From what I've read, the majority of Gen-Z and Gen-Alpha are left-left, not just left-leaning, but there are a minority of young males who gravitate towards the Manosphere. Some are black-pillers and others claim they want Trad Wives, but women won't give them the time of day.
When people become more and more isolated and the economic conditions start being less and less favorable, people retreat inward and start looking for someone to blame. I'm not saying it's OK or appropriate. But this is a signal we're losing young men and it's going to and already has had large consequences on our society.Unfortunately, this is becoming a larger societal concern. I work in peds and it's getting worse over here too. Pop Science article to further elaborate:
31% of Gen Z men say wife should 'obey her husband.' Yikes. | Opinion
The results confirm a lot of what Generation Z women already know, regardless of where we live in the world: Our male peers do not see us as equals.www.usatoday.com
If by "fix it," he means cut funding and privatize care (at likely to be poor rates) to community providers with equal backlogs who also can fire patients, then yep.
Hope he likes the alternative....
I had a lot of non-white patients express interest in joining ICE, which was baffling to me.
Grifters need to keep growing their flocks to leach off of, so they are disinclined to provide actual help, but they have plenty of gasoline to throw on other fires!
My favorite trainings involve a person just competently going over their materials via powerpoint slides. I don't want to be involved. I don't want actors or animations. Just...talk at me for an hour.
I must've completely blocked those from memory. The only ones I can think of right now are the birthday cake debacle (inappropriate gifts) and the therapist who apparently likes to start her sessions by saying how much she enjoys talking about different types of IEDs in group.
And if they STILL don't respond, you should go all "Game of Thrones" on them and 'send a raven.'
The most memorable "academic" movie I've seen as part of training was a 70s documentary from researchers studying orgasms in my human sexuality class. It was just...a lot. Of everything.
What's interesting about this is it's possible all these attempts might actually put the patient off instead of help get them into wanting to actively participate in treatment. And we know it creates a behavioral pattern of no accountability for them.
100%. The motivational interviewing theory/literature explicitly warns against doing such things because it creates 'psychological reactance.'
I think I may have seen this too or something similar. Many years ago in masters program (before decided to go back for doctorate), we had a class on sexuality and the professor had these 60s/70s era "educational" videos of various couples engaged in various sexual acts Rumor was that multiple students complained over the years and the school (which was run by a religious order of nuns ) , he was an adjunct, told him he could keep working there if he cut out the videos or leave. His counter argument the story goes was that it WAS educational because it helped decrease one's discomfort and thus "innoculated" students to all the different things that may come up when working with patients.
Yeah, there is a line in our consult that we can't see folks with dementia in MHC. That stops most of them. With the new RCI process, more weird stuff lands here. Fiduciary removals, FMLA paperwork with no prior hx, etc. All these efforts to make us more efficient don't seem to be helping much.
That's because a coherent system of triaging referrals doesn't seem to exist and with less people everyone is just trying to get through each day. In all of these efforts at efficiency they ignore or more possibly don't care that the issues are systemic and not at an individual level. But that won't stop them from driving the few that keep going into the ground.
We had a great system. Leadership wanted to streamline things and made a huge mess instead. The consults land faster, but they're often in the wrong place. We have one person in our clinic who keeps the consults getting through from being too wild. If they're ever out of the office, RCI wreaks havoc.
It's MHC. Our hospital is small enough that all the mental health clinics are dumping grounds. I have seen PCMHI get the most random stuff. They're also drowning over there, so I'm okay taking things on. I have gotten really efficient with getting people off my caseload if they don't have any goals and they're not actually interested in doing traditional therapy. With the really weird stuff, I hold them for a couple of sessions just to make sure they get to the right place. It has been an interesting time.
If there's one thing I've learned about the VA, there is no good process or strategy that someone from leadership won't come in and "improve." Ours also has the same idea, that getting someone in quickly supersedes any other indication. But I know they also are indebted to numbers on "access" from who knows who.
Yeah, I bet it can vary by site a bit
"Dump site for complex cases." This definitely happens in VA mental health settings in the chaos of no leadership and the ubiquitous availability of hitting the consult button as a 'solution' to patients nobody wants to treat or manage. LOL. The most VA thing ever.
It isn't the whole story but I have, over my decades in psychology, noticed that there appears to be a direct correlation between what you're describing (attraction to the 'woo woo') and lack of competence/knowledge + Cluster B type personality traits (especially Narcissistic and/or Histrionic traits).
Behavioral and cognitive therapy does go directly at the root of the problem. Classical conditioning, learning, and the fear response are some of the most basic aspects of our science. There is no magical way to treat it other than exposure. People naturally want to avoid that, as that is an adaptive aspect of the fear response to avoid scary things, but avoidance can increase the response so by intentionally exposing in a careful and systematic way we decrease the response. As far as the cognitive therapy part, I tend to think that it is most effective when it is done with some thinking. I would even argue that the ability to think about our difficult and come up with rational strategies to address them might even be a good goal for all humans.
Agreed.
As someone who just went through 20 hours of a state/Magellan required training to implement a manualized approach to care coordination I can see why there is a problem. It isn’t CBT or even structured treatments. It’s mind numbing bureaucracy that is implementing lowest common denominator strategies that demean and devalue our entire field.
