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A Review of the "Mental Illness" Definition Might Prevent Crime

Justarius Re:Foundation question (260 comments)

There is a marked difference in how psychiatry and psychology see mental illnesses, epistemologically speaking. This leads to how each area decides to best handle and offer potential solutions to the client's problem. It also shapes and defines the training curriculum for both areas, whereby psychiatry spends much more time on the psychopharmacological and biological perspectives than studying psychotherapy interventions. That does not mean there aren't psychiatrists who do not employ some form of psychotherapy, but they are not as common as you think.

about a year ago

A Review of the "Mental Illness" Definition Might Prevent Crime

Justarius Re:Foundation question (260 comments)

There's a base assumption at play here that makes the addressing the issue at hand much more murkier than it should be.

Psychiatry sees all mental health problems as, in root, organic in nature. In other words, there is a chemical imbalance, a brain trauma, or a genetic component that creates the symptoms. These mental health issues can be seen as "cured" through medical regimes, but, many other illnesses, considered under remission, since a chemical imbalance caused by a genetic component cannot be "cured". The DSM (V is the latest incarnation) uses symptomatic observations as base criteria - not necessarily biological markers, but medical therapy is based on biomarkers (for example, a regulation in serotonin uptake). While this is a gross oversimplification of the matter, it paints a general picture of what happens with the organic position of mental illnesses. In a very simple word, psychiatry views mental illnesses as a nature problem.

Psychology, on the other hand, does not see all "mental illnesses" (as defined in the DSM) as organic in nature. As swillden mentioned, psychotherapy (of which there are many intervention methods) assist in managing the situation. Much of it takes root in mindfulness - not only in a social perspective, but also a reframing and re-internalization of current and past events. Others might take a family based approach, not only in dealing with the specific issues the primary client is dealing with, but also how their immediate social structure responds to their condition. CBT (Cognitive Behavioral Therapy) *might* go a step further and integrate neuroscience to determine if there is a biological component to their client's condition (but this tendency is still far and few between, considering the cost, the protocols required, and the length of time). Depending of the epistemological perspective of psychology, psychologists don't "cure", because the client isn't sick, they are maladjusted (through previous rationalizations or emotional internalizations of events and situations). Using a similar oversimplification, psychology sees many mental illnesses (note: not all) as a nurture problem (a learning/behavioral problem that has both an individual and social/cultural component).

There is a grey point in between these two, apparently competing points of view, which come up often in these discussions. What happens with schizophrenia? Or with a catatonic patient? A medical regime may assist in managing the symptoms, but without some measure of psychotherapy, the person will have a much harder time dealing with their inner situation. I doubt that something like psychoanalysis (or tools from psychodynamics) will work well, but perhaps a cognitive behavioral intervention might have a better success rate. Or even some of the tools from the Humanistic school of thought can help.

about a year ago

Is Choice a Problem For Android?

Justarius Re:choice doesn't *require* bad defaults (361 comments)

Android has 80% of the market because it's on everything. It's a reduced cost alternative for handset manufacturers that no longer have to develop and maintain their own OS (or pay for someone else's OS and wrap an interface around it). In "emerging markets", it's on phones that are practically given away with even pre-paid SIMs. Those lower end markets have very few options that the regional operators carry, and they make up a considerable chunk of that 80%. So let's not confuse ease of implementation for the handset manufacturer and/or carrier to that of consumer choice.

about a year ago

US Data Centers Wary of Sharing Energy Data With Feds

Justarius Re:The new 32 nanometer processors use less power. (101 comments)

What Intel and AMD don't tell you, however, is that while they shrink die size and increase performance (and increase performance != increase in GHz), they turn around and tell system manufacturers that the TPD is lower. For example, the 5300 Xeon family from Intel topped out at a 120w for most bins (there were a few 150w pieces at the end) and their thermal design was 60c. The 5400 Xeon family might use 120w top bin, 80w on the average bins - however, they lowered the TPD to 55c, meaning the system makers had to turn around and invest in different cooling strategies - meaning part of that savings in CPU draw came back as cooling costs for fans or specialized heatsinks (like the vapor-chamber heatsinks on certain blades, where this game is much more important).

Gut feeling: even though you might see a 20% - 25% drop in power draw from one family to the next, you real gain is probably more in the 10% - 15%. No numbers to back this up, just my gut feeling from doing consulting with a large number of clients.

Of course, those numbers are assuming you're running the system at it's top speed, there are tools out there that allow you simulate SpeedStep (to put it in words) on server CPUs, which lack that. If you adopt a power regulator like that, which can dial down the GHz rating on a server CPU by varying it's voltage, for all the servers that run applications that are seldom used after hours, you'll save a buttload (yes, that's a technical term) of cash in power costs, you'll be able to dial down your A/C at night as well, and be more green.

more than 6 years ago


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