Saturday, August 19, 2017

Comments by dfk

Showing 23 of 23 comments.

  • I think the comparison of toxic stress to actual diseases is a bad idea. In a disease, there is some process that affects the cells and what they do, but stress is a cognitive thing, so the brain is forming memories, ways to cope, and cognitive defensive reactions. The brain is not damaged like in a disease, there are new connections and additions to fend off the threats that come from dysfunctional environments. We should keep making the distinction that drugs are for actual diseases, but for mental states, we need something else, because those are not actual diseases.

  • I think psychiatrists are like other people, in that when they feel that certain things must be so, and that feeling is very strong, they come to a point where they consciously decide that they should believe it. They no longer leave it as an open question. They know somewhere in themselves, that they can’t possibly be certain, but they have given in to the feelings, they have surrendered their reason to their emotions. When other people do that, they call it psychosis, but when the professional people do that, they call it something else, more honorable, but it’s the same thing.

  • The way I see this is that each person’s experience with a given drug is one anecdote, as in I know this person who…. and so on. I thought the point was, if you then plot each anecdote on the graph (I assume there would be more dots on the graph than shown), you would see the aggregate picture, you get to see all the anecdotes in one place. Then you can get a rough idea of the odds that you will be helped or harmed by this drug. Along the horizontal axis in the time line, so this is when the anecdotes were recorded. I think the graph makes the point.

  • I think that everyone has the need to be seen, heard, understood, and their feelings respected, no matter what those feelings are. And that ordinary people who want to help another can supply this need to those around them if they are determined. That to me is better than any therapy applied by the current system.

    One thing I have never heard mentioned on this site is the Internal Family Systems model and therapy that I read about by Richard Schwartz. It says that we are all multiply part personalities, and it’s about being friendly and considerate to all our parts and allowing our true self to be in the leadership of our minds. It seems like a good idea, certainly kinder and more considerate than the psychiatry system. In that system you fulfill the need to be heard of each part of your mind to get them all working together. And if our minds are multiple parts, then that explains some of the intricate ways in which symptoms present, and to me invalidates the DSM labels.

  • That actually sounds like some kind of military training, where there is a lot of screaming and toughening up. It reminds me of the Daniel Mackler video, where he says that most psychotherapy just helps people dissociate from their feelings, and that makes them actually feel better. But then they end up doing different harmful, addictive, dangerous things to keep their feelings blocked. I have read that there are a lot of sociopaths in the world who are very successful because they don’t have any feelings of conscience to interfere with their business practices.

  • I would think if therapists had many effective methods, and just needed to find the right one, they would want feedback. But since they usually don’t, I question that they really have that many tools. Unless the client can tell them how to do their job, they wouldn’t know what to do with the feedback.

  • It’s not that mature adult leadership for teenagers would be nice, it is essential. The premise that if only kids would be nicer to each other, you can avert tragedy, is flawed to begin with. What I think should come out of a story like this is that what is considered normal for adolescents is in fact a complete aberration of human needs. You can’t combine immature individuals together and expect mature results. And yet for typical teenagers, they are left to their own devices, because adults, the parents, have lost their instinct to assume the role they should have.

    Metal health professionals typically take a mechanical approach to emotional needs. It doesn’t work that well. A child needs an emotionally responsive go to person who has a stake in the child’s life. A child needs to have power in this relationship so he can share his inside world of feelings with a person of some importance. This is foundational, what is needed without question, in every life.

  • My mother was paranoid, and one of her beliefs was that people would put things in her food. I would get her groceries and she would ask if I had put something in her milk, and I would say no. But she would say she knew I did that. Sometimes I would get outraged about it, but she was undaunted. Now I wonder if I had said, oh, you feel like I spiked your milk, and just let the conversation go from there, never telling her my version of what I knew to be reality. Maybe a lot of why she felt that way could have been revealed. She saw many psychiatrists, took many drugs, and never did change her mind.

  • I’ve talked to a handful of therapists, and most have not helped, so I have had various theories about what they should have been doing. My latest thought is that a therapist should make expressing your feelings a positive experience, and nothing more. When they give advice, it just makes things worse. One that I spoke to listened for a short time, and then told me I should go home and take up knitting, and he even wrote it down on a piece of paper and gave it to me. I wish I was making that up.

  • It seems like what’s needed is a more humane and ethical treatment of people in distress. What if someone very influential wrote something which changed the public’s perception of those who have painful emotional problems?

    What it could say is that the brain is like a computer, and has software and hardware. The hardware is the neurons, and the software is the meanings in the organized connections between the neurons.

    Now the basic idea with the article is that mental distress is mostly a software problem, not a hardware problem. In fact, the brain’s hardware conforms to the software. It increases or decrease it’s resources to accommodate the software.

    All that is done by drugs is to interfere with the hardware so it can’t efficiently run the software. But this is an impossible job to do without undesirable side effects, just like in a computer in which you sabotaged the hardware by cutting wires and circuit traces to inhibit some rogue software.

    And now the clincher is that you say something like, if a person can become part of a social grouping in which they are unconditionally accepted and acceptable, their brain software is gradually rewritten and new software put in place that will allow them to feel much better.

    The goal is to have an analogy that ordinary people can understand. Of course it would be written better than this, but I hope you can see what I’m getting at.

  • Insanity is probably defined as when a person’s feelings are so extreme and disabling that they can’t function as the culture they live within requires. And culture is defined as the way people do things because that’s the way people are doing things. Our culture is becoming more heterogeneous than we humans were designed for.

  • I have been a very anxious person throughout life, and talked to several therapists, tried a couple of medications which didn’t do much one way or the other. None of these therapists really had any insight to offer about my problems, either what to do about them, or where they came from. Since reading on the internet, I have come to realize that early developmental emotional neglect is the source. I have come to wonder if developmental traumas are not the source of most distress. But it seems like most people are not very curious about whether that could be true. It’s almost like they are fond of their own ignorance. People seem to instinctively avoid any area of discussion which could make them responsible for some one else’s problem, even if they were ignorant of what they were doing at the time.

  • Sometimes the language in the articles and replies is hard to follow, but I think this article really captures what others on this website have said, that the social and emotional connections in childhood really are what causes later mental distress. And the distress is a reaction of the brain to an unnatural environment, and not something wrong with the “hardware.” And the point of trying to work at prevention is also very important. But it is hard for people to just read about how to provide the right environment for their children and then actually do it. And it seems very hard to provide a way to remedy mental problems once they happen, but I think that the social and emotional connection remedy, if it can be done, is vastly better than even considering medications. My own mother lived most of her life on several meds for schizophrenia. It is too bad that some other kind of help was not available. For some reason I will never fathom, it seems like we do just about anything for people with problems other than the one thing that will really help them, and I think this article kind of makes this point.

  • Good comment. I think there is a subtle but important message that we need to get from parents or from others, which is “you’re just as human as I am, and you’re a real person just like me.” We really need to be “one of” and “ourselves.”

  • I have heard the analogy that people, like plants that need the right sun, water, and soil, need the right social, emotional environment to do well. I can see that my beginnings with parents who were stressed, emotionally closed off to me, one schizophrenic, had a lot to do with my experience of a lifetime of anxiety. I sometimes feel that even now if I could find a way to construct a good social environment, that I could make progress to feeling better, but I see that as impossible. My experience with psychotherapy is that if you find one that uses a person to person approach, it is a lot more helpful than one that uses the standard professional advice giver approach, which is most of them.

  • I agree very much with this article.

    I think mental distress comes from the instinctive reactions to an unhealthy social environment, mostly in childhood. And the symptoms of mental illnesses are the survival adaptations. Most therapy tries to suppress these adaptations through medications or talk.

    But the problem is that to our subconscious mind we only have one choice: to use them or to not survive.

    What we really need is another choice, which would come from experience in a healthy social environment. The problem we have is a scarcity of healthy social environments.