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Saturday, April 17, 2004 - 1:48amSanction this postReply
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Hey, my mom's a psychiatrist.  She's not evil.

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Saturday, April 17, 2004 - 10:19amSanction this postReply
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Orion Reasoner,

I fully agree with the content of this article. I also think that a topic such as this deserved a tone as passionate and emfatic as the one you employed. May I have your permission to non-commercially reprint this work on my magazine, The Rational Argumentator, whose Master Index is accessible at http://www.geocities.com/rationalargumentator/masterindex.html?

I am
G. Stolyarov II


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Saturday, April 17, 2004 - 2:39pmSanction this postReply
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Mr. Stolyarov, I would be truly honored if you would do that.  Thanks.

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Saturday, April 17, 2004 - 2:46pmSanction this postReply
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Daniel,

I understand.  And I'll try to offer two responses to your statement, although I have to be as fair as possible, because too much is at stake today to feign false positivity any longer.

1) Like psychiatrists like Loren Mosher, MD, and Peter Breggins, MD, she is not conforming to the dehumanizing drug craze that the majority of psychiatrists are, and is genuinely an ethical capitalist.

2) She is fair and decent outside her job, to you and all of those that she places in her "quality circle", but outside of that circle, all bets are off.  It often happens that people who are very good to one person or group of persons, are completely different to others.  You may just never have seen the "dark side of the moon", regarding her.

That may seem unkind, but I'm convinced that it had to be said.


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Saturday, April 17, 2004 - 2:48pmSanction this postReply
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Mr. Stolyarov,

I trust that my name will appear with the essay, yes?


Post 5

Saturday, April 17, 2004 - 4:09pmSanction this postReply
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Orion Reasoner,

You wrote: I trust that my name will appear with the essay, yes?

Of course. Thank you for your permission. I plan to post the article sometime at the beginning of next week.

I am
G. Stolyarov II


Post 6

Saturday, April 17, 2004 - 5:44pmSanction this postReply
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I think the deal is, she truly believes the drugs she prescribes help her patients.  Maybe she's mistaken about that, but if so, it's an honest mistake.  Not evil.  (Personally, I haven't made up my mind about the helpfulness of drugs like Prozac--I suspect it's often prescribed when it shouldn't be, but I also suspect it has some legitimate uses.)

You could try to argue that she hasn't thought about the issue carefully enough, and is therefore guilty of some kind of immorality; but I think she's pretty good about trying to be logical and skeptical most of the time.  So even if she's wrong about those drugs--and I'm not saying she's wrong, but even if she is--I think it would be an honest mistake.

Really she's quite a good person.  Go mom!  If you knew her, it might be kind of funny to try to think of her as being textbook evil, with a dark side that only comes out at work when she's passing out those cold, plastic pills.


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Post 7

Saturday, April 17, 2004 - 7:15pmSanction this postReply
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Daniel,

There is a type of evil perpetrated in the world, when people turn their objectivity off, and start adhering to wishful thinking and naive, blind faith in the popular trend. 

This, as opposed to the pencil-thin mustache type that wears a black overcoat and black stovepipe hat and ties damsels to railroad tracks, even though there is, disturbingly, quite a lot of that kind of barely-camouflaged personality in the world today, too.

Many rational nonconformists today agree that MHI professionals start neglecting the active maintenance of their objectivity centers by letting the heavily government-sponsored pharmaceutical industries "educate" them and woo their vanity-based loyalty with free goodies from extremely attractive pharmaceutical representatives and all-expenses-paid weekend vacations to Hawai'i where they have to sit through, at most, one two-hour promotional seminar.   

This, instead of letting their treatment protocols be guided by meticulously and honestly observing and correcting the real cognitive status and logical functioning of their clients, who continue to quietly but obediently deteriorate like good boys and girls.

It's insidious and hugely pervasive across our culture, but it's also glaringly obvious.  And it's enormously destructive.  And it's got to be stopped.


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Saturday, April 17, 2004 - 7:16pmSanction this postReply
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G. Stolyarov,

That sounds great.  Thanks again for taking notice.


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Post 9

Saturday, April 17, 2004 - 8:54pmSanction this postReply
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(G. Stolyarov, this is my follow-up to what I wrote earlier... It might also be good to include on your site, if you so choose.)

And while I'm at it, I also want to tack on something to what I've said about the mental health industry (MHI) that is highly relevant, yet does not have to do specifically with the use of drug therapy.  It instead does have oceans to do with Ayn Rand's monumentally important observations that 1) it is the choice of philosophy that determines the world, and that 2) unchecked premises can have galactic, pivotal implications in our lives.

Here is the yet unmentioned revelation upon which the rest of this essay is based: The philosophical construct that the MHI subscribes to, to define "mental illness" is largely and invalidly based on something called "the normative model".

The normative model, a statistical construct that is applied to the practice of psychology, basically states that the distribution of all human thoughts and behaviors across a population falls somewhere inside a normal, or bell-shaped, curve. As an extension of this principle, it then preaches that those thoughts and behavior which deviate too much from mainstream behavior, constitute a form of "mental illness". By this model, when a way of thinking or behaving lies too statistically far from a population's average, it is a "valid" candidate for inclusion as a brand-new mental illness diagnosis.

I'm not completely sure about you, but to me, that's extremely scary...

What this says is that it's not the state of a client's logical functioning or honest observance of reality (i.e., objectivity) that constitutes the mental health industry's definition of "mental health", but rather whether that client conforms to whatever is the mainstream status quo, whether it is logical and/or objective and/or unjust and/or destructive or not.

And how often is the truly logical and objective individual RIGHT, when everyone else -- the wailing, chanting masses who love to establish "truth" by coercion and consensus -- is just plain WRONG? Does the name Galileo ring any bells?

No doubt many of us have heard the old cliche about the mother who admonishes her child, "Well, if all your friends were jumping off buildings, would you, too?" By the standards of any objective and rational person (and especially Objectivists), the answer is a resounding "NO!"

But, brace yourselves... because by the normative model employed by the mental health industry, the correct answer is "YES". The MHI basically states in effect that you should do whatever your friends do, or you are mentally ill.

Do you begin to perceive the very real, outwardly-spreading, nucleus of horror here?

But wait; it gets even worse. The MHI relies upon public ignorance of the existence of the normative model as its oracle, and instead of informing the public as to that fact, instead chooses to dishonestly cultivate the public illusion that the standard of logical objectivity is their standard! Yet they know that logic has nothing to do with it... In fact, under their system, the truly logical, objective person could not conform, and would be diagnosed as "mentally ill"!

All of this of which I speak, is put forth in the Holy Bible of the mental health industry, called The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, or "DSM-IV" for short. It is taught to graduate and undergraduate students in all subject areas that touch upon the MHI, but particularly to graduate students.

What is also very alarming about this book, is what it gives in terms of the numerical prevalence of its many disorders. Typically, it will give the percent occurrence of something like anxiety or depression in the general population as a single digit number... in other words, up to nine percent of the population, at MOST.

Um, excuse me? Have I missed something here? When I look around the world today, and look at the expressions and demeanors and attitudes of just about everyone I come across, an enormous percentage of people are depressed or anxious... and even the incidence of schizophrenia seems to be rising fast. Where are they getting these abominably low figures, and more importantly, why would they publish them as fact?

The only truly explanatory two reasons that I can see, are that 1) these figures represent the small percentage of those people in the general population who are so incapacitated and desperate as to actually cross the Maginot Lines of reasonable cultural paranoia of "shrinks" and present themselves for diagnosis to an MHI practitioner. The DSM then states that the incidence of these various patient diagnoses are what constitute their numbers.

But think about this... Which is a truer measure of the incidence of "paranoia" in our culture: the incidence of paranoia within those patients who are trusting enough to actually submit themselves for diagnosis, or all of those countless many in the general population who are much too cautious to even make an appointment in the first place?

But regardless; for whatever reasons, these ultra-small percentages must be invalid by any truly comprehensive standard of measurement, as is even evidenced by our ever-disturbing popular culture.

What other purpose could these invalid percentages then serve? Well, 2) if you think back to how the MHI relies upon the normative model which it has chosen as its philosophical standard to justify labelling something as "mental illness", then that means that they have to present a certain way of thinking of behaving as being in the minority... and that means, they need small percentages of occurrence... however they be gotten.

So, if the DSM can publish that the incidence of, say, depression is statistically in the single digits, which is of course insane, then they can employ the normative model and say that it is a mental illness, and therefore illogical... and so, an unjustified response to this modern society!

And that's when they can employ their oftentimes iron-fisted government mandate to force the toxic and misunderstood chemical substances that I mentioned earlier upon that person, and even involuntary commitment to a psychiatric facility, and thus conform them through a slick and fast shell game of logic. But this is no mere shell game, you see; it is actually an entire worldwide industry that rests upon the cleverly inserted, false premise that "normality, not objectivity, is sanity", and thus drives the "divine mandate" of this industry. As Francisco d'Anconia advised Dagny Taggart: "Contradictions do not exist; whenever you think you are faced with a contradiction, check your premises. You will find that one of them is false."

The corrupt Sophists of ancient Athens who were the sworn ideological enemies of Aristotle (Ayn Rand's proclaimed philosophical mentor) never vanished, it seems; their guiding philosophy, indeed their very spirit, drives the mental health industry.

Make no mistake, nor dismiss this smugly; this is an air-tight, well-oiled machine that can be conveniently employed at a moment's notice a nightmarishly effective way for snuffing out all dissidence and dissidents... all nonconformists... all logical thinkers... all those with conscience and courage... all those who revere objectivity... and this logically implies you, the reader, the Objectivist.

Thanks for reading. I very eagerly await your response.

(Edited by Orion Reasoner on 4/17, 9:06pm)


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Post 10

Saturday, April 17, 2004 - 6:28pmSanction this postReply
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Orion writes:
>As a former premedical and graduate student in both neuroscience and clinical psychology (both fields which I ran screaming from, horrified), I can tell you with no uncertainty whatsoever that virtually nothing is really understood about brain cell function, or how neurochemistry actually translates into mood or intelligence. 

This is very true. So what we're seeing is the all-too-familiar situtation of radical solutions to problems that are not faintly understood to begin with! This seems have come about for four reasons:
1) Because of obvious ethical issues, until the late '80s, 99% of neurology was based on experiments with animals. Hence theories that were little more than speculation came to dominate human psychology/psychiatry.
2)These speculations were also accepted very uncritically due to the power and authority generally invested in doctors, and so became something like revealed truths.
3)Over time these theories became crafted and refined in such a way as that they could avoid any criticism anyway.
4)Finally, the scientific study of consciousness - as opposed to the chemical and electical operation of brain cells - has been considered a no-go zone. This is probably due to a fear of being perceived as "pseudoscience" or religious mysticism. The distinguised mathematician and physicist Roger Penrose describes this blindspot as "the missing science of consciousness". So what you get is the study of chemistry and electricity instead!

Orion continues
>The neuropharmaceutical industry like to talk as if they know precisely what neurotransmitter does precisely what, and precisely where… but all that talk is just designed to impress and mystify those they frequently regard as sheep.

Yes, this is because they have big investments to recoup, and their chosen field is one that is, fortunately for them, still highly subjective and difficult to quantify.

To me, psychology is at the point of ordinary medicine of 150 years ago - the equivalents of "bleeding" a patient are only now being debunked. Things are improving, however. MRI technology now gives us unprecedented access to brain operation without the ethical problems. And psychology seems to be moving away from the deterministic models it inherited from 19th century physics, with the advent of things like "narrative" therapy. With a few better drugs *as well* as these developments, and we'll be getting somewhere.

So, we live in hope!

- Daniel





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Sunday, April 18, 2004 - 12:18pmSanction this postReply
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Orion Reasoner,

A very eloquent continuation of your article, and indeed a frightening revelation of the explicitly collectivist paradigms preached by modern psychiatric Witch Doctors. I will be sure to add it.

I am
G. Stolyarov II


Post 12

Sunday, April 18, 2004 - 6:25pmSanction this postReply
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Daniel,

I see your points... and I agree with everything, BUT...

While there's no doubt that MRI technology is incredibly accurate, it still can only assess the hardware of the brain:  the neural tissues... not the software of the brain, which is comprised of all the logical functions that are going on, moment by moment, and how those functions are stored. 

This computer metaphor that I'm using is apt.  Because just as it is most often the case that computer malfunctions are caused by software logic errors (programming), it is also the case that, except in cases of truly organic dysfunction, human cognitive and emotional malfunctions are caused by software logic errors (programming)... basically, insidious logic errors that weigh on the individual psyche and cause the person to "malfunction".

But any competent computer technologist knows that you can't approach a software problem by working on the hardware.  You get into the programming, and fix the bugs, because it would be sheer madness to try and approach the problem by monitoring and trying to ultra-rapidly and precisely adjust all the near-infinite computer microswitches to do what you want in order for the computer to run properly.  You can much more accurately and effectively do that through dealing with the programming that moves the switches... after all, that's what programs were designed to do!

Yet, we deal with the human mind in exactly that way!  We try to flood the unbelievably complex, subtle, and dizzyingly fast circuitry of the brain with clumsy-acting and poorly-understood chemical agents, when there's no known way to target that flood towards all the micro-fine regions it would have to selectively go to, IF we even knew what it would do!

And just as computer microhardware has been designed to be controlled through software programming, that's much the same way that the human central nervous system has been blindly "designed" to be controlled.  Yet with such an obviously parallel model as the computer hardware-software duality paradigm to serve as a blueprint for understanding the human mind, do our self-styled mental health professionals approach human beings the more rational way, through software analysis... in other words, through logical and analytical dialogue with dysfunctional and distressed clients which would require the explicit verbalization of all their moment-by-moment, entrenched logical error habits that they typically make as they encounter seemingly unimportant life situations in their present lives and as they also re-examine and re-interpret significant events from their pasts?  Almost never... and understandably, their results speak for themselves.

And those in the mental health industry have the conceited, witch-doctor arrogance to call themselves "experts"... even in light of the train-wreck scale havok that they have wrought upon countless numbers of human lives. 
 

G. Stolyarov,

I'm glad you like it.  By the way%

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Sunday, April 18, 2004 - 7:00pmSanction this postReply
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Monday, April 19, 2004 - 8:24amSanction this postReply
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Monday, April 19, 2004 - 12:57pmSanction this postReply
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Monday, April 19, 2004 - 12:58pmSanction this postReply
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Monday, April 19, 2004 - 1:43pmSanction this postReply
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Tuesday, April 20, 2004 - 6:45amSanction this postReply
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This might be of interest in this context:

http://www.nytimes.com/2004/04/20/science/20SCAN.html?pagewanted=2

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Tuesday, April 20, 2004 - 12:33pmSanction this postReply
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Orion wrote:
>Daniel,
I see your points... and I agree with everything, BUT...
While there's no doubt that MRI technology is incredibly accurate, it still can only assess the hardware of the brain: the neural tissues... not the software of the brain, which is comprised of all the logical functions that are going on, moment by moment, and how those functions are stored.

Hi Orion Reasoner

Actually we agree on this too. I don’t think our “selves” are reducible to a series of chemical and electrical reactions. In fact, I believe in a dualism between the physical brain and our non-physical “selves”. They are two different things that are, nonetheless mutually dependent (This is called the “interactionist” model, as opposed to the more passive forms of dualism) Further, I believe we are compelled to accept this sort of hypothesis to avoid the alternative, which is physical determinism.

While your software analogy is fine, I tend to compare it to trying to explain a joke on “Seinfeld” by examining the electrons inside your TV set.

So it follows that I believe drugs can only provide, at best, part of the solution.

- Daniel



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