meus intuitus

Archive for March 2013

British Humor

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Was chillin’ with a Brit’ today—love their sense of humor. “The mouth is the anus of the mind. It excretes the shitty things I think about.” “I don’t really dance, I just sort of jerk about to shake the dignity off of me.”

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March 30, 2013 at 8:53 pm

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get over yourself

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In response to uneducated demonizations of psychiatry:

“Firstly, the DSM V is going to address one of the exact things that this author suggests–it’s putting mental illnesses on a spectrum. This article was poorly researched. On that note, I’ll continue.

Yes, many people, especially those who excel in certain fields (narcissists in business, obsessive-compulsives in medicine), have traits of various personality disorders, but psychiatry doesn’t give a damn about you if you are cruising along in life just fine. People in America employ a faulty and damning projection of persecution towards psychiatry–the semi-informed cry out that it is oppressive and inhumane. In reality, nobody is going around making people with Borderline PD, Histrionic PD, Antisocial PD *traits* seek help when they are (1) not harming themselves and (2) not harming others [and we’re talking literal harm–cutting, rape, suicide, murder]. In reality, there are Borderlines out there (true Borderlines, not just 1/10 on the spectrum) who can have upwards of hundreds of suicide attempts in a span of a few years–these people are really suffering, truly suffering, deep, rending, psychological anguish that most of you are lucky to never have to experience or even witness, and they want and deserve help. Can you even imagine how excruciating your experience of life must be to even attempt one suicide, let alone hundreds? Trust me, when you are 10/10 on the spectrum of any of these diagnoses, you are far beyond the scope of “man up” and “talk it out.”

My point? Get over yourself. Just get over yourself. Psychiatrists don’t give a damn about your or your friend’s mild and arguably adaptive attention-seeking behavior. Life is hard for many, but absolutely brutal for some–we’re talking raped multiple times in childhood by several uncles brutal. It’s the job of psychiatrists and psychologists to help those individuals who are shattered by such experiences to put their minds and their lives back together. The human mind is complex, much more so than the human body, and psychiatry is a lens through which we can look to help people. Any scientific and quantifiable method of medicine has to have standardized definitions–definitions that can be reproduced and used in studies, diagnosis, and treatment; definitions that enable professionals to communicate with one another fluidly. This creates rigidity, yes, but the alternative is to use completely unregulated words and descriptions such that no one professional would know what any other professional or researcher is talking about. The categorizations are not perfect, but since we want empirical data on what works and what doesn’t, they are necessary. (In case you don’t get it, try to imagine doing a study on depression where one researcher talks about “sad because of X and Z” and another researcher talks about “discontent because of Y and Z”–science needs standards to be quantified)

As for ADHD–yes, over-medicalization is an issue that every psychiatrist is very aware of. Over-medicalization is an issue that every doctor in every speciality is very aware of. The best family doctors and psychiatrists will do everything in their power to exclude the possibility as well as avoid the use of medications when presented with a such cases. Laypersons have a role to play in this as well–stop demanding antibiotics from your doctors for the common cold. Yes, antibiotic overuse is a huge problem–far larger in scale than ADHD even–for both the potentially fatal allergic reactions as well as for bacterial resistance that will see the return of infectious diseases as major causes of death in the next 100 years.

I have high hopes for this magazine and I hope the authors educate themselves and research in depth for their writings. Unfortunately, this particular article reads less like well-researched commentary and more like a teenager’s angry stream-of-consciousness.”

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March 25, 2013 at 2:21 pm

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rethinking global health

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I’m not so sure I believe in “global health” or “aid” anymore.  Sure, the need is great, but most of such help is unsustainable and thus unhelpful in the long-term.  I’ve read a little about China’s trade involvement in Africa—its mutually beneficial nature is what I noticed most.  China gets its raw materials, Africa gets a trade partner.

Mutuality is a great framework for sustainability, for in it both parties are incentivized to maintain the relation.  This is in contrast to the “charity” model of aid, where the giver is liable to quit or run out of funds at any moment.  Going forward in my career, I will seek global health involvements that are mutual.  Instead of simply going and working in 3rd world clinics for a few weeks at a time, in addition, I would seek out positions that enable me to engage in partnership with the clinics abroad.  At this point, I imagine a position at an academic institution where I could build a partnership with a clinic abroad to help them develop and enhance psychiatric care and psychiatrist education.

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March 25, 2013 at 6:25 am

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nicole

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Thanks.  Our time together was divine—so free of drama, so honest, so mutual.  I am not the one for you and you are not the one for me, but we were clear about that.  You catalyzed a change in me—the second major one in the last six months.  I am shredding my illusions and pathologies.  I am becoming more confident, more realistic.  Beneath it all, I am still… me, but I have this powerful sense that I am becoming someone more in control of his destiny, more capable, less a victim, more a man.

There were several fantasies that I have held for years—some a few, another almost half a decade.  I was trapped before, so trapped in these fantasies.  Yet my years of imprisonment were not for naught, for it was in those years that I cultivated a deep sense of who I am.  What has happened in the last six months, months where I dared to wander out from the safety of my prison, is that I have increased my ability to actualize.  I can now take all of my cultivated ideals and employ them more fully than I could ever have dreamed.

This is not to say that I am cured.  At the end of the day, a part of me will always be neurotic and obsessive.  However, if I stay disciplined, I will be able to use these traits to some advantage.

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March 21, 2013 at 9:40 pm

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sanity

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Certainly, mental illness is fascinating.  However, equally fascinating is the breadth of mental states that are passable as “sane” in this world.  You can be pretty damn fucked up on the inside and nobody will bother you about it.

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March 15, 2013 at 9:28 pm

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s/p facebook

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Wow.  I am a few weeks into having disabled posting to my Facebook wall.  It is phenomenal.  I no longer feel compelled to share and grovel to the internet for attention.

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March 12, 2013 at 4:53 pm

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