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[return to "A journey into the shaken baby syndrome/abusive head trauma controversy"]
1. stephe+705[view] [source] 2023-09-27 03:27:21
>>rossan+(OP)
Amazing that bit about child welfare organisations fighting against the science, when clearly taking children away based on false accusations is clearly far worse for the child’s welfare, not to mention the parents’!

It’s just incredible the injustice that can be done in the name of protecting children. I really do wonder if it’s cultural or some kind of innate psychological irrarionality that seems stronger in some than others. I love kids and care deeply about their welfare, but people sometimes try to make me feel bad or that I’m the weird one for being able to think (I believe) fairly rationally about the risks and dangers that they face, instead of massively over-exaggerating!

Or of course the opposite, keeping an appropriate eye on relations and acquaintances when people assume they’re totally safe but it’s actually somebody with that level of relation who’s likely to be a danger than a stranger.

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2. tivert+Ud5[view] [source] 2023-09-27 05:17:02
>>stephe+705
> Amazing that bit about child welfare organisations fighting against the science, when clearly taking children away based on false accusations is clearly far worse for the child’s welfare, not to mention the parents’!

This is just speculation, but I bet those groups (or their members) aren't always calmly and coolly trying to find the best policies protect the welfare of children. Instead they feel themselves on a kind of righteous moral crusade, and what's more heroic than swooping in to take the child away from the clutches of the villain? The feelings of heroism could obscure understanding the harm the "heroic act" could cause.

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3. gwd+os5[view] [source] 2023-09-27 07:38:14
>>tivert+Ud5
There's another factor in this, which makes it hard to change:

For the people in child welfare organizations, for social workers, for doctors, for police, for judges to change their mind about current and future decisions requires them to change their mind about past decisions. The necessary implication is that many of the people they have persecuted in the past were, in fact, innocent. It requires them to admit that they personally have likely caused untold suffering to parents, caretakers, and children.

This is hard for anyone; but if you've lived your life trying to be the hero, feeling good about swooping in and rescuing children from the clutches of evil villains, how can you face the fact that you are the evil villain in so many children's stories?

You might call this the Paradox of Judgment: If you don't say that something is that bad, then lots of people don't think it's a big deal and don't do anything about it. But if you do say that something is really bad, then there develop all these pathologies of denialism around it.

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4. P_I_St+O86[view] [source] 2023-09-27 13:01:27
>>gwd+os5
Interestingly enough, no bigger offender then the psychiatric and mental health community. There's a very sophisticated system for shutting down criticism and lashing out at patients that have civil rights concerns.

They do a lot of mental gymnastics trying to run from the idea that their main function is to imprison and take away peoples rights, often without due process.

Medical industry is rife with abuse. They routinely kill people out of spite, torture dying people and their families, and want to be shielded from any criticism... so fuck all the patients and look for reasons they're "not righteous", etc, so you can dismiss them.

It's quite interesting (and disturbing) to see how much culture evolves around deflecting blame and victim blaming.

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5. ryandr+Ti7[view] [source] 2023-09-27 17:56:29
>>P_I_St+O86
Your comment reminds me of the Rosenhan Experiment[1]. "The first part involved the use of healthy associates or "pseudopatients" (three women and six men, including Rosenhan himself) who briefly feigned auditory hallucinations in an attempt to gain admission to 12 psychiatric hospitals in five states in the United States. All were admitted and diagnosed with psychiatric disorders. ... The second part of his study involved a hospital administration challenging Rosenhan to send pseudopatients to its facility, whose staff asserted that they would be able to detect the pseudopatients. Rosenhan agreed, and in the following weeks 41 out of 193 new patients were identified as potential pseudopatients, with 19 of these receiving suspicion from at least one psychiatrist and one other staff member. Rosenhan sent no pseudopatients to the hospital."

1: https://en.wikipedia.org/wiki/Rosenhan_experiment

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6. jdietr+p59[view] [source] 2023-09-28 04:46:11
>>ryandr+Ti7
In fairness, psychiatry is totally different today than in 1973. The obvious change is that a huge reduction in the number of inpatient beds, combined with increasing demand, have created huge pressures to admit only the most obviously unwell patients and discharge them as quickly as possible. Most psychiatric inpatient stays are just a few days - just enough to get a patient through a crisis, revise their medication and (hopefully, but not always) arrange for appropriate outpatient care and support. The downtown of most US cities is a testament to the fact that, in 2023, under-treatment of severe mental illness is a far greater concern than over-treatment.

On an ontological level, psychiatry made a huge leap forward in 1980 with the publication of the DSM-III. One of the core goals of the DSM-III was to address the concerns raised in the Rosenhan experiment, making diagnostic criteria more robust and reliable. While there are still many controversies and shortcomings - most prominently regarding the over-diagnosis of less severe conditions - we now have a suite of reliable, validated diagnostic instruments for most serious conditions. For the most part, we aren't diagnosing or treating patients based on the gut instinct of an individual practitioner; we're using objective criteria with proven inter-relater reliability, guided by the over-arching principle that, regardless of symptomatology, no-one is mentally ill unless a) they're experiencing distress and/or b) they're causing significant harm to others. There are many shortcomings in how psychiatric medicine is practised today, but the era of locking people up just because they behave strangely is definitively over.

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