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I guarantee you your coworker goes home to his wife and bitches about you/his job all night long.
You have a coworker who is just a bitchy wuss of a person. You can identify this by all the bitching he does. You should exclude his bitchy opinions from your mental map of the opinions of capable people.
In fact, you should do this with more people that you meet, even online. Bitchy whiners should be ignored. If they can express a solution, even a crazy solution, that’s different, but if all they do is whine, ignore them.
Anyways, to countersignal your coworker, my wife and I have our ups and downs for sure, but she is not a “job in herself.” She’s the best part of the day, for which, through the struggles, I remain grateful.
What's even the point in getting married if you don't want to have children?
but leaving that aside, there's an opioid epidemic.
Yes. It would be nice to notice danger before it leads to an epidemic. Theres even this same "the numbers say addiction is rare" used as part of the argument for expanding use that far in the first place. You may not be in America, but its relevant because you lean on "we as doctors".
There are all kinds of drugs that have
nil recreational value, but which engender physiological or psychological dependence.
I know. What Im talking about is the pattern with psilocybin, ketamine, maybe ecstasy? where they are supposed to treat depression with few sessions, and effects lasting months. Its weird that we found three recreational drugs from different families doing this, and no non-recreational ones.
The process is somewhat individual and adversarial. In NJ the way it works is more or less this - somebody has to be concerned about the patient (usually a family member, a concerned bystander, cops walking by) the patient is then taking an ED or Crisis Center on a temporary hold, at which point a social worker has to see them and think they need to be committed at which point they are seen by two physicians who have to feel it is appropriate. Individuals involved can be sued, fined, lose their license for abuse and so on. Then afterwards there is an expungement process. If the patient is held for an extended period of time without discharge then they have a formal court hearing that can and will result in release from the psychiatric hospital.
Obviously there is some abuse and laziness in the process, most typically the second physician would be like "eh I wasn't there, I'll assume the first doc was correct."
Ultimately this involves multiple trained professionals with skin in the game to make the determination that someone needs to be committed and they can always go through a court process afterwards.
I think some of the value here is that most people who end up committed don't have the functional status to do much of anything. If you make it opt-in most wouldn't, and wouldn't be able to get expunged. I'm fine with a more robust way of people getting their rights back but it has to be done in away that isn't too egregiously expensive and defaults to no because of how dangerous a small subsection of these people are, which is hard to convey if you've never seen them.
Crisis centers do occasionally catch people who will explicitly say that they are interested in killing people (in a sociopathic way) and loading them down with rights restrictions before they get started in an unalloyed good.
Hope all of that makes sense, typed fast.
Some other stuff: -While most doctors aren't anti-gun they aren't committing people purely to get them away from their guns unless the doc has concerns for threat and its therefore appropriate. This is because these settings are overworked, their aren't enough beds for those who really need them, and the hospital doesn't get paid if the insurance company doesn't think the patient actually needs to be committed and that rolls onto the doctor's head. In the worse case scenario no psychiatric hospital will take the committed patient because they clearly don't need psychiatric care and then the ED comes over and stabs the psychiatrists 80 million times for taking up a bed while someone is bleeding to death in chairs.
-Average disorganized street homeless person is harmless other than the inability to care for themselves even if they are vaguely threatening, so they tend not to get taken in unless they are actively harassing someone or committing some other crime like trespassing.
Photos remind me of the Capitol from the hunger games.
Having a wife is a job in itself - my coworker every day.
It’s allowed under the good-fun exception. Would the victim really object to the crime? Most weddings would only be improved by a crash from some local notables.
I don't think we are going to get on the same page about this, but as a fact matter - if your friend was psychotic under the influence of a substance at that time he had poor judgement and insight, if they were committed involuntary (the correct response to oh holy shit the walls are talking to me is to you know, get help).
Someone experiencing a psychotic episode is often not aware that they are no longer aligned with reality. They are experiencing not just hallucinations but delusions. Yes, obviously they have "poor judgement and insight" while actually experiencing the psychotic episode; that's not reason to deprive them of fundamental rights forever.
One of the challenges of managing society in general is what to do with people who are "fine" most of the time but dangerous while in a certain state (like decompensated mental illness, tripping balls, or just pissed off).
That's pretty much everyone.
I planned to argue that assigning people special hereditary rights is fundamentally incompatible with democratic civilization and the notion that "all men are created equal"
Surely then you would need to assign first world citizenship to the entire planet? Issuing citizenship by blood is hereditary, but issuing citizenship by residence is de facto hereditary, because most of the world can't have children in first world countries, because they can't get to first world countries, because they're not citizens.
It actually doesn't, as in the case I know where someone took a prescribed drug which caused psychotic symptoms. But even if that were so, a lot of things do. Showing some level of poor judgement and insight and lack of responsibility is not per se grounds for revoking a fundamental right.
I don't think we are going to get on the same page about this, but as a fact matter - if your friend was psychotic under the influence of a substance at that time he had poor judgement and insight, if they were committed involuntary (the correct response to oh holy shit the walls are talking to me is to you know, get help).
One of the challenges of managing society in general is what to do with people who are "fine" most of the time but dangerous while in a certain state (like decompensated mental illness, tripping balls, or just pissed off).
dang, I need to do more bicep curls
As ever, we won't really know the answer until after the question is irrelevant. But we saw the 2024 elections already.
It takes a lot of attention and fine-toothed combing to separate social citizens from asocial ones who have learned to pretend to be social where necessary. They will obfuscate their asocial activities, limit them to settings in which they aren't observed closely, and always keep a plausible excuse handy. After a few months and years of beatings, only the stupidest will be asocial where they can be caught.
This might be a problem after a while. It's not a problem right now. There's low-hanging fruit.
Fixed
Or it’s the other way around, and christianity arose as the spiritual justification for this intrasexual bitching, which no doubt predates it.
(Presumedly) white men really not beating the allegations!
It was game over as soon as I watched Mulan.
This entire episode solidified in my mind that its the US that has much more leverage over Israel than the other way around. It also undermined the argument that Israel has control over US foreign policy.
I shared my latest post on the Slate Star Codex subreddit, and Scott showed up in the comments to complain about how I'd characterised him in the article. I dutifully apologised and rephrased the offending passage. In the list of things that made me feel ashamed of myself this year, this was in the top five.
My condolences. If that happened to me, I'd be driven to drink.
Kind of like a less overtly titillating Aella, and, in my view, far more physically attractive.
(Presumedly) white men really not beating the allegations!
(She is pretty, but I found this particular photo profoundly disturbing. To be fair, now that I actually opened it, it's AI generated on purpose)
That's not why Tina Brown is criticising him though, according to Wikipedia she did exactly the same thing. She had an affair with a married man 25 years her senior. Ironically if Bezos had married a younger woman Brown might not have written the blog post, because her readers could criticise her for hypocrisy.
This looks like class hatred to me. Lauren Sanchez looks tacky and low class, with her big fake tits and duck lips. Tina Brown can't criticise her for that, so instead she insists that her sneering is on behalf of womankind, for feminism.
Anyone else ever catch the eye of their heroes?
Yeah, by walking right up to them and asking them "hey, do you have a few minutes to talk about your writing/fencing/programming"? (Or sending them an email, anyways.)
By accomplishment? Hell no.
Does he have to marry an old fat lady?
No he has to stay married to his wife and the mother of his children
I don’t disagree with this and that the just so undermines credibility of the point. On the other hand, I do think Bezos deserves to be criticized whoever he marries. He started an affair and broke up two marriages with children.
I think part of the issue is that modernity has removed the vocabulary to cricicize the object level misbehavior so they displace their ‘something is wrong’ to a secondary element
I'm very chuffed, but I find myself chagrined by the fact that the number of people I know IRL I can boast about this to round up to zero.
I know the feeling all too well.
- My latest post was restacked by this woman who applies data science principles to online dating. Kind of like a less overtly titillating Aella, and, in my view, far more physically attractive. I was flattered.
- It was also restacked by Sarah Haider, whose name I vaguely recalled seeing previously and who has her own Wikipedia page, which is cool.
- "Contra deBoer on transgender issues" was shared by Helen Joyce, I think it was shared by Eliza Mondegreen in a paid subscriber-only links roundup (she definitely liked it), and also liked by TracingWoodgrains and Freya India.
- Freddie deBoer commenced one of his duh-of-course-I-support-trans-rights articles by quoting a comment I'd posted on one of his previous articles and ostentatiously announcing how "profoundly uncompelling" he found said comment, in a tone which to me strongly suggested he doth protest too much.
The only way I could be more pleased is if it caught Scott's eye
I shared my latest post on the Slate Star Codex subreddit, and Scott showed up in the comments to complain about how I'd characterised him in the article. I dutifully apologised and rephrased the offending passage. In the list of things that made me feel ashamed of myself this year, this was in the top five.
Ketamine vs LSD/psilocybin are very different in terms of pharmacology, even if the net effect on depression is the same. The former acts by modulating NMDA primarily, the latter 5HT2A.
Subjectively, a k-hole is light years apart from psychedelics.
They then tend to increase neuronal plasticity, via different mechanisms of action.
Well, ECT and transcranial magnetic stimulation use no drugs at all (barring incidental anesthesia and muscle relaxant in the former). They also, after a few sessions, relieve depression for months or years. Once again, the terminal effect is believed to be increased synaptogenesis/plasticity. ECT has been around for 70 years.
There's nothing particularly weird about it. The regulatory environment just became somewhat more friendly towards exploring less conventional therapies when the anecdotal evidence became strong enough.
Personally, I couldn't care less how "weird" this seems in the first place, as long as the treatments work. The human body is weird and unintuitive in the first place.
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