Thursday, May 23, 2019

Comments by lloydr

Showing 6 of 6 comments.

  • “One would be: intervene and identify early. And we should begin with screening: in schools, colleges, primary care settings, workplace. In individuals who are identified as having symptoms or in incipient stages or at imminent risk, referrals could be made to specialized programs for mood, anxiety, psychotic disorders, that had an array of different services that are evidence based and known to help.”

    I find this highly disturbing.

    In my view, some psychiatrists dream of psychiatry establishing a “moral dictatorship”, a totalitarian system. They believe psychiatry’s benevolence is only limited by its power. They aren’t aware of the fact that they have self-interests which in times conflict with their patients’ self-interests, not to mention the role of interests of other parties like relatives or society. They are blind to the limits of their knowledge and to the fact that they at times make mistakes, huge mistakes.

    They haven’t learned from history. There have already been attempts to build moral dictatorships.

  • They should also check whether the person is rational and wants to be “saved”. If the person is rational and doesn’t want to be saved, no coercion should be exercised. I think forcing a person to exist is unethical.
    The other question is whether the psychiatrist would want to suicide if they were in the position of the suicidal patient. Treating a patient worse (limiting their freedom) than you would like to be treated in the patient’s position is unethical, too.

  • “love is the most powerful evidence-based treatment”
    Since a stay in a psychiatric hospital can be damaging or unhelpful, I have wondered whether even a fetish clinic may produce better results in the short term in some cases. Of course, actual love is a different thing entirely.

    Regarding monitoring mental wellbeing of society. A reduction in suicide rates does not necessarily indicate higher wellbeing. It is possible that aggressive suicide prevention simply makes suffering less visible.

  • “‘In the last year, we’ve helped first responders quickly reach around 3,500 people globally who needed help,’ Mr. Zuckerberg wrote”

    Should Mr. Zuckerberg ever decide life doesn’t make sense for him anymore, will he get help too, or will he insist he has the right to end it? Obviously, he is unwilling to leave that decision to users of his platform when it is about their lives.