Mykola Iabluchanskyi

Current psychiatric classifications use the term   post‑traumatic stress disorder   ( PTSD ) to describe reactions to traumatic events. It is a useful, but historically “peaceful” concept: the event happened, it ended, and now we are dealing with the after‑effects. For countries living through prolonged war, this assumption does not hold. The traumatic event does not end. It continues, changes, returns in new forms, and affects not only individuals but entire societies. To describe this reality, we introduce the concept of   Continuous Collective Traumatic Stress Disorder . Today’s Ukraine is a real‑time example of such a state. Shelling, losses, displacement, economic instability, constant anxiety for loved ones, chronic fatigue, information overload, political and social tensions — this is not “one trauma,” but a persistent background. A person does not return from “the event” to a safe environment. They live in an environment where threat and uncertainty have become n...

Сучасні класифікації психічних розладів оперують терміном «посттравматичний стресовий розлад» (ПТСР) для опису реакцій на пережиту травму. Це корисна, але історично мирна концепція: «подія сталася», минула, і далі ми маємо справу з наслідками. Для країн, які живуть у довготривалій війні, це припущення не працює. Травматична подія не закінчується. Вона триває, змінюється, повертається у нових формах, охоплює не лише індивідуума, а ціле суспільство. Саме для опису цієї реальності ми вводимо поняття  безперервного колективного травматичного стресового розладу . Україна сьогодні — приклад такого стану в реальному часі. Обстріли, втрати, вимушене переселення, економічна нестабільність, постійна тривога за близьких, хронічна втома, інформаційний шум, політичні й соціальні конфлікти — усе це не «окрема травма», а фон, який не зникає. Людина не повертається з «події» у безпечне середовище. Вона живе в середовищі, де загроза й невизначеність стали нормою. Те саме стосується й колективу: гро...

As chronic illness becomes the norm rather than the exception, medicine must relearn its purpose — not to cure, but to guide the living system toward sustainable equilibrium . There is a point in the arc of a life when medicine stops being about defeating disease and starts being about something harder to name. The infections that once cleared, the fractures that once knitted, the recoveries that once surprised everyone — these still happen. But they happen against a background that has shifted. The body's reserves are thinner. The diseases are no longer visitors; they have moved in. And the physician's task is no longer simply to cure but to help a person live well inside conditions that will not be reversed. This is the territory of what we might call wellspan medicine — a medicine oriented not toward the elimination of illness but toward the preservation of capacity, coherence, and meaning across the second half of life. TWO PRINCIPLES Wellspan medicine rests on two connec...

There comes a moment in the life of many clinicians when fatigue no longer feels like fatigue. It becomes irritation. Then distance. Then a hardening of the voice. A patient begins to speak, and instead of attention, the doctor feels resistance. Another complaint, another demand, another endless explanation, another emotional storm to absorb. The profession that once felt meaningful begins to feel like a siege. This is dangerous not only for doctors, but for patients, teams, and institutions. We speak often about burnout as if it were only exhaustion. It is not. Burnout is also the erosion of emotional flexibility . It is the loss of inner space between what comes toward us and how we respond. When that space collapses, every difficult patient feels like a personal attack, every complaint feels unfair, every correction from leadership feels humiliating, and every working day becomes a test of survival. What, then, can a clinician do when patience is no longer natural? One answer may s...

Artificial intelligence is not simply changing education; it is dissolving the old structure on which education was built. For generations, learning was organized around institutions, credentials , and the assumption that students would spend years preparing before entering “real life.” We believe that this model is now breaking down. In its place, a more fluid and global learning environment is emerging, where intelligence is no longer stored mainly inside schools and universities but is woven into daily life. This shift creates new opportunities, but it also creates real danger. Our concern is not only that AI can do more and more tasks for students and teachers. It is that people may begin to give away the hard inner work of thinking itself. When polished answers come instantly, it becomes easier to skip struggle, reflection, doubt, and discovery. Over time, that can weaken the very human capacities education is supposed to develop. This is why we describe the present moment as a c...