Tuesday 1 March 2011

And so why doesn't the perfect mental health study prove an illness

Refer to the last post for the second half of this discussion.

The pure science of mental health, rarely delivered in clinical practice nor even pure in the bastardised sense of science in mental health, provides no good answer.

The perfect study I'm thinking of does in terms of diagnosis in a perfect sense, or at least based on the measures.

Any psychiatrist would think this philosophical example is enough to enable the next stage of the medical paradigm: treatment. After all, the only value of diagnosis is treatment. Isn't it?

The choice to treat s where the lack of truth or science begins. This perfect study I've described establishes types. The perfect study understands good and bad types and sees them with empirical data. The psychiatrist performs the value judgement, i.e. they decide a phenotype is negative. This is not science. This is...for want of a better word. Bollocks.

4.5 pints in. I hope my ability to express withstands the iniebriation.

A good psychiatrist would disagree. They'd say the phenotype is negative because of the negative prognosis. This perfect study removes the bias but shows the negative outcome using perfect science.

Their next decision is the movement to treatment.

The paradigm of medicine used to be the treatment of the individual. Psychiatry choses to change the individual. The aim is behavioural modification, at least in current thinking in mental health, to make an inidividual who is 'normal' or not suffering the impact of the difference in phenotype outcomes caused by society.

They can suck on my chocolate salty balls. Pint 5 and I'm still a bit stuck on how to explain the idea that prognosis doesn't necessitate 'treatment' of the individual.

The paradigm of medicine involves change of the individual. Yes. Perhaps. Maybe.

Maybe the illness is in you, those who make the reduced social outcomes. It's you. You who judge and devalue.

Maybe its society. This tired fool has a simple qurstion based on the disregard of the effect of society; what if it if you are the reason our society is bent to ensure that some types of people do less well in life.

What if you, the judging, are really the mentally ill because you cause it.

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We It comes in part from an appreciation that no one can truly sign their own work. Everything is many influences coming together to the one moment where a work exists. The other is a begrudging acceptance that my work was never my own. There is another consciousness or non-corporeal entity that helps and harms me in everything I do. I am not I because of this force or entity. I am "we"