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#cognitive behavioral therapy examples
veronicawalshcbt · 2 years
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CBT handout: journalling intro / examples
CBT handout: journalling intro / examples
This handout guides you with simple models that introduce how to identify and journal thoughts that cause feelings. WRITE THINGS DOWN – your brain likes learning-by-discovery with key ideas and imagery, it ‘sticks’. What is your ‘attributional style’? How are you explaining the world to yourself? Is it distorted by stress? Do you have bad thinking habits? Learn how to map them and catch them…
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shifuto · 4 months
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yay Akira with the save, offering a helping hand and taking on the responsibility as the adult he is (also as someone working at the place that happened)
but then....
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oop....... starting to sound a bit patronizing there mate...
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so he's unwilling to listen and will impose on Yusaku all the things he himself, have missed, because he's projecting so hard (also explains why he smothers his sister)
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I love this and there's also so many things wrong with what he just said here 😆
"you have to make the best of the life you have right now" in a nutshell, and, while this is a good thing to live by, it's also a way to avoid changing and growth. Conformity can get you happy and unbothered but it can also get you stuck, badly. It's letting bygones be bygones and focusing on one's own happiness: you're not exactly "allowed" to feel pain, to grieve, to be angry or sad, or to have any "bad" emotions, since that means you're "stuck in the past" so...... you'll likely never process those feelings
I think Yusaku is doing the right thing by pursuing his own personal vendetta, good for him! The only thing I'd change about it would be to get him to actually let people help. I don't think just smiling through the pain and pretending nothing ever happened, or that it's something from the past and not any more a reality, is going to be any good or helpful for anyone
he should be allowed that, at least
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valent1neg0d · 4 months
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THINGS I WISH I KNEW WHEN I WAS GETTING STARTED WITH THE LAW OF ASSUMPTION (AS SOMEONE WHO HAS BEEN MANIFESTING FOR 5 YEARS)
1. the law of assumption is personal. considering how we have different sets of experiences, different environments, different upbringings, and even different languages, we have different assumptions.
because of this, we are affected by teachings and success stories differently. it's important to note this since a lot of manifestation coaches will teach you about the law in a way that worked for them (and the others they may have taught) but it's possible that their advice (even my own) may not be the best for you. even abdullah and neville goddard, two of the people who are known to start this discipline, may have ancient or varied belief systems and techniques. this is normal considering the world they lived in before is different from the world we live in now.
although, you should still read on abdullah and neville because they will teach you the basics and they will help you understand the foundations of the law.
as an example, you might manifest your dream career faster with simple affirmation techniques but a coach may have taught you to focus on visualization techniques.
even the idea that "dominant THOUGHTS manifest" or "what you BELIEVE in manifests" is entirely up to you.
note: notice how i said "may not be the best for you" instead of "may not work for you". any technique can, does, and will work.
how i learned this: when i was learning about the law, i mainly focused on neville's teachings because he was one of the most prominent figures in the practice. and though i liked his practical techniques (especially mental diet and inner conversations), there were some beliefs that i do not agree with e.g. divine timing, appointed hour, avoiding "does not" "is not" "will not".
when i was going through sammy ingrams' takes, she said that it's better to have concise affirmations/short list (non-verbatim) than a long list of 25+ affirmations. but going through affirmations without being specific about them doesn't personally resonate with me and that's just because i'm a detail-oriented person (also a writer).
what i can advise:
learn about different approaches
a. through scientific concepts. e.g. quantum physics, reticular activating system, cognitive reframing, cognitive behavioral therapy, the psychology of placebo effect, the psychology of affirmations, Baader-Meinhof phenomenon (a.k.a. the psychology of self-fulfilling prophecy)
b. through religious and/or spiritual concepts. e.g. passages from the Bible, passages from the Quran, deity work, spells and rituals
c. through self-development. e.g. identity-based habit
start the practice with an identity you like in the present or an identity that you resonate with (learning style, talents, interests, etc.)
examples:
-visual learner = vision boards
-loves writing = scripting
-words of affection love language = affirmations
take teachings with a grain of salt. do not limit yourself and do not allow other people to limit you. experiment with concepts, ideas, and techniques, and have fun with them.
2. techniques are only reminders. you are manifesting either by thinking, feeling, or acting out your desires. you are manifesting every second of the day either with your thoughts, emotions, or by embodying a state. you are only being intentional when you anchor techniques.
note: it is true that your dominant thoughts manifest. it is also true that what you believe in manifests, the same way that your inner knowing manifests. BUT these ideas are meant to empower you. they are meant to remind you that manifestation is as easy as thinking, feeling, acting, believing, understanding, deciding, etc. if an idea doesn't feel good to you, it doesn't have to be an ultimate truth you embrace and carry on with. this is the same with techniques.
what i can advise:
choose one technique and practice it for 7 to 21 days. it can be mental diet, affirmation tapes, sats, mind movies, etc. as long as you can persist with it. give it time. give it time. give it time. in other aspects of the world, you give change some time. when you're calcium deficient and you decide to drink calcium supplements, you realize that it's counterproductive to ask "why am i still calcium deficient?" as soon as you start your regimen because you know your body is changing with the supplement and you put your trust into it. after all, why would you choose a supplement you have no faith on? you just give it time.
note: you can still manifest changes to be instant. you can affirm "i am seeing results now", "results come immediately", "my manifestation is quick". the amount of time you're using a technique does not equate to the amount of time your results will come.
the reason why i encourage you to practice for maximum 21 days is so you can fully explore and master the technique you chose. with the abundance of topics and methods discussed in social media, switching and trying new things is tempting. now, there is nothing wrong with this. it's just that, you wouldn't be able to take a step back and reflect on what worked and what takes more effort when you change techniques every so often.
try a technique that is popularized in the media. a lot of the times, the reason why this technique gained traction is either because it's simple or because it has worked for a lot of people. now, here's the thing: if said technique wasn't for you, at least you can say "oh this is a tiktok/twitter/youtube/old/beginner technique, there are other techniques out there" and you can try another technique with less resistance. but, if it did work, then it did. congratulations.
you can invent your own. here are some techniques that i invented throughout the years.
a. "name is set and solid with the fact that..." - works amazing for sp, getting people to commit, getting people to pursue you
b. "okay! manifestation powers go brrr!" - funny but i do this when I'm spiraling; it also helps me surrender doubts and i think it's because it's so simple and unserious lmao
you can combine them. for example, you want to do sats but you cannot hold a vision for long, what you can do is montage photos or videos that is similar to the vision you want to manifest. you can also have affirmation tapes running in the background.
3. "concept" work can be such a banger. assumptions are basically the conception about the world, about yourself, about the people around you. hence, when you manifest and apply the law of assumption, you change or reinforce a conception.
these can be done through:
self-concept
what it is: your awareness about yourself; the way you perceive yourself.
how you can apply it: there are multiple ways to establish your self-concept but the best way, is to start reinforcing the universal truth: that you are inherently worthy. you deserve money and resources because you are worthy. you deserve love because you are worthy. you deserve ease because you are worthy.
other ways to grow your self-concept is celebrating the identities you have within yourself that you like e.g. that you are strong, you are disciplined, you are beautiful. be careful about strongly tying yourself into these identities though because these are not the reasons why you shall receive. again, you shall receive because you are inherently worthy.
why it works: by having a strong self-concept, you develop ease. you are less likely to rationalize or question the law or why you deserve the things you're asking for. and as you may think, rationalizing may be a form of resistance. questioning may be a form of resistance.
one of the ways i have seen this is when people receive incentives from work, instead of just receiving or saying "thank you", they say things like "what have i done to receive this?", sometimes completely rejecting this gift because of fear that they might lose something when they receive. this can be an example of a weak self-concept. consequently, the company starts questioning "did my employer really do enough to receive this?".
on the other hand, someone with a strong self-concept can take this incentive and buy the things they like because they know they deserve it. they can also take this incentive and say to themselves "oh it's because i worked hard these past few days". it's the knowing and confidence they have within themselves that everything around them has no other option but to recognize.
conception of other things (e.g. of love, of money, of a specific person)
you can work on your conception of other things the same way you work on your self-concept: choosing a narrative that is uplifting to you.
in case you have resistance to a specific object, you can also listen to people's success stories to start shifting to a more positive and desirable perception. one of the ways i do this is by going back to abdullah and neville's story. these two men lived at difficult times, through difficult eras, yet they manifested their desires. they managed to let go of the 3D.
4. practice some distance as you're starting. you were exposed to a different life before the law, it's only normal and human to have doubts or spiral once in a while. however, when you set distance on things that do not help you embody the state, you set distance on things that will feed your doubts and spiraling.
for example, if you're shifting to a state of wealth and you're affirming "i have 1,000 dollars". it's unhelpful and opposing to be constantly surrounded by someone else saying "you only have 10 dollars".
now, i do understand that not everyone can do this right away because of circumstances. but PLEASE do whatever you can to set this distance. find a voice to reinstate your truth.
a personal story, i am an asian girl living with a grandmother who was pessimistic about love because her two children (my mom and my aunt) struggled with it. because of this, she used to constantly remind me of how love is difficult. i didn't know this at the time, but this created a set of beliefs in my head. consequently, as a teenager, i only seeked and allowed love which was difficult because that was all i've ever known. that was all my assumption.
but around the pandemic, i went back to the countryside with my dad where i had a lot of time on my own. this was when i got deep into new-age spirituality and did shadow work. from here, i realized: this is not my assumption about love. before my parents broke up, my assumption was that love is easy. you only have to make the other person laugh. when i was busy in school and would spend most of the time at my friend's house, my assumption was that love is support and light. i started to get these epiphanies that a lot of my pessimistic perception was because of someone i was constantly surrounded with and that i have to build new assumptions.
but around august 2020, i have to go back to the city with my grandmom. i was afraid of the toll i might get into when i got back. however, because i already practiced distance and understood what are the assumptions that serve me, what are the assumptions that i want, i was more at peace. i listed down affirmations about myself, about love, about money, about being "deserving".
after this, every time she told me what love was, i can stop her and say no. i can tell her that it's not the universal truth, and certainly not mine. along the way, i started manifesting that she believes love is easy and supportive. i started manifesting that she believes i deserve love that is soft and tender.
then, when i got into my relationship, she was nothing but happy and supportive.
other ways i have practiced distance while manifesting:
unfollowing content creators who normalized hating men.
unfollowing content creators who were shady and negative about relationships.
unfriending highschool guy friends who do not make me feel safe about men.
unfriending relatives who make unnecessary comments about my looks, my studies, my relationship, and my earnings.
unfollowing girls who made me feel bad about also liking girls.
unfollowing manifestation gurus who romanticize struggles because "the more you struggle, the more you get blessed"
unfollowing manifestation gurus who say stuff like "if you want money, you have to take action to deserve it. not just manifesting"
now, you can totally manifest these people to change and be better, as long as it will make you feel good.
that's all i can share today (since this post is already getting long). i hope you learned a thing or two. thank you so much for reading. i love you and i appreciate you !
xo
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Dungeon Meshi is obviously primarily about food, eating, and crucially survival through eating, but it's also focused on other aspects of survival. Sleep, rest, social ties and social exclusion. There's even extensive commentary on things like personal grooming (Marcille’s hair, Toshiro becoming depressed and no longer shaving), clean bathrooms, and other things. When it comes to disability these things are referred to as instrumental activities of daily life (IADLs), which are more complex things like shopping, housework, and cooking, which people need to do to survive, and activities of daily life (ADLs) which are the basic bare bones needs: eating, toileting, etc. Dungeon Meshi is concerned with the logistics of living and finding joy in those logistics.
This is super related to disability! Yes, Laios is autistic, this has been apparent from the beginning. But what does being autistic mean for him and the story? Mostly, it means his desires, goals, and the ways he goes about achieving them are strange, foreign, or baffling. He has different priorities than other people and the way he expresses those priorities are strange. They affect how he socializes, how he eats…
So, it absolutely makes sense that there would be a minor sideplot about activities of daily living and what it's like to be out of sync with everyone else when it comes to prioritizing things. It's Mithrun Time (he's gonna mith all over the place) and I'm so SO interested in the interplay of disability, caregiving and the logistics thereof, and intersectionality & privilege. Who needs care? How do other people feel about them needing care? How do they receive that care? And who do we think is worthy of receiving care and how does that interact with all these other factors?
Bunch of manga and extras spoilers past the cut:
“So, what's wrong with you?”
I see a lot of people talking about Mithrun's non-eye disability as a depression allegory, which I think is true, but I think it's also metaphorically/symbolically both a traumatic brain injury and a trauma response to sexual assault. The sexual assault aspect is pretty clear if you look at any of the symbolism of the actual disabling event: just look at it.
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Mithrun is lying in bed and the goat comes to him, lifts him up and puts its mouth on his abdomen and lower pelvis. The eating is sexually charged, as is the particular way he struggles and protests. It's intensely violating, and things that were once desirable are lost. And the dungeon lord group therapy session involves a lot of people talking about the demons like an abusive lover; Mithrun, even though he wanted to kill the demon so badly, still says that they're gentle.
As for the brain injury, chronic TBIs can cause a wide variety of symptoms. Some immediately relevant ones are anhedonia (lack of enjoyment), executive function issues, poor interoception (trouble understanding what's going on in your body), cognitive impairment affecting ability to reason/multitask/plan/solve problems, changes in behavior and personality, depression, agitation, and restlessness. We see… basically all of these, in Mithrun, as downstream effects of the loss of desires. He can't tell when he's hungry, tired, or out of mana; he can't perform ADLs consistently even if he knows he'll die without doing them and dying without doing them will interfere with his long-term goal, he had drastic personality changes, he oscillates between impatient and totally withdrawn.
Brain injuries can also affect more complex tasks and ability to sustain lengthy periods of complex cognitive work. A common example is losing the ability to read and process longer passages; maybe you can read the words but you can't read a paragraph, or maybe you can read paragraphs but now you get a migraine after 15 minutes. Mithrun's skill loss is not related to reading but the effect is similar – he is and was extremely skilled in a particular area of magic, but also disabled in ways that specifically hinder his skill in this area – to teleport things properly you need depth perception and a sense of direction, and he lacks both of these! And while he's still an incredibly effective fighter it seems like he pretty frequently makes those sorts of mistakes.
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This is treated often as a gag and it is genuinely funny but it’s also very real, to no longer be as good at the thing you were good at before you became disabled. Kui takes several throwaway gags seriously later on, not just this one. Another ~gag that's not really elaborated on is the bathroom thing, but I appreciate its inclusion anyway, since even if it's presented humorously it doesn't feel meanspirited in a way a lot of “diaper jokes” do. I think people need to talk a lot more about bathroom issues in a wide variety of disabilities, and I think it's nice that a guy I can already picture the “poor little meow meow” posts about also has this issue, you know?
Preferences vs Desire
Even referencing PTSD and TBIs it's hard to really grasp what having no desires means, and the characters don't generally ask, while Mithrun explains it in vague terms. “Desires” is a very broad term and indeed he has lost access to a wide but related variety of things. Unfortunately this lead to him often being treated as nonagentic.
Mithrun does still have preferences, even if he doesn't express them and has no desire which would drive him to seek out pleasant things and avoid unpleasant ones. He'll comment on the taste and texture of foods, for example – sure seems like he has an opinion!
People treat it like his preferences don't matter since he doesn't usually bring them up unprompted, and he's often in situations where there aren't other options.
Kabru seems best at not doing this (and, noncoincidentally, also seems to be the best at actually caring for him; the Canaries have a lot more Resources theoretically than Kabru And Mithrun Eating Monsters And Kabru's A Bad Cook, but although they are loudly distressed by the two of them disappearing it seems to have positively affected Mithrun's general health)
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But, uh, acknowledgement that someone has preferences at all is a really low bar to clear and Kabru also doesn't seem to fully understand how Mithrun's brain works. Mithrun’s caregivers want him to eat when they want him to eat. They want him to rest and drink when they want him to.
He lacks the desire for a number of mundane things but also seems to lack the ability to tell when he needs them. He can't explain why he faints; is “I am out of mana” considered a desire for more mana, one that can be eaten? He can't sleep on his own; it's not only that he lacks “the desire to go to bed” but he can't do anything with his own exhaustion, even if he notices it. He comments on the unpleasant taste and texture of several meals; he may be unable to want to not eat it, but he definitely can tell when he dislikes something. But he also seems to be unable to tell when he's hungry.
Kabru will acknowledge these preferences but there's not really other food options, and Everyone Must Eat. Kabru doesn't know the details of Mithrun's condition yet but you can see the immediate frustration here and the way he offers food to him like Mithrun's a child.
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Sure, he won't directly communicate preferences, so that makes it extra hard, but you can always just ask, and if he tells you he tells you.
The pathway between opinion and taking actions about it may be lost in Mithrun but the dungeon forces other people into a similar position – it forces them to eat food they don't want to eat so that they can survive or accomplish other goals. We've seen this with Marcille from the beginning. It's difficult with Mithrun because it seems like there is always going to have to be some sort of someone else overriding his autonomy – yeah, he's not hungry but he still needs to eat or he'll faint. Yeah, he's lying about whether or not he's clean but he still needs to wash or he'll die. Yeah, he needs to take a rest instead of keeping moving or he'll faint. But he's not unique in being in a situation where he has to do nonpreferred things. The difference is more that he lacks the ability to independently do anything when it comes to ADLs, preferred or not, which makes it into someone else’s choice and responsibility.
There's also a theme in Dungeon Meshi that comes up a bit of people being pushy about ADLs but from a slightly different perspective, and they're usually right. You see this in Senshi most commonly; he pushes the residents of the Golden City to actually eat even if they don't need to and can't taste it, and while he's correct in that Yaad does get enjoyment from the food even without taste he's still not quite listening to Yaad. Similarly, Kabru is correct in that he can get Mithrun to sleep without a sleeping spell, but he also ignores the way Mithrun says several times that he doesn't expect massage to work. There's a few aspects to this – wild but expected that the elves would choose the “just knock him out with a spell” route, the “easy way” Senshi always talks about when it comes to magic, instead of actually paying attention to other solutions. But also, generally, people know their bodies best, and sometimes even if you're really sure you have the trick to help them you have to listen to what they tell you.
tvtropes dot org frontslash DisabilityTropes
This is going to be a harder section just because it's so subjective; it's nearly impossible to think about the ways in which disabled people are viewed by the people around them/wider society with any degree of objectivity just because there are so many factors that go into it. But I do think Mithrun is consistently treated as relatively nonagentic and there are several ways this can manifest: being treated as a doll/pet/child, being treated as a weapon, and being a surface for people to project onto.
He's framed or treated as childlike intermittently through the manga; scattered about, just a little vibe in the way he's drawn, like the "say aah" above and Pattadol and Cithis through the teleportation scroll :
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That's a middle aged man! And he's framed like a toddler getting picked up or misbehaving.
Which doesn't mean they care about him any less; his squad is really fond of him for someone who's technically like their parole officer. How dare you do this to our captain! They love him dearly; this is obvious and he comments on it! They respect him, too, as the leader and as a strong fighter. But loving someone and thinking they're a skilled fighter doesn't mean you respect their autonomy fully.
There's also an element of everyone projecting their own issues onto him; Kabru with their shared Dungeon Trauma. The canaries all suggesting wacky, midlife-crisis desires. He doesn't ever express that he minds any of this, except when they try to stop him from making particular decisions. They also don't often understand why he'd be motivated to do a particular thing, and in fact some of these projections may actually be correct! But while noodles and pottery may be good later-on goals for him, I think it's striking that a) Kabru was the closest to correctly guessing what desire Mithrun might acquire now and he was still guessing the exact opposite (suggesting a desire to not eat Falin but to help Laios, vs Mithrun's actual desire, which was to eat Falin with no thought given to the promise he made at all) and b) it's a desire that actually makes perfect sense with what we know about him, not something totally new.
And, finally, he's a weapon: people are willing to caretake him because he's good at killing things dead. If his only desire is to kill demons dead, it's easy to start seeing that as who he is. I don't think he'd argue that “trying to kill demons” takes up the majority of his life (it's his only goal and he's obsessed with it) but even if there's only one thing that matters to him he has autonomy (in the sense that he can make his own choices about what to prioritize and formulate his own plans) and personhood.
Politics and privilege – who gets to access care?
One of the things we're first presented with when it comes to Mithrun is that he is intensely capable at handling dungeons. Yeah, there's the immediately visible prosthetic eye and the navigation issues, but the Canaries are built up as being incredibly dangerous and skilled, and he's their captain; they all immediately defer to him. He's intense, he curbstomps an entire room of guards, he's efficient, he's brutal, he's strong physically and magically.
In short: yeah, he's very disabled. He's also still very useful.
At the risk of oversimplification, even within his particular disability, he's much more disabled than Marcille is (she lost something relatively simple and easy to miss, she has no catatonia-moment) but less disabled than Thistle, who seems to still have at least one desire related to the king but is still primarily catatonic. It seems like Thistle is not unusual among ex-dungeon lords, even if there's enough noncatatonic dungeon lords to form a support group later. When Milsiril finds Mithrun, she immediately intends to mercy-kill him – this seems to be a condition the elves are familiar with but consider terminal, at least to the degree Mithrun is affected, and people seem unfamiliar what it means to keep living in this state because Mithrun is unusual in that he survives at all. And he's “allowed” to survive initially because he's not as disabled as he could have been (still has a desire) and that desire is useful. They aim him at the dungeons and off he goes. It takes twenty years for him to recover enough to do it, sure, but they're elves. They can wait. He can still be useful.
Relatedly, when he loses the ability to pursue his desire he's immediately much worse off than he was previously.
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The no-desire catatonia is something that can recur and the elves continue to not know how to handle it. If Kabru wasn't there to problemsolve I think he'd have just… stayed there with his increasingly distressed squad.
Speaking of his squad, there's also a fascinating power dynamic going on with just the inherent structure of the Canaries; criminals are assigned as his caregivers. There's the inherent unfairness to the criminal Canaries about them being given extra duties, this strange rich noble guy who's now their Responsibility. There's so much possibility for resentment in normal caregiving relationships, much less being forced by your jailor into caregiving someone. But there's also an element of the power the prisoner Canaries now have over him and his most basic ADLs and needs. Assigning Cithis to his care is such a can of worms! The dynamics of the situation are frankly awful for both of them; of course she resents him initially. It would be strange for her not to. When Pattadol catches her making Mithrun do embarrassing things, she instantly reminds Cithis of her lower-status – she's forced to care for this nobleman and then forcibly reminded that she's beneath him.
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She's responding to having menial, low-status tasks forced on her by trying to humiliate him, and although he doesn't have the ability to care enough to stop her it's still a deliberate removal of dignity. He's the instrument with which she is punished and she punishes him in return (until it's not fun anymore and she understands him a bit more.)
Mithrun is a long-lived race, who has structural power over the shorter lived races simply because of how long they live. The dwarves and elves try to actively keep certain knowledge from other races, restricting their access to technology, and other expressions of distance. Senshi spends nearly the whole first season not listening to Chilchuck trying to explain that he's an adult and treating him like a child, and Kabru repeatedly says that the elves do the same thing (and tbh we see them doing it). There's even the fact that it took him twenty years to recover enough to join the Canaries again; a shorter-lived race might have died from old age in this time, or become too old to work in this capacity, and then wasted away without the drive to return to the dungeons. But they're elves; the other elves can afford to wait, and he's not going to age out of dungeoneering any time soon. Being an elf probably contributes to his wealth in the same way skin color contributes to wealth inequality in the real world.
Dungeon Meshi doesn't really go into race in the sense of skin color much, and Kui is writing from a different cultural standpoint than I am. While tallmen are quite accurate when it comes to skin/hair color (yes, even Kabru and his blue eyes; it's rare but possible) and cultural references, the elves, uh, absolutely are not, both in the sense of “dark skin & pale hair and eyes trope” and sense of the royals having jet black skin.
Still, I feel like race is so connected to care and caregiving in the real-world west that I would be profoundly remiss not to mention it. Skin color might not matter to elves in the racism sense, but it matters to humans and humans are the ones writing and analyzing this story. (And I fully expect as the fandom grows with anime-onlies people will like Mithrun more because he's white (has white features) than they would if he had darker skin, because fandom is also baseline racist.)
I don't think we can just not mention that Mithrun is pale-skinned and both Cithis and Kabru, his primary caregivers over the story, both have dark skin.
Racism means white people are more likely to get good medical care, the type you need to get diagnosed and prescribed caregiving. Racism means wealth distribution is uneven, favoring white people. Race affects immigrants taking on undesirable jobs like caregiving for low pay. Racism is a profound stressor which means it contributes to who becomes disabled in the first place in that it can worsen health outcomes.
Similarly to race, gender may not be very obvious when it comes to this subplot within the story but the gendered dynamics of caregiving in the real world are something I do want to touch on. There's an oft-cited statistic about how men are much more likely than women to divorce their partners when their partners are diagnosed with a serious condition; I don't like relying too much on those sorts of statistics because they can be so misleading but it does gesture at something very real, culturally. Even if men aren't supposed to be caretaken, women are supposed to be the caretakers. Certainly, it's not Mithrun's fault that he can't cook and can't do laundry and probably can't do most housework, but I do also think about all the posts passed around about “my boyfriend who won't do housework.”
Again, none of these privileges make him less disabled and less in need of and deserving of care, they're just worth talking about when we talk about caregiving in general.
It's Rotten Work, Even If It's You
People expect disabled people receiving care to be grateful, to accept anything, and to try and make it easier for the caregiver if they're able. Requiring care is an incredibly disadvantaged position, even as actually receiving it can be so tangled up in privilege. Caregiving is tremendously difficult work, it's true, but there's a particular vibe people want from disabled people – all those movies about not wanting to be seen as a burden. Never complaining. Being grateful.
And, uh, well…
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Mithrun basically accepts anything his caregivers do, but he's not grateful at all! I appreciate that in a disability portrayal. He'll also lie to and ignore his caregivers, which is Annoying but is definitely an expression of autonomy even if he's probably not doing it specifically to express his autonomy. He's not going to thank you. He's not going to make it easy. He'll accept a lot of things considered “undignified,” and he's not mean or unpleasant in the sense that he's taking advantage or anything, but he's certainly not a model patient.
He's running off back into the dungeons just when you think you've finally gotten him somewhere safe.
There's always a strange tension in caregiving, I've found. It is incredibly intimate but a lot of it is done by total strangers. A number of caregiving tasks are viewed by the wider world as entitled but placing those tasks in the hands of strangers is a remarkably tough place to be in. As a disabled person, I've had to accept my bowel movements being discussed with my parents’ friends, all sorts of being physically moved places not against my will but without my permission, even my pubic hair being shaved off by a stranger (nurse) while I was unable to speak or move. When people are feeding you, making sure you use the toilet, rubbing your feet to make you sleep, helping you with hygiene – people are working so hard to help you. Are you supposed to just accept them doing whatever they want to you?
There's also a dynamic where people will say they don't mind caring for you, they're happy to do it, and then as the years go by and you continue to need care the resentment just builds up. Caregiving is hard work. It's often thankless. The goodness of people’s hearts can run dry, when it's been twenty years and you still can't bathe yourself.
Aaand I need to continue in reblogs, because I'm out of space for images. Please hold. edit: you can find part 2 here
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onlycosmere · 1 year
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Questioner: The Stormlight Archive deals with mental health significantly. Are you telling a story of overcoming mental health and its difficulties, or are you telling a story of ongoing...
Brandon Sanderson: I am telling a story about characters that I want to be as real to my lived experience as possible. So the story of the Stormlight Archive, what is it about? It is not about mental health. It is about people, but a disproportionate number of them do struggle with kind of dynamic mental health issues.
Mental health is one of these things where there’s always individual answers. If we talk about my wife Emily, there is no cure for depression. Even medication is about managing depression.
For her, the right answer is cognitive behavioral therapy and learning what it is to live with depression, and then countering that proactively in her mind, at least for her. That is the answer that she has found that works very well for her.
Other people might be able to… I have had a family member who had depressive episodes that lasted a number of years. And they, through therapy, were able to get to where they no longer would be considered having depression, because for them it was a different sort of thing.
And these are two explorations of what we would lump as the same sort of mental health issue. But is it even? Everyone is so individual, right?
For the vast majority of people struggling with mental health issues, it is more like Emily than it is like this family member that it was about overcoming it. I consider it to the individual, that the story I’m telling about. I will use the example of the difference between (for physical handicaps) Rysn and Lopen. For Lopen, the story is: there’s going to be a cure, and I have been cured. For Rysn, there is no cure, and it’s about, instead, living with the disability. Overcoming the disability, yes, but it always being part of who she is.
And those are two life experiences that we can find people in this room who have probably... Some are continuing to live with a handicap, and others have found that there is some way to just completely get over. And that’s an individual thing.
And I’m not trying to say in the Stormlight Archive, “This is the right path.” Except for the right path being: getting help is okay. Working on it’s okay. And society should maybe do a better job about understanding it.
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imeverywoman420 · 8 months
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i think it would be helpful for talks about mental illness to focus more on the physiological side of things and what “feelings” are. Cognitive behavioral therapy techniques/DBT are really great and a necessary part of therapy. But a huge part of mental illness is the way that your brain and body react to stimuli and emotions, not just your thoughts. Your entire way of being, your visual perception, STOMACH. ISSUES. (Shoutout to people that throw up when theyre emotional), flashbacks, depersonalization, dissociation, panic attacks, are just a few examples of the parts of mental illness that are not purely cognitive.
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maaarine · 11 months
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How Loneliness Reshapes the Brain (Marta Zaraska, Quanta Magazine, Feb 28 2023)
"Neuroscience suggests that loneliness doesn’t necessarily result from a lack of opportunity to meet others or a fear of social interactions.
Instead, circuits in our brain and changes in our behavior can trap us in a catch-22 situation: While we desire connection with others, we view them as unreliable, judgmental and unfriendly.
Consequently, we keep our distance, consciously or unconsciously spurning potential opportunities for connections. (…)
However, a study that the team published in 2022 revealed that although threatening social situations trigger more amygdala activity in people suffering from social anxiety, they do not have that effect on lonely people.
Similarly, people with social anxiety have diminished activity in the reward sections of their brain, and that does not appear to be true for lonely people.
“The core features of social anxiety were not evident in loneliness,” Lieberz said.
Those results suggest, she said, that treating loneliness simply by telling lonely people to go out and socialize more (the way you can treat a phobia of snakes with exposure) will often not work because it fails to address the root cause of the loneliness.
In fact, a recent meta-analysis confirmed that simply providing lonely people with easier access to potential friends has no effect on subjective loneliness.
The problem with loneliness seems to be that it biases our thinking.
In behavioral studies, lonely people picked up on negative social signals, such as images of rejection, within 120 milliseconds — twice as quickly as people with satisfying relationships and in less than half the time it takes to blink.
Lonely people also preferred to stand farther away from strangers, trusted others less and disliked physical touch.
This may be why the emotional well-being of lonely individuals often follows “a downward spiral,” said Danilo Bzdok, an interdisciplinary researcher at McGill University with a background in neuroscience and machine learning. (…)
Bzdok and his team showed that some regions of the default network are not only larger in chronically lonely people but also more strongly connected to other parts of the brain.
Moreover, the default network seems to be involved in many of the distinctive abilities that have evolved in humans — such as language, anticipating the future and causal reasoning.
More generally, the default network activates when we think about other people, including when we interpret their intentions.
The findings on default network connectivity provided neuroimaging evidence to support previous discoveries by psychologists that lonely people tend to daydream about social interactions, get easily nostalgic about past social events, and even anthropomorphize their pets, talking to their cats as if they were human, for example.
“It would require the default network to do that too,” Bzdok said.
While loneliness can lead to a rich imaginary social life, it can make real-life social encounters less rewarding.
A reason why may have been identified in a 2021 study by Bzdok and his colleagues that was also based on the voluminous UK Biobank data.
They looked separately at socially isolated people and at people with low social support, as measured by a lack of someone to confide in on a daily or almost daily basis.
The researchers found that in all such individuals, the orbitofrontal cortex — a part of the brain linked to processing rewards — was smaller.
Last year, a large brain-imaging study based on data from more than 1,300 Japanese volunteers revealed that greater loneliness is associated with stronger functional connections in the brain area that handles visual attention.
This finding supports previous reports from eye-tracking studies that lonely people tend to focus excessively on unpleasant social cues, such as being ignored by others. (…)
While interventions such as cognitive behavioral therapy, promoting trust and synchrony, or even ingesting magic mushrooms could help treat chronic loneliness, transient feelings of solitude will most likely always remain part of the human experience.
And there is nothing wrong with that, Tomova said.
She compares loneliness to stress: It’s unpleasant but not necessarily negative.
“It provides energy to the body, and then we can deal with challenges,” she said.
“It becomes problematic when it’s chronic because our bodies are not meant to be in this constant state. That’s when our adaptive mechanisms ultimately break down.”"
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my-autism-adhd-blog · 8 months
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I got a migraine yesterday from being stuck in an overstimulating environment all day, which made me wonder are people with adhd/asd any more likely to get migraines? I only every get them when I’m exposed to constant loud noise or bright lights for multiple hours while I’m trying to focus, and I know adhd and asd people are more likely to have sensory sensitivities
Hi there,
I found some information on autism and the connection to migraines. It mainly talks about children having them, but I think this article can be applied to both children and adults:
Are migraines more common in children with autism?
Yes, recent studies have shown that children with autism are more likely to suffer from migraines than children without autism. In fact, one study found that children with ASD were almost twice as likely to have migraines as children without ASD.
Can sensory sensitivities cause migraines in children with autism?
Yes, sensory sensitivities are common in children with autism and can trigger migraines. Bright lights, loud noises, and certain smells are just a few examples of sensory triggers that can cause migraines in children with autism.
Is there a connection between anxiety and migraines/headaches in children with autism?
Yes, anxiety is a common symptom of both autism and migraines/headaches. Many people with migraines and headaches also suffer from anxiety. Studies have shown that anxiety is more common in children with ASD than in typically developing children.
How can you treat migraines/headaches in children with autism?
Treating migraines and headaches in children with autism can be challenging because of the sensory sensitivities and communication difficulties that are common in this population.
However, there are several strategies that can be used to manage these symptoms. Identifying and avoiding triggers is one strategy, while using medications may also be effective but should be used cautiously due to potential side effects or interactions.
Non-pharmacological treatments like cognitive-behavioral therapy, relaxation techniques, and biofeedback may also help manage symptoms.
Conclusion
In conclusion, there is a significant connection between autism and migraines/headaches. Children with autism are more likely to suffer from migraines and headaches than children without autism.
While the reasons for this connection are not yet fully understood, researchers are exploring several theories.
Treating migraines and headaches in children with autism can be challenging, but there are several strategies that can be used to manage these symptoms.
The full article will be below:
Hopefully this information is helpful. Thank you for the inbox. I hope you have a wonderful day/night. ♥️
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gatheringbones · 1 year
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[“…. right from its psychoanalytic beginnings, mental illness was connected to amorality, a legacy that is challenging to distance ourselves from, and amorality was connected to femininity. Although we have come a long way, assumptions about the superiority of rationality persist in our field, at least within Anglo and Western dominant paradigms. For example, the field of cognitive behavioral therapy (CBT) rests on the assumption that we can literally exercise mind over matter. CBT does view a connection between thoughts, emotions and behaviors but mostly intervenes at the level of thoughts and behaviors, trying to change “distorted thinking” and “maladaptive behaviors.” There is an almost unspoken assumption that “rational” thoughts and behaviors are always morally superior and to be preferred in the field of mental health.
It is no accident, in my opinion, that rational thoughts and behaviors are stereotypically associated with masculinity and, more specifically white and Anglo masculinity. Even though gender seems to be but a minor branch of topical interest in psychology and mental health, gendered assumptions run deep in our field. It’s rare that anyone questions bold assertions, made by mental health providers on a daily basis, on how “men and women work.” Those assumptions are, after all, foundational to many theories and approaches.
Even when gender is not mentioned at all in certain theories, in practice people tend to apply them differently with “male and female” clients. It’s even rarer that the whole premise of two gender is put into question and, when it is, it only seems to pertain to transgender and/or nonbinary people, leaving the main tenets of gendered thinking in dominant culture untouched and unquestioned. Mental health with and for transgender and/or nonbinary people then becomes its own specialist branch, which means the rest of the field can continue undisturbed in their assumptions about men and women, as long as we keep to our turf and don’t shake the cisgenderist foundation of the whole discipline. This too is a colonizing and capitalist approach. If we’re kept separate from one another, we can be better controlled and, most importantly, there can be more specialties, and therefore more certifications and trainings to be sold and bought.
Even in the field of family therapy, where systemic thinking could open a different conversation about gender, all too often we fall back on established stereotypes and pseudoscience about gender as a rigid binary. Yet, I have found that when I can support people in connecting genuinely to gender as a historical, social and cultural construct, a better understanding of one another can emerge across differences that are made to look chasmic by people who are invested in selling solutions specific to “men,” “women,” and “transgender and/or nonbinary people.” Unfortunately the discourse that men are from Mars, women are from Venus and trans people from Transylvania (at least according to The Rocky Horror Picture Show) is familiar to people and, like many other popular discourses, is reproduced effortlessly by providers and researchers who are also brought up within these dominant paradigms.
Sometimes people acknowledge that what they’re working with are issues like toxic masculinity, but they’re reluctant to then broaden the lens to indicate how larger systems support the reproduction of such harmful, colonial binaries. This means that, ironically, while working to dismantle toxic masculinity, they also keep reifying it by framing their work as being with “men” or “boys.” I can understand how the latter is more marketable than the “smash the colonial patriarchy” approach I am proposing in this book but I truly believe that if we don’t start questioning the rigidity of the gender binary altogether, for everyone, we will keep running around in circles to find ourselves in the same places, or maybe just a few inches over to the left.”]
alex iantaffi, from gender trauma: healing cultural, social, and historical gendered trauma, 2020
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lady-phasma · 13 days
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Hello there, I loved your previous answer to an anon question and you made a comment about your previous experience of getting attached to characters or people because of loneliness and depression. Please can I ask how you overcome that and what perspective you had about this? How did you frame it in your mind? 🥰🥰🥰 I have never really experienced this before and I’m not why but I get happy and then feel sadness because I know im projecting and it’s not real. In my real life I’m pretty confident but I would like to start dating and meeting someone but have a crush on a character or actor has been easier than going out there and approaching people I like. Any advice would be brilliant. Also I have felt that when it has come to people like EM etc the stories about how they actually got there and the way in which they have made sacrifices and had challenges gets glossed over. It’s always look at how well they have done which is right, but not it’s taken lots of hard work and lots of rejections and learning behind closed doors to get them in this position. The glamorisation of actors can be really off putting for me as it’s amazing that they are getting the credit they deserve but the toil to get there is rarely mentioned.
Hi anon! I think this is the ask you are referring to. Thank you. 💜 I'm glad you enjoyed it. Let me tell you today turned out to be the day to ask this. We have gotten so many Ewan crumbs today. It's honestly a bit overwhelming.
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I'm going to start with: your emotions are not weird or uncommon! The first thing we have to do is be compassionate with ourselves. I have a couple moots who needed some distance this week, not because of drama, just to be in the real world more and less overwhelmed. I spent half of Sunday without any technology so I could give my brain a break. So do your absolute best to be compassionate toward yourself.
Next, regarding this:
you made a comment about your previous experience of getting attached to characters or people because of loneliness and depression. Please can I ask how you overcome that and what perspective you had about this? How did you frame it in your mind?
This answer will be quite long, settle in. I will use some healthier examples from my Matt Smith fandom and a couple from back when I had a harder time coping. The timing does overlap in my life a bit because Matt has been part of my life since he and I were 25-26 years old (I phrased it like that even though it's odd, because I want people to understand that most of what I am going to be discussing was before I turned 30).
I think this is the comment you were talking about:
lady-phasma: Oh man I have had attachments in the past, at points in my life that could have become obsessions because of loneliness or depression (not applying that to this anon) and have had to take a step back and think "okay I actually don't know this person!"
That's the context here's the first part of the answer. Cognitive behavioral therapy helped a lot. Not for the attachments to actors/public figures, but for what was actually going on with me (which I'm not going to go into too much detail about). My sister and I call these actors "emotional support actors" (gender neutral). There have been times that it wasn't the actor, but a specific character which helped me through a difficult time. When I was in a slowly-dying relationship, Ryan Gosling helped me feel less alone through roles like Drive and Crazy, Stupid Love. I want to be clear that I am not discussing parasocial relationships exactly (here's an article about those that is fairly unbiased). I don't have a problem discussing them and I have possibly unpopular opinions about them, but that's a distinction I wanted to make here. I consumed all the Ryan Gosling content I could for over two years and his movies helped me during my breakup (yes, the relationship ended, thank fuck).
The way that I "overcame" it was by reframing the actor/character in my mind as a tool or coping mechanism (I was thrilled you said "frame" btw). In the recent past I said to a moot "these internet men are going to kill me." That made them laugh because "these internet men" are real people. I have even made posts about that. However, that is one of my ways of creating distance. The Ryan Gosling I learned about, watched every interview of, watched nearly his entire body of work, is not Ryan Gosling and never will be. Neither is Matt or Pedro or Ewan or Gwendoline Christie or any of them. So now, I think of them as tools that I use to give myself some comfort during a difficult time when it starts to escalate.
This is where I'll use Matt as an example because I have been able to do this with him since day one. I have written about it briefly before, the Eleventh Doctor showed up at a time in my life that was very difficult. I had no idea I needed him. It turns out the part was played by a gorgeous and talented actor. I know now that I can turn to Matt's films/tv shows for comfort and keep my emotional distance because, in many ways, he is a figment of my imagination. I'll note here that I also no longer consume detailed personal facts about actors. I know a lot of people enjoy that but outside of knowing things Matt has said in interviews and his birthday and height I have no clue who he dates and when. No idea where he likes to vacation or grab a pint. This applies to any actor I like: the less I know, the better. That helps me from thinking that I know them. (I hope I explained that well.)
As you said, a projection. Watching his Doctor Who episodes is the same as a weighted blanket. It is comforting, self-care, and gives me space to not think.
I'm going to tie this into your other main question:
In my real life I’m pretty confident but I would like to start dating and meeting someone but have a crush on a character or actor has been easier than going out there and approaching people I like.
Ask any moot who knows me well and they can tell you I have a personal rule: if I start to have daydreams about meeting Matt I shut that shit down fast. And I mean fast. As soon as I realize I've done it I stop, take a step back, and use my self-awareness to isolate what I need in that moment. Am I lonely, hungry, overwhelmed, tired, anxious? This is personal boundary for me. I love daydreams but I want to maintain my on-going fangirling for Matt as long as possible. This approach works for me because maybe I need to text a friend or do some yoga or even get on a dating app. We can't always identify what the need is but it helps me to try. I am confident as well and have had lots of partners when I have the energy to put into those interactions. I don't always have that energy. I know why it's easier for me to crush/fangirl though this may not be your reason: I don't have to give up a single aspect of my life to another person, I don't have to be vulnerable because these are completely one sided situations. Matt will never ask me to meet his mom. Ewan will never need me to pick him up if he has a flat time. My time and my energy remain my own.
I don't have any kind of advice really. I'm aroallo and omnisexual and a cis female and you might be absolutely none of those things so my advice wouldn't help. But, human to human, pay attention to what you feel you are missing in your life and decide if you need to make it happen or if you can feel at peace without it. That is a question we have to ask over and over through our lives because we change so much.
I wish I had time to talk about the last bit you mentioned because it is important that we humanize actors and understand their struggles but I have gone on longer than most people will read. 💕 Thank you for coming to me, anon. I'm always here.
Just in case you decide to come back I gave you 📸 anon (because it felt appropriate and fun for fandom stuff) but feel free to pick your own if you don't like that.
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sophieinwonderland · 7 days
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I wonder if there's a conflating of psychiatry and psychology happening in the beef anti-psych-pro-endo is having with you.
Like, one is a study of human cognition and behavior, the other is medical treatment of that subject.
Being anti-psych ourselves, we absolutely want to see the abolishing of psychiatry as it stands now, in favor of more durable and equitable systems of care. But the study you mused on could exist in such a world.
Idk what kind of world produces compassionate and consensual mental health support without having a robust psychology field. How does a community reduce harm unless they know what is and isn't harmful, or know what is and isn't harm? Thinking here of bigots weaponizing pseudoscience and inclusive language to promote and defend their bigotry. Or even just folks denying supports because they don't understand the need for said supports.
Maybe we're just fundamentally misunderstanding the two fields or the conversation or something. But it irks us that the anti-psych position is being anti-science.
This is a good point.
Anti-psych, as I understand, is generally short for anti-psychiatry not anti-psychology. And they seem to be pretty heavily conflating the two.
For context, I'm going to link to their own explanation of their views on psychology and psychiatry so I don't end up misconstruing anything.
I know that psychiatry is typically defined as involving medication as well as general "mental health", while psychology is more typically only things like therapy and other non-medicinal approaches to "mental health". In my opinion, however, anti-psych covers both, because both are used to harm neurodivergent people. Medication is both coercively prescribed under threat of institutionalization and withheld, and patients are not educated on the full scope of how the medication can both help and harm their bodyminds. Therapy is used to force neuroconformity - from well-known harmful examples such as ABA therapy, to lesser acknowledged examples such as CBT being used to condition patients into exhibiting "socially acceptable" thought and behavior patterns at the expense of their mental health; typically also blaming and punishing the patient when they fall short of the intended goals due to their own symptoms.
Now, maybe there can be some truth to this if we're solely discussing clinical psychology.
But psychology is a pretty broad field that goes way beyond "mental health."
There are experimental psychologists, neuropsychologists, forensic psychologists, engineering psychologists, educational psychologists, developmental psychologists, and many others.
Psychology is a massive field of study. I would even go so far as to say that most psychology ISN'T about mental health at all.
And most of the psychologists at this hypothetical school wouldn't be clinical psychologists. They would be developmental psychologists to study the development of the children in this environment.
This isn't really psychiatry, nor is it clinical psychology. It's just research. It's studying children in a unique environment with a different culture that doesn't exist anywhere else.
And I really agree with the point about pseudoscience. If you get in the way of research and prevent studies from being conducted, then that's all that you'll be left with. And if you take a position that children can't be studied because they can't possible be able to consent to the study, then that means we'll lack valuable data that can be used to help children.
Speaking of conducting psychological experiments on children, there was actually a really cool one conducted on children (with parents consent) showing they could create imaginary companions intentionally, and that those imaginary companions
https://onlinelibrary.wiley.com/doi/full/10.1002/icd.2390
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And this study directly references tulpas as something to compare with in future studies.
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These are cool findings that wouldn't be possible if we just decided children shouldn't be studied.
I need to do a more in-depth post on that study later.
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ask-me-about-therapy · 11 months
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Tom Holland shocked his fans last month when he announced he would take a year-long break from acting to look after his mental health after playing Danny Sullivan in Apple TV’s The Crowded Room. At first, it was difficult to see why — the show, following a young man accused of attempted murder as he reveals his dark past, was hammered in the reviews, and the series didn’t really seem to make a splash.
However, many reviews alluded to a big “twist” in Episode 7. Now that twist is common knowledge: Danny Sullivan is a Host in a Dissociative Identity Disorder system, and the crimes were committed not by him, but by his “alters.” Characters whom viewers thought were Danny’s friends and protectors were actually part of his internal life, and in later episodes, we see them “front,” or present themselves in Danny’s behavior. His accent, posture, and whole personality switches.
This wasn’t much of a twist if you knew where to look. The entire series is loosely based on the real-life case of serial rapist Billy Milligan, who pled insanity due to DID and was found innocent. Daniel Keyes’ book The Minds of Billy Milligan is even credited in the opening sequence, making the late twist a bit less shocking than intended.
What isn’t surprising, however, is how another fictionalized story of Dissociative Identity Disorder is tied with murder. From Dressed to Kill to Split, fictional examples of this disorder are often shown as dangerous, violent people, and The Crowded Room seems to perpetuate that.
“Whenever there's any kind of media that surrounds DID, I lead in with a cringe almost every single time now because it's so misrepresented in media,” Kelly Caniglia, MA, LCMHC, LMHC, CCTP, tells Inverse. Caniglia is a board member of An Infinite Mind, a non-profit that provides resources and advocacy for those living with DID.
Dissociative Identity Disorder, previously referred to as Multiple Personality Disorder, is a trauma response where an individual undergoes something so traumatic that memories, feelings, and traits are fragmented and spread across multiple identities. It’s a surprisingly common occurrence. “1.5% of this population is living with DID. That's more than people than there are redheads,” Caniglia says. “It is so much more common than people realize. And so this is a whole genre of human that we're essentially spotlighting and trying to make a quick buck on.”
To the show’s credit, it’s clear the minds behind The Crowded Room took a responsible portrayal of DID in mind. “We read Daniel Keyes' book, we read articles that align with the topic, we watched films and documentaries, we spoke to experts and specialists in this field,” Tom Holland told Inverse’s Hoai-Tran Bui during the series’ press junket. Caniglia does point to elements that show this research, like the depiction of Danny’s internal space as the eponymous “crowded room,” a space where alters convene and discuss what to do going forward. This internal space is something experienced by some (but not all) DID systems.
But it’s hard to get behind this show as a thoughtful, considerate reflection on this disorder when it’s treated as a “gotcha,” like a narrative twist that’s full of shock and awe, not something that is simply a part of who the character is. Still, Tom Holland defended the choice. “What's really important about our show is to understand that there's more to Danny than just his DID. We wanted audiences to get to know him as a human being before people make assumptions about this mental health issue, this affliction that he has,” he said.
To Caniglia, the twist was low-hanging fruit. “There are so many pieces to DID that are not widely understood,” she said, “So it's fascinating to those that don't know it and it's fascinating to think about, ‘What? This one body has 50 people inside of it? What does that look like? How does that work?’”
So what could this series do to portray this disorder in a more sensitive light? For Caniglia, it could be as simple as a disclaimer that this is one DID story, or any other way of using this show’s high-profile platform in order to spread awareness of just what DID is in our world beyond the violent stereotypes.
She also pointed out there are other works that are working against this archetype, like filmmaker Dylan Crumpler’s short film Petals of a Rose, or even Marvel’s series Moon Knight. It was still a violent portrayal of a DID system, but it showed a hero as someone living with DID. The population finally had positive representation they could look to: a literal superhero. Considering the past depictions, that’s a big step.
The Crowded Room is a gripping story that does attempt to show that DID is nothing more than a self-preservation technique, but it’s still perpetuating harmful stereotypes, even if it’s based on a true story.
“Representation is so important,” Caniglia says, “And this population is already so marginalized that though this piece is entertaining and has points of great execution, it still reinforces the rhetoric of people with mental illness, in this case DID, are dangerous.”
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mentalhealthhelpsblog · 5 months
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What is psychosis?
Psychosis is disconnection from reality. People may have false beliefs or experience things that aren’t real. Psychosis isn’t a condition. It’s a term that describes a collection of symptoms.
Two important types of psychosis include:
* Hallucinations. These are when parts of your brain mistakenly act like they would if your senses (vision, hearing, touch, smell and taste) picked up on something actually happening. An example of a hallucination is hearing voices that aren’t there (auditory hallucination).
* Delusions. These are false beliefs that someone holds onto very strongly, even when others don’t believe them or there’s plenty of evidence that a belief isn't true. For example, people with delusions of control believe someone is controlling their thoughts or actions remotely.
Psychosis may be a symptom of a mental illness, such as schizophrenia, bipolar disorder, or severe depression. However, a person can experience psychosis and never be diagnosed with schizophrenia or any other disorder.
Other causes of psychosis
* Misuse of alcohol, prescription medications or recreational drugs
* Severe head injuries (concussions and traumatic brain injuries).
* Traumatic experiences.
* Complex PTSD
* Unusually high levels of stress or anxiety.
The following medical conditions have been known to trigger psychotic episodes in some people:
* HIV and AIDS.
* malaria.
* syphilis.
* Alzheimer's disease.
* Parkinson's disease.
* hypoglycaemia (an abnormally low level of glucose in the blood)
* lupus.
* multiple sclerosis.
How is psychosis treated?
*The treatment of psychosis depends mainly on the underlying cause. In those cases, treating the underlying cause is often the only treatment needed.
For psychosis that needs direct treatment, there are several approaches.
* Medications. Antipsychotic drugs are the most common type of medications to treat psychosis, but other medications, such as antidepressants or lithium, may also help.
* Cognitive behavioral therapy (CBT). This type of psychotherapy can help with certain mental health conditions that can cause psychosis or make it worse.
* Inpatient treatment. For severe cases of psychosis, especially when a person may poses a danger to themselves or others, inpatient treatment in a hospital or specialist facility is sometimes necessary.
* Support programs or care. Many people experience psychosis because of other conditions such as alcohol or substance use disorders and personality disorders. Treating these disorders or helping people with social, work and family programs can sometimes reduce the impact of psychosis and related conditions. These programs can also make it easier for people to manage psychosis and their underlying condition.
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duckprintspress · 3 months
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Fandom Lexicon: C
The third installment in our posts about our Fandom Lexicon introduces the most terms yet: those beginning with the letter C!
Make sure you check out the main Fandom Lexicon page! We’ve posted letters A, B, and now C, and will be adding one or more letters each week until the entire lexicon is live and available for your perusal.
Spot a mistake we’ve made? Have we left something out? Let us know!
Lexicon Terms Beginning with C (read more)
C Drama: Abbreviation for “Chinese drama.” TV dramas from China
C Pop: Abbreviation for “Chinese pop.” Pop music from China.
C-Ent: Abbreviation for “Chinese entertainment.” Overarching term for the Chinese entertainment industry.
C&C: Abbreviation for “comments and criticism.” Typically used by a creator when indicating whether they do or do not want comments and/or criticism on their work. For example, an author’s note might read, “C&C Welcome.”
Camp NaNo: Shortened term referring to “Camp National Novel Writing Month.” A week-long writing event that occurs twice every year, in April and July. It is hosted by NaNoWriMo, but unlike the original NaNo, participants in Camp NaNo choose their own goals. See also NaNoWriMo (pending).
Canon: Facts about a narrative provided within the published context of the media being referred to. What does and does not count as canon is often up for speculation and scrutiny by fans with different interests/perspectives. Generally considered separate from “Word of God” explanations of the text – canon events must have happened “on the page” or “on the screen” or “in the recording” for the media in question, depending of course on the original format for the media. Read more about what canon means.
Canon Compliant: A fanwork that follow the rules/characterizations/plot of its source material, as interpreted by the creator of that work. Truly canon compliant works follow canon so closely that they could exist in canon without violating any known information about the world and characters, though that can be a moving target for canon compliant works created when canon is still ongoing. Read more about canon compliance.
Canon Divergent: A fanwork that begins at an established point in the source material’s canon, then takes off in its own direction. Read more about canon divergence.
Canon Insert: Most typically refers to when a writer’s original character is added to canon or replaces an existing canon character. Less typically, refers to a character from franchise A who is added to a canon or replaces an existing canon character in a fanwork about franchise B. Read more about character inserts.
Carrd: A service that hosts simple, easy-to-make websites for free, or more advanced ones for a fee, used by fans and other people to provide a central place for their contact details, interests, and personal information they want to share. Learn more on the Carrd website.
Casefic: A genre of fanwork in which the main characters are solving a case. Most common in fandoms where there are episodes or books that are each case-based, such as The X-Files, CSI, or Supernatural. Read more about casefic.
CBT: Abbreviation for “cock and ball torture” and for “cognitive behavioral therapy.” A classic example of just how important context can be for understanding what an abbreviation means!
CC: Abbreviation for the Creative Commons. A license that a user can assign to their own creation, giving permission to use the creation in their own projects provided they follow the terms of the chosen Creative Commons license. Read more about the types of Creative Commons licenses on the Creative Commons webpage.
Cheerleader: A person who reads a fanfic before it’s published and cheers the author on, so they keep up their motivation. The difference to alpha or beta reader is that the cheerleader usually does not offer any concrit nor do they do spelling and grammar (SPAG) editing.
Chibi: A type of art in which the characters are shown with unrealistic proportions, most often with unusually large heads and eyes. Also sometimes called “SD,” which stands for super-deformed. Read more about the term “chibi.”
Cishet: Shortened term for “cisgender heterosexual.” An individual whose assigned gender at birth matches their gender identity and who experiences sexual attraction to the opposite gender and only the opposite gender (excluding non-binary people and other genders outside the binary). While intended to be used to refer to people who are not queer, the term has often become a short-hand insult for aromantic and asexual people, and for bisexual people who are in relationships with person who are of the opposite in-the-binary gender. Read more about the term “cishet.”
Cisswap: See Genderbend (pending).
Citrus: See Citrus Scale.
Citrus Scale: A method for rating works from general to explicit without using lewd terminology. Read more about the citrus scale on Fanlore or in our blog post on the topic.
Claims: Typically refers to the point in a Bang of any size when artists are given an anonymized list of fic summaries, choose their favorites, and subsequently find out which authors they will be working with. In reverse bangs, it refers to when authors choose the artist they will be working with. For another usage, see Face Claim (pending).
CNTW: Abbreviation for “chose not to warn.” The creator chose not to use warning tags/labels. This abbreviation and usage is based on the AO3 Archive Warning “Creator Chose Not to Use Archive Warnings.”
Coda: A fanwork that adds a scene that fans wish had been included in the source material. Often described by citing the season and episode that the fanwork is a coda to. For example, “coda to 5 x 2” would be a coda/new final scene created to follow the events of episode 2 of season 5. Sometimes referred to as an “episode tag.” Read more about codas.
Concrit: A shortened term for “constructive criticism.” 1. Critique of a creation that actively contributes to its improvement. In this definition, the criticism is usually intentionally solicited, and the critique is done by the editor or beta reader in collaboration with the writer, after discussion of what the author is trying to accomplish and what their goals are. 2. Unwelcome and unsolicited critique from commenters on fanworks, which givers often try to excuse by leaning on definition 1.
Conlang: A shortened term for “constructed language.” An artificially created language, for example Klingon in Star Trek and Elvish in the works of J. R. R. Tolkien. Read more about conlangs.
Consentacles: A portmanteau of “consent” and “tentacles.” Used to refer to tentacle sex enjoyed with enthusiastic consent. “Dubious consentacles” is also in use, indicating that the consent is more ambiguous.
Cosplay: Dressing up like a character from a given franchise. Ranges from exact replications to crossovers and/or creative reinterpretations of the source material. Read more about cosplay.
CP: Abbreviation for “couple,” except when it means “child pornography.” In East Asian fandoms, CP refers to the main couple in a work. In Western fandoms, CP most often stands for “child pornography.” This difference has caused many, many problems. Read more about the different uses of CP as an abbreviation.
Crack: A speculative concept that is unbelievably ridiculous. For example, “what if all the characters were chicken nuggets?” Read more about crack.
Crackship: A ship between that is unbelievably ridiculous, such as a character with an object, a location with a creature, or two people who would genuinely never in a thousand years ever work out in a relationship. Not the same thing as an unpopular ship or rare pair. Read more about crackships.
Creation Challenge: A fandom event in which the host(s) come up with a theme and/or a list of prompts, and participants are invited to create fanworks in response to that prompt. Examples of creation challenges include Big Bangs and Bingos.
Crossover: A term with many uses in different contexts; in fandom, it refers to when a fanwork combines multiple sources in some way. Mulder and Scully showing up in a Doctor Who fic, for example. Read more about crossovers.
Crucifix Nail Nipples: A well-known story told by Tumblr user thebibliosphere. Often referenced as an example of just how ridiculous erotica can be. Read the original post.
CSEM: Abbreviation for “child sexual exploitation material.” What it says on the tin – this is a legal/technical term for materials featuring actual children photographed or filmed in sexual situations. Creating or possessing these materials is illegal in most of the world. Read more about the usages and legal definitions of this term.
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A System (TM): The non-definitive guide for dealing with dysphoria regardless of medical choices
Someone asked how one deals with dysphoria. The comment was too long for the reply box.
Long comment incoming...I have some gender fluidity going on, so I get buffeted from both sides (likely I tend towards masc, so it doesn't hit too hard).
I...uh...perform a good bit of mental jujitsu on the thoughts. It's gotta get through multiple layers of pre-prepared lifestyle choices, cognitive-behavioral thinking, mindfulness, rationalization, cultivating patience, disassociation, and spite before it really hits me.
Lifestyle Choices:
I'm out everywhere. If someone calls me something else or treats me in another way, they're either misinformed or being dicks about it. If they're the former, I either correct or move on with my day. If the latter, not worth my time. Any hurt I instill in myself from their dickishness is me brandishing their weapon against myself. Moving on.
Keep your friends supportive and your family as supportive as possible. If they can't be supportive, they don't get to know your business.
Don't explain shit.
I don't wear anything that makes me uncomfortable, and I wear the things I wish I wore when I was younger. All the dresses are out of my closet. None of the pants are too tight, and I have a few cut in a masc style, when I feel like it. My clothes don't cling in ways I'm not happy with. I have the good ol' standby dysphoria sweatshirt.
I get any aids I need to for myself. I go to a barber shop for my hair, and I make sure to get it cut when it's long. I've got a binder if I need it, packers, mascara in my cabinet drawer for facial hair. Pronoun pins (that I never wear, but it's nice to have them in my pocket to touch). I carry a knife like a lot of guys where I'm from do.
I try to keep everything else in my life in-shape. Think about dysphoria like a bad knee. If you don't get enough sleep, or you're eating garbage, or you're overtaxing yourself -- that knee's gonna hurt first, before anything else, because it's sensitive. If I'm getting a really bad bout, I check in with everything else first.
Cognitive-Behavioral Therapy:
I check disturbing thoughts against questions like, "if a friend told me this, what would I say to them?" "is the thought reasonable?"
If I spot words like "always" or "never", I flag them & try to re-word them in a less-extreme way, and I bring up counter-examples. E.g. "You'll never pass." becomes "are you sure, never*? That seems a bit harsh.* [check the facts] Even cisgender people get mistaken for the other gender, so even random chance says it'll happen at least once." >> "I'll almost-never pass." >> "Are you sure? Because the guy at the coffee shop says 'hey man!' every time you walk in. He's either clocked you (thus, you're being encouraged & accepted) or he genuinely thinks there's a man in there, somewhere." >> etc.
I think back to other times I've had the thought/experience and survived it. E.g. "What if I'm not really trans?" >> "...dude. You've been asking yourself that for around 3 years. You asked yourself that, then some cashier called you 'sir' and you clung to that in your little heart for most of the morning like a starving man with bread. That is not very cisgender behavior. Don't you think it would've worn off by now?"
I seek out others' diverse experiences. E.g. I feel embarrassed sometimes about sewing, but I know a guy whose literal degree is in costuming. I ain't calling him less of a man for that. Why am I bringing that on myself?
How is this thought functioning in my head? E.g. If I call myself pathetic, do I really think I'm pathetic, or do I want to curl up and sleep and "pathetic" is the quickest way to demotivate me to my bed? Why not not call myself "pathetic", and just treat myself nice and rest instead?
Mindfulness:
"It's just a thought." "It's just a sensation." "This is a sensation [reflect back the sensation to the spot of the sensation, so it knows you heard it]." Know that a thought or sensation is independent of a gender. (Gender is like "the flame unbound.")
Watch the sensation, feel the way your body reacts to it, and don't feed the beast. Just watch. Imagine yourself in a zoo, with a nice big trench between you and the animals. The flesh and thoughts will do their own thing, but you're safely protected from them.
Reality is reality is reality. As Galileo said, when the church insisted their doctrine otherwise, "and yet, it moves." You can think whatever thoughts you have. Other people can say any words they can form their mouths around. Your body can shiver and throb and become nauseated and ache -- None of these change what your gender is. Your gender is the vessel (which sometimes may change itself), and the experiences flow through it.
Rationalization:
"This is dysphoria. This is just what happens when you're brain's expecting one thing and your body's expecting something else."
"It sucks, but you're going to have to deal with it for X long, so you might as well try not to suffer twice by feeding into it."
"Yeah, sometimes it's gonna hurt and/or feel humiliating. Oh well. That's not gonna change your gender; you have other things to worry about."
"My gender can take care of itself right now."
Cultivating Patience:
This is going to take X number of years, or I'm going to have to live with a certain thing for t long. That's just the way things work.
No body is stagnant and without change. No perception is stagnant and without change. Ergo, this feeling of dysphoria, as are all things, is temporary.
See how you feel in 10 minutes/30 minutes/the afternoon/tomorrow. And then you can use an additional coping skill. (My genderfluidity makes this one even more flexible, but thoughts and feelings are themselves mercurial.)
Disassociation:
Read a book.
Scroll through social media (generally not trans content, because that can feed it, but sometimes trans content).
Write.
Walk outside.
Do some laundry.
Vacuum (I hate the vacuum noise, but now I'm bitching about that instead).
Deal with the other aforementioned life tasks that have you stuck here.
Sleep.
Give yourself some time to laze around in bed and just drift.
Go find some friends or call your most-talkative friend with a bunch of petty problems (when you're around other people, you can focus on them and not your gender).
Spite:
I know that there are trans people who've lost years of their lives because of the pain their dysphoria has caused them. I've lost evenings/afternoons/experiences from it too. I have no idea what my middleschool and highschool life would've been if I'd just known, or not had to deal with it. That being said, I'll be damned if it keeps me in bed and losing my life.Sometimes that means showering with my eyes open and the lights on when I don't want to (sometimes, what I see isn't that bad, and it's my head that was worse). Sometimes that means forcing myself out of bed and stumbling around in my comfort hoodie and sweats with my head down -- but at least I'm getting groceries or something.
People who hate trans people getting healthcare generally want to see us go away/disappear/not exist -- some folks by any means necessary. Them holding up care is to make our lives harder and for us to go away. Fuck them. Fuck the state systems. I'm not spending 2+ years bemoaning not looking or sounding like I want to stay home and not do something, just because I'm going to have to wait.
This is a system I've built up over a number of years, listening to bunches of trans peoples' experiences, and going to school for actual psychology. But it works pretty well, and I started at a low-dysphoria place to begin with, so I've been able to tackle symptoms as they've arisen, largely.
(I just realized this is the meme where the ADHD person says they don't have trouble with losing things because they have A System, and the neurotypical person has no idea what A System is...and the A System is itself a signal the person has ADHD. So. I don't have dysphoria. I have A System.)
I will say the dysphoria I deal with now isn't from the same sources I've dealt with in the past, largely. A number of sources I didn't realize made me dysphoric until they went away (or I'd quietly phased them out of my life without realizing it). I also like what Abigail Thorn says about dysphoria: It doesn't exist. Not that the sensations or dissatisfaction isn't there, but that the gap between who one imagines themself to be and who one is is a gap all people have to deal with, not just trans people. Cis people feel the same sort of self-consciousness when a cis woman grows hair on her face as a trans woman. You are not alone, and the systems and circumstances of history have merely added different labels to the universal struggles.
And then I like to pay attention to what does make me happy.
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eelfuneral · 8 months
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I can’t say I agree with this blanket condemnation of Cognitive Behavior Therapy. Yes, it is unhelpful, and even harmful for a therapist to recommend it for certain things (you can’t CBT your way out of an autistic sensory overload or stress related to poverty, for example), but there are other ways that in conjunction with other types of therapy, it can be helpful to some people.
CBT (along with meds and additional therapies) has legitimately helped me with OCD, Anxiety, and mood swings. Obviously, it won’t work for *everyone* dealing with these things, but it does help enough people that I don’t think that it’s fair to dismiss it for everyone ever outright. A tool not working for you just means that it doesn’t work for you, not that no one else should use it.
The real issue here is that there are out of touch therapists who would probably recommend it for cancer if they could. That’s more of a problem with the system than the tool itself, however.
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