self_made_human
Kai su, teknon?
I'm a transhumanist doctor. In a better world, I wouldn't need to add that as a qualifier to plain old "doctor". It would be taken as granted for someone in the profession of saving lives.
At any rate, I intend to live forever or die trying. See you at Heat Death!
User ID: 454
self_made_human
Kai su, teknon?
6d ago
If only all our trolls put in this much effort. Thumbs up for that alone.
self_made_human
Kai su, teknon?
16d ago
I fucking hate it. They removed the anime cartoon style and replaced it with something that is NOT Pokemon. Now I just look like some kindergartener who bites people at school
My gut hurts from laughing, but to be fair, I think the kind of 10 year old willing to go engage in dog-fights and clobber wild animals senseless probably did bite people at school.
Notes from Hinge and Bumble's Unpaid Psychiatry Services
Right. Putting doctor/psych trainee in my bio may or may not have been a mistake. I wanted to make it clear that I'm not going to be in India for more than like 3 or 4 months, just about long enough to die from heatstroke and land when it's wet and drizzly in Scotland.
The GMC frowns strongly on a violation of a doctor-patient relationship, especially when the doctor is screwing the patient. In India? Who gives a fuck? A friend of mine, a lawyer, reported that she went with her mom to see a shrink for her depression, and the horny bastard said she didn't need treatment, just an ice cream date.
Now I'm certainly not going to date someone under my care, even in India, only 30% because they're usually grannies with terminal cancer. And their cute granddaughters are probably too distraught to appreciate it, not that I'd be so uncouth as to try.
Unfortunately, I've become convinced that either I'm drawn to crazy women, or they're drawn to me. Or at least 80% of the female population on said apps needs a therapist more than a boyfriend.
Sadly, I nurse a weakness for cute girls who desperately need my help, and my dad-energy manifests so strongly that I've matched with med students to yell at them for being on the apps when their finals are ongoing. More than once. Certainly more than twice.
In no particular order:
-
Med student I yelled at for being on the apps. Turned out to have abruptly discontinued her SSRIs and having a meltdown. She got yelled at more, since I've been on that campus and know there's a pharmacy outside her dorm. Proceeds to inform me she suspects she's autistic. I say, sure, you're a final year med student giving said finals, you can probably tell, not that a diagnosis is going to do you any good. She then goes on to reveal to me that she's been formally diagnosed with BPD. I'm screaming and reacting with a 💀 emoji. Proceeds to tell me it's not that bad, to which I earnestly disagree. Then reveals that she harbors thoughts of stabbing her classmates with HIV contaminated needles. If it wasn't obvious to you, the deal was off the moment I heard BPD. There are many kinds of crazy, but that is what I'm not going to fuck with. Then "she" proceeds to tell me she's trans, which I genuinely couldn't tell at first on a quick skim (it was obvious later, presuming you knew what to look for, but I mostly matched to yell at her). Shoulda guessed from her being 5'10 in the bio, but at any rate, time to dip. Don't stick your dick in crazy, especially not when they can stick theirs back in you.
-
Another med student. Clearly in need of therapy, my attempt at psychoanalyzing her after a brief conversation was hilariously accurate in retrospect. Sadly, in the end, all I could provide was a good time. I was kinda serious with her (before I found out that against all odds, I did match into psych), even saw a buddy of hers, yet another med student, admitted to the ICU. Cue her falling for me after seeing my counseling skills with the distraught family and friends (it's a good way to dodge the malpractice suits). Sadly the buddy died, pontine hemorrhage and rebleed, no comorbidities or predisposing factors. Barring a love of biryani, and if that alone was lethal, I'd have passed away a decade back. Anyway, the girl had failed an exam from a prior year, and I was losing sleep trying to convince her to study for her next attempt. She told me not to worry about it, though my genuine concern meant I still did. Lo and behold, a 55 yo married professor with a daughter her age wrote her paper, in front of the entire exam hall, and submitted it in her name, this, in combination with her family being filthy rich and politically connected, meant that I left my concerns about her academics at the door. Then it turned out that she was the kind of party girl who had both a low tolerance for liquor, and a tendency to get frisky with anyone in sight. And said person wasn't necessarily always me. Some drama later, we weren't a thing, both because I simply couldn't trust her, and because she was growing crazy over the fact I was inevitably leaving. Long story, cut very short. I think I lost my most expensive watch, and she hasn't been so kind as to check.
-
Gyno final year trainee. I hit her up primarily because I was bored, and wanted to see if the uptick in market value from me being a post grad trainee extended that far. Older than me. I was justifiably incensed on her behalf and talking to her when she told me the orthopod she was seeing had dumped her over a text after seeing her for 6 months. Further conversation revealed that she's probably autistic, or just plain weird, being infatuated with me two phone calls in. Still dodging her calls with excuses of being too busy doing unpaid surgery with my dad (he's a Gyno surgeon who also happens to teach laparoscopic surgery to gyne trainees and even other consultants, I wanted to get him a new student if nothing else). But I understood why the previous poor bastard ran for the hills and didn't leave an address.
-
Fashion designer. Very cute, very sweet, very depressed. I had to talk her out of committing suicide, over the phone at 2 am after counseling another, actual suicide survivor, who wasn't my patient either. But working productively with her issues, seeing a therapist, actually listening to my concerns. Nice girl, I'm kinda sad she has to see me go, especially when she said I actually look good in Hawaiian shirts. I always suspected, but it's good to have a second opinion from an authoritative source.
-
Law student. Cute. Top of her class. Survivor of multiple suicide attempts, because she didn't take biology lessons past tenth grade, and Google wisely doesn't return results for "painless ways to commit suicide". Asked me on the first date how much paracetamol it takes to off oneself, for purely academic reasons. I had the sense to tell her I categorically refuse to answer that question. Has multiple psychiatrists and therapists. Refuses to see them, or follow their advice. When they do see her, they get depression, mine only gets exacerbated. Also, I suspect they're incompetent, or consider international consensus more of a suggestion. I've seen some absurd prescriptions, including longterm use of a combination of an SSRI and a benzo. Her anxiety is bad, but only in episodes, whereas I think she'd be way better served with a normal SSRI and benzos rarely on a PRN basis. Bunch of other medical comorbidities, but thankfully dodged the genetic mutation causing ADPKD that killed her father early and will probably get her siblings. She's pulled my hair and slapped me on a first date, the only saving grace being she's so weak only the former kinda hurt (and I need to keep my hair). As allergic to medical care as I am to textbooks, and prone to turn violent and call me old should I express any concern for her lack of care for her health.
-
A rather sweet psychologist doing a fellowship in Psycho-Oncology at another hospital. Met up after work for a date and to talk shop. Then she sees a text from her ex, and proceeds to have a full blown panic attack.. Slept with said ex recently, in the on call doctor's room at their hospital. I could tell she wasn't in any position to date from the moment we met, so I wish her well in figuring her shit out.
And so many more. And some of them, I assume, are good people, who do need a date more than counseling.
Yeah, I'm going to administer all my future dates a mental health questionnaire in the future, I pray that doesn't constitute a therapeutic relationship in the UK, especially when I get up mid date and run myself.
self_made_human
Kai su, teknon?
1d ago
I fail to see how this analogy is remotely appropriate.
The primary reason that people who are vegan/vegetarian (for non-religious reasons, and even plenty of those) condemn the consumption of meat is because their heart aches at the idea of eating cute little animals, with souls, emotions and a life of endless frolicking in the pastures to look forward to. Most of the arguments advanced alongside that primary concern, such as "sustainability" and environmental issues or resource consumption, are there just to buttress their core concern.
I wholeheartedly agree with @Quantumfreakonomics when he says that:
I am not a person that cares much about the suffering of animals, especially not the ones that taste good. Still, strictly speaking, the suffering is not an integral part of the process. If it could be removed, all else being equal, that would not decrease my utility in any way. I am agnostic on lab-grown meat. If it tastes good, is cheap, and is of comparable healthiness to legacy meat, I will eat it.
After all, I've repeatedly said much the same myself.
Hence the recent fad, only just losing steam, of feverishly trying to find vegan substitutes for meat products. Impossible Burgers and all that jazz. Vegans, begrudgingly, note that they either like meat or that people who otherwise care dearly about animal welfare are dissuaded by the dullness of a life without nice steaks or a side of ribs to go with it.
So lab grown meat completely cuts the Gordian knot. No cute animals were hurt (or at least far fewer, if you don't look too closely at where fetal bovine serum comes from, but presumably we can avoid that too). What's there left to object to, on primary moral grounds? A chunk of vatgrown muscle tissue is probably less sentient than an equivalent amount of fungi.
But of course, like the environmentalist movement and the cleanest and greenest source of energy we had/have/can have*, nuclear, much of the opposition arises from the abhorrent idea that their self-flagellation and virtue signaling will become entirely redundant. What brownie points do you get for not eating a cow, when the average Joe who just wants to grill is using a steak that's indistinguishable from one made the old fashioned way, tastes just as good, and might even be cost competitive?
We're not there yet, and the last overview I read of the topic suggested it's not going to be easy at all, but the sheer idea that their performative ascetism is moot must gnaw at their bones (veganly).
*Barring fusion, or farming black holes I guess.
self_made_human
Kai su, teknon?
22d ago
I am an atheist, and I'd go so far as to say I'm an anti-theist, though I keep my religious squabbling to places like the Motte. As long as someone doesn't impose on me, I can deal with a little spirituality in a partner, even if I strongly disapprove.
I don't think my aunt knows this, but it probably doesn't matter. I doubt British-Indian women are particularly devout themselves, especially if they were raised there. And most view Hinduism as more of a cultural tradition they're fond of rather than nursing burning desires to undergo a pilgrimage to the Himalayas and see the Ganga sprout, somewhere before it turns into a river of shit and corpses. And I'm not going around burning temples to the ground either.
And besides, there are literally atheist strains of Hinduism, most famous being the nastiks, which ended up being the common word in most Hindi-adjacent languages for atheist. It's a very tolerant and syncretic religion, it's unlikely any Indian girl I meet there will care as long as I chuckle ruefully as she tries to set fire to the place with lamps for Diwali or insists on wearing a sari during festivals and smearing food-grade pigments on me during Holi.
It's not a big deal really, unless they're from super conservative backgrounds or fresh off the boat.
Errr...
I just found out a distant aunt of mine is already lining up Nice Indian Girls for me in the UK. You know, eligible bachelor nephew showing from the Homeland, getting a degree worth a shit, gotta snatch them up young.
This is not a joke. And frankly I'm an idiot for not seeing it coming, given that I am Indian and know their proclivities for matchmaking, especially within their community.
Well, at least she's in London, I pray her auntie-network doesn't reach all the way north, though I'm already fishing for excuses to dodge that for now. Like, I think I'd be a good dad, and I do want to settle down soonish, but not that quick, let me fucking live a little. And while I'm not particularly picky about ethnicity, I doubt she has buxom blondes lined up.
self_made_human
Kai su, teknon?
13hr ago
I went to the trouble of writing an effort post somewhere that was read by like 8 people, so I'll just reproduce the primary bit, and tack on additional commentary at the end.
https://en.wikipedia.org/wiki/Psychotherapy
Large-scale international reviews of scientific studies have concluded that psychotherapy is effective for numerous conditions.[8][22]
One line of research consistently finds that supposedly different forms of psychotherapy show similar effectiveness. According to The Handbook of Counseling Psychology: "Meta-analyses of psychotherapy studies have consistently demonstrated that there are no substantial differences in outcomes among treatments". The handbook states that there is "little evidence to suggest that any one psychological therapy consistently outperforms any other for any specific psychological disorders. This is sometimes called the Dodo bird verdict after a scene/section in Alice in Wonderland where every competitor in a race was called a winner and is given prizes".[151]
Further analyses seek to identify the factors that the psychotherapies have in common that seem to account for this, known as common factors theory; for example the quality of the therapeutic relationship, interpretation of problem, and the confrontation of painful emotions.[152][153][page needed][154][155]
Outcome studies have been critiqued for being too removed from real-world practice in that they use carefully selected therapists who have been extensively trained and monitored, and patients who may be non-representative of typical patients by virtue of strict inclusionary/exclusionary criteria. Such concerns impact the replication of research results and the ability to generalize from them to practicing therapists.[153][156]
However, specific therapies have been tested for use with specific disorders,[157] and regulatory organizations in both the UK and US make recommendations for different conditions.[158][159][160]
The Helsinki Psychotherapy Study was one of several large long-term clinical trials of psychotherapies that have taken place. Anxious and depressed patients in two short-term therapies (solution-focused and brief psychodynamic) improved faster, but five years long-term psychotherapy and psychoanalysis gave greater benefits. Several patient and therapist factors appear to predict suitability for different psychotherapies.[161]
Meta-analyses have established that cognitive behavioural therapy (CBT) and psychodynamic psychotherapy are equally effective in treating depression.[162]
The bolded section is the one I can't easily verify, at least not when it's 9 am and I've been up all night studying.
Specifically regarding CBT, I found the following metanalysis-
https://pubmed.ncbi.nlm.nih.gov/23870719/
Results: A total of 115 studies met inclusion criteria. The mean effect size (ES) of 94 comparisons from 75 studies of CBT and control groups was Hedges g = 0.71 (95% CI 0.62 to 0.79), which corresponds with a number needed to treat of 2.6. However, this may be an overestimation of the true ES as we found strong indications for publication bias (ES after adjustment for bias was g = 0.53), and because the ES of higher-quality studies was significantly lower (g = 0.53) than for lower-quality studies (g = 0.90). The difference between high- and low-quality studies remained significant after adjustment for other study characteristics in a multivariate meta-regression analysis. We did not find any indication that CBT was more or less effective than other psychotherapies or pharmacotherapy. Combined treatment was significantly more effective than pharmacotherapy alone (g = 0.49).
Conclusions: There is no doubt that CBT is an effective treatment for adult depression, although the effects may have been overestimated until now. CBT is also the most studied psychotherapy for depression, and thus has the greatest weight of evidence. However, other treatments approach its overall efficacy.
And when speaking of CBT as applied to more psychiatric conditions:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3584580/
We identified 269 meta-analytic studies and reviewed of those a representative sample of 106 meta-analyses examining CBT for the following problems: substance use disorder, schizophrenia and other psychotic disorders, depression and dysthymia, bipolar disorder, anxiety disorders, somatoform disorders, eating disorders, insomnia, personality disorders, anger and aggression, criminal behaviors, general stress, distress due to general medical conditions, chronic pain and fatigue, distress related to pregnancy complications and female hormonal conditions. Additional meta-analytic reviews examined the efficacy of CBT for various problems in children and elderly adults. The strongest support exists for CBT of anxiety disorders, somatoform disorders, bulimia, anger control problems, and general stress. Eleven studies compared response rates between CBT and other treatments or control conditions. CBT showed higher response rates than the comparison conditions in 7 of these reviews and only one review reported that CBT had lower response rates than comparison treatments. In general, the evidence-base of CBT is very strong. However, additional research is needed to examine the efficacy of CBT for randomized-controlled studies. Moreover, except for children and elderly populations, no meta-analytic studies of CBT have been reported on specific subgroups, such as ethnic minorities and low income samples.
Addressing the specific claims of similar efficacy to the forms of therapy based on pseudoscientific principles:
CBT for depression was more effective than control conditions such as waiting list or no treatment, with a medium effect size (van Straten, Geraedts, Verdonck-de Leeuw, Andersson, & Cuijpers, 2010; Beltman, Oude Voshaar, & Speckens, 2010). However, studies that compared CBT to other active treatments, such as psychodynamic treatment, problem-solving therapy, and interpersonal psychotherapy, found mixed results. Specifically, meta-analyses found CBT to be equally effective in comparison to other psychological treatments (e.g., Beltman, Oude Voshaar, & Speckens, 2010; Cuijpers, Smit, Bohlmeijer, Hollon, & Andersson, 2010; Pfeiffer, Heisler, Piette, Rogers, & Valenstein, 2011). Other studies, however, found favorable results for CBT (e.g. Di Giulio, 2010; Jorm, Morgan, & Hetrick, 2008; Tolin, 2010). For example, Jorm and colleagues (2008) found CBT to be superior to relaxation techniques at post-treatment. Additionally, Tolin (2010) showed CBT to be superior to psychodynamic therapy at both post-treatment and at six months follow-up, although this occurred when depression and anxiety symptoms were examined together.
Compared to pharmacological approaches, CBT and medication treatments had similar effects on chronic depressive symptoms, with effect sizes in the medium-large range (Vos, Haby, Barendregt, Kruijshaar, Corry, & Andrews, 2004). Other studies indicated that pharmacotherapy could be a useful addition to CBT; specifically, combination therapy of CBT with pharmacotherapy was more effective in comparison to CBT alone (Chan, 2006).
In the particular case of BPD, after talking to @Throwaway05 I looked into the actual benefit of DBT, and was surprised to see that it was genuinely far more effective than I expected. Somewhere around the ballpark of 50% success rates in curbing symptoms and letting quite a few of them lead entirely unremarkable and functional lives. If 50% sounds underwhelming, wait till you hear the typical cure rates I'm used to.
So:
Is therapy and therapy speak actually harmful to people that have mental illness?
A clear no. The evidence base is nigh unimpeachable, even if, as discussed above, the most bullshit insanity inducing forms like Freudian or Lacanian psychotherapy still beat placebo.
My personal working hypothesis is that therapy acts as a decent substitute for a friend, a non-judgemental and understanding one who has seemingly endless time to listen to your problems, and is forbidden, on the pain of losing the way they make a living, from disclosing your troubles. Unfortunately, quite a few people genuinely lack actual good friends, so even such as ersatz substitute has notable effects.
This is an entirely different question from the fad we've been having for quite a few years of "therapy culture", or the insistence of people to co-opt/misuse therapy speak to lend their bullshit legitimacy. Then again, there are practising Freudian and Lacanian therapists, and few other people seem to have the same burning urge I have to burn their houses down. Even then, I must concede they beat placebo, as well as the dead horse that is repressed penis envy.
Anyway, therapy seems to beat placebo, and works synergistically with drugs, even if you cynically notice that therapy based off nonsense does much the same thing as more considered approaches, but it's not in dispute that it works. At least I have the consolation of being able to throw drugs at people instead of just talking at them as a licensed shrink in training, for all the quibbling about if SSRIs work, ain't nobody claiming their ADHD isn't being helped when they're zooted up on stimulants.
To conclude, is therapy helpful when administered by someone who knows what the fuck they're doing? Yes.
Are they/us responsible for random idiots using it as an obfuscation technique? Not really, though the upper echelons of HR are often staffed by people with degrees in psychology where I'm at.
Is it possibly a net negative for the set of {all people subjected to mealy mouthed terminology}? No clue, but you asked about the actually mentally ill, and you have my answer. No surprise that a few of them pick up on the lingo.
self_made_human
Kai su, teknon?
8d ago
I didn't resist the urge to lecture her at length about how despite women being more likely to attempt suicide, men are far more successful at it. Got my hair pulled again for the trouble. I'm beginning to see why I always preferred women older than me, though I'm no spring chicken now.
Paracetamol is a terrible way to go, as you correctly point out. We had a scandal recently where a doctor was admitted, post suicide attempt, with liver failure. She was cheating on her husband, another doctor, and had ended up pregnant with the other dude's child.
Her own family disowned her, refusing to even consider donating their livers, whereas the poor bastard she married was willing to give up his, or that of his brother. Sadly, or happily, IMO, neither of them were compatible, and in India, people with organ failure from suicide are heavily deprioritized for transplant lists. At any rate, I don't want to imagine what swimming in unfiltered toxins did to the child.
I should ask about that case, but it's been a week and she's likely already dead.
At any rate, I refuse to seriously opine on the best way to commit suicide even here, but there are painless and relatively simple ways. Women just tend to prefer the less effective route of trying to overdose and slitting their wrists, as this girl tried.
self_made_human
Kai su, teknon?
9d ago
Missives from Indian Streets
I've had two learners licenses expire on me so far. I'd like to argue, if pressed, that I was too busy to give the driving exam at the end, with other, far more important medical exams pressing. The truth is I was simply too lazy.
But now, finding myself in actual need of one, since the NHS accepts "sorry boss, dunno how" as a poor excuse for showing up late to an emergency, I paid a good chunk of my own salary to one of the driving instructors at one of the more reputable companies around (they own a car brand, though they were mildly put out because I made it clear I wasn't a prospective customer).
The last two times, my dad coughed up the change, but this time, both actual enthusiasm and hard cash were transferred from my far more empty wallet. You'd think his modestly justified annoyance at me having wasted the money before would be outweighed by paternal pride and affection at his son adding more alphabet soup behind his name, but alas.
Up till this point, my instructors had been bad, to put it lightly. And the extent of my experience on the road was driving through quiet suburban streets and doing my best to weave through parked cars and avoid the odd cow or pedestrian.
This time, well, I got what I paid for. Far better tutors, 5 whole lessons in a simulator running Windows 10 but using software probably written in the early 2000s. Unfortunately, today I braved the midday sun in an exceedingly long walk to the motor training school (for obvious reasons I can't drive there) , I can't call myself an Englishman quite yet, but mad dog? The heatstroke left me panting.
To my chagrin, it turned out that my last simulator class was supposedly a two-in-one affair, and they expected me to hit the road again, for the first time in several years.
At high noon. On the main road carrying half the city's traffic, a fucking arterial line spewing motor oil and NO2 emissions, a far cry from the sedate streets I feel quarter comfortable in.
I didn't let on that my inner self was kicking and screaming, and followed the instructor to the awaiting training car with barely repressed terror.
It wasn't that bad. The car, that is. No obvious dents, the air conditioning and power steering worked, a far cry from the broken down beater they'd seen fit to hand me at the previous place.
The driving? Talk about being thrown in the deep end. I swear I don't feel that level of hyperfocus even the odd time I'm dragged in for a surgery. Because after all, what's the worst that could happen there? The patient doesn't make it. Whereas I'm too cute to die, and I have a lot to live for.
Miraculously, despite hitting 55 km/h on some of the busiest roads I've had the misfortune of seeing, I made it through mostly unscathed, even if the gearbox didn't.
That's it. I'm buying an automatic. I modestly hoped that self driving cars would be common enough that I could always procrastinate learning to drive to the distant future, or preferably never. Sadly the distant future is today, and the odd car that can plausibly be said to drive itself is far outside my budget.
Instead, I'm buying a Porsche, a Mustang, nah, a plain old horse. Runs off renewable energy. Confuses the meter maids enough that I might get away with it if I can't find free employee parking. Fully self driving, or good enough cruise control and lane keeping to make sure my sorry ass makes it home from the pub.
I saw God, today. He was wearing a seat belt. So should you.
self_made_human
Kai su, teknon?
15d ago
I don't know enough about the American legal system, until it's my headache, but how much does seniority matter in the SC?
Are the new "young" judges put on the back bench (metaphorically)? My understanding is that they're all nominally equal, so what does it take for one to establish themselves like Thomas did and get taken seriously. How much does their opinion matter, and how is that sausage made?
self_made_human
Kai su, teknon?
19d ago
Give doctors the right to point firearms at their patient and tell them to take their fucking meds on the pain of death.
It's a good day at work, can you tell?
self_made_human
Kai su, teknon?
20d ago
They wanted to avoid the Hyperborean Restricted Airspace Zone. If you thought the Iron Dome was hair trigger you've seen nothing yet.
self_made_human
Kai su, teknon?
21d ago
Update:
She's sending my mom pictures of one on WhatsApp, she's a med student in the UK, her dad is a doctor too, in the NHS, and it turns out he's from the same med school as my mom, just a year younger.
Fuck. It's worse than I thought. I'm honestly not sure how I can weasel out of this one, I have to save face on their behalf, even if I'm not down.
Well, I did at least look, but I'm not marrying a med student, I think my NHS salary for the first few years can support just about myself and an undemanding cat willing to live off the neighborhood wildlife, not a family. Though they're well off enough that it wouldn't be a deal breaker for them.
She do be kinda cute though.
self_made_human
Kai su, teknon?
21d ago
Now I have an America-hating ex girlfriend! That much hasn't changed. She failed her exams, not that we broke up because of that. We had issues, and I can't point my finger solely at her.
I did love her a lot, if that wasn't obvious, but at least I won't have to cajole her into moving with me, assuming that ever happens. For now, the UK it is for me, for the next 3 years at the least.
I understand your frustration, but we clearly have wildcard rules about how mod discretion ubër alles when we consider a comment made in bad faith or a user who is here solely to proselytize on a particular topic. We're not a constitutional court, the precedent exists, as discussed before.
You guys can't even invent a reason that this post breaks any actual listed rule, so you've concocted a rationale out of thin air where you can ban someone for not making other posts that you feel they should have.
No firm numbers exist, but his mod log is lengthy indeed and has an equal share of AAQCs and warnings for posting about Holocaust denialism.
The latter isn't against the rules, as far as I'm aware. It's not even what he's being banned for. Criticizing Israel and questioning the Holocaust are perfectly fine, but if it's not obvious to you, it's the general opinion of the mod team that he's largely here just for that purpose alone, and I'm sticking to the party line in this regard. You're welcome to disagree, but keep in mind that AAQCs aren't handed out based on user votes alone, but mod discretion, so we have no problems with him when he isn't soapboxing.
After all, SkookumTrees got handed a ban, and that was for Eeyore-posting, which isn't explicitly illegal. It just becomes a massive nuisance when it's all you do, or even most of what you do, and especially if you keep at it when we ask you not to do it.
I honestly don't particularly care myself, even if it's a bit tiresome, but the existing plan was to hit him with a ban when the warnings failed. If that's changed after discussion internally, no skin off my back.
But warnings are not meant to be ignored. And while good behavior earns you a great deal of leeway, he really ought to know better. It seems to me he only behaves enough to get back on his hobby horse, and it's groaning at the knees by now.
(For the record, I didn't ask any of the other mods before making this ruling, so you can lay your disapproval solely at my feet, though I'll ask for their input anyway, given that you make a cogent point, however as @netstack points out, we do have official rules against single-issue posting)
self_made_human
Kai su, teknon?
8d ago
To add to the irony, your comment caught a report for lack of effort. This job is going to age me, and I do it for free.
self_made_human
Kai su, teknon?
21d ago
I mean, isn't that the least important thing to paywall? If you want to know what they care about so badly, you probably care enough to pay for it.
self_made_human
Kai su, teknon?
2d ago
but I didn't know how to phrase any of it in a way that would be "leaving the rest of the internet at the door".
Look dawg, I'm an admin and even I have no idea how to enforce that rule without ruling out about 95% of everything that gets posted here. I presume it mostly exists to avoid petty drama and forum flamewars from leaking through.
Until someone tells me what the hell it's supposed to mean, I'm just going to slink away whistling. I don't recall seeing anything ever reported as a violation of said rule, and that should tell you something, given how certain users here consider themselves the effort police and report with a zeal worthy of the Stasi.
self_made_human
Kai su, teknon?
8d ago
Us mods aren't monolithic, though we try to present a unified front. I'm sure there are some out there who would be harsher on OP, or more keen to monitor deeper threads. You can't expect perfect consistency. But I happen to be the one up when the more Westward mods are asleep.
If it had been deeper down, then I would assume that:
A) Far fewer would have their eyeballs contaiminated. I don't recall us mods ever being involved in the most degenerate case, namely DMs, at that point one person or the other should block and move on.
B) It might have been in the context of a heated debate, where being somewhat uncharitable can be occasionally excused, if not indefinitely or infinitely. Someone can be provoked into being exasperated, or less than maximally polite, and I was giving him the benefit of the doubt.
C) His mod record is otherwise clean.
Hence I initially wanted to politely tell him to shy away from that kinda thing without putting a dent in his invisible to you mod record, but when it's a top level post, absolutely not, it's warning worthy. He's got 83 comments, and no warnings till today, so as far as I can tell, he's mostly within acceptable bounds. Unfortunately, B isn't true, though that was an error on my part while trying to clear the mod queue. At any rate, a warning would probably be the default mod action, it's unlikely any of us would want to ban him for a first infraction, even one clearly in violation of norms. Repeated misbehavior and being incorrigible? Or just something awful? Banhammer swings.
self_made_human
Kai su, teknon?
14d ago
While I can't empathize with either gay or trans people (in the strict definition of empathy), I certainly sympathize with the latter and mildly envy the former.
You know how, for many men, the ideal girl is "one of the guys"? Well, gay men are living the dream in some ways, such as showing up to a random park or club and being nigh-guaranteed a quick fuck in a toilet stall. Straight men have to work for it.
Ah, women, can't live with them, can't live without them.
As for trans people, particularly the ones with body dysmorphia/gender dysphoria, I happen to be a transhumanist and so approve on principle of any change or improvement one might desire to the prison of one's flesh. I mean, I'm not a 6'9" 42069 IQ ubérmensch, so there's room for improvement within mere biology.
But that doesn't mean that the universe, or the rest of us, are obliged to indulge your desires, especially when it comes to how we accept your self-expression. Trans people, I'll consider them women/men when they are biologically indistinguishable from the average natal man/individual of their desired sex. Until then, well, I'll shake my head and use preferred pronouns mostly because I'm polite.
That is a cheque that medical science as it exists today simply can't cash. No amount of hormones, surgery or makeup will get you there. I still sympathize and empathize with them simply not being happy in their bodies, I think the correct solution is to change the body, when that's feasible.
You are allowed to dream. So do I. But the universe isn't obligated to make it come true, or easily. Simple self-identification is suitable only for football clubs.
As for AGPs? I agree that they're a large fraction, potentially even a majority. I have even less desire to indulge them, but I hardly think they're wrong for being sexually aroused by the idea of femininity.
self_made_human
Kai su, teknon?
16d ago
Ozempic. If you can afford it. Nothing easier and simpler, or trendier.
There's nothing wrong with wanting your wife/husband to take care of themselves. Like, sure, being eye candy and a good lay aren't everything in a marriage, but goddamn if someone's letting themselves go, there are polite ways of telling them it's not making you happier.
Getting buff yourself? Not the ideal way, IMO. Sure, that's worth it for its own sake, but you're better off whispering to her that you think you're gaining weight and need to diet, and hoping she takes the hint. But I while I don't know her, or you, my experience is that when a woman self-conscious about her own looks sees her husband working his ass off at the gym all of a sudden, she's more likely to think he's trying to look better so leaving her is easier. Ignore if you guys are so happily married that this isn't a concern, but I would not recommend this route myself, unless you make it a point of hitting the gym and then do your level best to convince her to tag along, so she knows it's not like that.
self_made_human
Kai su, teknon?
23d ago
Errr.. I didn't actually realize that was publicly visible. I was trying to put that in the internal mod log, and levity is one way of handling that job, which can be thankless at times. It was more of a joke than anything else, I genuinely do not have a strong opinion on the matter.
self_made_human
Kai su, teknon?
23d ago
Even in history, India was conquered by the British - China got wrecked but not colonized. They fought bravely and desperately against all comers rather than rolling over.
India wasn't an unified entity when the British first showed up. The very concept of India, as a coherent ethno-lingual entity, was created both for civic convenience by the Colonial administration, and embraced by the leaders of the Independence movement.
It had the then decadent Mughal empire dominating the north, and a few of its rump states to the east and west, and multiple independent and flourishing kingdoms that were quite successful in holding off initial Portuguese colonial endeavors.
What the British did was a combination of enormous shrewdness and gunboat diplomacy (in the metaphorical sense, most of the country is too far inland for naval supremacy to particularly matter). They first established a beachhead by subverting then conquering Bengal, a vassal of the Mughals, and then steadily, over the course of decades, fought their way west and south. They were temporarily stymied by the Rajputs and the southern rulers, who had been giving the Mughals a headache, and heavily relied on friendly local powers they played off each other, as well as the massive Sepoy forces they raised to supplement the relatively minuscule number of beef-fed Britons who managed to survive in the those climes. (The beef fed bit contributed to the Sepoy Revolt, but that's a long story)
And complete conquest took, I don't recall, but a couple centuries I'd wager, at least one. And even then, colonial control was mostly through systems of vassalage, with many rulers, big or small, retaining a great deal of local power until they grew complacent and then had their demesnes snatched on technicalities (the most memorable example was a ruler who was infertile, and hence adopted a child when his death was imminent. The British rejected the heir and declared their intent to annex his territory, and when he passed away, his queen took up arms in his name to fight, not that they won)
China was a unified state, and has been for millenia. They're rightfully proud of it.
I can't critique the rest of your post since you're correct that India is far behind China when it comes to development and human capital, and not all of it can be blamed on late liberalization either. I accept that reality, and besides, I'm getting out. However, it wasn't a pushover, the British paid quite dearly to take the whole subcontinent.
self_made_human
Kai su, teknon?
26d ago
Honestly, my approach is, fuck it, why not?
Well, there are actually reasons why not, such as the hope we can find a less ghoulish cure, things like mirror therapy for phantom limb (well, that one's already gone, its just that maybe there's an equivalent), or the fact that they might go on disability.
But if someone who is otherwise healthy and financially sound wants to chop off pretty much anything for any reason, my opinion as a psychiatrist-about-to-start-training is a shrug, presuming I was convinced that nothing else we could do would help.
Surgeons aren't that gung-ho in my opinion, maybe it's because I worked too long in Onco Surgery, but I've seen more cases turned down as non-resectable or not worth it than those that were done knowing it was futile. Surgeons usually want what's best for the patient too, even if it's in conflict with their wallets. They're rich enough that's not the biggest deal.
Chop off a mole, a limb, a dick, anything at all. As long as you make sure you're not a burden on the rest of us, it's not my business, unless you ask me for my advice.
I MADE IT
FUCK THE HATERS
Ahem. Sorry. Got a bit too hyped up, but I've gotta be my own hype man, it's 11 pm at the hospital.
@Throwaway05, @TheDag, @AhhhTheFrench, @faul_sname, @whoeveritmayfuckingconcern (there's a lot of people who've egged me on over the years, I'll get to you all):
I got a match offer in psychiatry! While Scotland might be a little bit on the dreary side, well, endless exams are even drearier.
I was in an awkward position. If I'd done a lot better, I'd be confident in an offer. If I'd done way worse, I could have washed my hands of it and resolved to grit my teeth to prep yet another year of my short life. But I did well, but not so good that I wasn't on tenterhooks.
Most British doctors don't match on their first try, barring the least craved options like GP.
But psychiatry went from having a competition ratio lower than 1, to 9:1.
The exam got ten times harder since I began planning for it. Doubled in the span of a year. Yet I beat it. Beat all the bastards.
No more wannabe psychiatrist, upgraded to shrink-in-training. Then, barring an act of Satan, a bona fide shrink and not a LARPer
I might hold the current offer in the (mildly vain) hope that I get an upgrade to somewhere less rural, but I'll still take it. (Hmm, it seems that the hold window is already over, it seems to be take it or leave it, but I'll still ask around)
Fuck yeah. Gonna drink a lot of scotch and fuck a lot of bitches. I'm getting out.
Now, it's shame I've got 9 hours left at work, and while its going to be a slow night, I'd rather not lose my Indian license by drinking on duty. That can wait till the morning.
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