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Muninn

"Dick Laurent is dead."

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joined 2024 August 23 18:38:09 UTC

Burnt out, over the hill autistic IT nerd and longtime SSC lurker

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User ID: 3219

Muninn

"Dick Laurent is dead."

2 followers   follows 0 users   joined 2024 August 23 18:38:09 UTC

					

Burnt out, over the hill autistic IT nerd and longtime SSC lurker


					

User ID: 3219

Verified Email

Do you know what cops do when they assess that someone is out of their minds (either psychologically, or due to drugs)? They drop them off at the nearest ER, shrug, and say 'your problem now.' The worst types of criminals and mentally ill aren't dealt with by cops, but the healthcare system. The medical staff are meant to treat someone in a psychotic aggressive state without harming them or allowing themselves to come to harm.

All too true. Alas, this is pretty much SOP since a landmark Supreme Court ruling in 1975 set that specific standard. The system, such as it is, is working as intended. I work with folks that are responsible for doing the psychiatric screening end of this that get dispatched to the hospitals to determine whether or not these sorts of individuals are in such imminent danger to themselves or others or alternately cannot care for themselves that they need to be temporarily detained against their own will. It pretty much sucks for all liable parties, which is to say the hospitals, LEOs, and the screeners. The LEOs must regularly attend training on how to assess potential mental health issues with these sorts of folks and they could conceivably be put under the microscope for the decisions they make in these sorts of cases, so they're going to err on the side of taking folks to the hospital, where high-priced medical staff often need to basically wait for a drunk/drugged up patient to sober up, deal with the frequent fliers that are off their meds or worse still, decompensating but have to stay there until a bed opens up in a longer term care unit, or convince the depressed individual to just commit to a fucking safety plan already and Get Out of Dodge while they still can because they really don't want to have all of their things away and have to live in a padded room for a few days until they're judged safe from harming themselves, now do they? If a patient makes it to one of our people then we have to go through reams of paperwork to document the encounter with the client as well as the entire timeline from when the client hits to the hospital to when we leave, including when we first get the call, when we arrive at the hospital, what the disposition of the case was, whether or not the client was temporarily detained and if so, where were they sent, when was the ruling made, who ended up transporting the client, when did they arrive to collect the client, other various and sundry questions all revolving how long things took because detainment orders expire, and so if things go awry the bureaucracy can cover its ass and point the finger at the right party, which starts with our folks if they don't document everything to a T to begin with.

Somewhere, Moloch is smiling.

Challenge accepted, I'll update when I've finished the book. Glad to hear that you liked it!

Eh, it's been good enough to hold my attention (currently on chapter 12, and things have developed quickly) but then again, I always say I'm a cheap date when it comes to books and it continues to be true!

Yeah, that's certainly been true for my wife. After a few years of wanting the hard luck cases and the downtrodden, she's learning that working harder than her clients is a bad idea and that too much of that sort of thing is burning her out. That said, it was certainly an experience when she wanted to talk about Systemic Racism with me, blissfully unaware that I'd been around the internet more than long enough to have experienced many HBD debates and that the argument she was making was essentially straight from the Dread Jim with the serial numbers filed off. GUH.

Language games, of course, lead inevitably to The Rectification Of The Names. Alas.

Okay, gotcha. I still think your analogy holds merit, and that as much as good therapists can project an affect that I see as inherently Therapeutic (think Dr. Wong if you're a Rick and Morty) fan, it's also true that there's still some bleed-through that happens, personality-wise. So general agree, just was thinking along different lines.

Also, I gotta say that given my wife's firsthand experience in grad school the SJ stuff can be... whoo, boy! I mean, most of her texts were what you'd expect, but she also had texts like Decolonizing Methodologies and Privilege, Power, and Difference so, yeah. But getting into that would be thread derailing, so I'll just say that I think that there was enough dissonance there that my impression is that she mostly was able to doublethink here way through it.

Really good comment! If I'm understanding you correctly, which is to say that most therapists will in their profiles/web pages/whatever advertise their preferred specialties and modalities and the like, then I think it does, yeah. To develop this thought a little further, while some modalities have become mainstream and common, there's still plenty of specific modalities for specific problems, like DBT specialists for BPD, CSTs for sexual specific issues, et cetera, and in that sense I'd absolutely agree that it's good idea to do one's homework and pick the right "genre" of movie accordingly. I was glossing most of that over in thinking, okay, so there are relationship issues but OP is doing individual therapy, and asking about counselors specifically... yeah, if they're seeing a LMHC, LPC, or whatever their State wants to call it, then OP should at least be in the right neighborhood. Not 100% guarantee, of course, but generally speaking looking at a good flavor of individual therapist. In making my comments about a PCP, I was drawing on my own experiences with a PCP in the past. I had a bad one that simply brushed off a serious and chronic medical problem that I had and when I got fed up and went directly to a surgeon, said surgeon took one look and was like, "yeah, you need surgery," and promptly scheduled me. My current PCP (when I actually see her) tends to actually listen to my presenting problem and offer me solutions if she has them or referrals if she doesn't, and I'm grateful for that. My wife has had similar experiences, so for both of us even getting more than blown off has been a non-trivial problem that we've had to overcome, hence my thinking that finding a good fit requires work even at the PCP level, and isn't something that can be expected right out of the gate. I think that part remains true, and the whole genre twist is an important one, though now my brain is going, "well, ackshully, all these licensed folks have to do so many hours of continuing education each year, some of which is different modalities, so maybe it's more like go to the right multiplex," aaaaand I'm gonna kill the analogy there before it goes further into the weeds.

We have just the one female counsellor who serves all three roles (her individual sessions, my individual sessions, and the couples sessions). Which I’m sure must be a conflict of interest

Absolutely. Assuming you're American, this is enough of a conflict of interest that your therapist could potentially lose her license were you or your girlfriend to file a complaint. It's also all-too-common behavior, unfortunately.

Here in the States, having a MSW is actually a prerequisite for the additional coursework that goes with each particular specialty in question, as is practicing in residence under another licensed mental health professional (LMHP) within the same discipline, such as a licensed professional counselor (LPC) or a licensed marriage and family therapist (LMFT). If your concern is that they're not equivalent to a trained psychologist, then you can rest easy--LMHPs in general meet that bar and then some. That said, just because and individual has managed a graduate degree and a license, that doesn't necessarily make them a good counselor or therapist. Like all LMHPs, a good counselor or therapist is worth their weight in gold, as there are plenty of, well, not-so-good ones out there. Just like finding a good PCP that will actually listen to your concerns and tailor their advice/treatment to you accordingly, finding a good counselor that will do the same is possible (they exist!), but you might not necessarily find one your first time out of the gate, so I'd advise patience and willingness to go elsewhere to find a good fit. One other thing to address is that since you're doing individual counseling, as a rule good individual therapy will focus your needs, and any relationship counseling will come from the perspective of what is best for you, regardless of whether or not that's at odds with what is best for the relationship. Relationship counseling, OTOH, focuses on treating the relationship and not the individuals. FWIW, judging by your other reply, it sounds like individual therapy is the way to go.

And because we're on the subject, I've also had experience with doing relationship counseling in my marriage, and my situation was similar to /u/RenOS below. Despite being an LPC herself, my wife genuinely acted as if the purpose of marriage counseling was, for lack of a better descriptor, to make me "do right". Our marriage counselor (who was an LPC as well) quickly twigged to my wife's particular issues, which to be fair to my wife are rooted in massive childhood trauma, and although she didn't focus specifically on that, all it took was several sessions' worth of trying to work with that before my wife abruptly ragequit. It took another year and another separation, during which time we each had to come to grips with our own shit, before we were actually able to start doing things differently.

edit: tidied up some grammar

The Mote in God's Eye by Larry Niven and Jerry Pournelle. I've been wanting to read this one for a long time but there's a shaggy dog story that boils down to buying this one in paperback ages ago but said paperback turned out to be a misprinted copy, so when it went on sale in the Kindle bookstore, I was all too happy to pick it up.

Looking forward to reading the report!

Just finishing up The Wizard's Cat (The Wizard's Butler Book 2) by Nathan Lowell.

This comic will always be with us.

Thanks for the laugh, first time I've seen that one!

They are, thanks. It's not all sunshine and lollipops but generally speaking, we've been doing a lot better on the whole.

Strong agree, I have about ten months of sick leave at this point. Nice if I ever get a lingering illness whilst still employed but otherwise? EH!

The Darksiders II OST by Jesper Kyd (not surprised that he's already been mentioned) is the first thing that comes to my mind and it is utterly sublime. I still listen to multiple tracks from it!

Chains: Unbound Book 11 By Nicoli Gonnella.

edit: fixed the book title

That'd be the one!

My personal favorite from that book is the baroque, multi-page detailed account of one of Randy's eating rituals in the Philippines. Pure gold!

I haven't got any solid impression of the consequences of not doing so though, and therefore haven't

I mean, it's not uncommon for one of my wisdom teeth to catch on the side of my cheek while I'm chewing, which is always aggravating, but that alone isn't worth the hassle of extraction in my book.

Empire: Unbound Book 10 By Nicoli Gonnella.

Yeah. But I'm now convinced that this bag was worse than average, because I remember trying a different brand of pre-ground coffee not that long ago and it was "okay" and smelled like average Arabica beans. This one definitely didn't.

Probably true! My reply was totally tongue in cheek and at least a little hyperbolic in that particular sense.

I think some of the disagreement around the discernment and snobbery in coffee and other food/drink comes from seeking enjoyment vs getting [active ingredient delivery system].

The cheapest coffee, wine or pizza can deliver their caffeine, alcohol or tasty calories, and serve their purpose in that way, and at low cost due to all the cutting of corners, which has some value to many consumers, but that's just one dimension inside the category. If you want enjoyment you want a product that represents some of the better raw ingredients prepared in a less destructive way.

I agree with all of this as well. It's not that there's anything inherently wrong or inferior with mass market coffee, it's that I quite enjoy the ritual of sipping a nice fresh shot of good espresso or cup of pourover coffee and discovering the flavors that said shot or cup contains, which is not something I can do with the mass market stuff. In fact, I'd say that it's highly impressive how brands from Folger's and Eight O' Clock to Starbucks can crank out a specific taste profile for their coffee year in and year out given the inherent variability of the beans themselves!

letthehateflowthroughyou.jpg

Soulless is a good word for how pre-ground coffee tastes once one's palate has become accustomed to fresh beans. It's more like coffee flavored water than actual coffee! Once coffee is ground, all of that fresh coffee flavor locked into the bean is now exposed to oxygen and that flavor unique to that particular batch of beans is literally evaporating by the minute. Even if the beans were ground right at the store when you bought them, you'd have to rush right home and make coffee with the grinds to have a shot at a decent-to-good cup of coffee from them before the staleness started setting into the taste.

When I have to travel, I can subsist on the drek that's offered up at hotels and such, but it's never my preference. One of the joys of the craft coffee revolution is that there's a decent chance that I'll be able to try out some local coffee shop even in BFE and if not, I can try to fall back to a Starbucks for some Blonde Espresso ('bout time they started going down that road, a smart move IMAO) or decent drip coffee at the worst.

Vault: Unbound Book 8 by Nicoli Gonnella.

Second this one, I'm of the mind that it's true myself, though I think that simple bureaucratic inertia plus public safety concerns, when taken together, is more than enough to explain the conventional wisdom.