Okay Fuck It If This Post Reaches 666k Notes By The End Of 2023 I'll Practise Basic Self Care

Okay fuck it if this post reaches 666k notes by the end of 2023 I'll practise basic self care

Why 666k? Because it's funny and impossible so good fucking luck

Okay, I 100% hear you on overdiagnosis, the lack of primary prevention/environmental changes as a first line, and the overall lack of care related to psychiatrists prescribing medications without a lot of follow-up conversation to really discuss treatment. But please understand that a lot of these problems are just effects of the way medical practice in America was developed and the shitty American Healthcare System we have today, rather than the personal choices of psychiatrists. For example, most doctors (not just psychiatrists) work for a Healthcare system that tells them they need to meet a certain quota of patients every day. This is how we get the 30 to 60 minutes per patient model. I thoroughly believe that a whole lot of mental health issues would be much better treated if the doctors truly were able to stay with their patients as long as they needed to, but corporate Healthcare had other problems. And the extreme shortage of psychiatrists is not helping that problem. Psychiatric Mental Health Nurse Practitioners are among some of the highest paid Nurse Practitioners simply because the demand is high and the supply is low.

If you want there to be more community resources, less overdiagnosing, more continuity of care and so on and so forth, tell the corporate Healthcare companies.

And to the person who wants to hear just one nice thing about psychiatry: the child psychiatrist on my unit spends about 10 hours a day, at least 5 days a week, working with his patients. Every single nurse on my unit fights to uphold the human dignity of the patients on our unit, and to teach these kids and teenagers how to identify cognitive distortions, advocate for themselves, and in a lot of cases, find reasons to go on living. Good psychiatry involves indivual therapy, family therapy, good coping skills, learning effective communication, and understanding how your own thoughts can work for or against you. Good psychiatry is the kind that refuses to label a kid as having a Personality Disorder because kids are resilient af and who knows what kind of mind they might have in ten years. Good psychiatry is the kind that identifies serious cognitive or developmental delays but then uses that information to provide resources and protection for a kid who is bound to be more vulnerable than their peers. Good psychiatry is about helping a person understand themselves so that they can take better care of themselves, rather than providing nothing more than a label and bottle of pills.

The American Healthcare System that thrives on profits cannot support good psychiatry.

Listen. I don't want to be anti-psychiatry. I would love to believe that psychiatry is helping people and that psychiatry is a good thing. I would even love to be "psych-critical" and believe that psychiatry is a fundamentally good thing that has serious flaws, but it can be helpful if it is practiced in an ethical way. But the more I learn about psychiatry the more I think all psychiatrists should be loaded onto a Tesla rocket and shot directly into the sun.

Not to mention that exceptions don't negate the use of a term in common language! Can you imagine if this argument was applied to every single group of taxonomic rank which contained indivuals of exceptional traits?

To demonstrate this, let's look at somethjng simple, like house cats. Now, how would you describe a house cat to someone who had never seen one? Chances are you would say they are small, fur-covered animals, around 7 to 25 pounds. They have 2 pointy ears and great hearing, whiskers to help with balance, a lean body, four legs, four paws, and a tail. Their front paws have five toes, while their back paws have four toes, and all their toes have claws which they use to help grip certain terrains and to catch small prey like mice and birds. A cat's tail is used to to provide balance, especially when jumping between two points, because it acts as a counterweight, allowing them to land on their feet.

I feel like that description sums up the basic housecat. Now let's look at some exceptions to this group.

A gene variation in cats results in somewhat common issue called polydactyly. Chances are, you have met a cat like this: they have extra toes! Now, by these ridiculous rules of renaming groups to be 'all inclusive', this can no longer be called a cat, I guess, since it doesn't meet every single criteria from our description. So what shall we call the whole group of cats with and without polydactyly? Pointy-ear-tail-havers? Small-furballs-who-meow?

Remember what I said about tails helping with balance? Well what about cats who are either born tail-less or with a tail problem? What about cats who break or lose part of their tail, or have to have part of it removed for a medical reason? I had a cat growing up who lost part of his tail, and later I adopted a cat who's tail is permanently bent to one side. So I suppose in this case, we can't use Pointy-ear-tail-havers, because it wouldn't include cats who are missing tails.

What about hairless cats? Cats who are missing a leg? Cats who are deaf? Hell, you could even make an argument that cats who are spayed and neutered don't meet all the criteria put forth to describe a cat. But all of these exceptions don't negate that any of these cats still meet the majority of the characteristics that let our brains know, "this is a cat". A cat with polydactyly likely still has four legs, a tail, fur, and whiskers. A cat missing a tail still has fur, four legs and paws, whiskers, and great hearing. A cat without fur still has four legs and paws, a tail, whiskers, and weighs around 7 to 25 pounds.

Do people see how ridiculous it is yet? To say that women who have had a hysterectomy, or a mastectomy, are not women? The point is that they meet the majority of the defining criteria! A woman who had a hysterectomy still has a vagina, a clitoris (filled with ~8,000 sensitive nerve endings- double the amount of a penis), breasts, ovaries (unless it was a complete hysterectomy, which are less common), exclusively X chromosomes, the ability to contract ovarian cancer, a higher risk for autoimmune disorders, and need I go on?

Trans women do not meet the majority of the criteria to be female, if they even manage to meet any.

I need some of these prints ASAP.

Les sphinx au dictionnaire   -   Francine van Hove

French b.1942-

"Men who want to support women in our struggle for freedom and justice should understand that it is not terrifically important to us that they learn to cry; it is important to us that they stop the crimes of violence against us." - Andrea Dworkin, Our Blood (1976)

I've seen so many promising trailers and then the actual movie falls short because they churned it out so quickly. Same thing happens with overhyped books or the next book in a series half the time. One of the best books I've ever read is 'All the Light We Cannot See' by Anthony Doerr. It took him 10 years to write it.

To make something beautiful for the sake of bringing joy to others is a process incompatible with seeking quick profits.

i dont know exactly how to articulate this in a way other people havent but everything is too fast now. 24/7 news cycle, online focuses that last for hours instead of months or years, songs written just so ten seconds can go viral. movies and books churned out to meet some nebulous income quota. idk. im motion sick