tag:blogger.com,1999:blog-4624586630299165335.post7768010588185589005..comments2024-03-14T09:50:44.315+00:00Comments on Psychological comments: #Germanwings, Missionary Psychiatrists, and Bayes’ TheoremAnonymoushttp://www.blogger.com/profile/09320614837348759094noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-4624586630299165335.post-6694399229552395102015-03-31T16:58:05.048+01:002015-03-31T16:58:05.048+01:00Mr. Thompson,
In today's outcome-obsessed soc...Mr. Thompson,<br /><br />In today's outcome-obsessed society, people must become countable, quantifiable, transparent. And this leads to a GROTESQUE new misunderstanding of psychotherapy. Therapy is now conceived as a set of techniques that can be applied to a human being. This makes sense if we see it as a business transaction with a buyer, a seller and a product. But it totally ignores the most basic fact: that therapy is not like a plaster that can be applied to a wound, but is a property of a human relationship. Therapy is about the encounter of two people, and the real work is done not by the therapist but by the patient. As the psychoanalyst Donald Winnicott observed, the therapist provides a space in which the patient can construct and create something. The therapist encourages and facilitates, but whether a therapy takes place or not depends entirely on the patient.<br /><br />The patient's own reality has to be taken <b>very seriously</b> by the psychiatrist. To explore it, to define it, to elaborate it and to see where it will go. No outcome can be predicted in advance. With most psychiatry today the divided self has vanished, along with the recognition that grief, despair and frustration strike at the heart of our image of self-possession and fulfilment. <br />Alekseihttps://www.blogger.com/profile/11581363302791171286noreply@blogger.comtag:blogger.com,1999:blog-4624586630299165335.post-90692618257531112272015-03-31T11:18:38.565+01:002015-03-31T11:18:38.565+01:00In vino veritas, Dr T.In vino veritas, Dr T.deariemenoreply@blogger.comtag:blogger.com,1999:blog-4624586630299165335.post-59786764549537857822015-03-31T09:41:57.240+01:002015-03-31T09:41:57.240+01:00I was also surprised by the Trail Making test, tho...I was also surprised by the Trail Making test, though it might have some links with route finding, though in that case it would be better to test route finding. I think they need to go in another direction, and look at detection of lies. Difficult, but not totally impossible.Anonymoushttps://www.blogger.com/profile/09320614837348759094noreply@blogger.comtag:blogger.com,1999:blog-4624586630299165335.post-31815421545672905002015-03-31T01:40:56.364+01:002015-03-31T01:40:56.364+01:00It’s wonderful to read a post that begins with Tho...It’s wonderful to read a post that begins with Thorstein Veblen & ends with Paul Meehl!<br /><br /> “…major psychiatric illness should be a bar to being a commercial airline pilot.”<br /><br />You hit the nail on the head. Or the mountain with the cockpit, as Lubitz would say.<br /><br />Projectives like the Rorschach are practically useless - & are totally useless for screening motivated, bright potential pilot types – the few who have any bizarre ideations are not going to let them slip out.<br /><br />In the US when the FAA sends pilots/potential pilots to seek specialized testing by clinical or neuropsychs (e.g., commercial pilots seeking reinstatement after treatment for ETOH abuse or depression, or initial license seekers who were diagnosed with AD/HD when younger) - the FAA demands overkill testing with individually administered outmoded standard batteries, subjecting the person to at least 2 full days of testing of (often) poorly normed tests not predictive of any clear criterion/criteria (batteries/tests such as Halstead Reitan, Trails Making, draw a clock, Wechsler, etc.) These testing requirements became codified to give the appearance of scientific respectability, but they don’t predict jack - it’s all muddy tea leaves - or a racket to allow psychologists who don’t understand measurement to earn money!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4624586630299165335.post-14613851442100781932015-03-30T23:46:36.392+01:002015-03-30T23:46:36.392+01:00"Greg Cochran and Paul Ewald once made the ca..."Greg Cochran and Paul Ewald once made the case that pathogens are heavily involved in common mental illnesses": it's my guess that pathogens are heavily involved in all sorts of things - e.g. that they might explain the mysterious rise and fall of heart attacks. After you get past broken legs and the like, it's all genes and germs.deariemenoreply@blogger.comtag:blogger.com,1999:blog-4624586630299165335.post-44628804138974352752015-03-30T20:54:17.216+01:002015-03-30T20:54:17.216+01:00The Lion makes a case that the problem was schizop...The Lion makes a case that the problem was schizophrenia and not depression.<br /><br /><a href="http://lionoftheblogosphere.wordpress.com/2015/03/29/lubitz-received-olanzapine-injection-in-2010/" rel="nofollow">Lubitz received Olanzapine injection in 2010 | Lion of the Blogosphere</a><br /><br />Along with his many other recent post on the matter.<br /><br />It's worth pointing out that Greg Cochran and Paul Ewald once made the case that pathogens are heavily involved in common mental illnesses (even though they are highly heritable). So indeed they could be "catching", ironically.<br /><br />I'm sure there's a cost-benefit analysis that can be done to weight the merits of screening. Intense screening might however create a perverse incentive for pilots to hide whatever symptoms of mental illness they might suffer (see the episode of <i>House</i>: "The Right Stuff").JayManhttp://jaymans.wordpress.com/noreply@blogger.com