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	<title>Comments on: Engaging vs. Escaping the Mental Health System</title>
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		<title>By: Will</title>
		<link>http://willspirit.com/2009/07/10/systemicchange/comment-page-1/#comment-39</link>
		<dc:creator>Will</dc:creator>
		<pubDate>Sun, 12 Jul 2009 23:31:52 +0000</pubDate>
		<guid isPermaLink="false">http://willspirit.com/?p=250#comment-39</guid>
		<description>Yes, it is striking how well our culture does when it comes to technological solutions, and yet how infrequently it comes up with good human ones. So we have algorithmically sophisticated and electronically complex imaging machinery, which allows us to recognize subtle changes in delicate brain structures. As another example, development of new drugs often involves computational modeling to propose chemical structures that might match specific proteins on nerve cells, in order to effect just the right changes in just the right neurons. (How well this process actually works in practice is questionable, of course; but it&#039;s a highly complex and informed approach.) Vast sums of money are invested to identify and alter the most miniscule and fleeting brain processes. 

At the same time, we provide the lowest pay, and almost zero training, to the staff that work day in and day out with the mentally impaired of all varieties (those with so-called psychiatric diagnoses, developmental disabilities, brain injuries, dementia, etc.). A well-educated staff may be in the background, checking on things occasionally, but those who do most of the hands-on work typically lack much instruction, as you no doubt know better than I do. And yet it is exactly such direct care that really makes the difference in a person&#039;s well-being. No medication or MR scan can substitute for kindness and directed attention. 

Does our society really value peace of mind? If so, then more resources would go to the things that truly work to bring comfort to people. Personally, I believe that our civilization places a high premium on control, and less of one on contentment. There seems to be greater distress, in our anticipation at least, involved in things spinning out of our hands than there is in the actual experience of illness. 

Perhaps we could tolerate more uncertainty with regards to outcome, in order to expend some resources toward peace in the moment. Not that I think research to prevent or reverse (for example) dementia is unimportant. But we would help more people feel better sooner with even a small shift in priorities toward face-to-face ministry.

I apologize for the long reply to your concise comment and astute observation. I really do like to write about this stuff, and tend to run off at the &#039;mouth&#039;!</description>
		<content:encoded><![CDATA[<p>Yes, it is striking how well our culture does when it comes to technological solutions, and yet how infrequently it comes up with good human ones. So we have algorithmically sophisticated and electronically complex imaging machinery, which allows us to recognize subtle changes in delicate brain structures. As another example, development of new drugs often involves computational modeling to propose chemical structures that might match specific proteins on nerve cells, in order to effect just the right changes in just the right neurons. (How well this process actually works in practice is questionable, of course; but it&#8217;s a highly complex and informed approach.) Vast sums of money are invested to identify and alter the most miniscule and fleeting brain processes. </p>
<p>At the same time, we provide the lowest pay, and almost zero training, to the staff that work day in and day out with the mentally impaired of all varieties (those with so-called psychiatric diagnoses, developmental disabilities, brain injuries, dementia, etc.). A well-educated staff may be in the background, checking on things occasionally, but those who do most of the hands-on work typically lack much instruction, as you no doubt know better than I do. And yet it is exactly such direct care that really makes the difference in a person&#8217;s well-being. No medication or MR scan can substitute for kindness and directed attention. </p>
<p>Does our society really value peace of mind? If so, then more resources would go to the things that truly work to bring comfort to people. Personally, I believe that our civilization places a high premium on control, and less of one on contentment. There seems to be greater distress, in our anticipation at least, involved in things spinning out of our hands than there is in the actual experience of illness. </p>
<p>Perhaps we could tolerate more uncertainty with regards to outcome, in order to expend some resources toward peace in the moment. Not that I think research to prevent or reverse (for example) dementia is unimportant. But we would help more people feel better sooner with even a small shift in priorities toward face-to-face ministry.</p>
<p>I apologize for the long reply to your concise comment and astute observation. I really do like to write about this stuff, and tend to run off at the &#8216;mouth&#8217;!</p>
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		<title>By: freda</title>
		<link>http://willspirit.com/2009/07/10/systemicchange/comment-page-1/#comment-36</link>
		<dc:creator>freda</dc:creator>
		<pubDate>Sun, 12 Jul 2009 19:41:01 +0000</pubDate>
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		<description>Will, you are so right about the kindness,possibly cognitive techniques and attention to spiritual and physical health being more effective for many people - this requires good staff,well-trained, which seems to be a stumbling-block in some facilities.</description>
		<content:encoded><![CDATA[<p>Will, you are so right about the kindness,possibly cognitive techniques and attention to spiritual and physical health being more effective for many people &#8211; this requires good staff,well-trained, which seems to be a stumbling-block in some facilities.</p>
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		<title>By: Will</title>
		<link>http://willspirit.com/2009/07/10/systemicchange/comment-page-1/#comment-35</link>
		<dc:creator>Will</dc:creator>
		<pubDate>Sun, 12 Jul 2009 16:36:08 +0000</pubDate>
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		<description>Thank you, Mark. You are right. One of the legacies of my upbringing is what usually gets called &#039;codependence&#039;, namely a strong tendency to deny my own needs in favor of other people&#039;s wants, necessities, or demands. Especially after all the hardship I&#039;ve endured these past ten years, it would not really have been fair to my psyche to put myself in such a onerous situation as training to be a psychiatrist. The programs took the decision out of my hands, more or less, but it&#039;s good to remember that I have a duty to myself as well as others. Besides, there are plenty of unhappy, over-stressed psychiatrists out there who may be ineffective just because of their own dissatisfaction with their positions. I would not want to end up like that. Best wishes.</description>
		<content:encoded><![CDATA[<p>Thank you, Mark. You are right. One of the legacies of my upbringing is what usually gets called &#8216;codependence&#8217;, namely a strong tendency to deny my own needs in favor of other people&#8217;s wants, necessities, or demands. Especially after all the hardship I&#8217;ve endured these past ten years, it would not really have been fair to my psyche to put myself in such a onerous situation as training to be a psychiatrist. The programs took the decision out of my hands, more or less, but it&#8217;s good to remember that I have a duty to myself as well as others. Besides, there are plenty of unhappy, over-stressed psychiatrists out there who may be ineffective just because of their own dissatisfaction with their positions. I would not want to end up like that. Best wishes.</p>
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		<title>By: mark p.s.2</title>
		<link>http://willspirit.com/2009/07/10/systemicchange/comment-page-1/#comment-34</link>
		<dc:creator>mark p.s.2</dc:creator>
		<pubDate>Sun, 12 Jul 2009 15:58:17 +0000</pubDate>
		<guid isPermaLink="false">http://willspirit.com/?p=250#comment-34</guid>
		<description>&quot;would I have been able to make more difference as a clinician?&quot; The question of your becoming a clinition or not, is for your own person quality of life. The numbers  of &quot;mentally ill&quot;, the poor or whatever group will exist without us.</description>
		<content:encoded><![CDATA[<p>&#8220;would I have been able to make more difference as a clinician?&#8221; The question of your becoming a clinition or not, is for your own person quality of life. The numbers  of &#8220;mentally ill&#8221;, the poor or whatever group will exist without us.</p>
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