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Psychiatry as a pseudo-science often relies heavily on unscientific and non-empirical methods of diagnosis. There is no brain scan or blood test to detect or ev
by NoZebra120vClip 4y ago
Psychiatry as a pseudo-science often relies heavily on unscientific and non-empirical methods of diagnosis. There is no brain scan or blood test to detect or even rule out bipolar disorder or schizophrenia, you just go with whatever the doctor feels like when the patient comes in off the street.
Psychiatry is worse than veterinary medicine: a dog can't talk to you and tell you what's wrong; neither can a dog lie to you or be a deranged, unreliable narrator. Psychiatrists often ask questions which have a specific context or particular technical meaning to them, and the mentally ill will answer out of ignorance, or with a non sequitir, that seems counter-productive to the process.
I have often obtained medical records (it's interesting to see how difficult this can be, and the bureaucratic tricks that can be played to avoid complying with laws that allow us that access.) I've been incensed to see inaccuracies and often dismayed to see the state of things from the provider's perspective when I came to them in crisis. For example, there was one note that just indicated I'd been a chronic, habitual daily user of marijuana for years upon years. Nothing could be further from the truth. But there it is in my medical record, proof against any legal challenge, their word against mine, and God forbid I attempt to challenge it in a followup session, because I'm a crazy, unreliable narrator with a reputation for denying the truth.
It is dismaying that so-called "medical" professionals should withhold the truth from patients and are perfectly allowed to obscure anything in the chart that they judge to be detrimental to treatment. My psychiatrist is consistently unwilling or unable to describe the first-order effects of my medication, what benefits I should hope to enjoy from them, or just in a general sense why am I taking this toxic crap.
My psychiatrist freely admits to diagnosing me solely on affect. If I am sociable and pleasantly greeting people in the clinic, then I'm having a good day and I'm near baseline. If I'm reserved and sensitive, and have difficulty answering her questions, then I'm a good candidate for hospitalization! I was literally steps away from being forcibly committed after one video appointment that went poorly. A video appointment!
I try to read everything I sign, but it's fruitless to try to stay ahead of any medical bureacracy. One day I came in to file a request for my complete chart. The condescending jerk who filled it out put in my name instead of the clinic's, so I was requesting records from myself. Guess how long that took to fulfil.
- breck 4y agoAbsolutely. Psuedo-science at best. Psychiatry in America is no more scientific than phrenology. These people are charlatans, not scientists. Science only works when you can run repeated experiments in controlled conditions with fast feedback loops. Those conditions are not, and will never be, present in humans. The whole industry is a fraud. I came across a great term the other day: the Mental Health Industrial Complex. If you want to get on the right track for how the brain actually works pickup Minsky's Society of Mind.
- caddemon 4y agoI mean it's true that doing scientific psychiatry is hard, and a lot of the industry is subpar (and actually the majority do not really closely use psychiatric research results, forgetting how good they are or not). But what alternative exactly do you want? To just give up? There are some parts of psychiatry that have fairly well-validated conclusions at present, and hopefully that will (albeit likely slowly) progress.
- breck 4y agoContinue neuroscience research; stop pretending psychologists and psychiatrists are more than cranks; admit the pills don't work. Basically quit pretending that this is a science. The problems are not biological that can be solved by pills, the problems lie in society, not individuals.
- wkearney99 4y agoYeah, that's just nonsense. There are certainly many societal ills that do not help. But your broad brush there is entirely wrong. Though I doubt any kind of legitimate discussion would sway you from it.
- breck 4y agoMany fields of medicine, such as mental health, are far closer to religion or politics than they are to science. Science requires controlling the environment and the ability to do repeated experiments with rapid feedback. The mental health field cannot do that. It can on worms. We could build the most amazing medicine for worms (by killing trillions of them). But we cannot do that with humans. The Mental Health Industrial Complex deserves no respect. It may turn out that psychedelic mushrooms that someone could grow for free in their yard could have saved millions of lives over the past 50 years, but that would have deprived the MHIC of tens of billions in revenue. The field is built on lies.