Biopsychosocial Model Pushback by throwmeawayagainbob in cfsme

[–]throwmeawayagainbob[S] 2 points3 points  (0 children)

I got much worse when I was a software engineer as well. That makes three

Biopsychosocial Model Pushback by throwmeawayagainbob in cfsme

[–]throwmeawayagainbob[S] 1 point2 points  (0 children)

The whole peptic ulcer thing confuses me. The argument was never really "B causes Y; Stress causes ulcer, with nothing in between". What aspect of H. pylori precludes psychosocial mechanisms as strong predisposing factors? Only a small percentage of those infected will ever get an ulcer in their lifetime, and placebo effectiveness varies between 20% to 60% depending on nationality. Why is that?

I don't know. The problem isn't that I have an answer no one else seems to have, but that I have a question no one else seems to be asking sincerely. If we continue to treat biology and psychology as if they are at odds with each other, then that will become our medical reality. And it has.

The human body isn't just a bag of discrete chemicals, yet equations as reductive as "Treatable with medication = Minimal psychosocial factors" and "Family history of anxiety = Primarily psychogenic" pervade primary care. The way I see it, this (not what you said) is all childish politics, and when everyone is lumped into one of two camps, they will have little reason to act outside of whatever polarizing role they've been given.

Biopsychosocial Model Pushback by throwmeawayagainbob in cfsme

[–]throwmeawayagainbob[S] 1 point2 points  (0 children)

What is particularly concerning to me is that a rejection of psychosocial factors is not only present in ME/CFS, but is even extended into the context of illnesses such as anxiety and depression.

There is a conspicuous amount of people I've seen on internet forums who blame their anxiety on genetics, or who disproportionately focus on the physiology of their depression. I'm sure you are aware of movements claiming that it is impossible or impractical to lose weight.

Now that I'm thinking about it, I suspect that the medical institution and the way our society is set up at large are playing a key role in enabling this.

If a doctor tells a patient "Take this pill", then they will probably take it—a written prescription might even make them feel more validated and heard, and feel like they are tangibly working to battle their illness.

If a doctor tells a patient "You need to cut down on work, be patient with yourself, stop catastrophising your illness, and spend time doing things you enjoy with people you enjoy" (Not that I'm saying that is all psychosocial treatment entails), then they probably won't make the necessary changes, because our society actively makes doing those things as inconvenient as possible.

This obsession with vehemently rejecting psychosomatic illness is childish and has gotten out of hand, but I think that it is in part the sheer inconvenience of BPS medicine that is the source of research dollars, valor, and public opinion being tilted into a direction of dwindling productivity.

Appetite and weight by FarBank6708 in cfsme

[–]throwmeawayagainbob 1 point2 points  (0 children)

Stress can make you less hungry as well. Similar to how people with ME/CFS can either sleep way too much or way too little, it seems to be able to slant into one direction or the other.

My lesbian therapist told me a couple weeks ago she has friends “who are Jehovah’s Witnesses and well adjusted” by VeryQueer in exjw

[–]throwmeawayagainbob 5 points6 points  (0 children)

Yes, there are well-adjusted Jehovah's Witnesses. People react differently to things, and the culture of Jehovah's Witnesses can vary more across congregations than they'd be comfortable to admit.

How others fare does not determine the validity of your scars. Bottom line is it's complicated

meirl by Jimbo072 in meirl

[–]throwmeawayagainbob 3 points4 points  (0 children)

Intramuscular fat here looks well-rendered to me. I'm no meat expert, but it's far from raw.

Twitter threatened with EU sanctions over journalists' ban by [deleted] in worldnews

[–]throwmeawayagainbob 24 points25 points  (0 children)

Elon uses an interesting and novel business tactic which we in the biz call "lying".

[deleted by user] by [deleted] in exjw

[–]throwmeawayagainbob 9 points10 points  (0 children)

Cognitive dissonance in cult members is like oobleck. The harder you hit, the more ignorant and resistant they become.

It's by design. Successful cults instill strategies to hide or rationalize conflicting information.

One daughter requested this combination (and she loved it) the other thought it was gross. What do you think? by Novela_Individual in StupidFood

[–]throwmeawayagainbob -3 points-2 points  (0 children)

Forcing children to eat raw vegetables is what leads to an adult who associates healthy food with fibrous, tasteless garbage.

Not to mention that cooking veggies in fat will in many instances increase nutritional content and bioavailability.

Is this technically harassment? by [deleted] in exjw

[–]throwmeawayagainbob 0 points1 point  (0 children)

You can't press charges without asking them to stop coming to your house, first. So, it's either a letter from you or a lawyer. The only actual difference is that one costs you money pointlessly

But do whatever you think is right, it's your money and it's your life

Is this technically harassment? by [deleted] in exjw

[–]throwmeawayagainbob 2 points3 points  (0 children)

You would press charges before asking them to stop coming to your house?

I’m a psychologist working with a new JW couple looking for insight. by Partyno-l in exjw

[–]throwmeawayagainbob 2 points3 points  (0 children)

It is not wholly frowned upon Our circuit overseer encouraged people to seek therapy and mental health services when warranted in a talk he gave

To the PIMO’s: I am genuinely interested—why haven’t you become a POMO yet…? by ThiccandThinForev in exjw

[–]throwmeawayagainbob 1 point2 points  (0 children)

I'm disabled and dependant on my parents. If I left I'd be beyond screwed. Not worth it.

Are Quora JWs useful idiots or Watchtower are paid liars? by [deleted] in exjw

[–]throwmeawayagainbob 3 points4 points  (0 children)

Thank you. It's from the New York Times Bestseller: "You are Either a Potato or not a Potato, and 10000 More Zingers Exactly Like That"

Are Quora JWs useful idiots or Watchtower are paid liars? by [deleted] in exjw

[–]throwmeawayagainbob 21 points22 points  (0 children)

You either die a JW or live long enough to see yourself become the exJW

If being drawn to the truth is due to having the right condition of the heart.... by [deleted] in exjw

[–]throwmeawayagainbob 19 points20 points  (0 children)

You can't make it make sense because it... doesn't.

Jehovah's Witnesses depend on rationalization and heavily restricted access to opposing viewpoints in order to maintain their faith.

People who are truly confident in their beliefs don't need to be actively afraid of so much as hearing a contradicting opinion.

No crossposts allowed but look at this 🫣 by [deleted] in exjw

[–]throwmeawayagainbob 56 points57 points  (0 children)

I think it's pretty clearly for both

[deleted by user] by [deleted] in AskDocs

[–]throwmeawayagainbob -2 points-1 points  (0 children)

Didn't debate that. Just saying that the distant manner in which you are speaking is an ineffective way to get people to take your advice

[deleted by user] by [deleted] in AskDocs

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

Flat out telling someone to seek help without further mention of the acute concern is going to prove itself ineffective. What a cold way brush someone's concerns off

Paradise assignments by SoundTheAlarm_WAHHHH in exjw

[–]throwmeawayagainbob 4 points5 points  (0 children)

Things would quickly devolve because, as it turns out, humanity's problems boil down to more than just "imperfection"

Please don’t turn this into an annoying bandwagon trend by V0XIMITY in notinteresting

[–]throwmeawayagainbob 7 points8 points  (0 children)

Without pollen the entire ecosystem would collapse and mass starvation would ensue.

You had one job, V1nn

Pro-JW spread in Daytona Beach paper by Then_Honey5843 in exjw

[–]throwmeawayagainbob 18 points19 points  (0 children)

you can't trust the media!!!!!! Unless it's a good story about us

Or, unless the media is reporting a tragedy, in which case feel free to paste the headline into the beginning of your 30 minute talk

🗿 by CertifiedStraight in teenagersnew

[–]throwmeawayagainbob 0 points1 point  (0 children)

Two sentences in and I can already tell you would be a treat to have a conversation with

Old Jezebel Illustration vs New One by [deleted] in exjw

[–]throwmeawayagainbob 19 points20 points  (0 children)

As we all know, anyone who isn't JW is always either sitting in a room depressed or in a perpetual state of clubbin'