Throwaway05
5hr ago
They could!
Throwaway05
9hr ago
It's a replacement for alcohol/hookah for a lot of women, just an excuse to hang out. That gets backfilled into an actual habit.
Throwaway05
9hr ago
LeBron to the Sixers?
Did ANYBODY see that coming?
Philly sports fans how drunk are you right now?
Throwaway05
1d ago
I gave serious consideration to asking fellow New Jersey hater @The_Nybbler for an in-person meetup.
I would drive to New Jersey for this meet up.
I would probably drive 2,000 miles for this meet up.
Throwaway05
1d ago
I find them both beautiful, but for different ways!
Throwaway05
2d ago
As a consumer of the tech YouTube space - you see the YouTubers and the viewers really pushing into Linux hard this year, with an uptick in the previous few years.
Throwaway05
2d ago
Yeah you get the tempo pretty quickly (and you have an actual play clock that tells you when you have to go by).
You'd think so but the major lesson from the World Cup was that bitches over here love Haaland (because he's goofy). America football players offer more of a variety of good looking men (because each position requires a different body type) and the outfits show off the gents butts more. Both have sex appeal lol.
I love Soccer's evasion of stats and rules loose nature. I also love American sports nitty gritty and optimizable nature. Just as I suggest to Americans to enjoy the looseness of Soccer I think Football also has some value for things in the other direction.
So it's interesting, I think American Football most resembles a war simulator, European Football most resembles an actual fight. The simulator makes some things clear and explicit. Things have to happen, ambiguity is artificially reduced. People take turns slugging each other in the face. In contrast you have a free flowing game where nobody wants to get punched in the face, you push and pull, ebb and flow until you can safely strike without cost - or something slips up and things happen quickly. Things are rarely clear. Sometimes it just ends when it ends vs. goes on forever etc etc.
I bring this up not to explain which most resembles the territory, but point to which map is on display. You can enjoy both stylized maps without ever having seen the territory.
Throwaway05
3d ago
Football is the most war simulator sport or in modern terms - Football is like Fire Emblem.
It's turn based. You go and then they go. Your units perform an action their units defend against that action. Your units have stamina, you rotate them throughout the game, some hero units need to be in for the whole game.
Understanding your units and the strategies that work well for them (and how they relate to the enemy units and their strategies) is critical.
Football more than most sports (with perhaps the exception of pitching in baseball) requires strategy, tactics, and "logistics" - roster building is fair and open (because of the salary cap) and unit selection and resource management is critical because even a dozen games at the tempo of one per week is too much for most human bodies. Basketball load management is trivial in comparison.
This complexity really rewards high level fan engagement, I know a guy who got a summer job out of emailing an essay on a bad game plan to one of the major NFL teams.
On the other hand without the higher level of knowledge it's pretty enjoyable, most partners I've had in my lifetime who are sports avoidant have gotten more into American Football - the attack and then defend structure makes it more understandable than a lot of Soccer for instance. I love watching the gradual grinding down of a defense or Spain midfield control but it isn't as enjoyable to casuals.
As you note the action is limited to a short span, but you know exactly when that span is, leaving the rest of the time for celebration, drinking, and chitchat. It's a much better on the background at a party sport, you can easily miss the only true action of a soccer game if you piss for thirty seconds.
Throwaway05
3d ago
American Football is a very different sport. This is important to the appeal! In my mind Rugby is just a shittier version of soccer, that's reductive but it is true that sports like Hockey, Rugby and Soccer scratch similar itches with free flowing gameplay as an example feature. Tennis, Golf, American Football - these are all very different experiences.
An example of what this means practically - Football is chess, in the sense that the pieces have abilities but really it's all about the person moving the pieces (the coach) making choices. Football is a coaching battle and a roster construction battle. Yes your coach and roster matters in the other team sports but football is a bunch of different players basically playing an entirely different game (on the level of the difference between a goalkeeper and everyone else) but for every different position on the field.
It's crazy intricate and complicated.
Throwaway05
3d ago
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You can't separate out the medication side of things and call it done. This is where a large part of the evidence base is. Medications are what's indicated for most moderate to severe pathology for example (with therapy as an adjunct if at all).
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As a physician I'm obvious more familiar with the medication side of things, but my understanding of therapy is that narrowly tailored therapy regimens work fantastically well. OP mentioned exposure therapy. DBT for Borderline is another classic. Therapy research is more complicated for much of the usual reasons - you can just give a patient Amlodipine and watch what their BP does. Standardizing therapy care for research is nearly impossible. That standardization applies to general clinical practice - you have a huge variation in proficiency of practitioners. Anyone who has exposure to high quality (read: expensive) therapy will tell you it is an incredibly effective modality and temporary. For many manifestations of things like Anxiety and Depression high quality therapy will be more effective than medication. This is not an indictment of medication.
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Don't make the mistake of looking at the online conversation about the discipline and assume that is at all applicable to the reality of things, for instance the criticism "they have made a habit of claiming that that old, well-tested, workable solutions should be replaced by new and improved solutions that will fix everything" is an extremely common patient fear but is incredibly rare thing in most practice settings. Yes shady high volume people are out there but most surgeons fetishize outcome metrics, most PCPs get a hard-on for saving their patients money and most psychiatrists want their patients to take easy to afford and obtain stuff so they actually take the medications. As a poster here you are probably higher education and income so you are more likely to encounter someone who is better at customer service than care who will sell you the new thing. That's out there. That's a small fraction of the care and overall pathology.
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Psychiatry has a specific problem - many mentally ill people are mad, can't understand they have a mental illness, believe they just have a medical problem, want Adderall or Cannabis as a drug of abuse and so on. These people complain about the field. They are not reliable narrators.
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The killing of Iryna and other similar events is a political problem. America has a very individual rights oriented approach to managing mental illness. Also things that are mental illness adjacent but not quite mental illness (like heavy substance use or personality disorders). If the judge says the patient has to be released, if there aren't state hospitals beds, psychiatry has limited options. Many severely mentally ill people get discharged and immediately stop taking their medication (which was working!) and go do drugs. An antipsychotic can't help with that. Send them to jail or lock them up for good in hospitals or give the doctors more rights to do things against their patients wishes. These all have costs. I don't know what's best, that's a complicated topic. Historically societies just killed them if they were poor. We don't do that anymore (which is good!) but we've replaced it with the actuarial risk of murder and other bad outcomes.
Throwaway05
3d ago
Most forms of therapy and 'mental illness' treatment just don't really work, at least not at effecting permanent 'fixes.' Scott used to talk about this quite a bit.
You have to be very cautious about this, it's mostly an exaggerated self-deprecating meme - large subfields of psychiatry and psychology work great.
Criticisms are often stemming from narrow areas such as SLS (shit life syndrome) driven depression and through exaggerated posting by a heavily loud population of patients with serious mental illness and Anosognosia.
For instance medications work great for the traditional serious mental illness - Schizophrenia and related disorders and Bipolar. It helps that these are more directly biochemically mediated. Now patients relapse but it's usually through poor choices (stopping medication, drugs).
A more restrictive society does not have that problem. To some extent the other conditions have the same problem. If the treatment for your depression is to get off your ass and to stop smoking weed as much as it is taking an SSRI, then a society that doesn't keep you away from weed isn't going to be able to do shit.
Much of mental illness is as much a political and ethical problem as it is a treatment problem.
Even with the area where what you are saying is more true (the classic "SSRIs don't really do shit for depression and anxiety" critique) has a lot of nuance.
For example SSRIs are one of the worst treatment for depression. They are first line because they don't have side effects like "eat a certain type of cheese and die" or the image problem of ECT.
Scott likely writes about this less because he finds that the medications and treatment do actually help, and as a heterodox nerdy person he likely had a lot of exposure to people with personality disorders being treated with medication and with mild symptoms. Both types of people medicine doesn't have much to offer.
As your clinical practice expands you see stuff work and less marginal pathology.
The vast majority of doctors in the vast majority of specialities have consulted psych and watched them fairy dust some magic bullshit with a few pills. The average person is going to care about life satisfaction issues and mild to moderate depression and anxiety but that's a small fraction of the morbidity and nearly zero of the mortality.
Throwaway05
5d ago
It's become enough of a pattern that people are asking questions. It may not in fact be because you are gay, it could be because you've discovered a new subculture that makes you feel at home while you are going through a tough time and helps you connect with your brother (I think you said he was gay?) it could be something totally different. However it's usually because you are gay so even if that isn't it - it is certainly an impression you are slightly giving off.
Throwaway05
5d ago
I'm pretty sure that if the positions were reversed you'd see the left screaming about fascism, racism, and all kinds of other things.
It may be a pointless political move on Mamdani's part, but bitching about it is certainly legit.
Throwaway05
5d ago
IDK - but lots of people were far less mad at that than TLJ.
In his review for Odd he argues that the weird casting ends up being fine, if someone of his politics goes for that....
Throwaway05
5d ago
Yes, but 9/11 involved some weird stuff is relatively mainstream, flat earth is not (and to my recollection Joe argued against flat earth stuff).
Throwaway05
6d ago
You got a citation for any of this?
Flat Earth and Moon landing conspiracies are MANY orders of magnitude more questionable.
Throwaway05
6d ago
The reviews are stellar and I was served a Ben Shapiro review on YouTube and even he liked it. It's going to be a monster.
Different people have different reactions to cannabis, some people have crippling anxiety or paranoia. Some people end up outright psychotic with some of those progressing to permanent schizophrenia.
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