(10-07-2025, 08:05 AM)Astyanax Wrote: You sound angry. Have you had bad personal encounters with the psychiatric profession at some time in your past?
In my view, psychiatry can be enormously helpful to sufferers from various mental disorders. That we sometimes don't quite know how it works is not a disqualification – the same is true of a number of medicines and procedures used to treat physical illnesses. In fact, there was an era in medicine, ending less than two hundred years ago, when doctors had no understanding of how any treatment worked, except for surgery.
Replying your points, as numbered above:
1. This sounds rather cynical, unless you believe astrology, numerology and the Tarot can help people understand and cope with mental illness as well as psychiatry can. That is manifestly untrue. People who undergo analysis do often improve or recover – by their own report and that of others, including clinicians. You are presuming a false equivalence.
2. I have no idea what you mean. Perhaps you could clarify, or rephrase.
3. This has nothing whatever to do with the points I was making. You seem more concerned with the social or political implications of psychiatry (and giving them a rather paranoid spin) than in discussing whether or not it really helps people.
4. Again, I'm afraid this is quite opaque to me. What system? What does the system want buried? Can a system even have desires? And if it can't (and in fact, it can't), then whose desires are we really talking about?
Thank your for the response...
You are correct regarding a palpable degree of angst and resentment towards the practice of the dance we call Psychiatry.
I do sincerely apologize about that.
This topics' relevance to me may make my assertions unworthy of consideration... (see what I mean? it could also prompt a care provider to respond to how
they "feel" about them.)
I make no assertion that anyone should care to 'dive in' to this aspect of my own perceptions... these are frank perceptions about some very clear events.... buckle up... set sail on the S.S. Intensity....
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I often complain about "systems" that are repeating the same anti-social offenses... acceptable because of "who they are." It is entirely not related to specific people, or even entire offices of those whose hearts are filled by helping others.
My acceptance does not extend to the indoctrination injected into it... ("professionals" do that to nearly everything.)
... It does extend to the heart that wants to soothe and heal... it does extend to the individuals who try their best within a flawed construct.
It's about the "established" construct, the enforced myopia, the refusal to challenge that "commerce" is a "vital" component of healing (As capitalists, and socialists
alike endorse... a thing that
should make everyone say "hmm.")
But I can see how this is neither here nor there to anyone who is vested or entrenched in it.
I am always trying to remain dispassionate in analysis... but here.... this is a subject in which "i have directly observed" actual ongoing reality;
- not some narrative from generations past, in which everyone is twisted with a dark desire to have sex with their parents, and the industry of medicine is near-holy. (Recall those titans of science embraced their own reported narrative.... "we are all 'xyz'...")
- not some clinical theories, celebrity doctor bullshit, televised drama about the honor and dignity of cute "doctors" and their highly entertaining tv-world... nor some Hollywood drama about dissatisfaction with current policies about "coverage." And heroically noble efforts to remedy them.
I have witnessed the truth of reaching out for help... and being "granted" a 10-15 minute audience with someone who already diagnosed from the 'scan' job of your chart. A different 'stable' doctor most times...
He or she checks the table and charts from Pharma... (so much so that it is a "reference" for them)... then embarking on a "try this... try that..." game costing the patient time, money, and probably so much more...
"See you in a month (or two)!" "Let's see how this works...."
Meanwhile the patient's "cycle of care" is etched in insurance company stone. Deviate not... the system knows best.
Leading to: "Sorry.... the 'system" doesn't cover xxx meds.... too bad those are the one's that brought you relief... oh well, let's try something less effective but cheaper... Doesn't work?... Oh well.... let's try this...."
A hundred times too many in my observational experience.... It naturally evokes cynicism and grief to me.
I only share the following as a "bad" experience... which never turned me off to medicine... or even psychiatry... just how people "pretend" that "that's what we're all doing."
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Upon a recent devastating loss... (not seeking condolences)... I had a period of utter despair which, I felt, was making it impossible for me to function in public.
At the behest of my deeply-concerned professional therapist daughter, I sought help... in person, directly....
REFUSED at the
deepest point of need.
Demanded an email address when I
literally had none. "I can't enter you in the system without it."
(I had become displaced, no permanent address...)
I had full ID, full "multiple vestments of care" on the record - I
had coverage...
But
data commerce comes first.
REFUSED TO SEE ME...
Solution 1: I 'pretended' to be suicidal and voluntarily shared imaginary ideation "so they could see me under that pretense." I have
never been suicidal... so no.
Solution 2: Use your daughter's address...
Works for the interface... of course, now
you have "Falsified the record." with whatever that risks.
And they
still can't contact you.... only your daughter. Whom you cannot reach right now.
The solutions were offered with a clear directive in mind...
get the "data" before the care "service." Because we all now how many times people actually
plan to be in emotional crisis... only to skip out on the bill.
Yet they were offered as solutions... I think no one
wanted to say "sorry no help here" so they were trying to help me... I have no hard feelings about that at all...
They are merely "operators" of a system.
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The system is
engineered and operated to first serve 'the system' so many people obtusely refuse to recognize. (Until it hits them in the face.)
My rejections of the psychiatric 'in practice' status quo, and the systemic machinery erected by the insurance industry
(which engendered the most exploitative processes to ensure that being a patient is no longer a temporary situation but a life-long sentence
"the spice must flow.")
... with the "customer" (who is supposed to be a patient) beholden to insurance company 'accounting.'
People like me, who occasionally express themselves as I do, are familiar with spurious intimations of having 'symptoms' of some affectation or another... oddly, the more psychologically indoctrinated the listener, the more specific and refined the label signaling. It's normal to have that for me.
(But admittedly, I was a slow learner... it took me a while to grasp that for many "Anyone who is antagonistic to their profession MUST be suffering from some spectrum of insanity.)
Yet people have
always been socially dysfunctional.
Society is as alive as it's constituents, including aberrations of social behavior...
Psychiatry in my twisted personal vision,
which press-releases, media, and fairy tales suggest is "intended"...
should be patient-centric, but can this be 'that'? really?
That is NOT what's happening... in my experience...
(when to even approach with need evokes battalions of middlemen "deciding"
what your treatment will and won't be.)
service is peremptorily metered, apportioned, rendered into statistical harmony upon reporting,
all the elements of the human suffering it's meant to address extracted.
This 'system' seems to be about drugging the patient into social invisibility - as an imperative...
"Don't be
you, drug
you away and fit in."
Addressing the social symptom as a first (and often only) step
of treatment... And they call
that "mental health care."
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Yes, I know, that's a lot to unpack... you needn't struggle... it is ultimately an unimpressive everyday occurrence in the industry... making people "healthier."
The narrative is not mine...
it's theirs.