#proposed diagnosis

[hauntedselves]

Proposed Diagnostic Criteria for Daydreaming Disorder (Maladaptive Daydreaming)

A. Persistent and recurrent fantasy activity that is vivid and fanciful, as indicated by the individual exhibiting two (or more) of the following in a 6-month period; at least one of these should be Criterion 1:

While daydreaming, experiences an intense sense of absorption/immersion that includes visual, auditory, or affective properties

Daydreaming is triggered, maintained, or enhanced with exposure to music

Daydreaming is triggered, maintained, or enhanced with exposure to stereotypical movement (e.g., pacing, rocking, hand movements)

Often daydreams when feels distressed or bored

Daydreaming length or intensity intensifies in the absence of others (e.g., daydreams more when alone)

Is annoyed when unable to daydream or when daydreaming is interrupted or curbed

Would rather daydream than engage in daily chores, social, academic, or professional activities

Has made repeated unsuccessful efforts to control, cut back, or stop daydreaming

B. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

C. The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., dementia) and is not better explained by autism spectrum disorders, attention-deficit/hyperactivity disorder, schizophrenia spectrum disorders, bipolar I disorder, obsessive–compulsive and related disorders, dissociative identity disorder, substance-related and addictive disorders, an organic disorder, or a medical condition.

Note. Current severity defined as follows: Mild - experiences mainly distress, no obvious functional impairment; moderate - one area of functioning is affected (e.g., work); severe - more than area of functioning is affected (e.g., work, school or social life) (p. 180).

-

MD is associated with social anxiety and addiction (particularly internet addiction) (p. 177), as well as dissociation, obsessive-compulsive behaviour, and inattention / attention deficit (p. 181).

People who seek treatment for MD are misdiagnosed with a variety of conditions; "...professionals were unfamiliar with their problem and provided various diagnoses, including depressive disorder, anxiety disorder, obsessive-compulsive disorder, posttraumatic stress disorder, borderline personality disorder, and dissociative disorder" (p. 178).

"MD is uniquely characterized by a kinesthetic component, a need for evocative music, and an addictive yearning to compulsively engage in this mental behavior" (p. 184).

-

From Somer et al., 'Maladaptive Daydreaming: Proposed Diagnostic Criteria and Their Assessment With a Structured Clinical Interview', Psychology of Consciousness: Theory, Research, and Practice (2017), Vol. 4, No. 2, pp. 176-189. DOI: 10.1037/cns0000.

Another interesting & related article is Somer et al., 'Representations of Maladaptive Daydreaming and the Self: A Qualitative Analysis of Drawings', The Arts in Psychotherapy (2019), Vol. 63, pp. 102-110. DOI: 10.1016/j.aip.2018.12.004.

[townofcrosshollow]

Was talking to my partner about BPD and I mentioned that BPD and DID have almost exactly the same symptoms and they were like "What no that's not true" so I looked it up and the first thing I see is a person with DID complaining about the DSM because BPD and DID have almost exactly the same symptoms

[sametrainhome]

If I ever run a business I’m going to be incredibly generous with menstruation-related leave

[hhtpakistan]

Unpacking Developmental Trauma: The Hidden Struggles of Childhood

[clownfangs]

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[trans-axolotl]

also in regards to that last article about varied ways of thinking about psychosis/altered states that don't just align with medical model or carceral psychiatry---I always love sharing about Bethel House and their practices of peer support for schizophrenia that are founded on something called tojisha kenkyu, but I don't see it mentioned as often as things like HVN and Soteria House.

ID: [A colorful digital drawing of a group of people having a meeting inside a house while it snows outside.]

"What really set the stage for tōjisha-kenkyū were two social movements started by those with disabilities. In the 1950s, a new disability movement was burgeoning in Japan, but it wasn’t until the 1970s that those with physical disabilities, such as cerebral palsy, began to advocate for themselves more actively as tōjisha. For those in this movement, their disability is visible. They know where their discomfort comes from, why they are discriminated against, and in what ways they need society to change. Their movement had a clear sense of purpose: make society accommodate the needs of people with disabilities. Around the same time, during the 1970s, a second movement was started by those with mental health issues, such as addiction (particularly alcohol misuse) and schizophrenia. Their disabilities are not always visible. People in this second movement may not have always known they had a disability and, even after they identify their problems, they may remain uncertain about the nature of their disability. Unlike those with physical and visible disabilities, this second group of tōjisha were not always sure how to advocate for themselves as members of society. They didn’t know what they wanted and needed from society. This knowing required new kinds of self-knowledge.

As the story goes, tōjisha-kenkyū emerged in the Japanese fishing town of Urakawa in southern Hokkaido in the early 2000s. It began in the 1980s when locals who had been diagnosed with psychiatric disorders created a peer-support group in a run-down church, which was renamed ‘Bethel House’. The establishment of Bethel House (or just Bethel) was also aided by the maverick psychiatrist Toshiaki Kawamura and an innovative social worker named Ikuyoshi Mukaiyachi. From the start, Bethel embodied the experimental spirit that followed the ‘antipsychiatry’ movement in Japan, which proposed ideas for how psychiatry might be done differently, without relying only on diagnostic manuals and experts. But finding new methods was incredibly difficult and, in the early days of Bethel, both staff and members often struggled with a recurring problem: how is it possible to get beyond traditional psychiatric treatments when someone is still being tormented by their disabling symptoms? Tōjisha-kenkyū was born directly out of a desperate search for answers.

In the early 2000s, one of Bethel’s members with schizophrenia was struggling to understand who he was and why he acted the way he did. This struggle had become urgent after he had set his own home on fire in a fit of anger. In the aftermath, he was overwhelmed and desperate. At his wits’ end about how to help, Mukaiyachi asked him if perhaps he wanted to kenkyū (to ‘study’ or ‘research’) himself so he could understand his problems and find a better way to cope with his illness. Apparently, the term ‘kenkyū’ had an immediate appeal, and others at Bethel began to adopt it, too – especially those with serious mental health problems who were constantly urged to think about (and apologise) for who they were and how they behaved. Instead of being passive ‘patients’ who felt they needed to keep their heads down and be ashamed for acting differently, they could now become active ‘researchers’ of their own ailments. Tōjisha-kenkyū allowed these people to deny labels such as ‘victim’, ‘patient’ or ‘minority’, and to reclaim their agency.

Tōjisha-kenkyū is based on a simple idea. Humans have long shared their troubles so that others can empathise and offer wisdom about how to solve problems. Yet the experience of mental illness is often accompanied by an absence of collective sharing and problem-solving. Mental health issues are treated like shameful secrets that must be hidden, remain unspoken, and dealt with in private. This creates confused and lonely people, who can only be ‘saved’ by the top-down knowledge of expert psychiatrists. Tōjisha-kenkyū simply encourages people to ‘study’ their own problems, and to investigate patterns and solutions in the writing and testimonies of fellow tōjisha.

Self-reflection is at the heart of this practice. Tōjisha-kenkyū incorporates various forms of reflection developed in clinical methods, such as social skills training and cognitive behavioural therapy, but the reflections of a tōjisha don’t begin and end at the individual. Instead, self-reflection is always shared, becoming a form of knowledge that can be communally reflected upon and improved. At Bethel House, members found it liberating that they could define themselves as ‘producers’ of a new form of knowledge, just like the doctors and scientists who diagnosed and studied them in hospital wards. The experiential knowledge of Bethel members now forms the basis of an open and shared public domain of collective knowledge about mental health, one distributed through books, newspaper articles, documentaries and social media.

Tōjisha-kenkyū quickly caught on, making Bethel House a site of pilgrimage for those seeking alternatives to traditional psychiatry. Eventually, a café was opened, public lectures and events were held, and even merchandise (including T-shirts depicting members’ hallucinations) was sold to help support the project. Bethel won further fame when their ‘Hallucination and Delusion Grand Prix’ was aired on national television in Japan. At these events, people in Urakawa are invited to listen and laugh alongside Bethel members who share stories of their hallucinations and delusions. Afterwards, the audience votes to decide who should win first prize for the most hilarious or moving account. One previous winner told a story about a failed journey into the mountains to ride a UFO and ‘save the world’ (it failed because other Bethel members convinced him he needed a licence to ride a UFO, which he didn’t have). Another winner told a story about living in a public restroom at a train station for four days to respect the orders of an auditory hallucination. Tōjisha-kenkyū received further interest, in and outside Japan, when the American anthropologist Karen Nakamura wrote A Disability of the Soul: An Ethnography of Schizophrenia and Mental Illness in Contemporary Japan (2013), a detailed and moving account of life at Bethel House. "

-Japan's Radical Alternative to Psychiatric Diagnosis by Satsuki Ayaya and Junko Kitanaka

[jymwahuwu]

Capitano has me grrrr so ill—

So the heat has been bad and you’re capitanos arranged marriage darling so naturally you fall ill. When u go to a doctor they confirm that you’re expecting a baby and you’re terrified to tell your husband lmao. You have no idea how he’d react so you tell and/or bribe the doctor to just tell capitano for you while you do your best to avoid him as best you can the rest of the day :3

Love this!! The flustered and shy you and the affectionate Capitano… now besides Tsaritsa he has someone to pledge his undying loyalty…🥺💕

cw: yandere, arranged marriage, creampie, pregnancy, fem reader

The marriage to Capitano was arranged - a mission. Your relatives have already been looking for a lifelong spouse for you when you reach adulthood. In the eyes of these traditional people, nothing is more important than marriage and childbirth. What you didn't expect was. An armored warrior slowly walked into your village with gifts, solemnly knelt down on one knee and proposed to you, asking them to marry you to him. Your relatives are shuddering.

Of course, they accepted his gift.

Capitano sent enough supplies for the entire village and set up a heating system to help them survive the winter. In exchange, he got his bride.

You've never met him before, but he seems to know every strand of your hair, every smile and worry.

Fatui? That's too far away for you. You have no deep understanding of his power. Full of confusion, you married him. Your husband is upright, aboveboard, and strong… He is not out of control or impulsive. Sex also seemed like a routine. Always advance in a careful and firm rhythm, and stretch your thighs for several hours until your vagina is swollen and dripping. This is how every battle ends. His balls ravaged your quivering petals, his thick glans pushing into the tight depths. He kissed your lips and the back of your hands intently, his warm breath blowing behind your earlobes.

Maybe he just needed an heir. You wonder in despair. Marriage may be romantic, but it's not yours.

You have recently lost your appetite, vomited, and your breasts are swollen. You start to wonder if this could be…?

Capitano tells you that you need his permission to go out. He is not stuffy and conservative. This is a measure to ensure your safety. You are sick and you just want to see a doctor. That's okay, but you still can't go out. The doctor treats you at the manor.

The doctor's diagnosis and treatment results confirm your concerns - you are pregnant, and a little life is growing inside you.

"P-please tell my husband for me," you plead quietly, sniffing. You don't know how Capitano will react.

The doctor readily agreed. For the next half day, you tried your best to avoid your husband, including hiding in the greenhouse, watering the flowers and plants, searching for a magazine "you are interested in but can't remember the name" in the reading room, practicing cooking, and exploring new ways to play TCG. Just as you were hiding in a corner of the library reading pregnancy books, a rush of footsteps approached. It's his leather shoes.

"Are you pregnant?"

Looking at him as if you were caught in the headlights, you covered your cheek with your book and answered vaguely. "Uh…maybe…"

"Are you pregnant?"

Question again. Even your vision was shaken, your waist was lifted, and Capitano lifted you with one hand. The deep scar on his face has now been replaced by affection, and his chest is roaring with joy, bathing in it. You lowered your head and lifted your legs off the ground, panicking. "You, please calm down…"

"…Sorry, I got carried away." He carefully placed you back on the ground, as if you were fragile porcelain, and then he took the back of your hand and kissed it as usual. Those deep blue eyes exuded energy, like twinkling stars in the dark night.

[korovamlecznybar]

how do i tell my friend im sorry for nor writing anything in our essay today bc ive had one of my worst days in a while without coming across as a selfish pathetic dick

[libraford]

Here's what's going on in Ohio right now. Heavy stuff ahead.

First, I want to apologize for the misinformation in my original post. I am still learning about legislative processes. To correct: the changes to ODH and OMHAS in regards to gender therapy are not a bill, they are changes in regulations.

This is important because citizens CAN affect rule changes. There is an open commentary period where your submissions get counted and can affect how they write new regulations.

Disclaimer: I am not a lawyer, legal advocate, or medical professional. I'm just a dude who had to have it all explained to me.

The first one is Ohio Mental Health and Addiction Services. The rules proposed would make the already prohibitive process of gender transition even harder. In order to diagnose and treat gender dysphoria, a hospital needs to have a board certified psychologist per patient, a board certified endocrinologist familiar with the age group being diagnosed per patient, and a medical ethicist overseeing the hospital's plan for transition. 'Board certified' does not guarantee that the specialist is trans-friendly. It must include a detransition plan. Hospitals would have to report compliance annually. The professionals must have a contractual relationship with the patient, but do not need to offer in-person care. (In this instance, I'll get to that in the next rule change.)

This rule also deems it impermissible to prescribe gender transition care (this includes hormones, puberty blockers, or drugs) for anyone under the age of 21 without the approval of the professionals mentioned and 6 months of therapy.

There is an exception for intersex people, who may have their sex assigned to them without their consent.

The open comment period for this ends January 19 at 5pm.

Send an email to MH-SOT-rules@mha.ohio.gov with the subject title: "Comments on Gender Transition Care Rules."

The second one is Ohio Department of Health and it repeats a lot of the same as the first one. However, the focus is more on the regulation of doctors and paperwork. Anyone seeking transition will be put into a registry with their name redacted, but demographics like age, agab, specific diagnosis (difficult to achieve with the new regulations mentioned above), and any medications (not just related to gender transition, but any medications at all). Any cessation of care must be reported within 30 days.

This is a lot of paperwork and can overburden hospitals.

That 30 days cessation is important because if a person transfers doctors or if a clinic closes and the paperwork isn't filed, it may count as a 'detransition' when tallying demographics, even if that is not the case.

But what's curious is that the ODH regulations DO require in-person care. The rules are contradictory and vague.

The comment period for this ends Feb 5th.

Send a comment through the ODH website

Here are some important things that were mentioned at the meeting:

This is a good time to be personal with your statements. If this would disrupt your life in any way, please say so. "I fear that" "I believe this" "I worry that"- these are great ways to start your comment. An example one person gave is "I worry that this change in regulations would force me and my daughter to move out of state.'

With that being said, anything that you send to these sites will be public record, so be cautious about what you reveal about yourself in your comment.

If you are in need of help, please reach out to one of these resources:

Trans Ohio Emergency Fund Resource Page

Kaleidoscope Youth Center

If you are in need of legal advice on how to navigate all this, please call

888-LGBT-LAW

This is not everything. There is unfortunately more because Ohio decided to break a record this month with anti-trans motions. But today I'm focusing on things that we can take action on.

[reasonsforhope]

Life is hard for neurodivergent people in Peru. Now a grassroots uprising of people with bipolar disorder, ADHD and autism – organised through picnics in the park – is pushing for change at the heart of government.

On a bright summer afternoon in Lima, the capital of Peru, Carolina Díaz Pimentel takes some red and green tape out of her backpack. She’s in a park waiting for people to arrive at a picnic she and her friends are hosting. Guests know that they don’t have to be on time, don’t have to make eye contact, and can leave at any time if they feel overwhelmed. No one will question them.

“We want everyone to feel comfortable. At least this afternoon we want to take a break from the rules that are imposed on neurodivergent people every day to fit in,” says Díaz Pimentel, a journalist and a co-founder of the Peruvian Neurodivergent Coalition (CNP), who is herself autistic and has been diagnosed with bipolar disorder.

Hence the coloured tapes. Each attendee will choose one to express their “social battery”. If they choose the green tape, it’s because they want to participate in the activities. Red signals they prefer not to be approached. Everyone wants company, that’s why they are here, but in different ways. And that’s OK. People start to arrive. Several choose red.

CNP is a social initiative that first kicked off in March 2023. It is the alliance of five neurodivergent women who were already making waves by posting openly about their conditions on social media, but who longed to make real-world change. “I used to see this kind of gathering in countries like Mexico and Argentina and was sad to be so far away, until I saw the announcement of a picnic in Peru. Before joining the coalition, I didn’t really relate to anyone. I had good friends, people that care about me, but I knew I wasn’t like them,” says Mayra Orellano, another of the directors, an interior designer with borderline personality disorder (BPD).

Today [in March 2024] is the coalition’s fifth gathering. A picnic may not sound like fertile ground for a burgeoning social movement, but behind the bags of cookies and crisps, that is what CNP is doing – campaigning for the rights of neurodivergent Peruvians to be understood and accepted, and to live free from stigma and abuse.

The birth of the neurodiversity movement

The concept of neurodiversity has been around for almost 30 years after first being coined in 1997 in an undergraduate thesis by Judy Singer. Singer, an Australian who is now an eminent sociologist, argued that conditions such as autism, dyslexia and Attention Deficit Hyperactivity Disorder (ADHD) are all simply part of the myriad ways in which human brains are wired. It proposed a new way to think about human difference and provided a name for a burgeoning movement. In Peru, however, it remains a concept that few have heard of.

“Neurodiversity is not a medical diagnosis, it’s a political movement that brings us together to defend our rights,” says Díaz Pimentel. When she first started posting about her bipolar disorder on social media in 2017, it was taboo: very few talked about their diagnosis in public. Bipolar disorder remains a stigmatised condition in Peru...

Diaz Pimentel’s commitment is stronger than prejudice, she says. Two years ago, when she received her autism diagnosis, she posted a photo of herself holding a rainbow cake with the words ‘Congrats on the autism’ spelled out in white icing. She wanted to celebrate with her community because she considered it a rebirth: at the age of 29, some of the puzzles of her childhood finally made sense...

From picnics to influencing policy

Neurodivergence is a huge umbrella that describes people with very different conditions. In Peru, this causes confusion and a lack of accurate data. Even in the case of autism, the best recognised of the neurodivergent conditions, the National Registry of Citizens with Disabilities lists some 15,000 people on the spectrum. But according to international statistics on the worldwide prevalence of autism, there are likely more than 200,000 people with the condition in the country. 

María Coronel, the psychologist in charge of the ministry of health’s child and adolescent mental health department, says that clarifying this data is one of the institution’s priorities. She acknowledges that initiatives such as CNP’s can help educate people: “These organisations add to our efforts to detect people on the autistic spectrum and give them the help they need. They have a great ability to reach others because they are telling their own experiences.”

Although CNP has only existed for a year, the group is already influencing government policy. Two congressmen have asked for members’ feedback on bills to protect the rights of autistic people. The state agency in charge of integrating people with disabilities into society consulted them on the appropriate terms with which to refer to neurodevelopmental conditions. And the ombudsman’s office made a video with them to warn about gender bias in autism early detection. (In Peru, 81% of people receiving treatment are male.) ...

Creating a more sensitive society

The CNP community says its work has changed their own lives, but Díaz Pimentel recognises that it isn’t enough. Some experts agree – that the problems are as much structural as they are societal. “In Peru we have a gap in specialised human resources. We need more psychiatrists and neuro-paediatricians. We need more young people to choose these careers,” says Coronel...

[Natalie] Espinoza is also a CNP founder and the only founder who is a mother. She has a five-year-old autistic daughter. Finding a pre-school that would accept her was very difficult. Espinoza is familiar with that kind of rejection. At a former job, she was fired when they found out she has bipolar. She had always performed well, she says, but she was told that a person “on that kind of medication” could not work with them.

“When I found out that my daughter was autistic, there was no mourning or denial, just a desire to hug her tightly because I felt very afraid of what society might do to her. I would like her to grow up in a more sensitive place,” says Espinoza. Dedicating time to the coalition’s work is her way of contributing to that change. Currently its communications reach more than 12,000 people and it has 15 WhatsApp groups. Messages whizzing back and forth help their community in everything from getting diagnoses to finding places to sleep in the event of being evicted from their homes.

So what does the coalition want next? “We want it all,” says Lú Herrera, a lawyer with BPD and the fifth co-founder. They would love to create, for example, a “neurodivergent house”, a place where they can offer shelter to victims of violence, run educational workshops, organise neurodiverse entrepreneurship fairs and provide legal advice on inclusion rights.  “Everything we already do but in a place of our own. 

“You know what else we want to do in that house?” asks Herrera as if reminding herself. “We want to have mindfulness sessions, dance lessons, pottery classes. Activities that will ground us. We neurodivergents struggle so much every day that it would be nice to have a place to rest.”

For now, the picnics are opportunities to recharge, ready for the next conversation-shifting step.

-via Positive.News, March 13, 2024

[someone-will-remember-us]

Dominique Pelicot, one of the worst sex offenders in modern French history, has been sentenced to 20 years in prison for drugging his then wife, Gisèle, and inviting dozens of men to rape her in her home in the south of France over almost a decade.

The historic trial of 51 men was held in public after Gisèle Pelicot waived her right to anonymity so that “shame could change sides”.

Alongside Dominique Pelicot, guilty verdicts were returned on Thursday for all the accused men including a nurse, a soldier, a journalist, a prison warden and delivery drivers, aged from 26 to 74. Forty-seven were convicted of rape, two of attempted rape and two of sexual assault.

Pelicot’s co-defendants received jail terms of between three and 15 years. Two of these men had their jail terms suspended.

Some of the sentences handed down by the panel of judges were lower than those that had been suggested by the state prosecutor. “Shame!” shouted one feminist campaigner outside the courthouse in Avignon.

Gisèle Pelicot, a 72-year-old retired logistics manager, looked on with her sons and daughter as the men’s sentences were read out by the head judge. She has been hailed as a feminist hero worldwide for opening the doors to the trial, and members of the public outside the courts have cheered daily for the woman who said she was “determined that things change in this society”, in particular the “macho, patriarchal society that trivialises rape”.

Dominique Pelicot, 72, a retired electrician and former estate agent, was given the maximum sentence of 20 years for drugging and raping his then wife and inviting men to rape her which she was in a comatose state. The court heard that he crushed sleeping tablets and anti-anxiety medication into her mashed potato, coffee or ice-cream and invited dozens of men to rape her over a nine-year period from 2011 in the village of Mazan, Provence, where the couple had retired.

After videos of the rapes by him and other men were found meticulously categorised on his computer hard drive in a file labelled “abuse”, Dominique Pelicot admitted the charges in court, telling judges: “I am a rapist.”

He was also convicted of placing hidden cameras in bathrooms and bedrooms in his own home and that of his family to make and distribute naked images of his adult daughter and the wives of his sons.

Fifty other men were on trial alongside Dominique Pelicot.

Charly Arbo, 30, a former vineyard worker who raped Gisèle Pelicot on six occasions, including on her 66th birthday when he was 24, was sentenced to 13 years in prison. Video evidence showed he also proposed drugging and raping his own mother with Dominique Pelicot, but he said he did not go through with it.

Romain Vandevelde, 63, a former forklift driver who raped Gisèle Pelicot on six occasions over six months between 2019 and 2020, was sentenced to 15 years. He had known he was HIV positive at the time of the alleged rapes and had not worn a condom. His lawyer said that because he had been on HIV treatment since his diagnosis in 2004 he had an undetectable viral load and could not transmit the virus.

Cédric Grassot, a software technician who used to run a record shop in Avignon, was sentenced to 12 years for raping Gisèle Pelicot at her home in 2017. During the trial, he had turned to Gisèle Pelicot in court, and said: “I was your rapist. I was your torturer.”

Jean-Pierre Maréchal, 63, a former lorry driver, was sentenced to 12 years for using the same technique to drug and rape his own wife, and organising for Pelicot to rape her with him.

(archive)

[she-is-ovarit]

Wow.

"This tendency to misdiagnose victims was at the heart of a controversy that arose in the mid-1980s when the diagnostic manual of the American Psychiatric Association came up for revision. A group of male psychiatrists proposed that "masochistic personality disorder" be added to the canon. This hypothetical diagnosis applied to any person who "remains in relationships in which others exploit, abuse, or take advantage of him or her, despite opportunities to alter the situation." A number of women's groups were outraged and a heated public debate ensued. Women insisted on opening up the process of writing diagnostic canon, which had been the preserve of a small group of men, and for the first time took place in the naming of psychological reality.

I was one of the participants in this process. What struck me most at the time was how little rational argument seemed to matter. The women's representatives came to the discussion prepared with carefully reasoned, extensively documented position papers, which argued that the proposed diagnosis concept had little scientific foundation, ignored recent advances in understanding the psychology of victimization, and was socially regressive and discriminatory in impact, since it would be used to stigmatized disempowered people. The men of the psychiatric establishment persisted in bland denial. They admitted freely that they were ignorant of the extensive literature of the past decade on psychological trauma, but they did not see why it should concern them. One member of the Board of Trustees of the American Psychiatric Association felt the discussion of battered women was "irrelevant". Another stated simply, "I never see victims".

In the end, because of the outcry from organized women's groups and the widespread publicity engendered by the controversy, some sort of compromise became expedient. The name of the proposed entity was changed to "self-defeating personality disorder." The criteria for the diagnosis were changed, so that the label could not be applied to people who were known to be physically, sexually, or psychologically abused. Most important, the disorder was included not in the main body of the text but in an appendix. It was regulated to apocryphal status within the canon, where it languishes to this day."

Judith L. Herman, M.D., Trauma and Recovery.

[rdr2gifs]

Each time Arthur has helped someone without expecting payment (that I can remember) because I’ve seen some weird takes circling around about how Arthur only cares about money/doesn’t help people (yet again)

He helped a city photographer take pictures and acted as his protector because he liked him

He helped a doctor retrieve a stolen wagon full of medicine, he wasn’t even asked to do so, he did it out of his own good will

He wanted to make an old cranky man happy and proposed finding his lost trinkets for him

He helped Deborah MacGuiness find dinosaur bones out of curiosity. He didn’t receive any financial reward for it. Just a few trinkets and he was satisfied

He risked his life for Marko Dragic’s experiments (his main motivation in this mission was again, curiosity)

He rescued a boy being held hostage by the gunsmith in Rhodes

He rescued people from being trafficked and gave them a large sum of money (he could’ve kept it for himself) for a better life

He helped Mr. White and Mr. Black gain freedom and even helped them again after they got themselves into trouble

He rescued Charles Chatenay on at least 3 different occasions

He instantly hurried to retrieve Sister Calderon’s cross even though he has never met her before

In his first encounter with Marjorie and Bertram, he helps to calm Bertram down and is understanding even though Bertram gave him trouble. He even puts the bartender in his place after he speaks about Bertram in a degrading manner

He agreed to help a man get rid of nigh folk occupying his property and after he payed him with only a rat pelt, Arthur didn’t get angry and still asked him if he’d be really fine on his own after knowing he wouldn’t be able to pay

He let a homeless man hug him and listened to what he has to say

He helped to save Jamie from becoming a cult member and stopped him from taking his life

He helped a boy look for his lost dog

He saved an injured man’s life after driving him to a doctor

He helped a woman get rid of a body after she claimed she had to kill the man in self-defence

He donated to the poor and even to build a shelter for war-veterans

He taught Charlotte how to survive on her own

He tried to save a crazed village out of his own good will

He helped a war veteran retrieve his prosthetic leg and helped him hunt

He helped a man look for his lost friend in the snowy mountains

He helped Rain’s Fall retrieve sacred items important to his people

He helped to retrieve stolen medical supplies for the Wapiti tripe

He saved Captain Monroe’s life after hearing he was in danger

He helped Beau and Penelope escape from their terrible families

He has saved many hunters from getting mauled, given many ladies a ride home, saved people from dying of poisoning, helped gather herbs, helped a lost New Yorker find his way to the town, helped save many people’s lives (lady being held hostage in her own house in Lemoyne, folk getting tortured by The Murfees or Lemoyne Raiders etc.)

Let’s not forget the fact that Arthur is a provider for over 20 people. He cannot be running around and risking his life for free for everyone he meets. He needs money. Even so, he has helped all the people above for no reward and out of his own free will. When I see someone say that Arthur is only motivated by money and never helps people otherwise, I just instantly assume they stormed through the story and didn’t pay any attention. The encounters listed above make up the majority of chance encounters/side quests and in almost all of them he is helping people. 80% of these are also pre-diagnosis.

He has a hard time accepting any compliments or gratitude for his good deeds and always downplays himself. Even in the main story he is never thinking about himself and he always puts others first.

“You did not ask for anything, you only gave”

The encounters where he does require payment pale in comparison to those in which he doesn’t, and even so they are very justified as they are often dangerous, time consuming or straight up ridiculous. It’s weird to assume Arthur only helps people for money when he doesn’t want to deliver love letters, interview dangerous people and sneak into heavily guarded properties for free.

[doberbutts]

Is the high level of inbreeding in dobes more because "undesirable" traits are common so those dogs get weeded out (whether actual bad things or just not fitting the breed spec), a small number of breeders having the monopoly, or because they are all related anyway so there's no way of avoiding it without an outcross program? Is something like the Doberman Preservation ​Project a realistic future for the breed?

The doberman breed is in the current shape its in due to multiple genetic bottlenecks- some simple stupid breeding decisions and others due to active war zones and the consequences of wars- paired with people who are stubbornly refusing to even try to make it better because they have convinced themselves that what they're doing is right.

Fenris is my lowest COI dobe to date [23% iirc] and while not the lowest I've seen in the breed [19%], still a huge improvement over to 50-60% breed average. But people have argued again and again that lowering COI means making breeding decisions that produce inferior dogs, and so many refuse to even consider it as a possibility.

(For non-dog people, COI is coefficient of inbreeding, and it is a look at the numbers behind how inbred a population is. You want as low of a number as possible. 25% is equal to immediate siblings. Ideally we'd want single digit numbers, with anything over 10% being a major problem to fix. To compare, my chihuahuas are something like 6% (Fae) and 0.02% (Tater). Sushi is a direct line breeding aunt-to-nephew so she's up in the 40s.)

(It doesn't necessarily mean a dog is immune to genetic predisposition to bad health, as evidenced by Tater's CM diagnosis, however it does seem to correlate directly with longevity and likelihood of developing these problems, meaning Tater unfortunately just lost the genetic lottery)

In other words, it is certainly possible to reduce the COI of the breed by HALF with smart breeding decisions, and people are plugging their ears going LA LA LA LA I CAN'T HEAR YOU because it means actually going out and looking past the popular sires and taking a chance on a dog that might not be your exact type but will still improve the next generation. This is not just a show line problem because I spend the majority of my time with working line dobes and working dobe people and this is an incredibly annoying problem there too. Fenris himself has popular sires in his pedigree, both the show half and the working half, so it is demonstratably very difficult to avoid.

I do think a well executed outcross project is needed, however... the problem I have is that the current proposed projects all suck. There's not a lot of direction outside of throwing things into the pot and seeing what sticks, and a lot of the resulting dogs quite frankly aren't what doberman people would be looking for anyway. Farm collies? Bulldogs? Bullies? Carolina dogs? Border collies? Pyrs? Why??? None of these are going to make a dog that has the temperament that draws people to this breed.

There are. A bunch of breeders who are waiting for an outcross project that actually makes sense. They've even posted in various outcrops groups that they would support a project if it had certain specifications. Many have said, get yourself a nice female and title her out in a bite sport and do all the doberman health testing even if she's not a doberman and we'd be interested in contributing semen. The response almost invariably has been "but I don't want a protective dog". Then what are you doing in a DOBERMAN project??? So of course the chief complaint is that most of these projects are not looking to make dobermans, they're looking to make their own breed and just have a doberman paint job. Well, sorry, but most involved doberman people want a DOBERMAN, not just a dog that looks like one. This is the only AKC recognized breed with the sole function of personal protection. They are protective dogs. Either accept that, or get interested in a different breed.

I have heard increasingly concerning things regarding the temperament of the doberman diversity project dogs, which does not surprise me unfortunately as none of these dogs are in any way sourced from dogs with verifiable correct temperament. What do you get when you cross a Craigslist Corso with a Craigslist doberman? Well the first generation might be okay for people who want pets but apparently the ones that have worked in protection are awful at it. Same with the malinois crosses- of course, you took a lukewarm malinois and bred it to a z-list doberman and you're surprised that you got a bunch of lukewarm at best pet dogs.

I think the only project I solidly am somewhat interested in is the bandog cross, and that cross works just fine but then of course it does because in that country, bandogs are exclusively military, police, and security dogs, and she bred it to a igp3 doberman. Unfortunately the doberman died before his 10th birthday, so now we're all waiting to see what happens with his progeny.

[queeranarchism]

[the cover of A consensus handbook by Seeds for Change, featuring the title in Orange lettering followed by an color drawing of 11 people working on the maintenance of a house]

I'm going to share this as a separate post for those that missed the ask: A consensus handbook by Seeds for Change https://seedsforchange.org.uk/handbook is a free and very handy guide to how to take decisions as a group without leaders or hierarchies. I'm going to drop the chapters here to show off just how much useful stuff it has. If you work with consensus, there's almost certainly a problem in here that you recognize and wish you had some answers to!

1: Making decisions by consensus What’s wrong with the democracy we’ve got? - Why use consensus? How does consensus work? - The consensus process - Key skills and values for consensus 2: Facilitating consensus The role of meetings in group work - What is facilitation? - Facilitating a meeting – Making meetings accessible - Taking minutes 3: Facilitating consensus in large groups Meeting the conditions for consensus in large groups - Processes for large groups 4: Facilitating consensus in virtual meetings Why have virtual meetings? - The tools for the job - Challenges of facilitating virtual meetings - A consensus process for virtual meetings 5: Quick consensus decision making Preparing for quick consensus - How it works 6: Facilitation techniques and activities Starting the meeting - Regulating the flow of the meeting - Encouraging involvement - Techniques for problem solving and tackling difficult issues - Prioritisation techniques - Activities for re-energising - Evaluating meetings 7: Troubleshooting in your meetings Our meetings take a long time - Time pressure - Our meetings lack focus - Our group is large and we don’t enjoy meetings - We’re stuck and can’t reach a decision - Too many ideas - ‘Steamroller’ proposals - How can we deal with disruptive behaviour? - What to do when someone blocks - Our group is biased towards the status quo 8: Bridging the gap between theory and practice Conflict and consensus - The life cycle of a conflict - Ways of dealing with conflict - Techniques for inviting collaboration Power dynamics - Step one: What are our feelings about power dynamics? - Step two: Diagnosis – what is actually going on - in your group? - Step three: Where do your power imbalances come from? - Step four: Work out some ways to change your power dynamics Other common issues - External pressures - Open groups with changing membership - What if you’re the only person who wants the group to change? 9: Consensus in wider society So how might it work? - Challenges, questions and tensions - How do we get there? - A final thought

[psychabolition]

You talk about getting rid of the psychiatric system. But what do you propose should be done instead? /gen

I'm going to tell you a story . I once knew someone called Tim. When I met him he had already spent most of his life in drug addiction treatment centres, psych wards and prisons until he later ended up in a forensic psych ward. After he did LSD he 'never came down from his bad trip' and got diagnosed w schizophrenia. This diagnosis +the addict - diagnosis justified so many fucking human rights violations - it got him locked up, drugged up, strip searched, his privacy violated on a daily basis, isolated away from society and everyone he knew because apparently he needed to be 'saved from this illness in his brain that makes him do/think/feel' things he otherwise wouldnt and because he needed to be 'punished' into being a 'functioning', 'productive' (read: profit-generating) member of 'society' (read: hegemonic cultural norms & forms.) This is what psychiatry does - it doesnt help, it locks us up and tortures us. I dont need to be able to name alternatives to this lol . This is the worst possible way of treating anyone ever. It would help immensely to literally just STOP doing this. Even 'sane' people would go insane in places like these.

So the alternative to acting like an absolute asshole towards people who struggle severely and who dont have a place in society would be to 1)not isolate them away from society and 2)not torture them 🙏 . It would be to get rid off the psychologists' individual and the psychiatric systems' general saviour complex that only results in abusing people bc they act like the people who are labelled as mentally ill are (=their minds/brains) responsible for at fault for their own struggles. Instead we could show solidarity with each other and try to built a world where everyone has a place in and is valued as a person and where the suffering/madness of an individual is not seen as an incentive to literally abuse and socially ostracize them.

And @ everyone dont come at me w 'not everyone has these experiences w psychiatry' - any time you talk about systemic criticism you have to look at the most marginalized experiences. When talking about police defunding/prison abolition we also talk about police brutality that black disabled poor people face . And yes not everyone has bad experiences w every single cop , still ACAB . ALSO dont come at me with 'I know there ar GOOD psychologists who Actually want to help' ,1) fuck their savior complex 2)what individuals motives are for joining this system of oppression isnt necessarily the purpose of a system. The purpose of a system is what it does. The police isnt there to protect us, psychiatry isnt there to help us. We only have each other.

So, what you can do right now to get rid off the psychiatric system in your community? How can we stop relying on this authoritarian system that abuses and incarcerates so many of us ??

I think its important to educate each other on our rights. Because then we have the knowledge on what not to say in a therapy session so we dont get incarcerated or what to do when we are questioned by cops/psychs to see if we are 'at risk' or what to do when we or friends of us are already incarcerated so they can get out of there as fast as possible. Also educating your friends/family on psychiatric propaganda helps - a common myth is that if you dont 'look for signs' and call the cops to institutionalize a friend they might kill themselves. All while institutionalization/incarceration increases the risk of suicide extremely. This is important to know so no one in our communities calls the cops on us when we're doing really bad. Also educating each other on the biomedical model so everyone understands that we dont have an illness that we need to be 'saved from' (depression for example) or 'punished for' (aspd, drug addiction) and that we (=our minds/brains) arent to blame for our struggles Etc.

If you know that youre sometimes in extreme mental distress/pain you could also make a crisis plan with friends so you dont need to rely on the psych system - like for example the plan could be that a friend calls in sick for work/university and then stays at your place for 3-4days and is there for you/drinks tea w you, goes for a walk together w you, smokes a joint with you together until you feel better and arent acutely suicidal anymore. (Its also best to include several people in this plan bc it can get really overwhelming for 1 person). You can als include things in the plan like asking your friends to take away all knives in your apartment if you want to. Or if its a more permanent 'crisis' then a plan on how to move together with friends to get away from your nuclear family/abusive partner (just as an example).

Access to medication, knowledge on how to get off of them if you dont want to take them anymore and freedom and proper education in your decision on taking, weaning off or on staying on medication is not given in the psych system. So how do we change that? A common reason for 'crisis' is trying to wean off of psychiatric drugs (a lot of people get suicidal or psychotic bc of the withdrawal for example - depends on the meds, dosis and since how long youve been taking them though). You could plan when to do this together w friends. Theres anti psych guidelines on how to do this safely - a lot of psychiatrists tell you that you need to stay on meds no matter if you want to or not and they often dont know how to wean off of them or think youre 'at risk' and incarcerate you if you mention that you want to stop taking your meds -this highly depends on how stigmatizing your diagnosis is (=schizophrenia/bipolar are good examples for highly stigmatized ones) or if youre sb who get racialized for example (bc then psychs immediatly perceive you as more of 'a risk'). You could make a plan for example where you ask your friends to stay w you through this by living at your apartment w you for a few days, cooking meals for you and keeping your apartment clean. And then another friend of you could come by each day after work (for example) and also be there since its probably a lot for one person. Also LYING to psychiatrists is always a good idea. For example when youre trans and want to access gender affirming care its important not to mention any diagnoses in general but especially diagnoses like autism, schizophrenia, psychosis or PDs and then literally lie about yourself if necessary. You always know who you are and what you need best. Also dont blindly trust your psych on what medications go well together - look it up yourself !!! Theres a 'drug interaction checker' online where you can see if it might be dangerous to take certain meds at the same time. Also READ on what side effects are possible - make a diary for when you start your medication on how youre feeling/doing . Some changes are awful but still hard to notice bc youre thinking that it could also be a 'normal' worsening of your mental state that you think you might also have without meds. Also depending on what physical conditions you have/had you cant take some medications without it being dangerous - READ the whole instruction paper thing that always comes with your meds and/or google it !!

Also literally just sharing/collecting tips on how to cope w different struggles + harm reduction guides (suicidality, drug addiction, ...) is very helpful. There is a lot of community sourced material already out there.

I understand that the reason most people are severely struggling is because they dont have a community (=like when you only have 1 partner or 1 friend ,because youre (still) legal property of your parents, because youre stuck in a nuclear family,...) and not only because psychiatry divides our communities by blaming us for our struggles and isolating and stigmatizing us. Building community and relying on each other is the only way to get rid off the psychiatric system in the end. If we already had a real community that we could rely on, all the psych wards would be empty and therapists wouldnt exist. This is not the first step, its the solution.

Als there are already alternative institutions (that are already in practice) that are a replacement for psychiatry.

This is probably the answer that youre looking for 😂. I dont really care about these kind of anti psych concepts and practices since they seem out of my reach atm. Ik that theres an anti psych house in berlin whos guiding principles are 1)community care /peer support 2)full autonomy for everyone there and its specifically for people who are running away from psychiatric violence.

Other alternatives that I havent really looked into yet are : bethel house , peer respites, new models of therapy