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> psychiatrists felt obligated to restigmatize this mental disorder in hopes of limiting its adoption Or, to put it another way, they felt obligated to shame p

> psychiatrists felt obligated to restigmatize this mental disorder in hopes of limiting its adoption Or, to put it another way, they felt obligated to shame people into not seeking treatment, in hopes of not having to admit that they didn't know how to help their patients. Fewer patients, happier doctors, better metrics. Everyone wins, right?

bobsmooth 4y ago
> that fully one-third of patients visiting hospitals for consultations were suffering from the new disease People have been making shit up for attention for at least the last 120 years.
thaumasiotes 4y ago
> to put it another way, they felt obligated to shame people into not seeking treatment, in hopes of not having to admit that they didn't know how to help their patients. On the contrary, shaming people into not seeking treatment is how they were helping them. Prevention is the best cure, after all.
- dane-pgp 4y ago
  I get the point that psychiatrists wanted to avoid over-diagnosing/over-prescribing, but what if they ended up over-prescribing societal shame itself, which is after all a very blunt instrument? This is particularly likely to occur if the incentives are aligned to make the problem seem to go away rather than doing the hard work of actually fixing things. In other words, they may not have been preventing or curing anything (at least for the patients who needed the most help).
  - thaumasiotes 4y ago
    > I get the point that psychiatrists wanted to avoid over-diagnosing/over-prescribing But that isn't the point. The point was to prevent people from engaging in pathological behavior by pointing out that that's not something you should do. It's an obvious-but-shouldn't-be-necessary correction to the earlier state where people were admired for being dysfunctional.
- deleted 4y ago
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thrown_22 4y ago
>Or, to put it another way, they felt obligated to shame people into not seeking treatment, in hopes of not having to admit that they didn't know how to help their patients. And yet suicide contagion is one of the few statistically significant results in the social sciences. If people are willing to kill themselves because others like them did on the news what's convincing themselves they are really sad in comparison?

bobsmooth 4y ago

> that fully one-third of patients visiting hospitals for consultations were suffering from the new disease People have been making shit up for attention for at least the last 120 years.

thaumasiotes 4y ago

> to put it another way, they felt obligated to shame people into not seeking treatment, in hopes of not having to admit that they didn't know how to help their patients. On the contrary, shaming people into not seeking treatment is how they were helping them. Prevention is the best cure, after all.

dane-pgp 4y ago
I get the point that psychiatrists wanted to avoid over-diagnosing/over-prescribing, but what if they ended up over-prescribing societal shame itself, which is after all a very blunt instrument? This is particularly likely to occur if the incentives are aligned to make the problem seem to go away rather than doing the hard work of actually fixing things. In other words, they may not have been preventing or curing anything (at least for the patients who needed the most help).
- thaumasiotes 4y ago
  > I get the point that psychiatrists wanted to avoid over-diagnosing/over-prescribing But that isn't the point. The point was to prevent people from engaging in pathological behavior by pointing out that that's not something you should do. It's an obvious-but-shouldn't-be-necessary correction to the earlier state where people were admired for being dysfunctional.
deleted 4y ago
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thrown_22 4y ago

>Or, to put it another way, they felt obligated to shame people into not seeking treatment, in hopes of not having to admit that they didn't know how to help their patients. And yet suicide contagion is one of the few statistically significant results in the social sciences. If people are willing to kill themselves because others like them did on the news what's convincing themselves they are really sad in comparison?