3 ms·

The problem is that once they admit that they have suicidal thoughts, you can’t just continue therapy. They shouldn’t keep flying.

some_random 3y ago
Someone having suicidal thoughts does not alone indicate that they're going to attempt suicide, much less attempt suicide by crashing their plane. Unfortunately this relies on the shrink's judgement, which of course isn't remotely reliable.
catern 3y ago
If you predictably do that then the pilots won't speak truthfully in therapy in the first place. The only way to get the lesser benefit of therapy is to precommit to not report suicidal thoughts. The greater benefit of "pilots honestly report their suicidal thoughts and then they are stopped from flying" is simply impossible to achieve, and if you foolishly try to get it anyway then you won't even get the lesser benefit.
- lazide 3y ago
  Welcome to society since, well, forever. you didn’t think that strong silent man stereotype came from nowhere, did you?
- function_seven 3y ago
  You're not wrong. But for this to work, the therapists' notes must be forever sealed regardless of circumstance. The first time a pilot darts their plane into a mountainside, and the investigation reveals that they told their therapist about their suicidal thoughts, this precommitment policy will vanish. The therapist will be blamed for 174 deaths. The FAA will apologize for allowing pilots who express ideation to keep flying. Etc. It's similar to telling your doctor about illicit drug use. Don't do it unless you really trust your doctor to (a) not take adverse implications from the disclosure and (b) not write it down anywhere. Chances of both (a) and (b) are tiny. So, just lie about illegal drugs when asked. Do your own work on making sure to avoid interactions between prescribed drugs and recreational ones.
- mvncleaninst 3y ago
  > If you predictably do that then the pilots won't speak truthfully in therapy in the first place. Why do you think anonymous therapy isn't a thing? There has to be a reason, I wonder what it is...
- snickerbockers 3y ago
  Aren't therapists supposed to make an exception to the doctor/patient confidentiality when the patient is taking about wanting to kill himself and take a plane full of people with him?
jacquesm 3y ago
Doctor-patient relationships normally preclude health care people from sharing such information. This was (and still) a major issue flagged after the Germanwings suicide/crash. https://www.reuters.com/article/us-france-crash-germany-confidentiality-idUKKBN0MR2CT20150331 https://www.reuters.com/article/us-france-crash-germany-conf...

some_random 3y ago

Someone having suicidal thoughts does not alone indicate that they're going to attempt suicide, much less attempt suicide by crashing their plane. Unfortunately this relies on the shrink's judgement, which of course isn't remotely reliable.

catern 3y ago

If you predictably do that then the pilots won't speak truthfully in therapy in the first place. The only way to get the lesser benefit of therapy is to precommit to not report suicidal thoughts. The greater benefit of "pilots honestly report their suicidal thoughts and then they are stopped from flying" is simply impossible to achieve, and if you foolishly try to get it anyway then you won't even get the lesser benefit.

lazide 3y ago
Welcome to society since, well, forever. you didn’t think that strong silent man stereotype came from nowhere, did you?
function_seven 3y ago
You're not wrong. But for this to work, the therapists' notes must be forever sealed regardless of circumstance. The first time a pilot darts their plane into a mountainside, and the investigation reveals that they told their therapist about their suicidal thoughts, this precommitment policy will vanish. The therapist will be blamed for 174 deaths. The FAA will apologize for allowing pilots who express ideation to keep flying. Etc. It's similar to telling your doctor about illicit drug use. Don't do it unless you really trust your doctor to (a) not take adverse implications from the disclosure and (b) not write it down anywhere. Chances of both (a) and (b) are tiny. So, just lie about illegal drugs when asked. Do your own work on making sure to avoid interactions between prescribed drugs and recreational ones.
mvncleaninst 3y ago
> If you predictably do that then the pilots won't speak truthfully in therapy in the first place. Why do you think anonymous therapy isn't a thing? There has to be a reason, I wonder what it is...
snickerbockers 3y ago
Aren't therapists supposed to make an exception to the doctor/patient confidentiality when the patient is taking about wanting to kill himself and take a plane full of people with him?

jacquesm 3y ago

Doctor-patient relationships normally preclude health care people from sharing such information. This was (and still) a major issue flagged after the Germanwings suicide/crash. https://www.reuters.com/article/us-france-crash-germany-confidentiality-idUKKBN0MR2CT20150331 https://www.reuters.com/article/us-france-crash-germany-conf...