April 30, 2023

"[A] man... had been suffering from schizophrenia for more than a decade. And everything had been tried for him..."

"... all the medication, all the psychotherapy. But he was still hearing nursery songs all the time, all day long. And that drove him absolutely crazy. So he made a request for a MAID [medical assistance in dying]. And then after a week in our inpatient clinic, my colleague, he re-diagnosed him with, apart from schizophrenia, that there was also obsessive compulsive disorder. And he started an SSRI — really simple antidepressant — and some cognitive behavioral therapy. And that patient recovered within a month..... So those experiences really made me think twice about MAID in psychiatric suffering and about if this is such a good idea...."

"[Y]ou have to determine whether the suffering is unbearable and irremediable. First, unbearability — or unbearableness, I should say — that’s really difficult to say as an external person. So you often leave that mainly to the patient themselves to determine. You have to understand why their suffering is unbearable, but you’re not going to sit in the patient’s chair and say, well, come on, this is nothing unbearable. And then the irremediability, that’s the main issue.... You can’t say that it will never get better in psychiatric suffering.... But if you talk to these patients, they can’t do anything with these theoretical discussions about, well, maybe we will find a cure in 20 years...."

18 comments:

Dave Begley said...

The docs failed this guy for more than a decade? The experts?

But lets start mutilating kids after a few meetings with expert doctors.

Robert Marshall said...

Maybe we should also consider whether self-diagnosed children who call themselves 'transgender' ought not to be second-guessed about that diagnosis, since it is socially suggestible and apparently in a pandemic state these days, and mostly in the past has been a passing phase with affected kids.

Psychiatric 'certainty' is an illusion, but castration and a vaginoplasty is forever. Tough luck, kids, you were born not in the wrong body, but at the wrong time.

Duke Dan said...

MAID is based on the belief that doctors are more infallable than the pope. And that is a false belief.

gilbar said...
This comment has been removed by the author.
gilbar said...

whether the suffering is unbearable and irremediable.

what about unbearable heartbreak?
what about unbearable suffering from job loss?
what about unbearable suffering from the fact that the Wisc Badgers, just aren't that great at football?

Most importantly..
what about gender dysphoria?
Isn't The Kind Thing To Do, for trans people; to just put them out of their misery?
I mean, thing poor folk can't even figure out what sex they are? Can we Really allow THEM to decide?

Lloyd W. Robertson said...

Progressivism can be fun. The whole field of psychiatry teeters on the edge of complete failure--lots of mentally people around; if by some chance environmental factors can make this problem worse, by God it may be getting worse. One might even think any resources given to people in this field are wasted. There is a progressive notion that the mentally ill would be better off dead: MAID, and surely the abandonment of the encampments of homeless/addicts etc. heads down this road. Not Hitler--supposedly a more humane approach than Hitler, but getting there.

And then: one of the medications they are prescribing, with a little bit of face to face therapy, might actually cure or successfully treat someone. After all these years. Let's hope noone tries to look at the whole project of medical research. Life expectancy at birth improves (the U.S. now lagging behind other developed countries, while spending far more money on health), but maximum age at death, to my knowledge, has not budged at all. Some of the people being saved have miserable lives. Is there a prudent way of judging whether there is more good than harm being done?

ga6 said...

Doctor to insurance company: "How much if he dies, how much for continued treatment? OK; he is 80 guess I'll put his down for a lump sum">

who-knew said...

MAID is euthanasia but they don't want to call it what it is because then people would be more likely to oppose it. Everywhere this has been allowed all the so-called safeguards built into the enabling legislation are soon tossed aside it what's left is a system for killing the inconvenient (see Canada and Holland).

n.n said...

Prosecutorial... medical... clinical discretion is a progressive path and grade.

n.n said...

Psychiatric 'certainty' is an illusion, but castration and a vaginoplasty is forever. Tough luck, kids, you were born not in the wrong body, but at the wrong time.

A burden, a "burden" h/t Obama, a tisket, a tasket. Levine's Dreams of Herr Mengele is a sequel to Sanger's Feminine Senility is amended by Jane's Revenge coexists with planned parent/hood et al.

n.n said...

the so-called safeguards built into the enabling legislation are soon tossed aside it what's left is a system for killing the inconvenient (see Canada and Holland).

Ireland, too, that seems to have a fetish for babies with Downs Syndrome, ironically, female or male sex genetically discoverable.

Human rites performed for social, redistributive, clinical, political, criminal, and fair weather progress.

Wince said...

So those experiences really made me think twice about MAID in psychiatric suffering and about if this is such a good idea...

Gee, ya think?

typingtalker said...

And then the irremediability, that’s the main issue.... You can’t say that it will never get better in psychiatric suffering .... And [then] that patient recovered within a month .....

“There are known knowns, things we know that we know; and there are known unknowns, things that we know we don't know. But there are also unknown unknowns, things we do not know we don't know."
--Donald Rumsfeld

Aggie said...

An innovative treatment protocol so revolutionary, it has its own acronym for protective camouflage.

RigelDog said...

Gilbar noted, "whether the suffering is unbearable and irremediable."

what about unbearable heartbreak?
what about unbearable suffering from job loss? }}}}

Exactly. I'm thinking of people stuck in situations that will probably never resolve, like the "Weird Kids." The ones who are just socially inept, probably physically unattractive, and completely unappealing to everyone they meet. I feel so bad for such folks; you just can only teach people so much about how to not be weird and off-putting. Faced with a continuing future of crushing loneliness and rejection, wouldn't they be tempted to just end it all?

Assistant Village Idiot said...

I have to wonder who was treating him previously. Psychotherapy? For schizophrenia? What is this, 1958? And in ten years no one tried an SSRI for this anxious and depressed person, even as an adjunct therapy?

One blamable part I understand, though. The diagnosis of Schizophrenia, obsessive-compulsive type was removed from the DSM over the objections of a lot of older psychiatrists. Maybe they knew something?

NotWhoIUsedtoBe said...

Prozac should not work on schizophrenia, but I know two people for whom it did.

Night and day.

You can say it wasn't "really" schizophrenia, but then wtf was it? Same symptoms.

Gahrie said...

So you're telling me that if we treat a person's mental illness instead of indulging it and providing life altering "medical care" that their lives often improve?

You don't say?