Thursday, 2 June 2011

Why ask a doctor to fix your misery?

I mean apart from getting access to legal highs like antidepressants.

The movement that says mental health is about distress expects its followers to get help for distress from a doctor.

But what do doctors know about distress and the solutions to individual distress?

They don't. Their research evidence offers nothing for individual measures. Its why the IAPT program worked for a lot of people on doctors measures but only 10% on what patients want.

To become a doctor a person suffers. This is the thing. Understanding what doctors are like. They are self stigmatic and resilience in the face of high levels of distress is what is the norm for a qualified doctor. Anything less isn't a qualified doctor.

They don't have a lot of fun. Many doctors aren't happy. They are, instead, dedicated to their profession and the money helps too as does their status.

They often can't fix their own problems and many kill themselves.

So those who believe mental health is distress I pose you this question or two.

Why expect a doctor to have a solution?

Who do you expect to have a solution? Clowns might be better trained and equipped. Doctors could probably learn a fuck lot about treating distress from clowns.

Instead they rely on an evidence base which has no relevance to distress. Instead many live miserable lives and would have no idea how to help another miserable person.

They also have wealth, status, job security and a bunch of other things. How the fuck could they understand what it's like for the average joe?

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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"