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So you think the effects lie at the conceptual/existential plane of our brains rather than the neurobiological one?

I don't think there's a neat distinction separating the two.

Or, I could have just as well answered "both, but medicine is ignoring one".

Oh to me there's an easy one:

- conceptual layer failure => asylum

- neurobio layer failure => life support

The people running the asylum reject that distinction, as do the people running the hospitals.

care to educate me further ?

Why not either? Or both?