi.nlm.nih.gov/articles/PMC...
We recognize another person's distress but struggle to respond
Shame, fear, vulnerability, overload can interfere w/empathic engagement
Withdrawal can occur at the moment emotional engagement is expected
pmc.ncbi.nlm.nih.gov/articles/PMC...
The residents no one visits are the ones nobody counts.
My guest column in today's Asheville Citizen Times, on nursing home orphans, consistent assignment, and the ombudsman most families have never heard of.
www.citizen-times.com/story/opinio...
My guest column in today's Asheville Citizen Times, on nursing home orphans, consistent assignment, and the ombudsman most families have never heard of.
www.citizen-times.com/story/opinio...
Opinion: Nursing home orphans
The residents no one visits are the ones nobody counts.
www.citizen-times.com
November 1, 2026 at 4:41 PM
The residents no one visits are the ones nobody counts.
My guest column in today's Asheville Citizen Times, on nursing home orphans, consistent assignment, and the ombudsman most families have never heard of.
www.citizen-times.com/story/opinio...
My guest column in today's Asheville Citizen Times, on nursing home orphans, consistent assignment, and the ombudsman most families have never heard of.
www.citizen-times.com/story/opinio...
I’ve been writing for decades, but this past year I was especially hard to interrupt. My husband, Brian, and our poodle, Jasper, have opinions.
#WritingCommunity #Memoir
#WritingCommunity #Memoir
October 31, 2026 at 2:44 AM
I’ve been writing for decades, but this past year I was especially hard to interrupt. My husband, Brian, and our poodle, Jasper, have opinions.
#WritingCommunity #Memoir
#WritingCommunity #Memoir
Thirty years a clinical social worker: child welfare, psych crisis, ERs, nursing homes. Retired from practice, writing essays about care and the rooms nobody sees. The Room They Gave Me: A Memoir of Care is out with publishers. Asheville. Caregivers, nurses, aides, writers: tell me who to read.
October 28, 2026 at 10:42 PM
Thirty years a clinical social worker: child welfare, psych crisis, ERs, nursing homes. Retired from practice, writing essays about care and the rooms nobody sees. The Room They Gave Me: A Memoir of Care is out with publishers. Asheville. Caregivers, nurses, aides, writers: tell me who to read.