#clinical experience

[tetedump]

omg congrats on getting into a grad school program! I am trying to go down a similar career path and i was wondering if you could talk a little about the experience you got during undergrad that helped you get into this program? Thank you:))

thank you!! <3

getting experiences were fairly tricky for me bc of covid, so it shouldn't be as hard for you, hopefully!! i didn't actively seek out research experience, i was primarily looking for clinical experience, but having the research experience was super helpful and i ended up really enjoying it (although i definitely don't want to continue down that road professionally).

for clinical experiences, i reached out to my clinical psych professor (honestly hated her, but she put me in touch with this organization where she was being trained which was the most phenomenal experience, so we're very grateful to her for that) and asked what organizations she thought might have summer internships for undergrad students. if you're looking in NYC, i can give you a few suggestions on places where you could start looking! <3 i ended up interning at this private practice for 2 years because they let me keep coming back—i got to learn things on the admin side, got my first experiences interacting with clients and parents in a clinical sense, and got practice talking with supervisors both getting/receiving feedback and asking questions.

for research experience, i emailed literally every single psychology professor at my school and asked if they had any research they needed assistance with (and, i said 'if not, would you be able to recommend another faculty member that I could reach out to? i'm very interested in gaining research experience!'). thankfully, the one who had an opening had work that i was happy to do! and i've stayed on that on and off for 2 years as well, because it's been easy, interesting, and super cool to be able to literally be writing the final research article now to be submitted to journals, after having done the clinical interviews 2 summers ago at the very beginning of the project:)

please let me know if you have any questions/if i should elaborate about any of these experiences!

i do not think you need either or both of these experiences to pursue psychology. I do think a lot of places like to see that you have experience. it's absolute shit that a lot of these experiences are unpaid. there are definitely scholarships and grants you can apply for, but that doesn't minimize the unpaidness of the work you're doing. if i can help at all, please let me know!!! <3 excited for you to explore this:)

[uscematch]

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[justeehighschool]

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[varshamedblogs]

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[davidl2001]

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[taradactyls]

Something I love about how Pride and Prejudice is told through an omnipresent narrator, aside from the witty remarks and insight into other characters it allows even though it's usually focused on Elizabeth, is how it plays on the audience's own prejudices and assumptions.

The narrator tells us very early on, chapter 4, that Darcy is "haughty, reserved, and fastidious, and his manners, though well-bred, were not inviting." We've already seen that when we meet him the previous chapter, and will see more of it in those following. But it's the readers, along with Elizabeth, who take that observation as not only a list of flaws (despite only the first actually being negative) but presumes even more damaging flaws must be attached to it. Darcy can be off-putting, especially so in the setting we meet him in: he dismissed Elizabeth within earshot of her, didn't engage with people attempting to converse with him, etc. It's easy to assume the worst of him in a world so driven by social niceties, and because we follow Elizabeth, who is so lively and playful amidst the rules which govern society. Elizabeth thinks he's bad tempered? It would make sense - he hasn't shown consideration for others much socially, why would he care when he's angry? He acted from resentment and jealousy and went against his father's will? That's not such a jump after the conclusion of a bad temper, his own acknowledgement of implacable resentment, and evidence of pride. The awareness of one offensive trait so naturally leads to prejudice against it, that we easily assume still worse qualities must exist. We are as mistaken as Elizabeth.

Even the idea that 'No, Darcy was never haughty or rude, he was just shy and misunderstood, the narrator is wrong' is just magnifying that prejudice. Yes, we do find out later that Darcy is not at ease among strangers, and was always intrinsically good; his morals and core values meant he was never as bad as Elizabeth believed. But that doesn't mean he was without flaws, and it's so fascinating that some analysis of his character seek to completely remove the negative traits which he eventually overcame after acknowledging them in himself. The logic seems to be that they feel if he had them in the start that he isn't actually such a good person. It's just another example of being so prejudiced against certain flaws that it's impossible for some people to reconcile that there doesn't have to be more serious failings attached, and someone can still be a good person despite being arrogant and not always nice. It's, ironically, being prejudiced in the exact same way that Elizabeth was at the start of the novel. It's amazing that Jane Austen was able to tap into that aspect of human nature so deftly, and invoke in both in her main character, and readers to this day.

Now, of course, the story is so well known it's rare for anyone to read it blind, so it's less likely anyone will be unaware of Darcy's good qualities despite first seeing his worst. Even if they do, Pride and Prejudice has become so genre defining that new readers who are the slightest bit genre savvy will be more aware than contemporary audiences were. But even if we know the story it's still so understandable why Elizabeth feels the way she does. We see what she sees and feel her conclusions make sense. Just as, even though the narrator tells us Darcy is starting to catch feelings for Elizabeth, we fully comprehend her not noticing and believing there's a mutual dislike. And though that is concrete evidence of Elizabeth not reading Darcy and his motives correctly, we are still so sympathetic of the basis of her prejudice that her continued belief in Darcy's lack of virtues makes sense from her point of view. We can see, as she later will, that she takes it too far, and should have noticed evidence to the contrary, but her prejudice against him based on his early behaviour and her pride at reading people correctly is so understandable.

Basically, in a story about the characters' pride and prejudices, I love, love, LOVE how the narrator's voice brings out those same traits in readers the exact same way we see it presenting in Elizabeth. We're all on that journey with her, and we can likewise learn the same lessons about ourselves as she does. Pride and Prejudice feels timeless, because even though society and thus the nuance changes, the book is about human nature, and that remains essentially the same.

[feroluce]

For some weird reason, I've always been fascinated by how wildly different Sampo operates in the Underground vs the Overworld.

Sampo is present in both places and even in official sources, he's not really counted as one side or the other- now that the theory has been confirmed in-game, he's generally just lumped in with the Masked Fools.

But there really is a big difference!

Probably the most obvious and well known instance of Sampo's...business practices *cough burglary and fraud COUGH* in the Overworld is from the Belobog Museum event. In it, you don't find out Sampo is the main culprit until near the end, because Pela has to set up a sting just to catch him in the act. And that sting is necessary all because the initial suspect they arrested, Norbert, had pretty much no idea of his partner's identity. Sampo wouldn't even speak to him face-to-face.

And whereas Sampo is normally very pleasant and friendly with the trailblazer...when he thinks he's talking to Norbert here, he straight up says that they are NOT friends. Like he really shuts that shit DOWN.

There's also an Overworld NPC, Chavez, who heads the "Dark Blue Scam Support Group." And he. Really really really does not like Sampo fjkdasjklfdj

Chavez clearly wants Sampo caught, and has literally no positive feelings about him. So. Why call it the Dark Blue Scam? Why not just out him by name? Chavez obviously doesn't give a single shit about Sampo's dignity or privacy. But he never once refers to him as "Sampo," and even the pamphlets he passes out make no mention of it. No one in the entire support group seems to know how to identify him or how to refer to him except by his hair color. If the trailblazer says his name, Chavez reacts as though he's never heard it before.

(I've seen people say this means Sampo Koski is an alias and not his real name? But Ray pointed this out, and honestly I agree; even the Fools call him Sampo, after all. I think it's just that Chavez never knew Sampo's name in the first place, and given his immense distrust, immediately assumes it's an alias.)

And then there's his characters stories, where he proceeds to pull off a heist in the Overworld while in disguise as Brughel Poisson the entire time. Literally his own stories don't mention Sampo's name even once.

So anyway, all this shows that when he's up in the Overworld working cons, Sampo is incredibly slippery and secretive about his identity. The only people who seem to know him are Pela, Serval, and Gepard. He doesn't get close to anyone else, and is even surprisingly unfriendly. Nobody knows his name. No one knows his face. He has zero qualms about backstabbing or double-crossing, and even plans for it in some cases.

Meanwhile, down in the Underground, I'm pretty sure literally the worst thing we hear of him doing is scalping tickets in front of the Fight Club. Which isn't even illegal in a lot of places (although it's certainly a dick move).

In Hook's companion quest, a vagrant miner steals Fersman's equipment and tries to sell it to Sampo. Even before the trailblazer and Hook jump in and out the vagrant as a thief, Sampo hesitates to buy it because it sounds like stolen goods, which he doesn't want any part of.

Even knowing that a geomarrow detector is rare and incredibly valuable in the mines, Sampo makes no attempt to double-cross Hook or profit off of her loss, and even tells her who to go to to get it fixed.

And my favorite example of Sampo in the Underground is the Survival Wisdom adventure mission. In it, Sampo starts up a business with Peak, another miner. And like. In wild contrast to all the cons he pulls above ground, Sampo is actually super nice and helpful here.

Just the same as with Hook's quest, Sampo talks to Peak face-to-face, with no disguises or barriers. When the trailblazer finds them, they're just in the Great Mine, no secretive meeting places. Peak knows Sampo, is familiar with him, and calls him by name. It's not even a con! There's nothing illegal going on; it really is just a business partnership. Peak is more than happy with their deal, he's even pretty enthusiastic about it, because thanks to Sampo he can now make enough money to get by while also accommodating his chronic fatigue.

The only person Sampo lies to in this whole ordeal is the trailblazer, who he manipulates into getting Peak's mining equipment back from the vagrants that stole it in the first place. And when it's done, he rewards them with a legit treasure map.

So when he's working in the Underground, Sampo is MUCH more upright and lawful. Part of this is probably to do with his "business" model- Sampo only takes advantage of the wealthy, and poverty runs rampant in the Underground. When he charges Peak an extra 30% (the same percentage he charges Norbert as a consultation fee in the museum heists- Sampo seems to go by percentage instead of a flat rate, which means his prices are more fair for lower incomes) for carelessly losing their supply, Peak literally starts counting out pocket change.

Dude's working for pennies and good will down there dknsmdmd

And you can twist this into a Robin Hood thing if you want- Sampo IS technically working to feed orphans and heal the sick. He says himself he's more than happy to make up the shortfall between the greedy and the marginalized- I mean he says it in the shadiest way possible, but I doubt the people benefiting from his work really care that he's a slimeball if it means they can survive another day. Even the two heists he pulls in his character stories are literally just him stealing absurd amounts of food.

Personally though I think it is solely because of Natasha, and Sampo is hilariously well-behaved specifically for her, because she keeps him on a short leash JSKZJMSMSKS

[starrysharks]

reassassination swap AU... fuckin.... unassassination idfk

[lhazaar]

hey. i'm turning my chair around and sitting in it backwards now because i want to speak specifically to people with ocd. this is a targeted post and is not meant to apply to the userbase of this website at large or to serve as a policy decision.

hi. do you know what scrupulosity means? it is a strong, intense, often painful concern about morality or religion. it's very common for religious people with ocd, actually—the fear that you've sinned, that you will sin, that your thoughts themselves are sinful. you're afraid of being an evil person. every thought and feeling you have is scrutinized to exhaustion in case it's proof that you're evil. this also happens for non-religious people with ocd, it's just that ours will look different; it's often a preoccupation with social justice issues. you care a lot about being a good person, right! most people do. you want to be a good person, you want to be kind to others and to dismantle oppressive systems where you can. i'm making some assumptions here, but they're based on my specific audience base.

so, there's this thing that happens online, especially on tumblr and twitter—not because bluh bluh platforms bad, but because of the ways in which information is propagated on here. people used to tag for these posts sporadically but don't do so as much anymore. you know posts that exhort you, the reader, specifically, to take action? they tell you not to look away, not to bury your head in the sand. they tell you to give and to agitate and to donate time, money, resources.

those posts used to make me intensely, deeply anxious. i don't mean mild agitation, i mean life-ruining, day-occupying panic that seizes your entire body, and thoughts that don't leave your brain. guilt that paralzyes you because you, personally, cannot go kill the politicians responsible. you don't have enough money to do more than donate a few dollars, and sometimes you don't even have that. but because of where you live, because of the fact that you have internet access and you're literate enough to read these posts, you know that you have a level of privilege that most people never will. you're aware of that privilege because you're reasonably in-tune with social justice movements and you've probably spent some time dissecting your own privilege to examine your biases. (that's not a bad thing; i'm not here to condemn that. stay with me, if you can.)

there's a thing that can happen if you've lived with ocd like this for a long time where you become kind of incapable of telling what's addressed to you personally and what isn't. everything feels like a personal exhortation. you have trouble saying no, or knowing when you're overextended, because other people have it worse. how dare you enjoy relative comfort when people are being bombed or drowning in a climate change -induced flood or being crushed to death in a crowd panic. how dare you not be aware of it at all times, always, constantly. how dare you look away. don't look away.

i want to tell you about something i went through, if that's okay. a lot of people who follow me will already know this, but i haven't talked about this aspect of it very much publicly. in 2020, while visiting my partner in southern oregon, we had to evacuate from wildfires twice in under 24 hours. that was a really, really bad fire season, caused and perpetuated by a combination of global climate change and colonialization practices that destroyed traditional indigenous fire management strategies across the west coast of north america. fires stretched from bc to california. we wound up fleeing south, and then had to flee back north again, hemmed in on three sides. i flew back home to bc shortly afterwards, and i have this vivid, awful memory of seeing my home mountain range, the cascades, choked out with smoke from the window of an airplane. the woman in front of me sobbed the entire time until we touched down.

i remember thinking at that time that it was insane the entire world wasn't stopping. what i was experiencing was apocalyptic in scale—the fire we ran from the first time was part of a complex that chewed up entire towns. it wasn't the first fire season, nor the worst for the continent, nor the world. but all i could think in the moment was why aren't we doing anything, this is going to be all of us in a decade, why are people looking away.

if i had gone online and posted that, it would not have been morally wrong of me. there's no ascribing morality to a reaction like that. i mean, if i'd gone to someone who suffered in the years prior in australia or california and told them that ours was So Much Worse, that would have made me an asshole, but i didn't do that. i made some upset facebook posts targeted at the trump voters in my family, but i had no way to express at the time the sort of clawing panic of WHY AREN'T PEOPLE DOING ANYTHING??

the answer to that, which you probably know, is: what would they have done? we were sheltered by friends we evacuated with, but what power did a mutual in new york or wales or singapore have to affect a wildfire in oregon?

so, come back to the present day with me again, if you will. i said above that posts worded like this used to make me really, really anxious. in the span of time after the fire, i developed ptsd, and my ocd ruined my life. i took an extra year to graduate after i'd finished all my coursework because i could not send in the forms required. i was too busy spending 10-16 hours a day rearranging furniture in my room, or lying in bed, full-body tense, until it felt like my teeth would crack from the pressure. i'm medicated now. i'm grateful for it. i have more tolerance for these posts because i've been there. i know the op isn't doing anything wrong, because they're not wrong. why isn't the world stopping to look at a natural disaster, or a genocide? the world should not be like this.

you are not the world. you are someone with a brain that will torture you to death given the chance. you know how learning to reckon with your privileges, whatever they may be, requires you to not try and escape them? you need to be able to hold in your head that yes, you benefit from something that isn't fair; yes, other people should have that benefit, and that they don't is unjust. but you need to, for example, not try and weasel your way out of being white because you're uncomfortable with the guilt that it produces. you need to not go online and say well not ALL americans because you can't sit with the idea of being complicit in american imperialism. if you have ocd, you need to apply that to your own brain, too. you need to apply it to every post that you see. you need to know that people are not speaking directly to you, they are crying out in pain and fear. they are not doing anything wrong. they are scared and hurting.

they do not benefit from you taking on all the guilt of that fear and pain. i am not saying this to absolve you of the guilt. i am saying that you need to be able to exist with that level of guilt without allowing it to paralyze and destroy you. if you can't do that right now, i'm not here to cast judgement on you. blacklist phrases. i had "wildfire" blacklisted for a long time. i'm sure i missed aid posts because of it. the alternative was me being nonfunctional. for a long time, i had donation posts blacklisted across the board, because the way my ocd worked meant that i was neurologically incapable of knowing where my own limits were, and i would give money i did not have. if you need to do that, this is me giving you permission. doing this does not make you evil. it does not make you morally bankrupt. it makes you someone whose brain is trying to fucking kill them, and the world needs you to not let that happen.

this is not a post about how you're exempt from caring about the world if you're mentally ill, it's about how you cannot apply that care to anything useful if you're having massive panic spirals every other day about the guilt that you feel. your guilt should not rule your life. if it does, i say this kindly, but you very likely need medication. i'm sorry if you don't have access to that right now. you cannot think your way out of ocd. you cannot think your way into stopping neural activity. you cannot guilt your way into being a good person; you have to be able to exist with the guilt and not let it rule you in order to do that. nobody benefits from your brain trying to martyr you in the name of solving the world's suffering.

you need to be able to function, free of crushing and paralyzing guilt, before you can help anyone. you are not an effective ally like this just because your brain tells you that it's necessary.

[jenthebug]

I went to my appointment and found out that I don’t have cancer anymore.

Then I got home to a letter that I don’t have a job to go back to. Fired for “failure to return from leave.”

I need a fucking drink.

[da-shrimping-station]

Childish Jealousy L card

[ edit: i've read the card prologue and added my thoughts under the cut + a bit of a rant ]

my initial thoughts:

Just a shot in the dark yk,,,,

Will the card's H scene be them being a pair of high schoolers getting frisky in an empty classroom after school?

Yk, fucky wucky magic and Levi's personality aside

That's,,,,

That's pretty tame? Imo at least

Huh,,,,,

I've done and seen worse when i was in high school

childish jealousy is really a fitting name for this L card cuz that's the whole motivation for it 😭

can't believe he put the entirety of Gehenna castle to sleep and strut around like they own the place (also Foras splashing tea on the sleeping Sitri lmaoooo u bitch)

also saying that Asmodeus is in charge of regulating that particular substance,,,,,interesting

bruh Levi just Thanos snapped Minhyeok into non-existence jgjdhfjsnsndngkdn poor baby

so MC is mildly aware of what's going on

the pair go about the school day w MC being an absolute total klutz (idk if it's because of how the dream is set up or if that's how the day actually went but holy shit bestie how are you that disorganised????)

Levi acting like a disgruntled mom friend is not what i expected

o yea he also strangled a student but eeeehh 🤷‍♀️

"your heart goes thump when you're being as honest as a devil" something something,,,okayyy maybe that's when MC became more honest about their desires 🤔

and the dreamspace yeeted all the other students away

heh people really went off the rails when they saw the words "childish" and "Children's Day" on the banner without knowing the context

Children's Day was only mentioned in passing when MC was reminiscing and from the bit of research I did on the holiday, when kids turn 13, that's their last time to celebrate it cuz they're no longer children

so yea children have NOTHING to do w the event AT ALL (obviously) (i still stand by what i said in one of my reblogs re: this event when it was first announced)

so it really is just a role playing scenario in a school setting w some mild uniform kink maybe (i saw a post of part 2 and MC was turned back into an adult)

and like, they didn't even do anything when MC was their high school self 😭

eeeeyyyyy glad to know that my hunch was correct 🦐 still won't be pulling for this card but I appreciate the art and the ass hehehehe

[uscematch]

Internal medicine inpatient rotations

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[prince-liest]

It's been a long week, y'all.

[salt-baby]

As someone who is currently working in the healthcare field and looking at attended medical school, can you please elaborate on the ableism and doctors post you made? I’d very much like to avoid inadvertently falling into that category.

Somehow this missed my radar, my bad!

It's a difficult question to answer, although it is the right question to be asking.

You can find my other elaborations here and here, which will likely be helpful.

But to address your specific question, when I think about the ableism of practitioners, in some cases it is just bias, but in many it's just your run of the mill ignorance.

It takes experience to work well with disabled people - both because of the heterogeneity of them, and because the disabled experience is so far removed from the able bodied one.

Some people like myself call themselves disabled as an identity they're proud of, some people call themselves disabled but are uncomfortable with their condition to various degrees, and a lot of people would find it offensive for you to call them disabled because they would call themselves chronically ill or not impaired at all.

In your medical practice, "disabled" is going to be a legal term with a set definition, used to distribute benefits. You'll be taught an impairment model of disability, and your first instinct will likely be to try and fix the problem your patient is experiencing.

In a case like mine, that's not a mindset the patient is going to appreciate, as backwards as it sounds. Yes, I'm in a doctor's office to get treated, but the reality is that expert doctors have already evaluated my conditions and done all they can to help me. There's no quick fix - the fantasy of curing a difficult case is impossible with me, but it doesn't stop some young doctors from trying. My disability isn't one illness, but ten, and often what disables me is the environment around me rather than my actual illness (this is called the social model of disability, and that's where you should start studying).

I'm in a doctor's office to find relief from specific symptoms, or for a new problem (secondary to my existing conditions) that has popped up. Some residents have reviewed my entire medical file, and asked about things that weren't followed up on, and there's only so many times I can say "there's nothing we can do about it". Many premeds, when I mention the medications I'm taking, think that there must be some kind of better medication setup for me. Except there isn't, all of my meds are essential, and at this stage of illness, all medications have nasty side effects. I will never get better and will likely live the rest of my life on immunosuppressants and I'm okay with that, but that's very difficult for able bodied people, esp medical practitioners, to accept.

And in many cases, medical practitioners have put their foot in their mouth by just being ignorant. One person working at a rehab hospital asked if I slept in my orthotics - the answer is no, obviously, orthotics are painful to wear (it's also bad form to ask a disabled person about their disability just because you're curious). Someone told me it'll be okay, they used to wear wrist braces too and they're fine now - in reality, their supervisor just told me to consult surgeons, I was recommended casts, and my wrists remain permanently displaced to this day. I lost most of my ability to write. Our issues were not the same.

On another occasion, a premed picked up my orthotics and moved them away from me without asking - those are expensive (2000$ USD) and irreplaceable, and I need them to walk, I'm vulnerable without them. But to others, they wouldn't be aware that those braces are that valuable. Many disabled people, myself included, view mobility aids as an extension of their own body. For all intents and purposes, my orthotics are my "knees". I often compare it to a phone - it'd be really weird to take someone's phone and move it away from them, or even to touch it unannounced in the first place.

The reality of what a disabled life actually looks like is obscure to the vast majority of able bodied people. Let me be clear, I live a happy and satisfying life, where I enjoy my work and my friends and my family. My existence is not a tragedy, and when it's treated like one, it devalues my hard-won happiness in life and what I have to contribute to the world. But at the same time, every hour of every day is impacted by my disability. I have to change how I cook because I struggle with lifting a pot or standing on my feet for too long, my closet has to be adapted for my orthotics and nerve pain, a number of medications have to be kept basically within ten feet of me at all times, and I have to be very careful anytime I eat something I didn't prepare myself.

You may prescribe a medication which you know can cause nausea, and not realize to your patient, that side effect looks like being sick everyday, skipping meals, wearing a mask so a smell doesn't set you off, and not enjoying eating anymore. You may write a script for the test which is medically the correct option, but your patient may be sensitive to the specifics of the procedure (ie, for religious reasons, it may be difficult to strip down to a gown for some of the more involved imaging procedures). Cystometry and other urological procedures especially. I find this is where doctors sometimes inadvertently do harm. The best option for your patient isn't always the best option medically - it's what fits their priorities and improves their quality of life.

Understand that the current culture in medicine, for doctors, is often very callous and frustrated towards their patients. Recently I heard someone express that their patient needed to just accept their disability already and start being compliant with treatment - they had been disabled for three months. It took me a year to feel even remotely settled with becoming disabled, and my disability isn't nearly as severe as that patient's. Do not follow in your colleagues' footsteps.

If you spend the time trying to understand your patients (which may look like reading disability theory papers, memoirs, watching documentaries, possibly even volunteering, talking to some of your seniors with more experience, etc) then you're already miles better than most of your coworkers. Take the time to consider it from your patients point of view, and even though it's not what's in your textbook, appreciate the value of the information your patient brings to the table (their experience, their concerns, their gut feelings), and you've already done what most disabled people are desperately searching for in a practitioner.

The reality of a minority identity, is that for adults who have become accustomed to something like being disabled, it matters a lot more where your heart is than what you actually say. I don't care if someone is politically correct - I care if they're trying. Even if they're not quite there, that effort will pretty much always be seen and appreciated. I'd far rather someone call me "handicapped" but never view me as lesser, rather than someone who falls over themselves to "accommodate my limitations" and never actually intends to accommodate anything. Be sincere, and you can make mistakes, we'll know what the intention was.

Best of luck, my friend.

[boypussydilf]

*wakes you up in the middle of the night at the sleepover again* yeah but like, even though she can’t really fully relate, marceline is kind of the best person to be actually effectively emotionally supportive to simon, right? she’s had absurdly fucked up things happened to her and had to learn how to live with it too. like largely the idea of stakes is “marceline had this super traumatic thing happen to her and she has to accept it as part of her and learn how to live with it in a way that’s healthy for her”. they’re in pretty different boats but simon still probably has more similar life experiences to her than to anyone else. and marcy always wanted to help him. however unfortunately he can’t stop seeing her as someone he has to protect and keep happy. he doesn’t want to “freak her out”.