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#561 |
Philosopher
Join Date: Nov 2010
Posts: 9,138
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Thanks for that.
I guess we will see what the profession as a whole decides to do. I don't have a vote, of course, but if I did, I would be OK with a modification to the Goldwater rule that allowed professionals to speak out if: 1)They made clear that they haven't formally evaluated the subject and their opinion has limitations and 2)They aren't making any diagnosis of mental illness. ETA: I'd also like to see, along with a modification, a formal investigation of appropriate methodology to use in making such public commentary. What does the evidence show about the reliability of such "remote assessment?" |
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#563 |
Penultimate Amazing
Join Date: Dec 2006
Location: US of A
Posts: 12,624
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You simply refuse to acknowledge the simple fact that the President holds a unique position in our society, and this particular President's life has been thoroughly and extensively documented at least back to his 30s, probably much more so than any other political figure. Whatever rules you think should apply to ordinary people in ordinary circumstances just don't work here, and there is just no evidence about any other situation that would be applicable here. |
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#564 |
Philosopher
Join Date: Nov 2010
Posts: 9,138
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#565 |
Nasty Woman
Join Date: Feb 2005
Posts: 86,870
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We're not the one's with arbitrary limits.
Why do you limit the science to some narrow definition of evidence gathered in a clinic? We aren't talking about methodology of a research project. Look at what I highlighted on Bob's post. When I evaluate a patient I look at all the evidence I have. Sometimes that even includes which pathogens are circulating in the community. I might look at the pressure someone is under knowing they just moved here from flooded Dallas. Why would I dismiss the volumes of material we have on Trump? Oohhh, can't use that, it wasn't gathered in a formal interview. How about the observations I've made since he was elected? Can I use that? Go back to the beginning of this thread. I said he has a pathological personality disorder and it is affecting his behavior. Fast forward a bit and I said something to the effect he was never going to act 'Presidential' because he has a pathological personality disorder and it is controlling his behavior. Fast forward to the present. One can predict his behavior based on the fact he can't help himself. He is incapable of thoughts and actions separate from his pathological personality disorder. He can't help himself. He's 100% predictable based on his pathological personality disorder. Why toss out all that evidence including confirmatory evidence because you have some bizarre idea about scientific methodology, which by the way, is not what one uses to assess a patient? Diagnostic methodology using scientific evidence based medicine is what one uses to diagnose a patient. |
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#566 |
Philosopher
Join Date: Nov 2010
Posts: 9,138
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Medicine has clearly defined limits based on the evidence. Medicine is not making things up as you go along just because you have a piece of paper that says you can practice medicine.
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I think it's shocking and revealing that you would say medical professionals don't use scientific methodology to assess a patient. That is unfathomable to me. If medical diagnosis and assesment is not based on science, then what do you think it is based on?
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#567 |
![]() Join Date: Jun 2004
Location: Monkey
Posts: 59,460
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Well, 1037 pages in and it's still the same arguments made by the same two people. What's the old saw about insanity being repeating the same actions and expecting different results? Donald 'Bananas' Trump may or may not be crazy but we've got mounting evidence for a case for y'all!
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#568 |
Nasty Woman
Join Date: Feb 2005
Posts: 86,870
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#569 |
Nasty Woman
Join Date: Feb 2005
Posts: 86,870
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#570 |
Penultimate Amazing
Join Date: Dec 2006
Location: US of A
Posts: 12,624
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Mental illness is largely diagnosed by assessing the subject's thinking and behavior, not by some medical test. That's why psychologists, who are not medical doctors, are trained and licensed to treat it. Trump's thinking and behavior are more deeply and extensively documented than they could ever be for any ordinary patient. The Yale doctors and others have described in detail the basis for their conclusions. And they have said that their responsibility is to the community and the nation, not to a public official who is not their patient. And here's what Dr. Lee thinks of the APA:
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What don't you get? Does it help you sleep better to believe there's no scientific proof that a raving, raging lunatic occupies the White House? |
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#571 |
Philosopher
Join Date: Nov 2010
Posts: 9,138
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I think we can find some common ground here.
Yes. Exactly. Neither can the vast majority of the voting public. So what value will the public get out of diagnostic terms, "dangerously mentally ill," etc? They are in no position to judge the validity of such things. They either accept it on the authority of the "Doctor" title or they accept or reject it on political/personal grounds. What it has the danger of doing is creating an image of mental illness as "incompetent, stupid, Trump-like." It can cause mistrust of mental health professionals: "Those stupid doctors just want to attack Trump!" And for what, exactly? |
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#572 |
Graduate Poster
Join Date: Sep 2016
Location: Ottawa
Posts: 1,648
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I find it truly fascinating how it is that the higher up the rungs of power and responsibility, the less demanding are the qualifications, and the more willing we are to overlook incompetence, if not criminality.
Those who would forgive and support in the White House such a wretch as Trump would not do so were he their child's teacher, for example. As I've said before, we hold a pimple-faced kid flipping burgers to a more rigorous standard, and impose redress for poor performance with all alacrity. Why not for the most powerful position in the land? |
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#574 |
Penultimate Amazing
Join Date: Feb 2004
Posts: 13,561
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At this point, I find it astonishing that after Trump has been in office for 40 months, not one single medical or other advisor has had the guts to say out loud at one of his press briefings that he is pathologically incompetent and should be removed immediately. Is it really consistent with their standards and ethics to let him ramble on? Are they so opportunistic that they can't see how liberating it would be for the country (and to some extent for the rest of the world as well) to have a brave advisor stop brownnosing and say to his face in front of open mics and cameras: "Donny, you have the mental capacity of a not-too-bright, extremely obnoxious five-year-old, and you need to be removed for the common good of everybody else." I guess the brave heroes that you always see in American movies standing up to lunatic tyrants just don't exist in real life. The USA as a country has always laughed at the crazy things that guys like Kim Jong-Un got away with - and always with the undertone: Thank God, It could never happen here! And yet, not a single expert in any field has dared to oppose him openly at the press briefings, and even the critical journalists remain polite and ask the monster questions as if he were somehow normal and capable of understanding and answering the questions. Trump dismisses concerns over surge of inquiries about safety of ingesting disinfectant – as it happened (Guardian, April 28) |
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/dann "Stupidity renders itself invisible by assuming very large proportions. Completely unreasonable claims are irrefutable. Ni-en-leh pointed out that a philosopher might get into trouble by claiming that two times two makes five, but he does not risk much by claiming that two times two makes shoe polish." B. Brecht "The abolition of religion as the illusory happiness of the people is required for their real happiness. The demand to give up the illusion about its condition is the demand to give up a condition which needs illusions." K. Marx |
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#576 |
Penultimate Amazing
Join Date: Feb 2004
Posts: 13,561
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No, I don't really expect much. I'm just pointing out a certain ... I don't know, cognitive dissonance, maybe, in the U.S. self-perception.
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/dann "Stupidity renders itself invisible by assuming very large proportions. Completely unreasonable claims are irrefutable. Ni-en-leh pointed out that a philosopher might get into trouble by claiming that two times two makes five, but he does not risk much by claiming that two times two makes shoe polish." B. Brecht "The abolition of religion as the illusory happiness of the people is required for their real happiness. The demand to give up the illusion about its condition is the demand to give up a condition which needs illusions." K. Marx |
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#577 |
Uncritical "thinker"
Join Date: Jan 2007
Location: UK
Posts: 22,794
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You seem to be trying to eat your cake and have it.
Yes you criticise Trump, but you also criticise anyone who tries to point out that he's actually and literally losing his mind. It *really* doesn't take a full on medical examination when he exhibits so many signs. It might take a proper medical evaluation to determine what in particular is wrong with him, but spotting that *something* is seriously wrong and that he's losing capacity is easy. It is important to know what is wrong though. In case it is the sort of ghing that leads to irrational violence against himself or others, when he has such military power at his command. |
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OECD healthcare spending Expenditure on healthcare http://www.oecd.org/els/health-systems/health-data.htm link is 2015 data (2013 Data below): UK 8.5% of GDP of which 83.3% is public expenditure - 7.1% of GDP is public spending US 16.4% of GDP of which 48.2% is public expenditure - 7.9% of GDP is public spending |
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#578 |
Penultimate Amazing
Join Date: Mar 2016
Location: United States
Posts: 18,003
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Trump: I've done a spectacular job!
Death toll: nearing 62,000 and rising. Nah, he's mentally very stable. |
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#579 |
Nasty Woman
Join Date: Feb 2005
Posts: 86,870
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He appointed every one of them from his sycophant-group of worshipers.
I am reminded of going to hear John Dean speak. He said being around the POTUS one was sort of star-struck. I was surprised because I would have thought all the people at the top with the POTUS felt at least on par with Nixon. Trump rewards people who are star-struck, allowing them to be around him. Look at Cohen, he thought he and Trump were best friends, all the while Trump was just using him. And Pence, putting his water bottle on the floor when Trump did. That's nuts and no way is Pence going to rationally decide they really do need Article 25. Back to the latest example of pathologic narcissism vs stupidity: Guardian (also reported in multiple news sources):Trump erupts over poll slump and threatens to sue campaign manager
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This repeating pattern happens over and over again: denial and delusion, projection and always finding a reason he is great, hasn't failed, hasn't slipped up. That whole thing with the disinfectants for treatment was only because of the way the dishonest media lied about him. Repeatable, predictable, and well beyond incompetence and increasing senility. IOW observable pathological behavior. As for laypersons not knowing how to interpret the information, bullocks! That differs by the individual, but not because they are laypersons. |
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#580 |
Penultimate Amazing
Join Date: Feb 2004
Posts: 13,561
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/dann "Stupidity renders itself invisible by assuming very large proportions. Completely unreasonable claims are irrefutable. Ni-en-leh pointed out that a philosopher might get into trouble by claiming that two times two makes five, but he does not risk much by claiming that two times two makes shoe polish." B. Brecht "The abolition of religion as the illusory happiness of the people is required for their real happiness. The demand to give up the illusion about its condition is the demand to give up a condition which needs illusions." K. Marx |
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#581 |
Penultimate Amazing
Join Date: Feb 2004
Posts: 13,561
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/dann "Stupidity renders itself invisible by assuming very large proportions. Completely unreasonable claims are irrefutable. Ni-en-leh pointed out that a philosopher might get into trouble by claiming that two times two makes five, but he does not risk much by claiming that two times two makes shoe polish." B. Brecht "The abolition of religion as the illusory happiness of the people is required for their real happiness. The demand to give up the illusion about its condition is the demand to give up a condition which needs illusions." K. Marx |
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#582 |
Nasty Woman
Join Date: Feb 2005
Posts: 86,870
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Both Birx and Fauci have been apologizing/making excuses for Trump, making PC watered down statements, doing it with all smiles.
So yeah, even those two are either basking in the limelight and adulation of being the national experts or they are enamored with Trump or both. I have posted the details of bad and distorted information coming out of Fauci's mouth. And look at Brix when Trump talked about investigating injecting disinfectants? She barely objected and certainly didn't speak up. |
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#583 |
Penultimate Amazing
Join Date: Dec 2006
Location: US of A
Posts: 12,624
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I would like to think that they are doing what they need to do to serve the puiblic, and they know if they get pushed out they will be replaced by Trumper hacks. Fauci has been at NIH since 1968, and Birx has been a government official, including time as an Army officer and a doctor at Walter Reed, since 1980. They probably see Trump as an ignorant tourist, to be tolerated until he goes away. |
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#584 |
Graduate Poster
Join Date: Sep 2016
Location: Ottawa
Posts: 1,648
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#585 |
Nasty Woman
Join Date: Feb 2005
Posts: 86,870
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#586 |
Philosopher
Join Date: Jun 2008
Posts: 5,336
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That's ridiculous. Most people know the difference between incompetence, stupidity, and mental illness, and they also know there are different types and degrees of mental illness.
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They already mistrust professionals for the mere fact that they are experts anyway, so pandering to their prejudices is for what, exactly? Well we know what - it's so deplorables can masquerade as disinterested parties who are 'concerned' about mistrust of mental health professionals. |
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We don't want good, sound arguments. We want arguments that sound good. |
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#587 |
Uncritical "thinker"
Join Date: Jan 2007
Location: UK
Posts: 22,794
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OECD healthcare spending Expenditure on healthcare http://www.oecd.org/els/health-systems/health-data.htm link is 2015 data (2013 Data below): UK 8.5% of GDP of which 83.3% is public expenditure - 7.1% of GDP is public spending US 16.4% of GDP of which 48.2% is public expenditure - 7.9% of GDP is public spending |
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#588 |
Penultimate Amazing
Join Date: Mar 2016
Location: United States
Posts: 18,003
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Trump Retweeted
Concast (@NBCNews) and Fake News @CNN are going out of their way to say GREAT things about China. They are Chinese puppets who want to do business there. They use USA airwaves to help China. The Enemy of the People! I posted this here because it definitely belongs in this thread. We're being led by a very sick man. |
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#589 |
Philosopher
Join Date: Jun 2008
Posts: 5,336
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We don't want good, sound arguments. We want arguments that sound good. |
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#590 |
Penultimate Amazing
Join Date: Feb 2004
Posts: 13,561
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/dann "Stupidity renders itself invisible by assuming very large proportions. Completely unreasonable claims are irrefutable. Ni-en-leh pointed out that a philosopher might get into trouble by claiming that two times two makes five, but he does not risk much by claiming that two times two makes shoe polish." B. Brecht "The abolition of religion as the illusory happiness of the people is required for their real happiness. The demand to give up the illusion about its condition is the demand to give up a condition which needs illusions." K. Marx |
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#591 |
Philosopher
Join Date: Nov 2010
Posts: 9,138
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I don't share your rosy view of what most people know. That's why "mental illness" has the stigma it does.
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If psychiatry moves from an evidence-based, scientific approach, it loses credibility. If it moves to an approach that puts the expertise of the professional ahead of the science, it loses credibility. "I know dangerousness when I see it," is not evidenced-based medicine. |
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#592 |
Penultimate Amazing
Join Date: Feb 2004
Posts: 13,561
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What is that supposed to mean? The "expertise of the professional" consists of nothing but science! What else do you suppose that "the expertise of the professional" means? If you are thinking of dudes like Mike Pence or Jared Kushner, then you got it wrong! They may be appointed by the American idiot to head institutions that would work much better with actual experts in charge, but nobody accuses them of being professional experts. Appointing those guys to be in charge of the pandemic response is actually one of the symptoms of a pathological mental disorder. |
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/dann "Stupidity renders itself invisible by assuming very large proportions. Completely unreasonable claims are irrefutable. Ni-en-leh pointed out that a philosopher might get into trouble by claiming that two times two makes five, but he does not risk much by claiming that two times two makes shoe polish." B. Brecht "The abolition of religion as the illusory happiness of the people is required for their real happiness. The demand to give up the illusion about its condition is the demand to give up a condition which needs illusions." K. Marx |
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#593 |
Penultimate Amazing
Join Date: Feb 2004
Posts: 13,561
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That is the difference between power and competence! You get it completely wrong when you claim that we are willing to overlook incompetence. It is not that we are willing to overlook anything, it's that we don't have a real choice to do anything about it. You treat people in power as if they were a plumber who didn't have the skills to do the job, so you let him go. That is the point of power, that is how it's different: Trump is the guy in charge. Every four years voters hand over power to ******** like him, and they don't have any power to do anything about him. All they can do, as long as they obey this rule, is to sit and wait for four years, with or without quarantine restrictions, until they can elect somebody new more or less like him. People fool themselves if they think otherwise. |
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/dann "Stupidity renders itself invisible by assuming very large proportions. Completely unreasonable claims are irrefutable. Ni-en-leh pointed out that a philosopher might get into trouble by claiming that two times two makes five, but he does not risk much by claiming that two times two makes shoe polish." B. Brecht "The abolition of religion as the illusory happiness of the people is required for their real happiness. The demand to give up the illusion about its condition is the demand to give up a condition which needs illusions." K. Marx |
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#594 |
Penultimate Amazing
Join Date: Feb 2004
Posts: 13,561
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He is! A very small minority of those people would seriously consider bleach or other disinfectants to be medicine. Very, very few of those would buy a bottle of bleach and come up with the idea, 'Hey, it might be healthy to take a glass of that!' We know approximately how insignificant the minority is that did so after Trump recommended it. They are Darwin Award worthy! |
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/dann "Stupidity renders itself invisible by assuming very large proportions. Completely unreasonable claims are irrefutable. Ni-en-leh pointed out that a philosopher might get into trouble by claiming that two times two makes five, but he does not risk much by claiming that two times two makes shoe polish." B. Brecht "The abolition of religion as the illusory happiness of the people is required for their real happiness. The demand to give up the illusion about its condition is the demand to give up a condition which needs illusions." K. Marx |
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#595 |
Graduate Poster
Join Date: Sep 2016
Location: Ottawa
Posts: 1,648
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When I say "we" are more willing to overlook incompetence and even criminality in those at the highest echelons of power, I mean this in the broadest sense. Look at the ~40% of the populace who still think Trump is doing great. Look at the Senators who failed to convict. These are the "we" who make my point.
And a system structured so that the rest of us must wait years for an election to oust (and no guarantee there, either) the bastard(s) points to the societal abdication of a means for more immediate redress. Impeachment? Hasn't worked yet (Nixon quit because shame in politics had not yet died). The 25th? As if. Holding to account such a rogue as Nixon was stymied by his fellows in that political class absolving him via Presidential pardon. Trump might possibly get a pardon, for all we know. There's always the background consideration of harm to the nation. The system is structured so as to effectively say, "POTUS is too big to fail." |
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#596 |
Penultimate Amazing
Join Date: Mar 2016
Location: United States
Posts: 18,003
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#597 |
Penultimate Amazing
Join Date: Feb 2004
Posts: 13,561
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Yes indeed, the system is structured so as to effectively say, "POTUS is too big to fail," and it also is structured so that the rest must wait years for an election.
But it only works as long as they obey this rule.
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/dann "Stupidity renders itself invisible by assuming very large proportions. Completely unreasonable claims are irrefutable. Ni-en-leh pointed out that a philosopher might get into trouble by claiming that two times two makes five, but he does not risk much by claiming that two times two makes shoe polish." B. Brecht "The abolition of religion as the illusory happiness of the people is required for their real happiness. The demand to give up the illusion about its condition is the demand to give up a condition which needs illusions." K. Marx |
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#598 |
Nasty Woman
Join Date: Feb 2005
Posts: 86,870
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Here's a prediction based on Trump's pathologic narcissism.
When COVID arrived on our shores, he wished it away. We know what happened with that fantasy. He's doing it again. He's wishing it away. The result is his mixed messages. States can go back to work, it's up to them, I didn't say they should go back to work, the task force is disbanding, the states can handle this now, there will be a vaccine by the end of the year.... and so on. |
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#599 |
Philosopher
Join Date: Nov 2010
Posts: 9,138
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Donald Trump has 'dangerous mental illness' say psychiatry experts at Yale... Pt 3
. Expertise consists of a professional’s fund of knowledge: in medicine, expertise = x + y + z, where x = knowledge about anatomy, physiology, disease processes, etc, y= knowledge of the proper diagnostic tools and their application and z= refinements and enhancements to that knowledge gained by experience.
It seems to me like many people are leaving out the y in that equation, as if it is unnecessary. As if only the education and experience are sufficient to make professional judgements. To be sure, those can be sufficient to make an informed guess about something but not to provide certainty and not to carry the authority of the profession. Proffering an opinion as “professional,” when it leaves out the application of validated diagnostic tools is not practicing medicine. Expertise allows a doctor to read and interpret x-rays and pathology reports, but not to see through a patient and diagnose liver cancer.
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#600 |
Philosopher
Join Date: Nov 2010
Posts: 9,138
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That isn’t a prediction, it’s an observation of what is currently happening. Besides, anyone paying attention could have predicted how Trump would act or that he would bungle the response. Labels like, “NPD” or “malignant narcissism,” or “dangerously mentally ill,” were completely unnecessary for such predictions. |
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