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Forum: Off Topic
Thread (Discussion): Really Stupid Things
Message 122985
Posted by lj
on Dec 12, 2003 12:50 PM | Also by lj
| Gender: Male,
Age Bracket: 30 - 39,
State: California,
Country: United States |
http://www.psychoheresy-aware.org/cameron11_6.html
REALLY STUPID THINGS
by Dr. Paul Cameron
--------------------------------------------------------------------------------
Modern psychiatry and clinical psychology came out of "treatment" of those who were obviously "nuts." That is, people who heard strange noises, bothered their neighbors with no account disturbances, or who were unreasonably depressed (e.g., suffering from schizophrenia, bipolar, or dysthymic [long-term depression] disorders).
The professions of psychiatry and psychology claim great things (e.g., we understand how people tick) and demand great things (e.g., psychologists should be included in all health-care insurance and should be permitted to write prescriptions—after all, mental health is as important as physical health). Attempts have been made to include mental health practitioners in Federal insurance plans. And rather than being made up of witch-doctors—as some allege—the "mental health care" profession claims to rely upon "scientific findings" to devise and carry out its treatments.
A basic question, and one that I have mentioned before, is "does all this ‘therapy-stuff’ work?" that is, what happens if we apply the FDA standard of "safe and effective" to the treatment of mental illness? Well, lo and behold, the political body of King County, Washington (where Seattle is located) has demanded just such an accounting—at least in part.
There a law has been passed that demands an annual accounting of just how well these "scientific" treatments work. The goal of the politicians was fairly similar to what was sought in the 1850s under the reformer Dorthy Dix. Then, resumption of social functioning was the goal. Now it is "Recovery emphasizes the restoration of self-esteem and on attaining meaningful roles in society." The "restoration of self-esteem" is, of course, a new requirement.
Nonetheless, the accounting is in. For 2001, 7,831 patients were treated by the staff of the King County mental health system (at a cost of $90 million or roughly $11,500/patient). The results documented that 6,949 (88.7%) showed no improvement, 597 (8%) showed some improvement, 285 (4%) regressed, and four (.05%) recovered.
This is "scientific success"?
During the 20th century, under the reforms of Dorthy Dix, mental hospitals that emphasized basket weaving, working in the fields, and listening to preachers had "cure" rates north of 80%. But that was before "scientific" practitioners came along.
Look at the numbers above. It seems unlikely that the 8.1% improved or recovered exceeds spontaneous remission! In fact, I have a suspicion that the 8.1% rate is below spontaneous remission. Yet the professionals who managed to "achieve" this outcome, in one of the more progressive locales with one of the most generous budgets, dare to tell us how to live our lives, have our marriages, and—in particular—the correct philosophy of life.
We justly scoff at people who pay witch doctors to make dolls of their enemies and pierce those dolls with pins. "How silly," we say, "dolls are not people, and no matter what you do to dolls, it won’t make any difference in the real world." Yet modern witch-doctors—those who extol the primacy of feelings (e.g., do you have good "self-esteem," "do you feel good about yourself") and tout the importance of people "following their hearts"—are magnifying their influence over common thought and social policy.
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Message 123369 (In Reply to Message 122985)
Posted by mouseinawheel
on Dec 19, 2003 09:22 PM | Also by mouseinawheel
| Gender: Male,
Age Bracket: 30 - 39,
State: N/A,
Country: United States |
Cameron is a fringe whacko whose data fall's apart almost immediately under any sort of rigorous scrutiny. He’s part of a defined anti-gay right wing agenda and much of what he writes borders on hate speech, not to mention being factually implausible in the extreme. I’d take anything he writes with about a metric ton of salt, particularly any statistics he cites, as they’re almost always generated by studies done by the “Family Research Center” which he owns and runs. They have never once withstood even casual peer review.
http://www.wcuweb.com/Documents/WCULITERATURE/childmolestation.htm
His thoughts on child molestation and how, in his opinion it’s just a logical extension of homosexuality. I quote below from his conclusion:
Not only is the gay rights movement up front in its desire to legitimize sex with children, but whether indexed by population reports of molestation, pedophile convictions, or teacher-pupil assaults, there is a strong, disproportionate association between child molestation and homosexuality. Ann Landers' claim that homosexuals molest children at no higher a rate than heterosexuals do is untrue. The assertion by gay leaders and the American Psychological Association that a homosexual is less likely than a heterosexual to molest children is patently false.
Now there’s a mountain of research about as high the Empire State Building that has shown repeatedly that heterosexuals and homosexuals molest children at about precisely the same rate. If you can accept the above quote as logical and using valid data, then I’d consider the article you posted as anything other than silly propaganda. Personally I can’t do that.
--Mouse
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Message 123393 (In Reply to Message 123369)
Posted by Silverthorne
on Dec 20, 2003 08:41 AM | Also by Silverthorne
| Gender: Male,
Age Bracket: N/A,
State: Arizona,
Country: United States |
Boy a comment like that about gays proves this guys is a right wing nutcase. That Family Research Council is a front for the Christian Coalition. They should keep their religion to themselves and stay out of my government.
Silverthorne
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Message 123408 (In Reply to Message 123369) Mouse
Posted by lj
on Dec 20, 2003 10:44 PM | Also by lj
| Gender: Male,
Age Bracket: N/A,
State: California,
Country: United States |
So using your logic here concerning Dr. Cameron, I have to also disavow all of Alfred Kinsey's studies on sexuality.
In Kinsey's study titled "Sexual Behavior of the Human Female" he concluded,
"When children are constantly warned by parents and teachers against contacts with adults, and when they receive no explanation of the exact nature of the contacts, they are ready to become hysterical as soon as any older person approaches, or stops and speaks to them in the street, or fondles them, or proposes to do something for them, even though the adult may have had no sexual objective in mind. Some of the more experienced students of juvenile problems have come to believe that the emotional reactions of the parents, police officers, and other adults who discover that the child has had such a contact, may disturb the child more seriously than the sexual contacts themselves. The current hysteria over sex offenders may very well have serious effects on the ability of many of these children to work out sexual adjustments some years later..."
Since this idea isn't accepted by "experts" today as having much validity, I guess I have to label Dr. Kinsey as a whacko. Who knows who these "some of the more experienced students of juvenile problems" actually were that Kinsey quoted from?--so it apparently, following your logic, brings about the necessity to pretty much ignore all of his other works as a result.
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Message 123619 (In Reply to Message 122985) King County's 2002 report
Posted by lj
on Dec 23, 2003 01:05 PM | Also by lj
| Gender: Male,
Age Bracket: N/A,
State: California,
Country: United States |
Here is a report from King County following up a year later and referencing the same report that Dr. Cameron quoted, The 2002 statistics aren't much better. Since you've written off Dr. Cameron as a wacko, you'll have to do the same with the King County Department of Community and Human Services.
http://www.alternativementalhealth.com/articles/kings.htm
"The following annual report from King County, Washington, home of the city of Seattle, shows how psychiatric drug treatment does not lead to recovery. Of over 9300 patients treated by the county in 2002, only 5 individuals recovered. The report for 2001 is similar.
KING COUNTY DEPARTMENT OF COMMUNITY AND HUMAN SERVICES
Mental Health, Chemical Abuse and
Dependency Services Division
King County Ordinance #13974
Second Annual Report: Recovery Model
BACKGROUND
The Metropolitan King County Council passed Ordinance #13974 on October 16, 2000. This ordinance is designed to promote recovery as an achievable outcome for adult consumers of the publicly funded mental health system in King County. The ordinance recognized that recovery is both a treatment philosophy and a process characterized by consumers moving toward participation in age-appropriate roles, including living independently, working, and having less dependence on the mental health system.
The ordinance required the Mental Health, Chemical Abuse and Dependency Services Division (MHCADSD) to submit:
A report in April 2001 that described steps the Division would take in redirecting the system toward recovery outcomes A written annual report to the Council that describes the performance of the mental health system toward achieving recovery outcomes, with calendar year 2001 as the evaluation baseline period.
This report addresses the second requirement.
REPORTING REQUIREMENTS
The ordinance stipulates the population MHCADSD is expected to evaluate on an annual basis. The population of interest is consumers who:
Received outpatient benefits or residential services during the previous calendar year
Were aged 21-59 years during the reporting period Completed at least one benefit period during calendar year 01/01/2002 - 12/31/2002
The ordinance provides definitions of "recovery categories". These definitions are:
Dependence and dependent: experiences significant disability, is not employable, is served the MH system, has a Global Assessment of Functioning (GAF) score of 50 or below
Less dependence and less dependent: some disability, progress toward recovery, improved self-esteem, enhanced quality of life, a GAF score between 51 and 80 Recovered:
Ø is engaged in volunteer work, or pursuing educational or vocational activities, or employed full or part-time, or engaged in other culturally appropriate activities, and Ø lives in independent or supported housing, and Ø is discharged or receiving infrequent maintenance services, and Ø has a GAF score of 81 or above
OUTCOMES AND ANALYSIS
In addition to evaluating consumers' recovery status, the ordinance requires MHCADSD to specifically evaluate certain outcome measures. These outcomes, which are central to principles of recovery and indicate involvement in adult life roles, are:
· Level of functioning
· Employment
· Housing
MHCADSD was able to use the existing consumer database when measuring performance on these outcomes.
The ordinance includes a set of six questions that must be responded to in the annual evaluation of recovery outcome performance. This section provides an analysis of outcomes achieved from outpatient benefits during 2002. Although the 2001 report included an analysis of outcomes achieved from long-term Rehabilitation (LTR) benefits, we are removing that analysis from this report. During 2002 an LTR benefit, unlike outpatient benefits, did not include a specified term or requirements for benefit renewal. This benefit serves some of our most severely mentally ill consumers, many of whom were discharged from institutions. Most consumers served with an LTR benefit receive this level of care for an extended period of time, so there is insufficient outcome data from which to draw valid conclusions.
Outcomes: The definitions and perameters described in the ordinance were used to develop a database that includes information on 9,302 adults who completed a tier benefit during calendar year 2002. There is an increase of 1,471 people in this year's data set from the previous year, because there are more people enrolled in the outpatient system and overall data quality has improved. The table and charts that follow respond to each of the questions found in ordinance language.
Table 1 responds to questions 1-4
Table 1. Change in Recovery Status for people served with outpatient tier benefits
Ending Recovery Category
Starting Recovery Category Dependent Less Dependent Recovered Total
Dependent 6,433 573 1 7,009
Less Dependent 561 1730 4 2,295
Total 6,994 2303 5 9,302
Question 1 asks: How many consumers at the beginning of their benefit period were categorized as dependent, or less dependent. Of the 9,302 consumers:
· 7,009 (75%) began their benefit as dependent
· 2,295 (25%) began their benefit as less dependent
Question 2 asks: How many consumers at the end of their benefit period were categorized as: dependent, less dependent, recovered and receiving maintenance level of services, recovered and discharged, or left services for another reason. Of the 9,302 consumers:
· 6,994 (75%) ended their benefit as dependent
· 2,303 (25%) ended their benefit as less dependent
· 5 (<1%) ended their benefit as recovered
3,009 consumers left services. Of these:
· 1,955 (65%) were dependent at exit
· 1,048 (35%) were less dependent at exit
· 5 (<1%) were "recovered" at exit
Question 3 asks: By "recovery category", how many consumers
progressed, regressed, or remained unchanged.
7,009 clients began their benefit period as dependent. Of these:
· 6,433 (92%) remained dependent at the end of their benefit
· 573 (8%) progressed to less dependent
· 1 (<1%) progressed to recovered
2,295 clients began their benefit period as less dependent. Of
these:
· 561 (24%) regressed
· 1,730 (75%) remained unchanged
· 4 (<1%) progressed to recovered
Overall, of the 9,304 consumers:
· 561 (6%) regressed
· 8,163 (88%) remained unchanged
· 580 (6%) progressed
Question 4 asks: For those consumers who changed, what was
the extent of progression or regression (by recovery category)?
Of the 7,009 consumers who began their benefit as dependent:
· 573 (25%) improved by one recovery category
· 1 (<1%) improved by two recovery categories
Of the 2,295 consumers who began their benefit as less
dependent
· 4 (<1%) improved by one recovery category (recovered)
Question 5 asks: What percent of consumers have improved
housing compared to the beginning of their benefit period?
Note: the category labeled "All Diagnosis" is inclusive of all
consumers.
1,944 consumers had the potential to improve (i.e., did not begin
their benefit with the residential status of "independent"
housing - the highest housing "level"). Of these:
· 18% (n = 74) of the consumers with a diagnosis of
schizophrenia improved their housing status during the course
of their benefit
· 28% (n = 115) of those diagnosed with depression improved
· 23% (n= 9) of those diagnosed with dysthymia improved
· 28% (n = 86) of those diagnosed with bipolar disorder improved
As an overview, 22% of all individuals with potential to enhance
their residential status showed improvement by the end of their
benefit, regardless of diagnosis.
Question 6 asks: What percent of consumers have improved
daily activities compared to the beginning of their benefit
period?
5,417 consumers had the potential to improve (i.e. did not start
their benefit with the highest level of activity status). Of these:
· 28% (n = 1,090) of the consumers diagnosed with
schizophrenia had improved activity status
· 28% (n = 1,301) of the consumers diagnosed with depression
improved
· 26% (n = 204) of the consumers diagnosed with dysthmia
improved
· 28% (n = 936) of the consumers diagnosed with bipolar
disorder improved
As an overview, 28% of all consumers with potential to improve
their activity status showed improvement by the end of their
benefit, regardless of diagnosis.
While few consumers reached the status of recovered, many
more did demonstrate progress toward recovery. Of the 9,272
consumers included in this report:
· 5% (n = 427) improved their residential status
· 16% (n = 1,501) improved their activity status
· 29% (n = 2,998) have an improved GAF score, OR and improved
residential status, OR an improved activity status. Each of these
elements is used to provide the composite definition of
"recovered" in the ordinance.
Conversely, 22% had a decline in their GAF score, OR a
decreased residential status, OR a decrease in their activity
status. It is not clear whether improvement or deterioration in
the outcome measures relate to the cyclical nature of mental
illness, treatment effect, or other factors.
DISCUSSION
Consumer impairment: The funding for mental health services in
King County is primarily established by the state legislature.
The legislature has decreased the level of funding to King
County in the last two sessions, which will result in a $50 million
reduction over a six year period. Reductions of this magnitude
have necessitated modifications to the mental health system,
including reducing access to people without Medicaid benefits.
In addition, the State Mental Health Division is closing wards at
the state hospital, resulting in clients returning to the
community who are more impaired than in the past. The mental
health system is also reaching out to persons being released
from jails and prisons who need treatment for mental illness.
Each of these factors suggests King County is serving clients
who have a number of characteristics that create considerable
challenges for the outpatient system.
Data considerations: This report provides recovery status
information about a portion of individuals who received publicly
funded mental health services in King County. Overall, 33,246
individuals were served by the King County mental health
system during 2002. (See Attachment 2) Ordinance # 12974
specifically required information about individuals who
completed a benefit during the previous calendar year. Report
criteria, therefore, exclude certain individuals from the analysis
of outpatient benefits. These individuals are:
· persons younger than 21 and older than 59 years of age
· persons who received "carve-out" , crisis, or inpatient services
only
· persons who did not complete a benefit
· persons for whom incomplete or invalid data was submitted
regarding their housing and/or activity status
Diagnostic considerations: Ordinance # 13974 required outcome
reporting about consumers with specified diagnoses
(schizophrenia, depression, dysthymia, and bipolar disorder). In
2002, approximately two-thirds of consumers were classified
with these diagnoses. Details about diagnostic classifications
used for this report are available upon request.
Proportion of consumers residing in independent housing: Our
analysis revealed a large portion of consumers residing in
independent housing (7,384, or 72%, at the beginning of their
tier benefit, and 7,883, or 77%, at the end). This means that only
2,892 of the consumers analyzed for this report had the
potential to improve their housing. However, there are
mitigating factors to consider:
· Consumers may choose to live independently to avoid the
rules, expense, or social closeness required of persons residing
in supervised living situations.
· Some group living situations will not admit low functioning
persons with problematic behaviors and/or histories.
· Although people may be categorized in the data set as
"independent", in fact they may be receiving significant support
from their family, treatment providers, and other community
members, which can help an otherwise low-functioning person
to live on his/her own.
· A count of consumers living in various residential "levels" does
not address whether the consumers are satisfied or successful
in maintaining their housing.
Implementation of the "Recovery Model": Although challenged
by numerous factors, MHCADSD, providers, and consumers have
made inroads toward reshaping attitudes and beliefs about the
potential for consumers to recover from mental illness. Three
specific initiatives are described below:
Recovery Conference: In September 2002, MHCADSD sponsored
a conference: "Creating a Culture of Recovery" in partnership
with the Greater Seattle Chapter of the Washington Advocates
for the Mentally Ill and United Behavioral Health. Over 200
consumers, advocates, providers, administrators and public
officials attended the full day conference. Workshops included
discussions on establishing a definition for recovery; consumer
and family responsibilities; voices of recovery (consumer lead
panel in which consumers shared their own recovery stories);
recovery in the delivery of services; and innovations and
commitment to recovery for organizations and systems.
Vocational Services: In recognizing that employment is one of
the pillars of recovery for people with mental illness, MHCADSD
dedicated funds in 2002 to support the development of
vocational programming. A vocational services plan for clients
enrolled in the King County Mental Health Plan was developed.
The plan incorporated significant input from consumers and
other stakeholders, including vocational services staff working
in mental health agencies and other vocational experts, and
includes the following elements:
· A reorientation of the MHCADSD mission statement to
emphasize the value of vocational services and the commitment
to support clients in their pursuit of employment
· Education of all parties regarding mental illness and work,
including clients, line staff, medical staff, and management
· Development of policies and procedures to support vocational
services
· Assurances that vocational services will be based upon
evidence-based practice
· Development of Regional Employment Services and Placement
Centers (RESPC) to provide a full array of supported employment
services, including motivational enhancement groups, long term
employment supports and peer support activities.
· Application to the Department of Vocational Resources for
Innovation and Expansion start-up funds for the centers
described above
Vocational initiatives planned for 2003 include issuing a
Request for Proposal (RFP) and a subsequent contract for
establishment of the RESPCs, and developing a system-wide
educational process that builds on the Recovery Conference
and focuses on employment and mental illness.
Residential Services and Supports: The MHCADSD reviewed its
residential services policy during 2002. This process was
informed by two studies that were completed during the
summer and fall of 2002:
1. The residential services study focused on the licensed
residential facilities funded by the MHCADSD and the supported
living programs serving MHCADSD clients. The purpose of the
study was to identify the skills and supports clients need in
order to live in supported (non facility-based) housing.
2. The second study analyzed the readiness of consumers to
move from facility-based to more normative housing including
options featuring greater independence, and found that 30% of
people residing in facilities appeared to be ready to move to
less restrictive housing.
In December of 2002 the MHCADSD drafted a statement of
policy intent for residential services. The new policy is based on
maximizing client independence, meeting each client's
individualized needs, assuring informed client choice, providing
services that support clients in their recovery, and funding
flexibility. In a significant departure from the previous
residential policy, the MHCADSD will gradually shift resources
away from facility-based housing and develop an increasing
number and variety of supported housing programs. Funding for
over 300 residential beds will be phased out over the next three
to five years and redirected to services that support consumers
to live in independent housing. National evidence based
research and local findings indicate that most clients want to
live on their own (with supports) in normative housing and that
supported housing models result in more positive outcomes for
clients than highly structured group housing models.
Housing initiatives planned for 2003 include working with
stakeholders to implement the new housing policy.
CONCLUSIONS
Ultimately the success of a recovery-based model of care can
only be assured through full commitment and participation by all
stakeholders. Each must embody the belief that persons with
mental illness can and will recover if necessary individualized
supports are available to them. Although the publicly funded
mental health system in King County - and across the United
States - is stressed due to reductions in budgets that fund
mental health services, the system must still strive to build a
culture focused on principles of recovery. Over the past year
MHCADSD has worked to build the foundation for a recovery
model through the initiatives described above. The level of
participation and support from stakeholders clearly shows that
this is a shared vision and effort.
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Message 123736 (In Reply to Message 123408) I think I may have been unclear
Posted by mouseinawheel
on Dec 24, 2003 07:08 PM | Also by mouseinawheel
| Gender: Male,
Age Bracket: N/A,
State: N/A,
Country: United States |
So using your logic here concerning Dr. Cameron, I have to also disavow all of Alfred Kinsey's studies on sexuality.
Erm, I don’t think the logic follows at all, but I’m willing to discuss it.
In Kinsey's study titled "Sexual Behavior of the Human Female" he concluded,
"When children are constantly warned by parents and teachers against contacts with adults, and when they receive no explanation of the exact nature of the contacts, they are ready to become hysterical as soon as any older person approaches, or stops and speaks to them in the street, or fondles them, or proposes to do something for them, even though the adult may have had no sexual objective in mind. Some of the more experienced students of juvenile problems have come to believe that the emotional reactions of the parents, police officers, and other adults who discover that the child has had such a contact, may disturb the child more seriously than the sexual contacts themselves. The current hysteria over sex offenders may very well have serious effects on the ability of many of these children to work out sexual adjustments some years later..."
Since this idea isn't accepted by "experts" today as having much validity, I guess I have to label Dr. Kinsey as a whacko.
No, I’d label Kinsey as happening to be wrong. Kinsey isn’t exactly considered to have what I’d think of “tight” methodology. He’s remembered for being a trailblazer not afraid to study sexuality in the US, not for being a particularly good researcher. The difference here is that Kinsey gathered some data (Although his methods were clearly questionable at best) and came to some flawed conclusions. Cameron, on the other hand, starts with a philosophy and attempts to find facts that drive towards his philosophy.
That’s a vast ethical difference.
Who knows who these "some of the more experienced students of juvenile problems" actually were that Kinsey quoted from?--so it apparently, following your logic, brings about the necessity to pretty much ignore all of his other works as a result.
You’re making some sort of assumption that a bad conclusion makes a bad researcher and that’s simply not the case. Every researcher is going to make mistakes, both in gathering data and drawing conclusions from it. That’s why we have peer review. I don’t object to Cameron’s philosophy, he’s entitled to believe whatever he likes. I object to his methods of gathering data, and his creation of a construct to create research that meets his philosophy.
I’d want anyone’s work peer reviewed before I’d accept it as fact. Freud, Jung, Kinsey, Schwartz, Salter, Skinner, whomever. People that don’t submit their work to that scrutiny do so for a reason. I’m not willing to stipulate that anything they draw upon is accurate without that process.
This isn’t an ad homonym endeavor. I don’t care if someone is a complete idiot or has a specific agenda or whatever. If we found an old bit of research that Adolf Hitler had performed and the data held up to peer review I’d accept it. I mean hell, when we look at Freud’s work we’re dealing with someone who thought Cocaine was a fine anti-depressant and wonder drug. Doesn’t mean his data is automatically bad however.
I posted the little bit about Homosexuality just to point out Cameron’s obvious bias, not to discredit him. If you are ok with that bias and accepting non peer-reviewed work as fact that’s fine. I’m certainly no final arbiter of truth on any matter.
--Mouse
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Message 123746 (In Reply to Message 123736) Response to Mouse
Posted by lj
on Dec 24, 2003 11:09 PM | Also by lj
| Gender: Male,
Age Bracket: N/A,
State: California,
Country: United States |
I'm neither here nor there with Dr. Cameron's beliefs about homosexuality--and it has no relevance whatsoever to the original article I posted here at all. Your bringing it up in your first response makes me wonder what your bias is.
I also have posted the completed 2002 report to reference Dr. Cameron's statistical quotes as being not of his own---he is merely quoting findings by the King County Department. The 2002 report points back to the 2001 findings and further shows the progression that things are statistically not on the good foot still as far as overall recovery rates go in that system.
I also don't quite buy into the thought of Dr. Kinsey not having any pre-conclusions before researching data. It is a rare person who can look at anything without some sort of "filter" to judge things by.
Peer review has both its benefits and its weaknesses. It'd be easy to say that it's elitist in some facets. It's not too difficult to prove that some "authorities of particular subjects" like to hold and maintain a rein on their authority and positions in their fields. Look at the battles that went on when the AIDS virus findings were just coming out. Egos got in the way of "experts" who were bringing their conclusions out to the scientific world at the time. This also happens in other fields of science and endeavor.
I would agree that Dr. Cameron's point that ALL therapy isn't valid as a result of just this one study is not conclusively set enough in concrete to my satisfaction to support his basic premise in this article.
I know, from your posts here, where you stand on Dr. Cameron. I have no idea whatsoever what your views are of the article itself, though. You slid past it and did, in fact, use language towards him that does imply some sort of ad hominem attack of sorts.
Very similar to Albert Ellis' approach to religion in his writings about Rational-Emotive therapy. He emphasizes being rational in thought until he gets on the "religion bandwagon." Then his language gets very biased. Dr. Ellis tosses out his own theory when he writes about the subject of religion.
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Message 123758 (In Reply to Message 123746) No offense, LJ.
Posted by orolan
on Dec 25, 2003 04:44 AM | Also by orolan
| Gender: Male,
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Hmmm.
Cameron closes with Yet modern witch-doctors—those who extol the primacy of feelings (e.g., do you have good "self-esteem," "do you feel good about yourself") and tout the importance of people "following their hearts"—are magnifying their influence over common thought and social policy.
I don't see any mention in his piece referencing the use of drugs in psychotherapy and their effectiveness or lack thereof. But the cited study by King County clearly states The following annual report from King County, Washington, home of the city of Seattle, shows how psychiatric drug treatment does not lead to recovery. Of over 9300 patients treated by the county in 2002, only 5 individuals recovered. The report for 2001 is similar .
And the website you cited is "alternative"mentalhealth. Alternative as in "not traditional".
Cameron has used a valid set of statistics, but a set that are not in the least relevant to his topic of discussion.
IMHO
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Message 123773 (In Reply to Message 123758) No offense taken
Posted by lj
on Dec 26, 2003 01:43 AM | Also by lj
| Gender: Male,
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State: California,
Country: United States |
Quote from Dr. Cameron's article:
the "mental health care" profession claims to rely upon "scientific findings" to devise and carry out its treatments.
A basic question, and one that I have mentioned before, is "does all this ‘therapy-stuff’ work?" that is, what happens if we apply the FDA standard of "safe and effective" to the treatment of mental illness? Well, lo and behold, the political body of King County, Washington (where Seattle is located) has demanded just such an accounting—at least in part.
Dr. Cameron is applying the Federal Drug Administration's definition of safe and "effective" to the King County study and finds that this "scientific finding" has not produced a significant amount of effective recovery as a result.
My impression is that he calls this particular "scientific approach" to mental health issues as about as effective as a witch doctor's success with potions.
To apply the FDA standard of "safe and effective" to a report implies that it is dealing with something under the FDA's realm--which is drugs in part.
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Message 123775 (In Reply to Message 123758) King County Ordinance #13974
Posted by lj
on Dec 26, 2003 02:24 AM | Also by lj
| Gender: Male,
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State: California,
Country: United States |
http://216.239.53.104/search?q=cache:YMRx75ynO00J:www.dearshrink.com/recoverynews.htm+King+County+Ordinance+%2313974+Second+Annual+Report:+Recovery+Model&hl=en&ie=UTF-8
Notice that " Recovery" is a concept that has been around for quite some time but has been applied mostly to chemical dependency treatment."
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Message 123800 (In Reply to Message 123773) Correction: Food--not Federal DA
Posted by lj
on Dec 26, 2003 12:37 PM | Also by lj
| Gender: Male,
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My mistake on the FDA label--Food and Drug Administration---not Federal as I earlier posted.
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Message 123805 (In Reply to Message 123775) He doesn't SAY anything.
Posted by mouseinawheel
on Dec 26, 2003 04:56 PM | Also by mouseinawheel
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Here is a report from King County following up a year later and referencing the same report that Dr. Cameron quoted, The 2002 statistics aren't much better. Since you've written off Dr. Cameron as a wacko, you'll have to do the same with the King County Department of Community and Human Services.
No idea. I’d have to see where the data fit in with existing data. It could be that the data in that report reflects the data from other studies or it could be inaccurate or it could be that there’s a problem with clinicians in King County.
The point is that Cameron leverages a study of a distinct group of clinicians in one area of the country to come to a conclusion that neatly fits into his PREVIOSLY stated agenda. My gut instinct and recollection is that the King County numbers are much, much lower than the aggregate for similar studies. I could research that further, and cite the sources in question if you like.
Also Cameron in that article creates data he’s never studied. He comes to conclusions that have no foundation in logic or causality. In large part it’s irrelevant if the study he cites is completely and utterly accurate if he’s using it to arrive at conclusions that don’t logically follow. Let me give you an example of the technique that Cameron is using, then I’ll parse the article for you and specifically point out what I take issue with.
The logic Cameron uses is similar in structure to the following:
Fact: The sky is blue.
Fact: The ocean is blue.
Conclusion: Helicopters work great underwater.
In the example you can see the massive logical flaw in the argument. It’s the same of Cameron’s article, it’s just not as obvious to the average observer. Let me show you what I mean: (all quote text Cameron’s, brackets mine, plaintext mine)
Modern psychiatry and clinical psychology came out of "treatment" of those who were obviously "nuts." That is, people who heard strange noises, bothered their neighbors with no account disturbances, or who were unreasonably depressed (e.g., suffering from schizophrenia, bipolar, or dysthymic [long-term depression] disorders).
Certainly an arguable statement, but not terribly germane to the points in question. Fluff, essentially.
The professions of psychiatry and psychology claim great things (e.g., we understand how people tick) and demand great things (e.g., psychologists should be included in all health-care insurance and should be permitted to write prescriptions—after all, mental health is as important as physical health). Attempts have been made to include mental health practitioners in Federal insurance plans. And rather than being made up of witch-doctors—as some allege—the "mental health care" profession claims to rely upon "scientific findings" to devise and carry out its treatments.
You’ll note how careful he is to qualify statements so as to be technically accurate while communicating his clear opinion that mental health practitioners are engaging in pseudo science. Nothing’s stated clearly at any rate, so, essentially more fluff.
A basic question, and one that I have mentioned before, is "does all this ‘therapy-stuff’ work?" that is, what happens if we apply the FDA standard of "safe and effective" to the treatment of mental illness? Well, lo and behold, the political body of King County, Washington (where Seattle is located) has demanded just such an accounting—at least in part.
Again, carefully implying, without actually stating that therapy is quackery, he still hasn’t made a statement or taken a position. Additional fluff, but you’ll notice the overarching theme in all of the text so far that the un-careful reader could already have arrived at the conclusion that therapy is useless.
There a law has been passed that demands an annual accounting of just how well these "scientific" treatments work. The goal of the politicians was fairly similar to what was sought in the 1850s under the reformer Dorthy Dix. Then, resumption of social functioning was the goal. Now it is "Recovery emphasizes the restoration of self-esteem and on attaining meaningful roles in society." The "restoration of self-esteem" is, of course, a new requirement.
Not really much similarity. Dix is mentioned with the express purpose of attempting to add familiarity and credibility to the coming argument. Logical equivalent of the following:
The goal of anti abortion groups who bomb clinics is similar to the slave revolts before the Civil War
Nonetheless, the accounting is in. For 2001, 7,831 patients were treated by the staff of the King County mental health system (at a cost of $90 million or roughly $11,500/patient). The results documented that 6,949 (88.7%) showed no improvement, 597 (8%) showed some improvement, 285 (4%) regressed, and four (.05%) recovered.
I’ll assume those numbers are good. It’d be interesting to see the criteria for improvement, but I’ll offer the benefit of the doubt here.
This is "scientific success"?
Again it depends a great deal on the pathology of those studied and the criteria for success. Mental health has never been Penicillin. It’s exceptionally complex. Without dissecting the study considerably more than I have time to do at the moment, I’d say it’s hard to make a statement either way. Notice that he hasn’t stated anything either. A question that implies the answer he’s set up previously with non-statements.
During the 20th century, under the reforms of Dorthy Dix, mental hospitals that emphasized basket weaving, working in the fields, and listening to preachers had "cure" rates north of 80%. But that was before "scientific" practitioners came along.
Again drawing a comparison to something that doesn’t apply, the implication being naturally that the situation is identical today with people reporting or purporting overly optimistic rates of recovery. Notice he STILL hasn’t actually STATED anything.
Look at the numbers above. It seems unlikely that the 8.1% improved or recovered exceeds spontaneous remission! In fact, I have a suspicion that the 8.1% rate is below spontaneous remission.
In fact he has no idea what the spontaneous remission rate is. You’ll notice he’s careful not to commit to anything or make a statement. The use of “unlikely” and “suspect” are essentially intellectual code for “this isn’t fact, it’s a guess” . If he had any actual interest in the effectiveness of treatment, he’d research what the spontaneous remission rate actually is and compare the numbers. He has no interest in that, however, merely in forwarding his agenda.
Yet the professionals who managed to "achieve" this outcome, in one of the more progressive locales with one of the most generous budgets, dare to tell us how to live our lives, have our marriages, and—in particular—the correct philosophy of life.
A massively over generalized statement with zero grounding in any sort of fact, tailored to play to the fears people have of therapy. Therapists “dare” to tell people “how to live their lives” etc. etc. Therapists are monstrous Orwellian free will thieves.
We justly scoff at people who pay witch doctors to make dolls of their enemies and pierce those dolls with pins. "How silly," we say, "dolls are not people, and no matter what you do to dolls, it won’t make any difference in the real world." Yet modern witch-doctors—those who extol the primacy of feelings (e.g., do you have good "self-esteem," "do you feel good about yourself") and tout the importance of people "following their hearts"—are magnifying their influence over common thought and social policy.
Another ludicrous comparison designed specifically to connect with people who fear therapy. The thing to note about this entire article is that NOT ONCE does he actually commit to anything.
The entire premise of it is built on implied half truths the entire way through. “Come on, we all they don’t’ know what they’re doing” nudge. Wink. “They’re just like barbers who thought bleeding people with leeches was a god idea!” Wink. Wink.
This entire article can be summarized in the following sentence:
“While I have no proof of anything, I’ll make the implication that therapy is a massive failure because I found a study with a single digit success rate and single digits look small to everyone!”
If that’s the sort of thing you want to put stock in, have a good time. Give me a call when he actually makes a statement of fact. The reason he doesn’t is that they would be shredded instantly with the reality of the situation.
--Mouse
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Message 123812 (In Reply to Message 123773)
Posted by orolan
on Dec 26, 2003 07:00 PM | Also by orolan
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I can see where that logic could be inferred, so I'll concede that he is talking about drug-assisted therapy. But he certainly could have come right out and said that was what he was talking about. The average layman would assume he was speaking in general terms, not specifics.
The progression of mental health care from basket-weaving to today's more "scientific" methods goes well beyond the inclusion of drugs. Only psychiatrists can prescribe drugs. Which begs the question "What are all the psychologists doing?".
They are using new forms of therapy. Some, like Repressed Memory Therapy, are flops. Others, like Cognitive Behavior Therapy, are showing great strides. In between are a myriad of other methods. Note that the overwhelming majority of SO's who are attending therapy while on supervision are seeing a licensed psychologist, not a psychiatrist. So the successes(and failures) of SOTP's is not riding on the effectiveness of drugs.
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Message 123826 (In Reply to Message 123775)
Posted by Silverthorne
on Dec 26, 2003 09:19 PM | Also by Silverthorne
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"Notice that " Recovery" is a concept that has been around for quite some time but has been applied mostly to chemical dependency treatment.""
Thats because you really dont recover from mental illness. You learn strategies to manage it and reduce its symptoms. Its alot different from alcoholism or drug addiction.
In some ways a mental illness can be the cause of an addiction. But as a stand-alone entity its very different.
Silverthorne
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Message 123837 (In Reply to Message 123812)
Posted by lj
on Dec 27, 2003 01:29 AM | Also by lj
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I agree with you that he could have been much more clearer on the "drug treatment" correlation to the rest of the article. I posted this article just because it was a bit different--not for any "position-defending" or meaning other than general discussion.
Post-research on Dr. Cameron since posting this article comes up with much anger and ire from gay activists who attack his theories with vigor--not much of a noise, though, from psychologists and psychiatrists in general.
I, personally, would tend to think that if he's as fundamentalist in his religious faith as some make him out to be, that he would accept the Cognitive Behavior Therapy route as being close to his Biblical teachings in many facets. Both pretty much allude to the opinion that thoughts start the whole ball of wax towards deeds to fruition.
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Message 123840 (In Reply to Message 123805)
Posted by lj
on Dec 27, 2003 02:13 AM | Also by lj
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Your quote from earlier:
He’s part of a defined anti-gay right wing agenda and much of what he writes borders on hate speech, not to mention being factually implausible in the extreme.
You failed to show which paragraph in the article posted here supports this "fact" you earlier claimed.
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Message 123842 (In Reply to Message 123805) APA does the same thing
Posted by lj
on Dec 27, 2003 05:39 AM | Also by lj
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In a quote from Tana Dineen's article from http://www.tanadineen.com/COLUMNIST/Writings/abuse.htm, she claims that the APA is guilty of the same thing you claim Dr. Cameron has done with data.
The Psychology Industry decides want it does and doesn’t wants the public to know. It wants people to hear about new treatments, such as EMDR or ThoughtField Therapy, and about its successes. It doesn’t tell us when therapies prove uneffective or even harmful, such as the notorious "repressed memory therapy," or when treatment is unsuccessful and clients get worse or die.
Just one case in point involves the results of a consumer survey conducted by Consumer Reports, the organization that reports on how well people like their toasters and their VCRs. In 1994, it surveyed its subscribers about automobiles and psychotherapy. The response rate was an abysmal 1.6 %, but none the less, Consumer Reports (CR) and the American Psychological Association claimed that its results showed that "nine out of ten" people got better with therapy. Despite an abundance of shockingly obvious flaws in the survey, the APA continues to promote it in their "Public Education Program," a multi-million dollar effort designed to persuade the public that psychotherapy works!.
On the other hand, an $80,000,000 project funded by the U.S. government, is not included in their Public Education Program. This well designed and controlled study, which even the APA described as "state of the art," was intended to show that "a continuum of mental health and substance abuse services is more cost-effective than services delivered in the more typical fragmented system." However, what it found was that, despite better access, greater continuity of care, less restrictions on treatment and more client satisfaction, the cost was higher and the clinical results no better than those at the comparison site: not at all what the Psychology Industry had either expected or wanted! Even though users expressed satisfaction about their treatment just as in the CR survey, there was no concurrent evidence of effectiveness to support the idea that "satisfaction" is a measure of effectiveness. Leonard Bickman, the senior researcher, utterly surprised by the outcome, stated that "these results should raise serious doubts about some current clinical beliefs" about the effectiveness of psychological services.
What happened to the APA's reputation as a result of this "flawed study?" Any peer review that over-rode its conclusions or questioned its validity? What "agenda" would the APA have in mind when it supported the CR study? Why did it fail to let the public know of the "state-of-the-art" government study that didn't reach a conclusion beneficial to the APA's stance?
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Message 123892 (In Reply to Message 123842)
Posted by mouseinawheel
on Dec 27, 2003 08:38 PM | Also by mouseinawheel
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What does the APA possibly have to do with Cameron's article being pointless fluff?
Or are you conceeding that point? I'm a little lost as to what your point is.
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Message 123925 (In Reply to Message 123892)
Posted by lj
on Dec 28, 2003 06:50 AM | Also by lj
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Let's see. I post an article by Dr. Cameron and you immediately respond with He’s part of a defined anti-gay right wing agenda and much of what he writes borders on hate speech, not to mention being factually implausible in the extreme. I’d take anything he writes with about a metric ton of salt, particularly any statistics he cites...
I show that the statistics aren't made up by him in another post. I also show that others would say the same as you about the APA and you wonder what the connection is.
It's very simple. Using your initial logic and response to Dr. Cameron's article, we would both then have to define the APA's articles as being factually implausible and not worth a metric salt--because Dr. Dineen also found a study of theirs to be statistically flawed.
Why do you write off one person's entire works based on what you consider factual implausibility and not consider the same for the APA ?
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Message 123976 (In Reply to Message 123892) You brought the APA into the thread
Posted by lj
on Dec 28, 2003 11:43 PM | Also by lj
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A quote you brought in on Dr. Cameron's opinion of homosexuality has, in part, a mention of the APA. The assertion by gay leaders and the American Psychological Association that a homosexual is less likely than a heterosexual to molest children is patently false. "
You refute his interpretation of the APA's finding with the following quote: Now there’s a mountain of research about as high the Empire State Building that has shown repeatedly that heterosexuals and homosexuals molest children at about precisely the same rate
Which one is correct? The APA's finding that homosexuals molest children at a lower rate than heterosexuals--or--your mountain of evidence that shows they molest at about precisely the same rate?
If your evidence is correct, and if the APA did report what Dr. Cameron said they reported, then the APA is WRONG about the subject. If they are wrong, then, why would we want to know any of their other findings on paticular subjects?
It was you who brought the APA into the thread's attention, although the subject of homosexuality also has nothing to do with this entire posted article.
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Message 123991 (In Reply to Message 123976)
Posted by Silverthorne
on Dec 29, 2003 03:30 AM | Also by Silverthorne
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"The assertion by gay leaders and the American Psychological Association that a homosexual is less likely than a heterosexual to molest children is patently false. "
I look at it this way. The overall number of boys to girls is about 50/50 nationwide. Now according to statistics 1 in 6 boys and 1 in 4 girls is molested somehow (heard that somewhere cant say its true).
Now considering it seems most (over 95%??) SO are male we can extrapulate that more girls are molested by men the boys are molested by men.
Now the anti-gay right wing often uses man on boy sexual assault as a lightning rod claiming its "homosexual" in nature. Never mind most of the male on male sex offenders I've known were either diagnosed pedophiles or hetrosexual. Being a pedophile doesn't mean your homosexual as they'd like you to believe in thier propoganda.
If anything because many man on boy SO appear to be "asexual" in orientation (or boylovers - thus not "homosexual") while often the male on female SO I've met appear to be attracted to BOTH girls and women (thus hetrosexual) it would seem more HETROSEXUAL men assault children.
Make sense?
Silverthorne
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Message 124000 (In Reply to Message 123991) True
Posted by dp1
on Dec 29, 2003 07:53 AM | Also by dp1
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I think it's even more ridiculous to argue about the stats when they can't possibly even be accurate. How many offenders act out becuse they are confused about their orientation? Lots. And how many are in denial regarding thier orientation? Lots. So if a person led a hetersexual lifestyle prior to going to jail, then molested 3 boys, got placed on probation and went to therapy, then after therapy adopted a gay life style, then would the states reflect he was a homo or hetero who offended on boys? Stats don't always reflect reality.
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Message 124017 (In Reply to Message 124000)
Posted by Silverthorne
on Dec 29, 2003 05:26 PM | Also by Silverthorne
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"How many offenders act out becuse they are confused about their orientation? Lots."
DP1 this is an excellent comment. When I was in therapy in Minnesota of the four guys who had molested boys THREE of them were actually homosexual. Thier offenses all happend when they were 16-18 (tried as adults) against younger boys (8-14). All those men are now happily gay and none has reoffended.
I think we'd see a real drop in child molestations if the right wing got off its anti-gay bandwagon and society started realizing these people are probably born this way and deserve to be happy. Instead you have kids growing up hearing "its a sin", going to school where being called "fag" is the worst and hiding thier sexuality. Meanwhile they have the opportunity to be with younger children and they do.
So in reality I wonder how many of these "branded for life" sex offenders we have who are really just gay men who were confused and ashamed early in thier teens and acted on it then? The fact we lock up and register kids now makes this even more disturbing.
Silverthorne
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Message 124030 (In Reply to Message 124017) Not Really
Posted by dp1
on Dec 30, 2003 12:52 AM | Also by dp1
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If I told you that I was confused about my financial security and held up a bank would that make the crime any less than what it is? No. So if sex offenders offend because they were abused as a child or are confused about their identity or orientation so what? I am sorry that they are confused, but we still need to lock them up and register them. Confused people need to unclutter their minds and start living life instead of abusing innocent people. I don't find it disturbing that we lock up young offenders and register them. I would prefer that they find their identify and figure out their orientation BEFORE they offend.
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Message 124055 (In Reply to Message 124030)
Posted by Silverthorne
on Dec 30, 2003 07:37 AM | Also by Silverthorne
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DP1,
Bank robbery or any other crime is completely unrelated to this issue. Look at the crime. Sexuality is part of someones makeup and is ingrained in an individual. Its part of "who we are".
You yourself said some of these guys could just be confused homosexuals.
I know its a crime but at the same time who are we really helping by locking up 13 year old kids who have mutual masturbation with a ten year old, forcing them to register and calling them a "sex offender"?
No one.
Silverthorne
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Message 124056 (In Reply to Message 124030) Dont ask - dont tell ?
Posted by Silverthorne
on Dec 30, 2003 07:45 AM | Also by Silverthorne
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" I would prefer that they find their identify and figure out their orientation BEFORE they offend."
A good point. Now tell me a few examples of ways our society helps young gay male teenagers deal with thier sexuality?
Lets see? How about?
- School clubs for gay kids? ah.... no
- Sex Ed with homosexual topics? ah..... no
- A safe enviornment in school with no sexual harrassment or "fag" namecalling? ah....... no
- A society that is tolerant of other peoples sexual orientation and openminded? ah...... no
- A lack of church groups screaming "its a sin" and decrying homosexuality as a perversion? ah..... no
- No US Congress actually considering a Constitutional Ammendment making homosexuals second class citizens with less rights? ah....... no
You get my point. Its like Pedophila. You have to create an enviornment where people want to get help and will feel safe. Sadly our public schools are the LAST PLACE these kids should be. Dealing with the pressures of growing up, finding out they're "different" and having to hide thier identity because being a "queer fag" is the worst they could be. Learning all they know about homosexuality from the internet because theres nothing in school for them. Going to church and hearing the pastor say homosexuality is a sin.
Its alot like pedophilia. Theres NOTHING we do as a society to help these people. In fact all we do is encourage them to DONT ASK DONT TELL.
Silverthorne
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Message 124075 (In Reply to Message 124056) I Know
Posted by dp1
on Dec 30, 2003 05:46 PM | Also by dp1
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There's no question in my mind that a lot of sex offenders are confused about their orientation both young and old. My only point was that in no way should that be a big player in minimizing the crime and the appropriate punishment. My veins have warm red fluid. Really.
My apologies to you if I thought you were trying to excuse the behavior. Understanding the behavior is one thing and minimizing is something all together different. If you weren't such a big marshmellow I wouldn't get that impression sometimes (LOL).
Happy New Year's to you Silver.
DP1
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Message 124091 (In Reply to Message 124075)
Posted by Silverthorne
on Dec 30, 2003 11:54 PM | Also by Silverthorne
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Id like to see society open up and accept these people so the behaviors dont happen.
In Silvers fantasy land of humanity thats item #1 on the list.
Silverthorne
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Thread 122985, lj, Dec 12, 2003 12:50 PM 123369, mouseinawheel, Dec 19, 2003 09:22 PM 123393, Silverthorne, Dec 20, 2003 08:41 AM 123408, lj, Dec 20, 2003 10:44 PM [Mouse] 123736, mouseinawheel, Dec 24, 2003 07:08 PM [I think I may have been unclear] 123746, lj, Dec 24, 2003 11:09 PM [Response to Mouse] 123758, orolan, Dec 25, 2003 04:44 AM [No offense, LJ.] 123773, lj, Dec 26, 2003 01:43 AM [No offense taken] 123800, lj, Dec 26, 2003 12:37 PM [Correction: Food--not Federal DA] 123812, orolan, Dec 26, 2003 07:00 PM 123837, lj, Dec 27, 2003 01:29 AM 123775, lj, Dec 26, 2003 02:24 AM [King County Ordinance #13974] 123805, mouseinawheel, Dec 26, 2003 04:56 PM [He doesn't SAY anything.] 123840, lj, Dec 27, 2003 02:13 AM 123842, lj, Dec 27, 2003 05:39 AM [APA does the same thing] 123892, mouseinawheel, Dec 27, 2003 08:38 PM 123925, lj, Dec 28, 2003 06:50 AM 123976, lj, Dec 28, 2003 11:43 PM [You brought the APA int...] 123991, Silverthorne, Dec 29, 2003 03:30 AM 124000, dp1, Dec 29, 2003 07:53 AM [True] 124017, Silverthorne, Dec 29, 2003 05:26 PM 124030, dp1, Dec 30, 2003 12:52 AM [Not Really] 124055, Silverthorne, Dec 30, 2003 07:37 AM 124056, Silverthorne, Dec 30, 2003 07:45 AM [Dont ask - dont tel...] 124075, dp1, Dec 30, 2003 05:46 PM [I Know] 124091, Silverthorne, Dec 30, 2003 11:54 PM 123826, Silverthorne, Dec 26, 2003 09:19 PM 123619, lj, Dec 23, 2003 01:05 PM [King County's 2002 report] 123661, Rejected
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