Wow, that is too weird.
Some people are utterly unfixable or even improvable, but they are quite rare.
There are clients who are just too far gone, and they cannot be helped at all. It is as if the person were a ceramic bowl that was dropped on a hard floor. The bowl is now in 100 pieces, and the person who dropped it is on the ground looking at the pieces and throwing up their hands. “Where do I start?” he asks in exasperation.
All sociopaths and psychopaths are unfixable by their very nature. We can’t cure the sociopathy and psychopathy because they don’t want to get better. They enjoy being antisocial, and they do not wish to change. However, we can get them to change their behavior. For instance, a homicidal sociopath may show up in the office. A good therapist may be able to convince this sociopath that acting on their homicidal fantasies would be one of the stupidest things that they could ever do. This sociopath may then be able to go through life without killing an innocent person. So we can’t fix sociopaths, but we can change their behavior somewhat, tone it down, or reduce the amount of damage they do to society.
All paraphilias are unfixable by their very nature. The paraphilia quite literally will not and cannot go away. It’s etched in stone.
Schizophrenia is largely unfixable. They need a great deal of medication, and even then in most cases, they are repeatedly hospitalized. A few can go on to lead somewhat normal or even successful lives, but these people still need continuous medication and regular psychotherapy. In addition, they need frequent interventions to stay out of the hospital.
Many illnesses such as OCD, Bipolar Disorder and Chronic Major Depression are unfixable by psychotherapy. Most of these people will need medication for the rest of their lives. However, psychotherapy can improve their conditions a lot at least in the first and last cases.
Long-term suicidality is very hard to fix. It tends to become chronic with repeated attempts over the years. The suicidal person is typically defiant and is furious with you for challenging their suicidality. You are expected to sympathize with their condition, which is actually a very bad idea. Most suicidal people are what I would call “defiantly suicidal.”
Personality disorders are generally incurable. Theoretically, they could be fixed, but these people almost never present for therapy, and when they do, it is often at the behest of others, and they do not really wish to be there or get anything done. People with personality disorders, like sociopaths, literally do not want to get better. They like their personality disorder, and they are incredibly resistant to change. There are some case reports of cures of personality disorders, but in general the prognosis is grave.
I have never been able to fix long term low self esteem, and I have tried with a few people. There is something about that condition that hammers itself into the brain as if into concrete. I do not know why, but long-term low self-esteem seems to be one of the hardest psychological problems to fix. Why this is, I have no idea. Perhaps someone else can offer some ideas.
In many cases, long-term mental disorders simply cannot be fixed or cured. However, with psychotherapy and drugs, people can often get much better than they were before. We need to stop thinking in terms of cures and start thinking in terms of amelioration.
I realize that many clinicians insist that most people can be fixed or cured of long-term conditions, but I think they are lying. They are probably trying to drum up business. Many clinicians fear that if word got out that a lot of long-term mentally ill people cannot be fixed or cured, people would stop coming in for therapy. There goes their paycheck. Therapists are a lot more money-oriented than most people believe, and don’t let anyone tell you otherwise. I know this field very well.
Clinicians have nothing to worry about. Even if a lot of conditions could only be ameliorated and not fixed, I am sure a lot of folks would show up to try to get some improvement. Some mental disorders are so painful that any improvement feels like a miracle cure to the client. A lot of people have given up on being cured anyway, just want to at least get better and are quite happy to do so.
A new trick among surgeons is to take one operation and chopping it up into four smaller operations and double their money. There are actually popular seminars for surgeons showing them exactly how to do this. What a sleazy ripoff!
However, many other physicians frown on this scummy behavior. A physician who does this can lose their hospital privileges and get sued. When I worked as a paralegal, most of my time there was spent working on the defense of a sociopathic lowlife physician who did exactly that, and that was exactly what was happening to him. Local hospitals had revoked his privilege, and a number of his former patients were justifiably suing his crooked ass. And I was getting paid to legally defend this guy. It was morally trying to make a living defending slugs like this, but the money was good, and I sloughed off the guilt. Doubt if I would do it again though. Some jobs actually cause moral injury, in my opinion.
This arrogant dirtbag was suing the hospitals who had revoked his privileges! And we were helping him do that, and getting paid from his unlimited money supply in the process. The arrogance. I see narcissism, and it looks like some sociopathy too.
It’s not well known, but many physicians are controlled psychopaths. The field of surgery is full of them. And you wondered why so many surgeons have the reputation of being the worst arrogant physicians of them all. These professionals have learned to channel their sociopathy into quasi-legal avenues in order to become “legal criminals.” But these folks do a lot of damage. Look at our politicians corporate executives? Just how many are not controlled psychopaths?
I recently answered this question on Quora.
These personality disorders seem to carry a lot of social stigma, therefore are patients made aware of their diagnosis or does the therapist just continue behavioral therapy to treat the symptoms rather than informing them of the diagnosis?
I am not a psychologist. I am a counselor. I only work with one disorder, OCD, and I can quite accurately diagnose that condition, I assure you. Nevertheless, I am not allowed to give out legal DSM diagnoses. However, I can obviously give out my opinion on a diagnosis. I can also tell the person my opinion on what they do not have. For instance, I have gotten many clients with OCD who have been misdiagnosed with some sort of psychosis. I am an expert at telling the two apart. I simply tell them that in my opinion, they are not psychotic. Then I tell them to fire your clinician and go get a new one that will recognize the difference between OCD and psychosis (many clinicians are very poor at telling these apart).
Other than OCD/psychosis, I also have to make differential dx on OCD/sociopathy, violent thoughts, etc., OCD/pedophilia, pedophilic thoughts, etc. and OCD/homosexuality. In a limited number of cases, I told clients that in my opinion, they did not have OCD but instead had some psychotic disorder, or sociopathic traits, or pedophilia, or that they were homosexuals. Most of this differential dx is pretty straightforward.
I have never had any narcissistic clients, God forbid clients with NPD. One thing nice about working with OCD clients is that they are usually very nice people. Not all of them, mind you. But if they are not nice, there is often some other reason, for instance, Borderline Personality Disorder in an OCD client could possibly make them impossibly vicious, cruel, unstable, not to mention extremely crazy, far crazier than any OCD sufferer ever gets.
OCD by its very nature strikes nice people. The fact that they are so nice, meek and kind is actually one of the main reasons that they have the disorder in the first place! For the most part, only nice people get it, and the nicer you are, the more likely you are to get it. I will leave it at that for the moment and give you a chance to think of why that might be. I know why but it goes beyond the scope of this post at the moment.
But in general, I never even give my opinion on other anxiety disorders or on any mood disorders or personality disorders. I only rarely see clients who have psychotic disorders, and the two that I have seen were already diagnosed. I also very rarely see people with personality disorders, and the few that I have seen were all females with Borderline PD diagnoses. I did see one woman for two sessions with obvious Borderline Personality Disorder, but I had not figured it out yet in the first session, and by the second session, I declined to diagnose her. She has already been diagnosed by a psychiatrist from afar anyway. So apparently I am guilty of failing to dx a Borderline PD client.
The session was about her OCD, not her BPD and she was very nice through the whole session. It would have ruined the whole thing if I told her she had BPD, and I doubt if she would have accepted it anyway. At any rate, I am not allowed to give legal dx’s anyway, so it’s apparently proper for me not to diagnose someone!
That only comes up if there is differential diagnosis. I simply say that I not only can I not legally give these out but that I am not qualified to work with any condition other than OCD, which I can actually work very well with. If they want me to work on their depression or whatever, I tell them that I have no expertise or training in that area so I can guarantee nothing and it would be similar to talking to a friend or family member.
If I were able to give out diagnoses, I think I would simply give them out in most every case. Possibly if it might make a suicidal patient go over the edge, I might decline to give one out. But I will disagree with the clinicians below. In my opinion, physicians and other medical professionals in addition to all licensed clinicians should give out whatever diagnosis is appropriate. I feel it is a moral matter. The patient or client is simply owed a diagnosis on the part of the clinician or MD and I feel it would be remiss of the clinician or MD not to tell the patient what is wrong with them, and I mean everything that is wrong with them.
This is just my personal opinion and I believe there no ethical rules on the subject. Also I respect the clinicians below for not giving out diagnoses in cases where it would not be helpful. I simply feel that this is a case were morals or even the categorical imperative trumps pragmatics or even common sense.
Felt tightness in my chest. I was wondering if my blood pressure was going up (I have hypertension) or I was getting heart problems. Then I figured it out. I had the window open and there is so much damn smoke from all the fighting going on outside that the smoke was coming in my window and giving me an asthma attack!
Hope the battle is over soon.
Secret Service had to show him the way back to his car. Too bad they didn’t direct Lord Marmalade straight to the nearest busy highway.
He did the same thing at a recent European conference. He got confused and someone had to show him where the exit to the stage is.
The car was right in his ugly orange face and he walked right by it. As if there might be some other limo parked right outside Airforce One. “I’m sorry, Mr. Trump, this limo is for Elon Musk. Yours is over there.”
Jesus Christ! Grandpa has dementia! Man, that’s really scary thinking this sundowning old man has the nuclear codes! Gramps is getting to the point where he needs a full-time caregiver. He never was very smart to start with, but now he has the attention span of a goldfish and the IQ of a french fry.
That’s crazy. People around the Net are saying that that was the first symptom that their grandmother or grandfather showed of dementia – wandering off exactly like this.
Is there some way we could help this guy wander right off the face of the Earth? Too bad the Earth isn’t flat like most of his supporters believe, huh?
Trump for Prison 2017!
In 1991, after the Soviet archives were opened, a wild debate raged in the journals for many years. The subject of the debate was how many people did Joseph Stalin kill. Most people assume that Joseph Stalin killed 20 million people at the very least. That figure is considered unassailable. Other figures of 40-60 million are considered to also be possible.
The fascist hero and traitor Solzhenitsyn said that Stalin killed 110 million people. We have little data about how many were killed by early Bolsheviks in peacetime. Much of their time was spent in a brutal Civil War and there were many deaths associated with that. There was also a brutal famine that occurred in the context of war. But all indications are that the Leninists were not responsible for a lot of deaths. I would be surprised if they killed 100,000 people in 10 years. From 1926-1953, we have readily accessible data however.
Deaths Executions 900,000 Anti-Kulak Campaign 400,000 Gulag 1,200,000 Total 2,500,000
I am leaving out deaths during wartime here, as we should not be counting those. However, there were some serious population transfers during World War which ended about 10 years later. The death tolls from these transfers were very high. Populations in the Baltics, Crimean Tatars, Chechens, Ingush and other Caucasian people were transferred, sometimes en masse, to gulags in Siberia. Death tolls were extremely high. I am not sure whether to include these totals, so I am leaving them out. Anyway, I do not have a good source for the deaths.
Surely there were executions and deaths in the gulags after 1943, but after Stalin died, the system was very much loosened up under Khrushchev and certainly under his followers. I doubt once again if there were 100,000 people killed between 1953-1989, a 36 year period.
I am also leaving off deaths due to famines because there is no evidence that these famines were artificially engineered. The most famous fake famine of all, the fake Holodomor, simply never even happened. What I mean was, yes, there was a famine, and many people died – 5.4 million in fact. But those deaths were not all in the Ukraine. Many died in the cities and 1 million died in Siberia. The death toll was higher in the fanatically pro-Stalin Volga than it was in Western Ukraine.
Even in Ukraine, the deaths were as high in the pro-Stalin East as in the anti-USSR nationalist West and Center. There is simply no evidence whatsoever that any “terror famine” occurred at all. There was simply a famine that occurred for a variety of causes, mostly a simple harvest collapse. Most died of disease instead of starvation. Much of the death toll was due to the kulaks.
The kulaks killed 50% of the livestock in the USSR to keep them from being turned over to the state. In the famine year, wheat fields were torched all over the Ukraine. Harvests were piled in the fields and left out to be rained on until they spoiled. Much of the crop failure was due to these dumbasses setting their fields on fire or piling harvests in the rain to spoil. They destroyed all their food crops, and then they sat around and said, “We ain’t got no food!” Duh. Reminds me of the situation in Zimbabwe when the Blacks destroyed all the White farms and drove the farmers out of the country and then all the Blacks sat around and said, “Whoa! We ain’t gots no food! Someone please gibs us some food! We hungry!”
There was an armed revolution in the Ukraine with 20-30 armed attacks per day. Collective farms were attacked and set on fire. Workers in the collective farms would be shot and the women would be raped. This went on all through the years around the famine. The state crackdown was very brutal and that is why I listed 400,000 deaths during this time. If you want to count those 400,000 as “Holodomor” deaths, be my guest. But it ain’t no 6 million and there was no terror famine.
Look, if anti-Communists want to go on and on about Stalin killing 2 1/2 million people, please knock yourselves out. But they’ll never do that because it’s not sensational enough. You say the phrase “20 million killed in Communism” and everyone sits up and takes notice. You say Stalin killed 2 million and most will yawn and ask, “That’s all?” and turn back to the TV show.
This crap is all about propaganda. It’s not about real history or social science of any of that. It’s about lying for political purposes, which is what most of modern history is anyway.
How shameful that is.
The standard view is that twelve ships from Florence docked at Messina in 1347, bringing the Plague to Europe. It would later kill 1/3 of all Europeans and an incredible 20% of all humans. It would be as if 1.6 billion people died in only seven years or as if 66 million Americans died over a seven year period. Can you imagine? In my city alone, 12,000 people would be dead. Of every five people you knew at the start of the period, one would be dead after seven years. Can you imagine? That would not have left one person unscathed.
A new view though is that the Plague, which had already been active in Asia for a while, came to Europe via a biological warfare attack by Genghis Khan’s raiders on the city of Caffa in the Crimea. The Caffans were probably Turkic speakers at this time, but it is hard to say what Turkic lect they may have spoken. Perhaps a dead language called Cuman.
Khan’s raiders besieged the city and a number of people died of the Black Plague in the conflict. Khan’s men suspected a thing or two about biological warfare, so they loaded up the bodies that had died of the plague and catapulted them over the walls of the city into the population. Can you imagine the horror of looking out your window and see a dead, bubonic plague ridden corpse fly by in the air at rapid speed to splatter nearby. Good Lord. In due time, this biological warfare killed a lot of the people in the city.
Khan knew nothing of the germ theory of disease, but experience with the plague showed that those who came in contact with victims tended to sicken and die. No one knew what was causing it. One European physician posited that plague victims radiated some sort of death vapors or essence out of their very eyes. Without medical science, people had to fall back on spiritual theories.
But people caught on quickly that being around plague victims could quickly make you a victim yourself. Physicians refused to treat plague patients and patients were often abandoned wherever they sickened. Family members even fled from their own sickened members, leaving them to die in the home while countless people fled to the countryside. But even there they were not safe. Even farm animals, cows, pigs, goats and sheep, caught the plague. So many sheep died that there was an acute wool shortage all over Europe for years afterwards. There was no solace or respite anywhere. The epidemic ended almost as fast as it began in 1354, but Europe was ruined. Entire cities had been abandoned as thousands of residents fled to the false safety of the countryside.
Many people escaped from Khan”s raid on Caffa, and survivors fled all over the Mediterranean. This people soon sickened and died. It was possibly from some of this group, fled to Florence, that the ill-fated death ships docked in Messina on that warm October night. The disease was in Southern France the next year and Germany soon after that. Not long afterwards, it hit Paris. And despite the primitive conditions of the day, it was not long in Paris before London was also hit. People did have ships in those days you know.
Despite the enticing new theory, the medical journal concludes that the entrance of the Plague to Europe was multifactorial and the infection of the Caffa population did not play an important role in the European pandemic.