Generally Speaking

The Paradox of Progress revisited

The gifted blogger Richard Emerson has recently done me the honour of making me one of the first to be featured in his new podcast ‘Conversations about philosophy, science, mythology, good life, travels, and the big questions!

In this conversation we revisit my 1995 book The Paradox of Progress together and discuss striking links with Iain McGilchrist’s The Master and His Emissary (2009), and what has turned out to be its magisterial follow-up, The Matter with Things (2021).

Daunting company

This has taken me back to the period of several years in the 90s during which I, a perfectly ordinary NHS GP, was asked to write about the book, give formal lectures and address numerous meetings, including one in The Hague – when the President of the Dutch College of GPs invited me to give the opening keynote of their annnual congress with the wonderful words, ‘Your book puts words to feeling that are felt by many Dutch GPs‘. A third of all the GPs in Holland were in the hall – 1,500 of them – and I remember they all arrived by bicycle or public transport.

With his friendly, informal style, his distinctive Norwegian accent, his wide-ranging erudition, and his insight, Richard Emerson is the ideal intervewer. I found he had picked out perfect extracts from my book to guide our conversation, showing the links with McGilchrist and showing how much we were on the same wavelength as we explored these fascinating and immensely important ideas.

Here is one extract he picked out:

We use the word ‘unbalanced’ to describe an insane mind. Thus the accumulated wisdom embodied in the very language we speak acknowledges the fundamental role of balance in the definition of sanity. So when I say that the common mind of our society is unbalanced, I am making a very serious diagnosis. I am saying that the common mind of society is, to some extent, insane. But that is what I do say.

The Paradox of Progress, Chapter 11 : Good Intentions

I’d love people to hear my conversation with Richard. I think it puts words to feelings that are just as widely shared as they were 25 years ago, and are no less crucially important: Link to the conversation/podcast


My book was reprinted three times by Radcliffe Medical Press, one of their most successful titles ever, but has been out of print since they were taken over many years ago. I have long sought ways to make it available once again. So the other thing that Richard has done for me is to introduce me to Payhip – a simple way to publish a pdf version of a book and make it available for download for a modest charge:

Link to downloadable pdf of The Paradox of Progress

This complements the online version which has been free to read ever since I placed it on my website some twenty years ago. It is complete with a clickable index of ideas in the book, which as far as I know is rarely used, but might help some people:

Link to The Paradox of Progress on my old website

The importance of being honest.

My teenage grandson called me 10 days ago saying he wanted to talk about the BBC relay of Prime Minister’s Questions that he had been watching earlier (at school – don’t ask, but he is doing Politics and Ethics).

He wanted to discuss the matter of our nation’s Prime Minister lying through his teeth. Again.

So, after we’d growled together about that for a bit, I asked him, hoping it didn’t sound patronising, or grand-patronising, whether he thought this behaviour was setting a terrible example to young people,

Yes, yes, exactly. Absolutely. And what’s more – and to me even more importantly – he absolutely agreed that the leader of the opposition, Keir Starmer, across the House from Johnson, was a patently honest man.

Read more…

Old talks that still seem relevant

I am still working out how best to use this site.

Although it got several likes, which were much appreciated, I think my Sea Monster and the Whirlpool address is much better placed on its own page rather than here on the chronological blog. So I have moved it to its own page, tidied up the formatting and added some of the slides. That lecture, which I gave as the keynote on ‘Science’ to the 50th Anniversary Symposium of the Royal College of GPs, attracted thousands of hits when I posted it on my first website www.friendsinlowplaces.co.uk and was largely responsible for me coming up as the first ‘James Willis’ on Google for several years a decade or so ago – not bad for what is a fairly common name.

I have now added another talk which meant a lot to me and which I still believe said something important. Professionalism – Red and Grey – discussing the meaning of that confusing word and arguing that we need to restore respect for its more subtle, but ultimately more fundamental, colour. Flavour, if you like. Of course, I would love to receive comments, contributions and discussion. To this end, I have appended the complicated Venn diagram of the two aspects which I and my colleagues developed at the time – you can see that it is very much work in progress. If you are intrigued, have a look at the talk itself.

Red Grey chart