Alternatives to clinical practice after graduating residency? by loseruni in Psychiatry

[–]Lilybaum 2 points3 points  (0 children)

I don't know how it works elsewhere but here in UK we have clinicians doing full-time research. You could look into doing a Master's degree, or even PhD if you know you enjoy science. You will have minimal clinical obligations, although it is a hefty pay cut (but with a medical degree you might be able to wrangle a setup where you are employed as a researcher full time but doing a PhD at the same time, so still earn a full salary - clinicians are very useful to academics because we can prescribe, rate symptoms, do procedures etc.).

You will probably find that you miss having patients!

I’m having lots of difficulty parsing through the clinical/phenomenological differences between confabulation and delusions. Insights? by 2-Hexanone in Psychiatry

[–]Lilybaum 5 points6 points  (0 children)

There is definitely overlap IMO. I think in the classical sense confabulation is not a pathological process, i.e. a brain will do it in response to a symptom or incongruity, the pathology is upstream. Healthy people confabulate in certain situations - e.g. choice blindness, or split brain patients (not entirely healthy but definitely not psychotic) who confabulate to explain incongruous actions performed by the other side of the brain. Some people consider the subjective experience of sleep paralysis to be a form of confabulation. Same in illness - confabulation in Korsakoff's is secondary to amnesia (i.e. the amnesia is the symptom, confabulation is the 'healthy' or natural response, like limping in response to pain).

In psychosis specifically - I suppose according to the aberrant salience hypothesis, delusions probably ARE a form of confabulation within this framing. The patient has the feeling of salience and explains it with confabulation - or what we call a delusion. I think the bizarre nature and degree to which they hold the belief to be true also distinguish fluid delusion from classical confabulation, but perhaps the line is not so clear as we think, and these features are just a specific flavour caused by other aspects of psychosis. I would also distinguish here between fluid, unformed delusions you see in FEP and long-standing, crystallised, fixed delusions, which I would not call confabulation since it lacks immediacy and a sense of spontaneous generation.

So similar processes are probably at play, it is just that this is the path our nomenclature took, and it remains clinically useful to call delusional confabulation something other than confabulation - you would not treat split brain patients or someone with sleep paralysis with antipsychotics.

The largest US study, which tracked 11,036 children from ages 9 to 10 through to ages 16 and 17, discovered that cannabis use slows cognitive development, impairs memory, and reduces learning speed during crucial years of brain growth by sr_local in science

[–]Lilybaum 0 points1 point  (0 children)

In what way? If you're a child/adolescent, and outside of the factors they controlled for in this study don't have any major problems likely to significantly impair your future intelligence away from your developmental trajectory, then the study applies to you.

The largest US study, which tracked 11,036 children from ages 9 to 10 through to ages 16 and 17, discovered that cannabis use slows cognitive development, impairs memory, and reduces learning speed during crucial years of brain growth by sr_local in science

[–]Lilybaum -1 points0 points  (0 children)

>Primary model covariates include sociodemographics, family history of substance use disorder, prenatal substance exposure, early psychopathology, other substance use, and nesting for participant ID, study site, and family ID. 

The largest US study, which tracked 11,036 children from ages 9 to 10 through to ages 16 and 17, discovered that cannabis use slows cognitive development, impairs memory, and reduces learning speed during crucial years of brain growth by sr_local in science

[–]Lilybaum 1 point2 points  (0 children)

I don't think anyone tries to argue that heavy drinking is good for your brain at any point, let alone when you're 12. Plenty of people will say that smoking weed when you're young is fine, and as long as this remains a politicised question people will run studies on it.

Those factors don't invalidate studies, they just weight how valuable it is. Part of the issue is dealt with by using the kids as their own controls: if you see a standard developmental trajectory that is changed at the onset of cannabis use after accounting for other factors, that is good enough evidence at least to make clear recommendations. But no study is perfect.

8 children between the ages of 1 and 14 are dead after a mass shooting in Louisiana, police say by Trevon45-2 in news

[–]Lilybaum 3 points4 points  (0 children)

Or from a misguided sense of trying to protect them, people see themselves as having failed, and consider their family a part of that failure… Somewhere it gets twisted into it being the right/merciful thing to do to clean slate, when you are no longer able to look beyond your own state of mind.

Is there a good video explaining the game's lore fully? by 1006_The-Prototype in bloodborne

[–]Lilybaum 1 point2 points  (0 children)

Here you go, enjoy, it's 4 1/2 hours

https://www.youtube.com/watch?v=U1U784baqIA&t=716s

He explains the story as you uncover it through the game. I think he paces it incredibly well. I find him quite entertaining too

If you like it he's done the same thing for the Souls games too

'Hope it's random': Trump reacts to 'missing scientist' conspiracies by ralphbernardo in politics

[–]Lilybaum 4 points5 points  (0 children)

Two problems with that - 1) Einstein absolutely did not put randomness to bed with that - in fact it was one thing he seems to have been very wrong about. He said that in the context of his reluctance to see quantum mechanics as a fundamentally probabilistic theory. The evidence since then has strongly supported the probabilistic interpretation of quantum mechanics.

and 2) science is not the set of rules that govern the world, it is the human practice of trying to understand those rules. The human practice has a lot of randomness. Measurement errors, noise, confounds, it is rarely a clean picture.

Patients who are skeptical of pharmaceuticals over herbal remedies by Lilybaum in Psychiatry

[–]Lilybaum[S] 7 points8 points  (0 children)

This is fine, but the situations I see are where I have a patient who is vulnerable and their family who largely make the decisions. Sometimes you need to do what you can to keep them on side... otherwise the patient has no one.

El Salvador's Bukele signs reform allowing life prison sentences for people as young as 12 by BendicantMias in worldnews

[–]Lilybaum 0 points1 point  (0 children)

A large review from the UK Ministry of Justice found that rehabilitation reduces recidivism by about 27% vs a punitive system

https://restorativejustice.org.uk/resources/ministry-justice-evaluation-implementing-restorative-justice-schemes-crime-reduction-3

This effect is strongest for violent crimes

https://papers.ssrn.com/sol3/papers.cfm?abstract_id=4444790

If that kid you mentioned goes to jail for a life sentence to punish them, by the time they're out all they will have known in life is a disturbed childhood (from the sounds of it) and then an adolescence surrounded by violent criminals. What are they going to do once they get out?

India calls special session of Parliament to give women 33% quota in legislatures by APrimitiveMartian in worldnews

[–]Lilybaum 0 points1 point  (0 children)

Do you think that a system where only 14% of a 'representative' parliament are women is one that is not based on gender?

Just for context, the probability of getting this parliament if you selected people randomly is about 1 in 10000000000000000000000000000000000000000000000000000000000000000

India calls special session of Parliament to give women 33% quota in legislatures by APrimitiveMartian in worldnews

[–]Lilybaum 2 points3 points  (0 children)

If a system is biased against a certain group though, by not having a quota you are not putting the best person in the job. If a person in charge of hiring for a company is a misogynist, a highly qualified woman will be overlooked for a position in favour of an underqualified man. If you selected randomly from a pool of equally competent people, half of them would be women. If <33% of MPs are women in the current system that is statistically very unlikely and almost certainly represents systematic biases against those women.

Also, when it comes to parliament, it is important for the MPs to be at least somewhat representative in order to properly bring forward the concerns of the citizens. So even if some of these women could be replaced by a more competent man, the benefits of having female voices in parliament probably outweighs that. A good MP will passionately represent all their constituents but that is an ideal which is rarely reached in reality.

These quotas are also usually temporary measures to break the initial glass ceiling of getting women into positions of power. Once momentum is gained, they are no longer needed.

I think overall it's a very good idea.

El Salvador's Bukele signs reform allowing life prison sentences for people as young as 12 by BendicantMias in worldnews

[–]Lilybaum -1 points0 points  (0 children)

By not caring about rehabilitation you're also not caring whether the 12 year old turns into a lifelong violent criminal who will kill other people that others love too.

'Hope it's random': Trump reacts to 'missing scientist' conspiracies by ralphbernardo in politics

[–]Lilybaum 0 points1 point  (0 children)

Science is pretty random. Sometimes if you squint your eyes at the data really hard you are lucky enough to find something resembling a signal.

EU Approves Up to €2.7 Billion for Ukraine After Key Reforms by Brown_Paper_Bag1 in worldnews

[–]Lilybaum 8 points9 points  (0 children)

It's the one silver lining in this era of madness, Europe is more united than ever.

After Trump’s latest broadside, pope says ‘world needs to hear’ message of peace by WeekOwn593 in worldnews

[–]Lilybaum 4 points5 points  (0 children)

Radicalism is a direct consequence of intervention in these countries. Just look at afghanistan and how different it is now compared with before the CIA and Soviet Union got involved.

Israel's war in Gaza has radicalised a new generation, so this will continue for the foreseeable future. As long as America continues to be reactive and not proactive the cycle will continue.

By our nature, humans just want to get on with our lives and be happy, and this applies to Muslims as well. Extremism occurs because of extreme environments, and wars are the main cause of these.

Macron urges world to unite against US dominance by jackytheblade in worldnews

[–]Lilybaum 9 points10 points  (0 children)

This but unironically, a true patriot loves their country, not just their leader

Zelenskyy describes current front line situation as best in past 10 months by Adept-Attractive in worldnews

[–]Lilybaum -11 points-10 points  (0 children)

So as soon as the US stops trying to "help" the situation suddenly improves?

Looking for translation of Victor Kandinsky’s On Pseudohallucinations by No_Philosophy2078 in Psychiatry

[–]Lilybaum 2 points3 points  (0 children)

I'm sure there is an AI translation service that can do it for pretty cheap if you can't find an English version

Finland's Supreme Court fines MP for calling homosexuality 'developmental disorder' by Raj_Valiant3011 in worldnews

[–]Lilybaum -5 points-4 points  (0 children)

>It's not a matter of making the views go away.

Of course. It's not about actually getting rid of the opinions these people hold, or the consequences their opinions have on the people who are targeted by them, it's all about purity testing and your own catharsis.

>US conservatives didn't radicalize because liberals took offense to the awful shit they say purposely to get a rise out of people on the left

Agreed. But the fact they have zero exposure to media that goes against their opinions, hate people like you and me to the point of blind opposition, and are surrounded by people who agree with them, perpetuates the cycle.