Wednesday 16 March 2011

What are the possibilities for technology and psychiatry

Well...lots.

I can usually ramble so there's the one word summary.

Psychiatrists can use more information to discern diagnosis correctly. Something I mentioned to a friend of mine working at the Royal College of Psychiatry was the idea of using information held on credit record systems to assess patterns for early intervention, eg to help refer undiagnosed bipolars through their spending patterns. It would not be 100% accurate but it would provide data for screening by psychiatric interview.

Other data could be used to work out other predictive factors. These factors are the those which lead to a phenotype. It could be used to screen for other phenotypes in an empirical form of applying concepts and labels to phenotypes. Those phenotypes would suffer a predictable outcome worse in life based upon the measures of value of life and social culture or setting. A model could be refined to describe the types of environment and predict its effect on the genotype and relationship to establishment and change of phenotype.

It can be made empirical with the technology concept of the outernet. It's the world and our lives recorded digitally and available online. Credit scores are personal data and can't be linked to individuals but research can be done into the patterns. The more our lives are lived electronically and recorded electronically the more the potential of publically available data can be used to inform an accurate judgement of phenotype. There are always outliers of course.

Psychiatry attempts to find the phenotypes they pathologise as mentally ill. The pathologisation is based on the established poorer prognosis. This is established in research papers and if psychiatrists are using the strict diagnostic criteria they are able to reasonably accurately estimate a person will do worse in life because of who or what they are.

Technology can be used to make that whole thing more scientific.

At a different level I'm talking bullshit. I've done nothing but show that technology can be used to make bullshit more scientific. The reason I call psychiatry bullshit is because it is a system of perjoratising phenotypes. Those people's poorer outcomes are poorly measured, poorly understood, poorly treated, a result of a malformed society and the perjorative which psychiatric diagnosis represents except for those who can hold their heads high in the face of studies which pick apart my deficits compared to the average person.

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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"