Quote (thesnipa @ Jan 13 2022 11:26am)
bedside manner is a basic way we as patients measure doctors, as well as many more medically specific measures. suggesting doctors of all sorts dont employ the social sciences on the regular, even virologists trying to gauge public opinions to control a pandemic, would indeed be dishonest.
Doctors are required to train in psychotherapy. Object Relations Theory is their framework. A lol of the younger docs are moving toward the Cognitive Behavioral Theory framework that social workers and personal counselors have been using to great success. One psychiatrist I worked with would use very Freudian Psychoanalysis and he happened to also be the best psychopharmacologist I've ever worked with. He would use all kinds of means to get demented seniors to chill the fuck out and he could explain the most complicated ideas to anyone. I wish I still worked with him but I've just started working with a new one I really like who really appreciates social work.
There are these things called Social Determinants of Health that are really important. They are crucially tied to outcomes in patient care, and often the doctor or health care provider is powerless to affect these things. While doctors have an incredible scope of practice, social work has highly specialized scope of practice that uses Systems Theory to affect change in individuals on a biological/psychological/sociological basis. Sometimes the doctors will admit people who they say are "social work nightmares" and they throw themselves at social work's mercy with their their RVUs, and do peer reviews, deal with denials, and what not, based on your ability to solve problems that have been developing sometimes for decades in several days. or a few weeks for serious situations. I'm usually working on 2-3 serious situations at a time. It is because if the doctor discharges them now they would likely die or become disabled. No med change will solve this, no test will change it, only radically changing someone's social circumstances outside of the hospital can help. Group home instead of on the street. Nursing home instead of home alone and demented. We are the masters of moving bodies as well as healing them in our own way of building resiliency and focusing on building strengths, internalizing locus of control, gaining true agency.
I took off work today to have a new septic air pump installed. I'm so glad I'm not doing social work right now lol. I'm so going to work in my hard and enjoy the day and not take on any intense negative experiences outside of Darkest Dungeon or Vanguard/Warzone.
Quote (Black XistenZ @ Jan 13 2022 12:26pm)
A lot of the science on trans people and how to best deal with their needs belongs to psychology, rather than medicine. You yourself have repeatedly stressed what a pitiful field of barely-science psychology is and that we shouldn't ascribe much credibility to the vast majority of their findings.
Untrue. It is physical and has to do with the brain and sex organs. To get to the more direct point, there are no actual mental health disorders, only physical disorders of the brain that affect human experience. That is why medicines and procedures work on mental disorders. The best cure for depression is literally electricity shot into your brain. Very physical. If you study psychology you will study the brain's anatomy, and how to measure things about it (psychometrics) primarily.
When I'm treating people with gender dysphoria or who are having problems with transgenderism I refer them to one of two specific people, one is a medical doctor, and one is a nurse practitioner. There are programs for transgenderism and dealing with the consequences of it, but those are often serviced by social workers, marriage & family therapists, and personal therapists, not psychologists typically. And they're expensive and not generally covered by health insurance.
This post was edited by Skinned on Jan 13 2022 12:04pm