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“What he uttered is just sophism of an imbecile bereft of elementary quality as a human being, let alone a politician,” the North Korean news agency said.

That prompted a Foreign Ministry official to say Pompeo had been “letting loose reckless remarks and sophism of all kinds against us every day.”

It called his speech at the UN "thrice-cursed sophism made by the mentally deranged hooligan".

“This thrice-cursed sophism made by the mentally deranged hooligan has shocked the whole world,” the news agency said.

Guidelines as a Disservice But for us it is not “truth” but an erosion of the patient-physician contract for an empathic trusting relationship and more often than not, a sophism.