@LBRBDesigns@TomCottonAR A Bill won’t fix it because it won’t pass Constitutional muster. The only way is to try for a Constitutional amendment or….state lead nullification (basically refusing the law), which would be the start of a civil war per se. The best bet is challenging again in future court
For years, mental health awareness efforts have driven me insane. These efforts are COUNTERPRODUCTIVE.
Here's EXACTLY why mental health awareness doesn't work:
Mental health awareness is a tool of the public health model. The public health model has been the dominate approach for trying to reduce rates of mental illness for more than a half-century.
Public health models aim to prevent disease in the few through broad population-level programs, rather than treating the few who become ill once they do.
Disease prevention is attempted by: raising awareness about the disease, educating the public about it, and screening everyone for it.
All these public health model prevention programs are done for the same purpose: to get as many people into treatment pre-emptively or early who wouldn't have sought treatment otherwise. Upstream treatment, in theory, would effectively prevent the disease.
We've now been doing all this preventative public health model stuff for DECADES, but no mental illness has been prevented. Why??
We still don't know the causes of mental illness, so we DONT ACTUALLY KNOW HOW TO PREVENT IT. And even if we DID, we DON'T HAVE mental health treatments that are curative OR preventative. They simply manage symptoms.
How and why, then, did we even start doing this ineffective public health model stuff like mental health awareness??
Before this model took over and made everyone think they had ADHD and Anxiety Disorder, the primary approach was to treat active cases of mental illness. Mental illness, 100 years ago, was a FAR NARROWER concept--mostly meaning what we today call "serious mental illness."
Serious mental illness is best represented by schizophrenia. We're talking about functionally impairing, chronic, degenerative disorders, often with psychotic symptoms.
Serious mental illness only affects ~5% of the population, even though we constantly hear "more than 20% of people have a mental health condition." That includes people with mild anxiety, or depression after a grandparent dies, or post-divorce distress. Mild and moderate conditions.
Then, in the early 1900s, a movement of progressive social reformers came to believe--but NEVER proved--that serious mental illness was caused by distress from normal life challenges and bad social environments (poverty, divorce, poor education, etc.).
These reformers were inspired by the public health model, recently popular after the success of sanitary reform. Telling the whole population to wash their hands and practice good personal hygiene prevented a ton of disease.
Maybe, these reformers thought, encouraging people to practice good MENTAL hygiene would prevent everyday distress and, subsequently, would prevent serious issues like psychosis from developing.
These reformers encouraged good "mental hygiene" as meaning public health style efforts: raising awareness of mental illness, educating the masses on well-being (that is, avoiding normal distress inherent to human life), giving entire communities pre-emptive psychosocial interventions, and even engaging in political activism for more govt assistance.
A century has passed, and the mental hygiene movement still dominates, though it was rebranded "mental health" after mental hygiene got entangled with eugenics.
Everything these reformers wanted has happened:
- access to mental health treatment has been expanded indiscriminately at the population-level and made widespread: half of all Americans will receive a mental health diagnosis in their lifetime now
- a variety of "mental health" professionals provide pre-emptive psychosocial treatment through schools, workplaces, and community mental health centers
- public schools education children about emotions and mental states so they might recognize early signs of a "mental health condition"--which, remember, includes NORMAL DISTRESS--and report those negative emotional states for possible treatment
- mental health awareness efforts mirror these education efforts, teaching and normalizing mental health conditions and treatment, encouraging it positively for all. We're VERY aware of mental health now: the DSM, a clinical tool, is an amazon bestseller
- we screen basically EVERYONE for mental health conditions, starting at younger and younger ages, even though there are no biomarkers, brain scans, or blood tests to confirm whether someone's anxiety is simply because they lost their job or is pathological
Where has that left us?
Mechanically, as an EXPLICIT GOAL of the public health model, we've seen more people report distress, get diagnosed, and get treatment. This WILD overpathologization has become PERVASIVE in American society.
But who is better off???
Not the general public, who have not seen any ROI in the form of lower prevalence rates from prevented disease--or even better life satisfaction.
By contrast, the "worried well" have made themselves actually sick by thinking so much about whether or not they're POTENTIALLY sick, even though the vast majority of us are simply NORMAL unhappy humans, ALL of whom are unhappy and stressed at baseline to at least some degree, by nature of being human.
And the truly mentally ill, the most seriously mentally ill, have been abandoned to deteriorate and strain every public system--ERs, homeless services, jails, prisons, nursing homes...
So much emphasis has been on providing superficial supports to the "worried well" in order to prevent disorders we don't know how to prevent, and so little has been on treating those who need intensive interventions.
That is why spending hundreds of billions of taxpayer dollars on public-health-style "mental health" efforts like mental health awareness, rather than serious mental illness, doesn't work, and drives me totally insane.
@moveincircles@Cernovich It’s so horrible and protracted that millions of people voluntarily allow many of the same drugs to be administered on them daily during routine surgery.
@ComfortablySmug@JDVance@marcorubio With the White House Press, @marcorubio perfectly pushes the right buttons to make questioners looks foolish. That being said, I think @JDVance is better in front of the national television audience.
@jpisula@nicksortor The simple fact is that he voted by absentee vote, which is completely different than mass mail-in ballots. If you don’t know the difference between the two, then I can’t help you.
@C_3C_3 I’ve had this conversation with my left leaning mother. I asked her what she would rather have leading this country. She responded that she’d rather have a someone that talks eloquently. I about hit the floor. Maybe it’s the same reason women go for the good looking creeps.