Readit News logoReadit News
ben_sisko commented on Undisclosed financial conflicts of interest in DSM-5 (2024)   bmj.com/content/384/bmj-2... · Posted by u/renameme
aleph_minus_one · 4 days ago
> Generally a disorder is considered something that significantly impacts someone's life, getting in the way of things like working, social life, life enjoyment.

With the same argument, we could arguue that working and social life are getting in the way how I am, thus working and social life should be considered disorders.

ben_sisko · 4 days ago
Sounds like you need to read better books Bromaster General!
ben_sisko commented on Undisclosed financial conflicts of interest in DSM-5 (2024)   bmj.com/content/384/bmj-2... · Posted by u/renameme
vjulian · 4 days ago
What counts as a “disorder” is often not based on empirical evidence but on what is determined as undesirable, maladaptive, or outside the social norm…by Americans. The DSM in many ways represents the worst of so-called social science.
ben_sisko · 4 days ago
The exercise and food science people are the worst of social science buddy. Or just “social” something, because it’s not science. “Science-based” always makes me laugh.

The DSM only matters if somebody is actively seeking treatment for something that they have a problem with in their own situation. So what’s in there is totally irrelevant for the public at large. It’s only if somebody shows up and says there’s something going on that they don’t like. It’s really just billing codes, man. The reality is far different anyway, and it just gets distilled down to these primitive codes.

ben_sisko commented on Undisclosed financial conflicts of interest in DSM-5 (2024)   bmj.com/content/384/bmj-2... · Posted by u/renameme
suggestion · 4 days ago
There isn't one because a sprained ankle is a binary diagnosis.

One of the biggest problems with psychiatry is that every diagnosis is a spectrum, and over time it's become more and more obvious that the boundaries for what is considered "neurotypical" are way too narrow.

Depression being a chemical imbalance was a complete lie to sell more medication, and how prolific this type of occurrence is within the industry is not hard to see.

At the very least, a plurality of phycological diagnoses are manifestations of physical behavior: diet, exercise, exposure to sunlight, etc

We're so overprescribed on medications to try to feel a certain way within far too narrow of a spectrum.

Why do you presume that there has to be an equivalent to a sprained ankle? Maybe the answer to your question is yes, only the catastrophic is worth addressing.

https://journals.plos.org/plosmedicine/article?id=10.1371/jo...

ben_sisko · 4 days ago
“Chemical imbalance” lol.

You have inadvertently outed yourself as not having a clue by your reply. It’s nothing personal but you just clearly don’t have a clue and/or don’t have skin in the game.

It’s fine. I don’t know anything about professional juggling because I have zero skin in that game.

Paging Dr. Brochacho: fMRI and brain networks have been around for a while!

ben_sisko commented on Undisclosed financial conflicts of interest in DSM-5 (2024)   bmj.com/content/384/bmj-2... · Posted by u/renameme
ben_sisko · 4 days ago
The DSM diagnostic categories are glorified billing codes that everybody (who actually has real ground contact with mental health care for real for real) recognizes as primitive, Stone Age relics.

In five or ten years, these categories will feel like missteps of the past (akin to calling all mental illness “hysteria”).

ben_sisko commented on Ask HN: Do your eyes bug you even though your prescription is "correct"?    · Posted by u/jbornhorst
ben_sisko · 6 months ago
Before I got my first pair of progressives lenses I saw a lot of conflicting anecdotal accounts. After doing research, the conclusion I came to was simple: I got the very best progressive lens that Lens Crafters sells because the best lens has a much larger intermediate “corridor” size than less expensive progressive lenses. I have had zero issues with my progressive lenses. I forget I even “have” progressive lenses at all!

By asking to talk to only those who have problems, you could be self selecting for a population who may not help you actually solve your problem, even if they mean well.

This is just my experience of course. When I did my initial research, I asked a question on Blind about progressive lenses. Lots of people said they have progressive lenses and they have zero problems.

If I was forced to guess, I would say that some (or maybe even all) of these folks who start talking about the computer glasses……it makes me wonder if they simply under-bought their lenses. Yes glasses are expensive. Getting a better lens will cost more. Yes yes, the Luxotica this and that. I don’t care about any of that crap. All I care about is getting the best lens possible and so should you!

Do what I mean!

ben_sisko commented on Julia for Economists (2022)   github.com/cpfiffer/julia... · Posted by u/sebg
ben_sisko · a year ago
Julia is the Desktop Linux of these kinds of programming languages: it’s about to get really big sometime very soon in the future! Then you see a post like this years later. “THIS YEAR IS IT!”
ben_sisko commented on Julia for Economists (2022)   github.com/cpfiffer/julia... · Posted by u/sebg
minetest2048 · a year ago
ben_sisko · a year ago
This link lays out the case in an exceptionally thorough and damning (for Julia) way.
ben_sisko commented on Doctor-prescribed videogame for ADHD   endeavorrx.com/... · Posted by u/wdh505
Aurornis · a year ago
Nonstimulant medication is also very effective, but with the caveat that it takes longer to kick in. The second caveat is that it’s devoid of any recreational value during the startup period, which has an outsized effect on people’s perception of the medication “working”.

Stimulant medication tends to be favorably accepted at first (for entirely unsurprising reasons, even though some people don’t experience quite the same euphoria) but it actually has a high discontinuation rate. The number of people who start stimulants, think they’re the best thing ever, then slowly decline into generally disliking them is far higher than you’d ever imagine if you only ever read short anecdotes on Reddit from people writing glowing reviews after their first dose.

Obligatory: I’m not taking about everyone and I don’t need to hear 10 different anecdotes about people who still like their medications. I’m talking about macro level phenomenon. Stimulant prescriptions are a hot topic on TikTok right now and a lot of people who aren't really ADHD are getting into prescriptions without a full picture of what they’re signing up for.

ben_sisko · a year ago
I’m not saying the non-stimulant options do nothing, but on average the non-stimulant options have a lower effect size than the stimulants. There are many well designed studies that have covered this territory over and over.

Lots of people take these medications at the same dose for years and years.

I get that many people feel strongly about this topic in all kinds of ways and directions, but that fact by itself changes nothing.

ben_sisko commented on Doctor-prescribed videogame for ADHD   endeavorrx.com/... · Posted by u/wdh505
ben_sisko · a year ago
Stimulant medication for ADHD has the highest effect size in all of psychiatry. ADHD is highly treatable, when people are properly treated. This just feels like something that somebody made for the parents who are pathologically drug averse at the expense of their children. Of course, the parents don’t realize that their kids don’t get that development time back, so the longer they wait, the harder things can get for their kids.
ben_sisko commented on Panic at the Job Market   matt.sh/panic-at-the-job-... · Posted by u/speckx
ben_sisko · a year ago
The “Job Openings vs Interest Rates” section is incredibly weak and amateurish. Just a bunch of assertions and conjecture.

- Superimposing two graphs is the evidence provided? Really?

- The “correlation is causation” part is atomic level cringe.

- With a sorry ass attitude like this, I’m sure this guy doesn’t just have a problem with getting a job; he has problems with all kinds of things. “Why doesn’t everyone just agree with me?”

- The ChatGPT stuff at best comes off as “dumb funny”, but really it’s just a weird mix of desperate and angry. You sure showed them!

u/ben_sisko

KarmaCake day32October 19, 2023View Original