domain:mattlakeman.org
2rafa
6m ago
It’s clear that the Nobel committee for reasons of generic Nordic internationalist liberalism could not stomach giving it to Trump directly (think of the humiliation at parties!) but decided to give it to a Trump-aligned Venezuelan conservative and anti-communist as a kind of consolation and gesture, in that Trump could hardly say she absolutely didn’t deserve it.
self_made_human
amaratvaṃ prāpnuhi, athavā yatamāno mṛtyum āpnuhi
7m ago
Well, your interpretation is the one I personally hold, so maybe you're onto something there.
RoyGBivensAction
Zensunni Scientologist
10m ago
If the U.S. puts a woman on some paper money, who should it be? I would vote for Laura Ingalls Wilder.
@hydroacetylene suggested Bessie Coleman, which prompted some "literally who" responses. I never heard of her myself. Looking her up, I'm assuming she's a Texas regional thing, like Juneteenth. Of course, like Juneteenth, the feds could be happy to use a Texas regional thing nationwide if it pleases the correct demographics.
@sarker suggested Louisa May Alcott.
@erwgv3g34 suggested Amelia Earhart.
Ayn Rand would be funny but not a realistic one.
anon_
17m ago
Isn't that literally what you did when you dimissed hydroacetylene point about viewpoint discrimination in therapy by pointing out that medical professionals discriminate against viewpoints like "disease is caused by bad humors" and "disease is caused by spiritual rot"?
That was an example to demonstrate the principle at work -- namely that viewpoint discrimination is intrinsically part of professional licensure. It wasn't some specific example.
The restrictions medical professionals put on adults wanting to do this are much stricter than the ones placed on children wanting to do it as part of gender affirming care.
I'm not too sure about that, but I don't think it's worth litigating at this point in the thread. At the least, the point remains that an adult can have (e.g.) her tubes tied.
Except Guyatt's own research shows that there isn't really evidence that treating gender dysphoria helps anyone.
There isn't evidence, and so in its absence the establishment chose to believe something that wasn't forbidden to them by the research.
There's a famous Scott piece on the different epistemic burdens people put when faced with assessing things they do and don't want to believe. In the former it's "not excluded by the evidence" and in the latter it's "not mandated by the evidence".
Obviously we both agree those beliefs were largely wrong, so what is left to debate here?
The Oxford Handbook of Psychiatry, 4th edition:
The authors have made the bold artistic choice to employ what I call "narrative whiplash" as their primary technique. Patient vignettes follow a strict three-act structure: Act One (character introduction), Act Two (literally any psychiatric condition), Act Three (death/insanity/miraculous recovery). This eliminates any tedious middle section where character development might occur. It's rather like if War and Peace were rewritten as a series of Twitter threads, except instead of 280 characters you get exactly three sentences before Pierre either achieves enlightenment or develops catatonia.
Then again, the pacing might well be a stroke of genius when you consider the target audience: exhausted junior doctors who need to absorb maximum psychiatric knowledge while standing in a hospital corridor at 3 AM. Who has time for denouement? The patients certainly don't seem to.
The real mystery is why Oxford's handbook writers haven't applied this technique to other fields. Imagine: "A 67-year-old man presents with chest pain. He has a heart. He does not have a heart. The end."
(I don't actually think there any patient vignettes in it, it's too no-nonsense for that stuff)
I have previously complained that Fish's Clinical Psychopathology has very little to do with fish, nor was it written by one. A missed opportunity, I'd like to know what the SSRIs and cocaine in the water do for salmon facing the awareness of their inevitable mortality.
Verdict: False advertising, so I won't even read it.
Then there's Making Sense of the ICD-11. It always sets certain bells ringing when a book requires another to make sense of it. I hope the authors of 11 know that it should have just been a trilogy. The DSM guys are at least more restrained about milking the franchise (galactorrhea due to hyperprolactinemia).
The main takeaway, at least for me, is that the real mental illness was the classification systems we made along the way.
FtttG
20m ago
It might be a local Current Thing in the US for some time to come, but it didn't seem to get much traction in the wider Anglosphere. In Ireland, people had already stopped talking about it by the following week.
2rafa
20m ago
This conflict has continued for 70 years and will continue indefinitely until a “final resolution” occurs. Settlers continue to exercise growing power in Israeli politics; while not as fecund as the chareidim they stil have substantially higher tfr than secular Jews. Hamas is re-asserting control of Gaza and still likely has at least 10-20,000 fighters, and very high Gazan fertility rates and a large pool of existing 10-14 year old males means it will have many more in short order.
There are only 4 final resolution states:
-
Total victory of the Israelis, involving the ethnic cleansing of Palestinians from Gaza and the West Bank, followed by a subsequent peace deal with the surrounding nations that involves some kind of naturalization for Palestinian emigres as full citizens of other nations or another nation. Very unlikely.
-
Total victory of the Palestinians, involving the ethnic cleansing of Jews (either in a genocidal context or Algeria-style ‘suitcase or coffin’ emigration) from all current Israeli territory and a single Palestinian Arab state. Unlikely for now although less unlikely than scenario 1, and radically more likely if the world enters a period of sustained international upheaval.
-
A two-state solution imposed by the United States and other powers to Palestine’s benefit. America and other nations sanction Israel or threaten to until it experiences a domestic political crisis and forcibly withdraws settlers from the Palestinian Territories and agrees to a Palestinian state along either 1967 or (less likely) 1948 borders. There is a substantial chance of this turning into scenario 2, although it is theoretically possible with a ‘neutral’ international force overseeing the process. If public sentiment shifts further against Israel in America I think this is plausible in the medium term.
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A two-state solution imposed by the United States to Israel’s benefit, which would involve one or more Muslim powers administering a semi-autonomous collection of Palestinian city states in an arrangement with Israel and possibly other global powers, principally America. This was the goal of the Israeli right but seems less likely as time goes on.
The most likely outcome of the current process is that Hamas returns to power in Gaza, the world mostly forgets about the conflict for 5-10-15 years, and then things eventually flare up once Hamas is ready for another big attack.
anon_
23m ago
this runs into complications like how Hamas has already engaged in gun battles with gazan clans as it tries to re-assert control, which goes significant premise of Hamas being removed as the military and civil authority of Gaza.
I mean, this is very much understating the extent to which the ceasefire is a chance for Hamas to execute its domestic opposition.
anon_
26m ago
The Palestinians were squeezed between the IDF and the Egyptian/Qatari axis.
I doubt open hostilities rekindle that soon. There's too much graft to be skimmed from the rebuilding/humanitarian operations. Time some fat years.
RoyGBivensAction
Zensunni Scientologist
28m ago
I finished my reread of Vineland. It is roughly as I remembered it: something of a mess with not-fully-fleshed-out ideas and plotlines going all over the place, but perhaps the strongest attempt by Pynchon to write some real characters instead of his usual 1D cartoon characters. It feels like a braindump to get rid of a bunch of quarter-baked ideas that were clogging up his head so he could get down to writing Mason & Dixon and Against the Day.
anon_
29m ago
The evidence is that the company still exists.
I can't stress this enough -- a bad CEO can destroy the entire thing as an ongoing concern. The companies with those CEOs literally don't exist any more.
Insert the picture of the military planes coming back with the bullet holes.
DiscourseMagnus
31m ago
I think one of the stronger tells re:Marxism-as-religion is how they treat Marx himself, much more like a prophet than a scholar (despite protestations to the contrary).
RoyGBivensAction
Zensunni Scientologist
32m ago
Infinite Jest is nearing the top of my to-reread list. I first read it in 2012 or so. I thought it was great and want to see if holds up.
I remember the worst parts being the terminally unfunny bits that drag on and on and on. There are some "jokes" that weren't funny to start with and certainly didn't get better with repetition.
When you're done, you need to immediately re-read pages 1-17. Then there is an interpretation of "what really happened" written by Aaron Swartz that is worth reading, although it has drawn some criticism.
FiveHourMarathon
Wawa Nationalist
35m ago
Does the Charlie Kirk thing have legs? It's been the Current Thing in our newspapers since before the body was cold.
FtttG
37m ago
You're absolutely right, I didn't mean "the most important issue facing the world right now". I simply meant "the issue that everyone is talking about", regardless of its importance.
anon_
41m ago
No, these firms have net foreign revenue that they want to repatriate to the US. In fact, that's the bigger thing they are taxed on.
Microsoft (just to pick an example, could be any of them) can fully fund their entire Indian and Vietnamese operations with a fraction of their overseas revenue. The money would have never entered the US in the first place.
self_made_human
amaratvaṃ prāpnuhi, athavā yatamāno mṛtyum āpnuhi
41m ago
I would imagine that smart and well-read psychiatry students would probably know that antipsychotics increase the risk of pneumonia
I... uh... didn't know that until I opened my revision notes to look for examples. You are welcome to update on how smart or well-read a psychiatry student I am. In all fairness, that knowledge is irrelevant in clinical use, I've never seen or heard of a psychiatrist not prescribing because of pneumonia risk from an antipsychotic.
But, in general, my main source of frustration is irrelevant information gumming up the syllabus rather than the fact that a lot of memorization is involved. If what I have to memorize a lot of facts to be a good psychiatrist, then that's just what I need to do. But I don't enjoy, and in fact, hate quite a bit of what I'm forced to learn. Physics majors aren't grilled on their knowledge of Aristotlian mechanics, nor are chemists asked to produce the schematics of the alembic necessary for transmuting lead to gold. It's all so tiresome.
SophisticatedHillbilly
42m ago
Don’t the lower classes have the lowest rate of suicide? Suicide is correlated with income if I remember correctly. Seems like that supports the idea.
daguerrean
42m ago
I think most the responses here are taking “Current Thing” to mean something like “biggest issue”, but I disagree. To me the Current Thing is what normie women put in their instagram bio. Palestine, Ukraine, BLM, those were current things. The AI bubble deflating will simply never be the current thing no matter how earthshattering it is
VoxelVexillologist
Multidimensional Radical Centrist
50m ago
How do those countries handle cases of "odd jobs" and stuff like that? If you're a farmer that makes money by, I dunno, selling grain, how does the government know how much was sold? Or if you sell goods/services direct to consumers? I suppose the tip income is somewhat US-specific and doesn't matter quite as much any more, but there are a bunch of less-easily-trackable income sources that would seem to make this a bit hard in the general case.
2rafa
53m ago
For example, why do antipsychotics increase the risk of pneumonia? Nobody knows. Why do clozapine and olanzapine cause the most weight gain (within antipsychotics)? Fuck knows. There is no logical chain that leads from the pharmacology of clozapine to it causing more weight gain than ziprasidone. We only know these things through observation. The exam questions reflect this reality. They do not ask you to model the interaction of dopamine antagonists with hypothalamic appetite centers. They ask: "Which of the following drugs is most associated with weight gain?" This is not a test of your reasoning. It is a test of your internal lookup table. You either pass the herblore skill check or you don't.
Sure, but I would classify this closer to the ‘classical’ examination than the rote legal memory check where, you FOOL, you forgot that it was actually a class 5(a)i notice and not a class 5(b)i one even though you actually! In the sense that I would imagine that smart and well-read psychiatry students would probably know that antipsychotics increase the risk of pneumonia and so on. Even moreso for Freud’s ‘nonsense’.
Browser
56m ago
I mean most likely outcome is that the conflict will kick off again within a few months off whatever random terrorism Hamas can muster
Browser
57m ago
I don't really see the point of taking this for the Palestinians and I'd consider myself broadly in team Israel. Or atleast I think a lasting Israeli victory is the most likely to maximize happiness in the region for the Palestinian population if they cease agitating.
IMO this is likely the peak of Palestinian sympathizing as a media/cultural force. Inevitably this will kick off again within months or years and the IDF will resume absolutely mauling whatever resistance Palestine can present aside from random civilian terrorism.
FiveHourMarathon
Wawa Nationalist
57m ago
To attempt an actual answer
So wait, what system do you prefer or think is best?
I wish I could do that dude. The stimulants already muck up sleep cycle, and I've never been the kind to be able to cat nap.
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