While I think scanning baby brains is not really viable for this (see my other reply) they actually do basically put babies in a restraint for X-rays and neurological scans that looks pretty fucked up. But I mean if a baby is having seizures or has a suspected broken bone you have to get imaging, even if it’s kind of cruel

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Oh yeah let me just plug in an fmri and find out if someone is definitively experiencing “joy”. That’s high level somewhat subjective emotion, not pain. Neurological understanding is not nearly as advanced as you think it is. I spent my post doc doing fmri research; the best thing you could come up with here is “areas of the brain associate with pleasure are highly activated” but even that doesn’t necessarily indicate the baby feels overwhelmed. Maybe I’m wrong and there’s some fancier neuroscientist out their that can read baby brains but I doubt it

I hate it when people say shit like this so authoritatively. Like this is some conjecture at best. It’s a baby. No one knows why a baby does this. Someone assumed that and some other people said oh yeah that makes sense.

Thankfully in the past 10 years I’ve seen a decline in practitioners prescribing seroquel for sleep disorders but that’s entirely anecdotal and based only on my small geographic area unfortunately, not sure of any literature to support that this is actually declining. And unfortunately in the USA i believe it’s still somewhat regularly used as a chemical restraint in long term nursing care for geriatric populations despite indications for other medications being potentially better choices but I can’t speak much to that as it’s not my practice area or population

Are you talking about haloperidol? It doesn’t really get used a sedative in emergency psychiatric situations but often gets paired with benzodiazepines. Sometimes one or the other. Sedative would more typically be Ativan. To be clear haldol does have some sedative effects but it is not typically used as a first line sedative in inpatient psychiatric settings; it’s a poor choice for this purpose because it has a fairly slow onset for sedative effects to be seen (~15-20m for many individuals)

Haloperidol is used for acute psychosis and agitation. Ativan is used for sedation. Care has to be taken because benzos/ativan can worsen delirium, eg in an elderly patient, thus the use of haldol if they are agitated. Or you might use diazepam if you are intending a chemical restraint as this lasts longer than ativan. But this metabolizes via liver so you again have to be careful about pt, late stage alcoholic would get ativan bc metabolic pathway is renal. Additionally ativan alone be best fit for someone detoxing from alcohol who is agitated as the underlying cause of their agitation better targeted by benzos than haldol. Knowledge of pt is key. Of course that info is not always available unfortunately

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3298219/

Project path explains rationale behind psychopharmacology for emergency treatment of agitation better than I can

If Russia is forcing this for all people with autism they are foolish but that is extremely unlikely and a reactionary response

What is far more likely is that this is a treatment for extreme behavior in a small subset of people with autism. It is important to remember that autism is a spectrum and not everyone with autism is a secret stem genius who is just socially awkward. It’s actually kind of fucked up to keep projecting that stereotype. There are people with autism who are bad at math and science. There are people with autism who cannot speak. And there are people with autism whose cognitive and expressive deficits cause them to get so frustrated and irritable that they frequently become violent.

That said it is crucially important to note that treating with haloperidol as a first line of defense is also very fucked up. That is a strategy that is basically saying “shut these kids up”. It is a strategy of sedation and a lack of concern over side effects. Haloperidol is admittedly safe and usually well tolerated but not always and is heavily sedating. Drugs like risperdal do not have nearly as much of a sedative effect, an arguably more tolerable side effect profile (weight gain and breast tissue accumulation/gynecomastia are the big ones), and allow the individual to maintain a better quality of life. And with either additional focus has to be on simultaneous clinical treatment to address skill deficits in stress management, executive functioning, etc as well as government policy to increase access to early intervention to decrease likelihood of future cases

The United States would more typically utilize risperdal as a first line pharmacological intervention for individuals with autism who experience violent behavior during irritability. It obviously can vary by practitioner a bit but there would need to be some valid justification as this is the only fda approved medication for treating irritability in autism.

Lots of people speaking out of their lane in these replies though! Nothing like conjecture!

Cloudflare has absolutely told websites to fuck off because they don’t like their content. They haven’t done it a ton of times but they absolutely have. No one cares because the sites they’ve done it to are toxic cesspool shitholes that, to be fair, the world is probably better off without. But each time it showed that cloudflare can simply wield its power if it feels like it.

If your site becomes controversial in the future and is protected/hosted by cloudflare don’t be surprised if they suddenly send a letter saying “fuck off”. They’ve become arbiters of internet censorship and we have accepted it because the daily stormer and kiwi farms and 8chan are bad.

The ridiculous part is all of those sites are still accessible; daily stormer and kiwi farms both still accessible from clearnet (iirc 8chan is tor only) so cloudflare dropping wasn’t even all that effective. Well funded hate speech found a way. But for the next ones that don’t have major alt right cash behind them to fund cloudflare alternatives they’ll just simply disappear. And then we will have the internet where corporations like cloudflare, who should absolutely be content agnostic, decide what we can and cannot see. You may think it’s fine right now because they’re doing it against websites that are admittedly gross and terrible, but what happens when they overstep and the line blurs?

They should act like a proper tier 1 provider: find evidence of crossing a legal threshold, get a court order, and terminate service if something that bad has occurred. Anything less and they suck it up and honor the contract they signed. They haven’t, so fuck cloudflare. The internet is an amazing place but it’s also a disgusting abhorrent cesspool. Don’t get involved in hosting it if you can’t deal with that.

Flac 44.1 16bit level 3. Host with something that meets your needs. I have my files in jellyfin and navidrome and can then access the library remotely either through jellyfin web client, navidrome web client, substreamer, Finamp, kodi, etc. but this way if another amazing format comes up down the line I will always have my library in a good state to transcode from. Tag and sort everything with beets.io (or musicbrainz picard is great, I just like that beets is cli). This results in a library I can access on my phone, laptop, tv, carplay, etc

Technically you could go for 24bit but imo the extra file size isn’t justified. though one could make that argument for flac vs 320cbr mp3, transcoding 320 mp3 is more likely to create artifacts, thus the reason for keeping around flac

Alac may be easier for you if you use mac

This is pretty much what I meant by that fucked up misinterpretation of stoicism

Like you have the actual Aurelius stoicism which has some very good value; everyone should read meditations once or twice. But then it’s been cliff notes’d and perverted by a bunch of people into to lose the message entirely from “be in control of your emotions” to what you’ve described: horrific rigidity to keep it all in at all times until of course it doesn’t work anymore and you break down spectacularly. Like somehow the message has gone from “control” to “emotional numbness”

A similar dynamic has happened with nihilism where some the writings on it are not so bleak and terrible; that it is an expression of freedom. But over the years it’s been perverted into nothing matters, why bother

I am an actual licensed therapist and while there are a number of real actual creating barriers specific to men pursuing mental health treatment there are a few factors I’ve consistently seen that are ubiquitous across gender, race, sexuality, class, etc

Money, time, availability

Therapy is inaccessible. I am a therapist who mostly works with insurance companies. They pay me about 100-115/hr. My clients will often have a high deductible health plan which means they need to pay this $100-115 per session until they hit their deductible, which can be 5,000+ dollars. It’s a lot to ask someone to pay $100+ weekly. On top of that they still usually have a responsibility afterwards of (typically) 10-30% so $10-34.5 per meeting which is still a notable weekly cost for many people on the high end especially after shelling out $400+ a month for months on end.

Other clients have PPO insurance which is a fixed cost per meeting but this can vary wildly. More affluent clients have excellent PPOs where they might pay $10-20 per meeting which is not terrible. But that’s rare. We are often covered under the “specialist” copay and many PPO plans have tiered provider coverage now. So a copay for me might be $50 or more per meeting (the worst I saw was $125 which was absurd because it was actually $27 more than I’d get from the insurer in question).

So you have this on top of these plans taking hundreds of dollars out of each pay check. “Well budget for it”. Hard to do because the need for therapy can be inconsistent and many of these people are coming in fo(and specifically symptoms like poor money management). Then on top of that even if you do budget for it you have the inherent issue that the need for outpatient therapy is often not dire/acute so if something more pressing comes up (eg a serious dental/medical issue, car breaks down, short on rent) therapy might be the corner to cut if it’s already established because in the overwhelming majority of cases you won’t die without it; it will just lower your quality of life (sometimes significantly so)

Then comes the time portion. Even if you can get past the cost barrier you have the availability of the therapist and yourself. I’m a night owl and I work late but many of my colleagues don’t. I’m pretty nontraditional though, no kids and my partner is very career oriented themselves whereas many of my peers tend to value the traditional 9-5 much more so they can be home for their children and such.

So when you go to schedule with someone it’s often that you can only get seen during business hours. It’s one thing when it’s a doctors appointment that you have once every few months that you need to duck out of work for but a weekly hour long engagement is much harder to explain. This brings back in the masculinity issues - many men find this basically impossible to disclose to the workplace and basically wouldn’t even try to get an exception for weekly therapy. Even without explicitly saying so asking for 1 hour open a week consistently for a doctors appointment is going to be perceived as therapy by many. But stigma aside many of us simply can’t do that. I’m on the practitioner side and I know I’ve ignored my own physical health at times because it was inconvenient to schedule doctor appointments during my workday.

Our systems of employment (at least in the USA) simply do not provide or protect for medical leave, even when it’s very brief and especially when you are a low level employee (executives and admins tend to have less of an issue ducking out for doctors appointments in my experience at least). There is no legal right to paid or unpaid time off for medical appointments in the USA and that is completely disgusting in 2023.

The final piece is practitioner availability. I have a waitlist through October at the moment and am not accepting new clients. All of my colleagues are in the same boat. The old practices I used to work at constantly call me to see if I’ll take any referrals because their waitlists are so overloaded. The hospitals and clinics I have referral relationships with email me every week for updates. It’s extremely stressful. Every new client, especially adolescent, complains that they are happy to finally have someone after waiting 3-6 months. Even if someone wants a therapist they have to wait ages. It is not uncommon that I get someone and when I call them to start they say they don’t even remember why they called in the first place.

We need more people doing the work. Or ideally we need to make societal reforms so that there are less people experiencing mental health issues. I’ve been doing this almost 15 years now. I, and anyone who doesn’t exclusively work with the rich, can tell you that a significant degree of what we work with is people who lack resources and not proper mental illness. I mean, it is depression and anxiety, but it’s because they have been paycheck to paycheck for years or theyre under a mountain of student loans or credit card debt and the stress is just too much to bear. And their jobs won’t give them raises and there aren’t any other jobs out there that pay more. Not everyone is a software developer or investment banker that can jump ship to another 6 figure job with cushy benefits. Most people work jobs that pay 40-60k with shit benefits and little upward mobility.

To answer your question more directly:

In my opinion it’s a systemic issue based around that super fun phrase everyone loves, “toxic masculinity”. I personally do not subscribe to gender labels but I am amab/male presenting and get a lot of male clients as a result. Many of them tell me they hide the fact that they are in therapy from everyone but their partner. This is indicative of the problem; that being in therapy is weak. That being in therapy makes them a bitch, a wuss, all kinds of pejorative terms. It’s bad, is my point.

So part of the answer imo is not in having doggies and cool dude stuff in the office. Its far more complex and involves redefining masculinity to still including things like being a lumberjack or carpentry or whatever. From there though you need to shed the part where it means you have to be emotionally numb to everything, constantly display strength, embrace the fucked up misrepresentation of stoicism that has you shove all your feelings into your stomach, and glorify anger, rage, and violence as the only appropriate means of emotional expression.

this could also be extended to the stigma surrounding therapy itself and the tendency to associate therapy need with weakness. This is an issue that goes beyond therapy though; there are people who won’t see medical doctors for the same reason even though they’re in physical pain. Our pride is our downfall.

Tldr make therapy cheap and accessible, make protections for workers to seek medical care, increase the amount of practitioners (or decrease the need for them), and systemic reform to the societal concept of masculinity and pride. So probably gonna take awhile

Are you sure? I thought they were restoring my comments but it was a combo of several things:

The user profile page only shows about 1000 posts so sometimes when you clears out your account a few older ones pop up. If you sort by hot/new/month/year/etc you will find more

If a subreddit was private for the protest (some still are even now) and came back up (some are coming back up even now for some reason) the posts will suddenly repopulate your feed

Those are the main ones. That said, I wouldn’t be shocked if Reddit was doing this as the library of content is a huge part of their valuation

Get your data from their gdpr request tool and use it to erase your account with shreddit or redact.dev. Don’t delete your Reddit account just yet; once it’s deleted you can no longer delete or edit posts. Consider just editing the posts instead of deleting so that Reddit archives are permanently updated with nonsense. File a request with pushshift to have your data removed as well (which is significantly easier, just a google form). Note that it’s something you’ll have to keep checking in on as Reddit is actively working to break these tools - afaik redact.dev doesn’t work to delete Reddit posts at the moment; it will let you view your Reddit posts but if you attempt to delete them it will immediately deauth your account but the devs are actively working on this and are pretty responsive and confident they’ll have a fix. Shreddit seems to still work, at least the rust build, but that’s not as user friendly

Bots count as active users on the metrics, I’m sure Reddit admins see this as a huge win

If meta pushes this it will be to brand themselves with decentralized social media. The average person will associate the concept with meta and assume it was a meta invention. This may be a long play by meta to get in front of things like mastodon/lemmy/kbin/etc and become an established player in the space to the laymen before the actual established players can do so

It’s a gross misuse of their obscene power bordering on monopoly and hardly a good thing. Even if the above isn’t true they will 100% use it to harvest as much data as humanly possible without consent and tons more if you’re stupid enough to give them consent. They will tune algorithms to feed people rage bait and stupid bullshit to drive engagement at all costs. And they’ll load it with intrusive targeted advertising

Fuck meta