RapierFugue -> RE: Would mental illness bar a submissive from being picked? (2/1/2011 2:28:14 PM)
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ORIGINAL: LadyPact I do agree with you on what you're saying about diagnosing, misdiagnosing, and being unable to diagnose conditions. We're not that great at it and I don't see it as an exact science. There was a survey about 10 years ago in the UK that attempted to measure the efficacy of mental health diagnosis and treatments in the UK ... it was hampered because the profession refused to have much to do with it; due, I suspect, because they feared the results. The interim findings were that fewer than 20% of patients derived full, long-term benefits, and only about 30% derived any benefit whatsoever. In other words, for half the general populace, the full weight of the mental health sector was, frankly, fuck-all help. The study was, IIRC, never completed - what you tend to see instead are professionally-driven (rather than independent) studies which, surprise, surprise, seem to suggest mental health care is doing pretty well. It’s a very profitable sector in the UK (in private medicine), and massively more so in the US, so I don’t think we’ll see that change anytime soon. Now of course there are factors, such as there's no way of knowing what "cured" is, or not being able to objectively measure improvements as, unlike (say) surgery, there's no clear "this is better by 50%" equation - for mental health, clinicians tend (though not all of them) to divide patients into "can function in the community" and "cannot function in the community", regardless of whether their definition of "can function" has to be backed up by a fistful of meds, or the patient is able to function without. What I'm trying (very badly, sorry) to say is that "not an exact science" doesn't begin to describe how poor modern mental health facilities are, even in developed nations. There's so much more we could be doing, but as it's one of the few "taboo" or socially unacceptable (or only partially acceptable) areas left, research and information are trailing massively behind more conventional and measurable forms of medicine. The fact that we often reference "improvements" as being in relation to baselines defined a century or more ago tends to support this theory.
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