@hannahspierMD 2/ Ex: whether Rett Sx is or isn't a separate entity to ASD, it's now a well established genetic condition. Should it retain a separate place, or should the fx dimension be what matters?
@hannahspierMD 1/ A lot of oped in that article. Comes across as implying value judgement. The nosology of "what is autism" has changed for more reasons than you've cited. Also reflects the idea that psychiatric constructs are mutually exclusive, not helped by DSM attempting to include that.
@henrycooke It would be interesting to undertake a DiDA at handover. If you've extracted the earlier data, happy to help with the analysis. Also have the full Hansard and NZ Leg corpus. Will be up on @huggingface soon.
@jill_d35@psychgeist52 I think when you're looking through a particular lens, it seems like that. The reality is that as described, the literature is much broader. Psychiatrists control very little in healthcare.
@JRBneuropsiq For some reason, experimental psychology in particular, seems to have a bad rap despite bad science being a feature of pretty much every science discipline inc. medicine- ?Gaussian?
@JRBneuropsiq TBH, is the first time I've ever seen it. Unless it's intended along the lines of Rutherford's, "Physics is the only true science, everything else is stamp collecting"? In which case, well, everything other than physics is presumably pseudoscience 🤯.
@psychgeist52 It sucks that it seems like that. I might not fully understand your frame. Pall care have strong lit on this, as do bioethics, pain med. Some of the strongest work on suffering comes from Scandinavian economics group. The idea that this is framed as Ψ is itself an issue.
@MusicalChairs14@JosephMooneyMP We routinely use consensus decisions/guidelines in health. But GW seems relatively unique in its reliance on that. Ex: Delphi method is essentially a deliberative method of last resort. There's usually better ways of determining what "best" is. Not a position, just consideration.
@MusicalChairs14@JosephMooneyMP I assumed that too, but hedged my bets + picked the next one down. But the paper says the 1/3rd one. My natural instinct was to figure out what's wrong with the paper. I think it's a point well made.
I hesitate to break into your cosy digital chat gentlemen - but would you consider engaging with the substantive topic rather than holding back digital tears over the last southern beer 🍻😉
If you were to just look at the research paper from which the headline number is sourced (and just considering that in isolation), what would be your answer?
https://t.co/SCPvdalRYg
@NuroNova@DrMcFillin The answer to your question as constructed, you already know the answer to. Which is why I moved ahead to explain why that answer is meaningless.
@NuroNova@DrMcFillin Do you see what you're doing though? Are you trying to win an argument or are you trying to get to the truth. I have no interest in the former.
@psychgeist52 2/ As for the comment on suffering, it's strawman. Ψ doesn't + has never had a monopoly. From spiritual advisors, all health professions, social scientists, the right or the left, suffering has never been anyone's to claim exclusively.
@psychgeist52 1/ That's not correct. No doubt there's been a vocal absolutist minority, but nosology is socially constructed. The very reason for a DSM/ICD, + versions, is precisely to address that issue of variability. It's not just Ψ, it's all nosology.
@NuroNova@DrMcFillin 2/ In fields like law, one can construct+ win arguments by disqualifying/excluding arg's. In medicine, all it does is to create a bubble of self-confirmation, not truth.
@NuroNova@DrMcFillin 1/ I did. I provided 2. I can give dozens. But your argument is constructed so that it excludes the ex's. It claims nosology doesn't have a role. So my earlier point was you've constructed a 🏰->you'll always be correct on that basis. But take a step back->🏰 is made of🃏's.
@cremieuxrecueil 2/ It's interesting because the claim of the paper is widely accepted, but the issue is narrow interpretation by pressure groups but most of all by courts who fail to recognize the context within which knowledge is generated.
@cremieuxrecueil 1/ The concept of PA is intuitive but as a clinical sx it's not.
Terminology has moved to more neutral "resist + refuse" dynamics.
It's 🐅-territory because it's inherently high-conflict:
i.e. high-conflict parental separation.
@JosephMooneyMP The one obvs issue is the LLM can't get you registered. So in era of LLMs, perhaps the only remaining barrier is occupational licensing perpetuating our credence goods + services...