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I think coming up with a comprehensive mental health policy is a little beyond the scope of a HN comment, and certainly far beyond my expertise. I merely posit

by imgabe 3y ago

I think coming up with a comprehensive mental health policy is a little beyond the scope of a HN comment, and certainly far beyond my expertise. I merely posit that such a policy could exist, and could be developed. I don't see why not. I mean, the comments here are like "b-b-but homosexuality used to be considered a mental illness!". Right, it was, but now it's not. So it seems pretty clear that to prevent people from being institutionalized for being gay, we could simply continue to not consider it a mental illness. You know, like we're already doing. That doesn't seem very difficult. Maybe there are other things that are considered mental illnesses that shouldn't be. If there are, we already have an example in homosexuality of how we can stop considering them mental illnesses. It's clearly a thing that's possible to do, so if necessary, let's do that.

creata 3y ago
> I think coming up with a comprehensive mental health policy is a little beyond the scope of a HN comment True, but that's clearly not what I asked for. > If there are, we already have an example in homosexuality of how we can stop considering them mental illnesses. It's clearly a thing that's possible to do, so if necessary, let's do that. Also true, but (1) our understanding of what should be treated as a mental illness can regress, and (2) that's not much solace for all the people harmed between now and when we as a society agree that they shouldn't be considered mentally ill.
- imgabe 3y ago
  A few years ago a woman was murdered on the block where I worked. She was out jogging in the evening and was stabbed by a schizophrenic homeless man. The murderer had been arrested several times, they knew he was ill, but he couldn't be forced to receive treatment. What's the solace you offer for her family? "Hey sorry your daughter got killed, but maybe people won't be unjustly institutionalized in this hypothetical scenario I dreamed up where US civil rights suddenly regresses 60 years for no reason"? Sorry, I don't find that very compelling. I'm pretty sure we can regulate institutions better, knowing what mistakes were made in the past. People are human, they make mistakes. Sometimes they're wrong or even malicious. Yes, some people might be harmed in institutions. But, people are also being harmed right now. There's no scenario in which there is zero harm. You try to reduce harm as much you can and evaluate and adjust along the way. That's how you make progress. If you paralyze society by demanding perfect solutions, the result is stagnation and death.
  - dryrun 3y ago
    US human rights _just_ regressed less than two years ago, with limitations to access to abortion!?! Is there a need for more proof that what you dismiss as 60 years ago poor decisions is already being reimplemented? I absolutely understand your point regarding mental illness, but so far the US don't seem to be in a good shape to handle it without SERIOUS risks to others, and on another scale than people getting stabbed randomly, which happens with our without mentally ill people (and is also a very bad thing).
  - mixmastamyk 3y ago
    Thank you. These people that demand perfection are poison to any kind of progress, and one of the reasons the US is an increasing failure. Was recently in Asia, and the contrast was clear as day.
    - creata 3y ago
      I'm not demanding perfection. I'm literally just asking "what would be different this time", and the only answer I'm getting is "we know better this time around". Seriously: the reason asylums were so prone to abuse in the past was not because the people running them didn't know better.
      - mixmastamyk 3y ago
        [dead]
      - imgabe 3y ago
        You don't think there's anything different between the 1960s and today? Like, nothing at all? For one thing, there is a history of abuses in asylums, so people would know to look out for it. I confess I don't know every detail of the history of asylums, but hopefully we can agree: 1. Asylums existed, there was abuse 2. At some point the abuse was discovered and brought to light. 3. The people in power eventually shut down the asylums, partly because of the abuse. So we know that some mechanism for detecting abuse existed. How about we do whatever that was earlier on and formalize it? We know that there is some authority that has the power to shut down asylums, so instead of that authority shutting them down, how about it just removes people who are committing abuse? This isn't rocket science. Like, at some point in the past bakers would put sawdust in their bread to cut cost. Obviously, this was bad and they knew it was bad. But we didn't just say "Oh well, I guess we have to outlaw bakeries. There's no possible way we could ever stop them from putting sawdust in the bread". No, we created the FDA, started doing inspections and fining people and today you can buy bread anywhere in the US and be confident that there's no sawdust in it. Clearly, problems like this have solutions if people are willing to try instead of just giving up.
vel0city 3y ago
Homosexuality is still on the books as a crime in the State of Texas and probably elsewhere, it's only a 2003 Supreme Court case that makes it unenforceable. A court case a lot of people on the Court wouldn't mind overturning, I might add. You may think these things are way in the past, but to many who aren't even that grey haired it was only yesterday. I'm not necessarily arguing for or against asylums, but just arguing what seems to be something fixed in society can easily be overly assumed as the standard. It wasn't long ago that abortions were federally protected, now it's much less so. I wouldn't assume that things always march forwards, especially in the current climate. Then again, it all depends on your point of view which way "forwards" is. So sure, you and I here, we can agree we shouldn't just say "you're gay, therefore need to be institutionalized." But honestly, there's a lot of people still out there that think differently. And in some ways, they're gaining influence and power.
- imgabe 3y ago
  > But honestly, there's a lot of people still out there that think differently. And in some ways, they're gaining influence and power. They're gaining influence and power, in large part, because the people who would oppose them are advocating things like letting the mentally ill live in tents on the street and do whatever they want. People rightly see that this policy produces bad results and don't support the people who advocate for the bad policy. Unfortunately, that leaves only one other choice in our two party system. The solution is to stop supporting bad policies, and advocate for better ones instead, that fix known problems while also working to preserve peoples' rights.
  - creata 3y ago
    Okay, come on, surely even you can see how this is the shittiest rebuttal ever.

by imgabe 3y ago

creata 3y ago

> I think coming up with a comprehensive mental health policy is a little beyond the scope of a HN comment True, but that's clearly not what I asked for. > If there are, we already have an example in homosexuality of how we can stop considering them mental illnesses. It's clearly a thing that's possible to do, so if necessary, let's do that. Also true, but (1) our understanding of what should be treated as a mental illness can regress, and (2) that's not much solace for all the people harmed between now and when we as a society agree that they shouldn't be considered mentally ill.

imgabe 3y ago
A few years ago a woman was murdered on the block where I worked. She was out jogging in the evening and was stabbed by a schizophrenic homeless man. The murderer had been arrested several times, they knew he was ill, but he couldn't be forced to receive treatment. What's the solace you offer for her family? "Hey sorry your daughter got killed, but maybe people won't be unjustly institutionalized in this hypothetical scenario I dreamed up where US civil rights suddenly regresses 60 years for no reason"? Sorry, I don't find that very compelling. I'm pretty sure we can regulate institutions better, knowing what mistakes were made in the past. People are human, they make mistakes. Sometimes they're wrong or even malicious. Yes, some people might be harmed in institutions. But, people are also being harmed right now. There's no scenario in which there is zero harm. You try to reduce harm as much you can and evaluate and adjust along the way. That's how you make progress. If you paralyze society by demanding perfect solutions, the result is stagnation and death.
- dryrun 3y ago
  US human rights _just_ regressed less than two years ago, with limitations to access to abortion!?! Is there a need for more proof that what you dismiss as 60 years ago poor decisions is already being reimplemented? I absolutely understand your point regarding mental illness, but so far the US don't seem to be in a good shape to handle it without SERIOUS risks to others, and on another scale than people getting stabbed randomly, which happens with our without mentally ill people (and is also a very bad thing).
- mixmastamyk 3y ago
  Thank you. These people that demand perfection are poison to any kind of progress, and one of the reasons the US is an increasing failure. Was recently in Asia, and the contrast was clear as day.
  - creata 3y ago
    I'm not demanding perfection. I'm literally just asking "what would be different this time", and the only answer I'm getting is "we know better this time around". Seriously: the reason asylums were so prone to abuse in the past was not because the people running them didn't know better.
    - mixmastamyk 3y ago
      [dead]
    - imgabe 3y ago
      You don't think there's anything different between the 1960s and today? Like, nothing at all? For one thing, there is a history of abuses in asylums, so people would know to look out for it. I confess I don't know every detail of the history of asylums, but hopefully we can agree: 1. Asylums existed, there was abuse 2. At some point the abuse was discovered and brought to light. 3. The people in power eventually shut down the asylums, partly because of the abuse. So we know that some mechanism for detecting abuse existed. How about we do whatever that was earlier on and formalize it? We know that there is some authority that has the power to shut down asylums, so instead of that authority shutting them down, how about it just removes people who are committing abuse? This isn't rocket science. Like, at some point in the past bakers would put sawdust in their bread to cut cost. Obviously, this was bad and they knew it was bad. But we didn't just say "Oh well, I guess we have to outlaw bakeries. There's no possible way we could ever stop them from putting sawdust in the bread". No, we created the FDA, started doing inspections and fining people and today you can buy bread anywhere in the US and be confident that there's no sawdust in it. Clearly, problems like this have solutions if people are willing to try instead of just giving up.

vel0city 3y ago

Homosexuality is still on the books as a crime in the State of Texas and probably elsewhere, it's only a 2003 Supreme Court case that makes it unenforceable. A court case a lot of people on the Court wouldn't mind overturning, I might add. You may think these things are way in the past, but to many who aren't even that grey haired it was only yesterday. I'm not necessarily arguing for or against asylums, but just arguing what seems to be something fixed in society can easily be overly assumed as the standard. It wasn't long ago that abortions were federally protected, now it's much less so. I wouldn't assume that things always march forwards, especially in the current climate. Then again, it all depends on your point of view which way "forwards" is. So sure, you and I here, we can agree we shouldn't just say "you're gay, therefore need to be institutionalized." But honestly, there's a lot of people still out there that think differently. And in some ways, they're gaining influence and power.

imgabe 3y ago
> But honestly, there's a lot of people still out there that think differently. And in some ways, they're gaining influence and power. They're gaining influence and power, in large part, because the people who would oppose them are advocating things like letting the mentally ill live in tents on the street and do whatever they want. People rightly see that this policy produces bad results and don't support the people who advocate for the bad policy. Unfortunately, that leaves only one other choice in our two party system. The solution is to stop supporting bad policies, and advocate for better ones instead, that fix known problems while also working to preserve peoples' rights.
- creata 3y ago
  Okay, come on, surely even you can see how this is the shittiest rebuttal ever.