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post by arunbharatula · 2017-05-28T04:22:11.761Z · ? · GW · Legacy · 6 comments

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6 comments

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comment by WalterL · 2017-05-30T14:29:44.172Z · LW · GW

I'm kind of confused by what you are suggesting. Say I'm crazy. Are you saying that because of all this I shouldn't see a shrink? Like, there's no 'plan B', yeah? Its not like we can switch to another, better mental health system, right?

Replies from: ChristianKl
comment by ChristianKl · 2017-05-31T10:22:17.633Z · LW · GW

I'm kind of confused by what you are suggesting.

The idea that every description of how things are has to be a suggestion is flawed. If you want to know the truth about the world it's very useful to be able to distinguish a description of how things are from advice about what to do.

If you only allow yourself to accept descriptions of the world that include a satisfactory recommendation of what to do, there's a good chance that you will believe in convenient lies.

Like, there's no 'plan B', yeah?

There are plenty of alternative treatments out there that can be a plan B. They usually come with their own issues but it's not like there aren't alternatives.

Replies from: WalterL
comment by WalterL · 2017-05-31T12:52:20.015Z · LW · GW

You aren't wrong that sometimes describing a problem with a service is worthwhile in its own regard, but it seems like the special circumstances surrounding this case make it sort of indecent to leave it at "the system built to help you, depressed person, has many problems. CKI out!"

Like, these alternative medicines you recommend aren't created equal. Which ones would you recommend instead of therapy?

Replies from: ChristianKl
comment by ChristianKl · 2017-06-01T15:07:03.876Z · LW · GW

There's a subset of depressed people who are depressed as a result physical head trauma. For them osteopathy that's targeted on relieving tensions of fascia in the head can be useful. Other forms of hand-on manual therapy can also help.

CBT likely has its limits with someone who's depressed because someone hit their head and the fascia in the head are tense and press on certain nerves.

comment by ChristianKl · 2017-05-28T09:15:59.152Z · LW · GW

And that's why we need prediction-based medicine.

comment by ChristianKl · 2017-05-28T09:13:56.554Z · LW · GW

Finally, psychological therapies are administered haphazardly. Eclectically combining elements from different psychological therapies is inefficient.

The link doesn't prove the thesis that it's efficient but just gives a definition on Wikipedia of the term "eclectically".