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> though I often get downvoted for expressing such sentiments There is a huge difference between environmental depression, where such advice is definitely posi

> though I often get downvoted for expressing such sentiments There is a huge difference between environmental depression, where such advice is definitely positive and will help, and psychological depression where that sort of advice given without consideration to the whole situation can be unhelpful at best and damaging at worst.

xattt 8y ago
Thank you for putting this into tangible concepts. There’s a slice of a population that I work with that shows tendencies of the way that “typical people” would react to a given situation. If a challenging situation comes up, there’s a good balance between anxiety and resiliency. They tend to be in acute care specifically because their needs exceeded the ability to cope and manage their situation at home. At the same time, mental health conditions can diminish individuals’ ability for resilience with chronic conditions. Thus, this necessitates admission to acute care for something that could be managed at home. In acute care, the life style pattern known to these patients presents as ongoing “malingering” in beds. The “activation” that’s discussed in the article seems to reflect that individuals who do have diminished resiliency tend to do better when their days are structured.
skookumchuck 8y ago
I don't believe the downvotes are all from clinically depressed people. For example, people say there's no opportunity for them, they can't get a job, they can't invest, they can't negotiate, etc. I point out that hundreds of thousands of people walk thousands of miles just for a chance to get into this opportunity-less country. I point out opportunities, like where they can get a free MIT education. I get downvoted to hell :-) It's not that I mind the downvotes, I just think it's a sad commentary on the current political climate that people feel that way. Even Hillary Clinton wrote a whole book about her being a victim in the last election.

xattt 8y ago

Thank you for putting this into tangible concepts. There’s a slice of a population that I work with that shows tendencies of the way that “typical people” would react to a given situation. If a challenging situation comes up, there’s a good balance between anxiety and resiliency. They tend to be in acute care specifically because their needs exceeded the ability to cope and manage their situation at home. At the same time, mental health conditions can diminish individuals’ ability for resilience with chronic conditions. Thus, this necessitates admission to acute care for something that could be managed at home. In acute care, the life style pattern known to these patients presents as ongoing “malingering” in beds. The “activation” that’s discussed in the article seems to reflect that individuals who do have diminished resiliency tend to do better when their days are structured.

skookumchuck 8y ago

I don't believe the downvotes are all from clinically depressed people. For example, people say there's no opportunity for them, they can't get a job, they can't invest, they can't negotiate, etc. I point out that hundreds of thousands of people walk thousands of miles just for a chance to get into this opportunity-less country. I point out opportunities, like where they can get a free MIT education. I get downvoted to hell :-) It's not that I mind the downvotes, I just think it's a sad commentary on the current political climate that people feel that way. Even Hillary Clinton wrote a whole book about her being a victim in the last election.