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Culture War Roundup for the week of February 27, 2023

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Is that true?

I assume you’re thinking of trans issues. That’s the only thing on OP’s list where I’ve seen treatment focused on bringing the physical in line with the mental. Well, there’s physical therapy and prosthetics, but that’s beside the point. Anxiety, depression, et cetera…the intent is to mitigate them.

DBT was developed for people who experience extreme emotional responses to certain situations. “It’s essentially about learning how to think in a way that calms you down in moments of crisis,” explains Johnsen. “The goal is to center yourself so that you can get back to rational thought and behavior more quickly. Eventually, you should be able to catch yourself and learn to curb overreaction before it occurs.”

DBT is a “gold standard” in treating conditions like borderline personality disorder (a chronic behavior pattern that may include mood instability, difficulty with interpersonal relationships, and self-injury) and histrionic personality disorder (which entails constant attention-seeking, emotional overreaction, and seductive behavior) but can be used to treat anyone who experiences over-reactivity in certain scenarios. “It’s an in-the-moment technique that a person can use to regulate super-strong emotions, and get to a place where those emotions are bearable and surmountable.”

Source. The last couple options on that page lean away from coping strategies, but they still aren’t normalizing the symptoms.

It might also be worth noting that the response to mental illness isn’t exactly coordinated. Political slogans, softball media coverage, and Twitter—avenues of cultural reinforcement—don’t fall in line with therapists. Arguably, it’s the other way around, since motivated patients can select their way to a sympathetic therapist.

Anxiety, depression, et cetera…the intent is to mitigate them.

I'm not sure exactly what the modes of mitigation are, and if they're applied consistently. I guess I'm reacting more to the "pop psychology" reaction to these issues that you see in the media, and the effusive affirmations that now greet announcements of mental illness.

For anxiety and depression, my assumption is that the treatment for these has at least shifted from a "get over it" approach to a "this is very normal and valid" approach, even if the latter was originally intended as a way to end-run around the obvious objections to "get over it" while still helping them get over it. Now, the mode seems to be helping the patient feel better about their affliction rather than removing the affliction, as if the stigma of a mental health problem is more important than the mental health problem.

I'm wondering if it might also depend on the demographics of the patient. I have a hard time imagining that the treatment approach (across a broad swath of therapists) would be the same for a middle-aged white man who feels paranoid anxiety over romantic issues with women and a young black woman who feels paranoid anxiety over racial discrimination. Is one more likely to be asked to look for internal causes/solutions to their predicament while the other is tasked with better coping skills in the face of injustice? Is a profession that has fallen almost completely in-line with a radically progressive approach to trans issues not going to see that same context start to inform their other treatments?

hasn't it mostly transitioned to therapy and maybe prescribing antidepressants?