[HN Gopher] Finding the biological roots for pathological social...
       ___________________________________________________________________
        
       Finding the biological roots for pathological social withdrawal,
       Hikikomori
        
       Author : geox
       Score  : 101 points
       Date   : 2022-07-30 11:35 UTC (11 hours ago)
        
 (HTM) web link (www.kyushu-u.ac.jp)
 (TXT) w3m dump (www.kyushu-u.ac.jp)
        
       | ilaksh wrote:
       | The only in-depth video I have seen of a so-called Hikikomori was
       | actually a man with quite a significant social life as well as
       | multiple businesses. He just did everything online.
       | 
       | I'm American and I think I fall into a general "Hikikomori"
       | category although this term seems to be ambiguous and poorly
       | understood.
       | 
       | The short version is that working online and not going out much
       | at all may just make sense if you are relatively poor and have a
       | health condition and/or just don't want to deal with office
       | politics anymore.
       | 
       | And especially if you don't have much savings, going out, making
       | and keeping in-person friends can be quite a struggle. For me, my
       | startups or the easily acquired contracts with "international"
       | rates keep my savings relatively close to zero.
       | 
       | And the reality is that society is quite judgemental towards men
       | or individuals who do not have a high income or even seem unwell.
       | 
       | But part of this is just an ignorance of technology. No, I don't
       | go out usually except when I have to go to the ATM because my
       | landlord is a bit behind the times, but I do work quite hard and
       | socialize in my own way. My online business right now is again
       | kind of keeping me poor but the other hand I am getting hundreds
       | and often thousands of microtransactions per day at this point.
       | And fairly optimistic about it.
       | 
       | I did have a little working vacation scheduled to visit my
       | brother and his family in a week or two but had to cancel it
       | because I am just going to be scraping by this month and if there
       | was another fight with his wife then I would have no recourse
       | because could not afford to get a hotel. Anyway it's just not
       | practical right now.
       | 
       | Anyway, a retreat to living online can be easily explained by
       | just having financial and/or health problems.
       | 
       | But I also do have a social life to a degree. I play Eleven Table
       | Tennis in VR almost every day. I get to have my day on any topic
       | on HN, reddit or sometimes Discord.
       | 
       | But I would say even in VR I am somewhat withdrawn in that I find
       | places like VR Chat awkward and mainly avoid them. Part of that I
       | think is just my nature of not having a ton of interest in
       | socialization or a lot of energy left over for it. But another
       | aspect is again the financial situation. Even I would say the
       | cheap apartment may contribute because all of my business is
       | broadcast to my neighbors which does suppress voice chat
       | interaction somewhat.
        
         | lawrenceyan wrote:
         | You should try going in-person to a ping pong place! I bet your
         | VR experience transitions decently to physical gameplay.
        
           | ilaksh wrote:
           | I did go to a ping pong club for some months a few years
           | back. It's not very practical these days due to financial
           | constraints.
           | 
           | Anyway, to people in the thread downvoting me already within
           | 20 seconds, way to go. Anyone who knows me in person would
           | describe me as a Hikikomori. And I am giving a detailed
           | explanation. But you just bury it within thirty seconds.
           | 
           | Honestly I think this is part of the explanation of why I
           | don't have a lot of friends. I tell the truth plainly, and
           | people don't like it because it goes against their often
           | incorrect worldview.
        
             | lawrenceyan wrote:
             | Nice! I'm sorry to hear about your financial circumstances.
             | Hopefully they improve as your business gets up and
             | running.
             | 
             | Truth has incredible value. But I think there's a way to do
             | so while still being considerate of the other person you're
             | talking to.
        
               | ilaksh wrote:
               | I don't feel that I am I inconsiderate online. Just
               | literally have contrary viewpoints that don't sit well
               | with people.
               | 
               | Actually sometimes my comments are more blunt these days.
               | But that is an adaptation from receiving disdain for
               | years when expressing contrarian viewpoints, mostly
               | regardless of the tone I use.
        
               | h0p3 wrote:
               | If you do want another hiki-type friend, HMU.
        
       | DAVer98 wrote:
        
       | [deleted]
        
       | jinto36 wrote:
       | While the idea is interesting, I think that lifestyle changes
       | associated with the social withdrawal behavior are likely to make
       | any blood-based biomarkers reflective of being more sedentary
       | rather than having any causal association. The article does not
       | mention if their "healthy" control subjects also had similar
       | lifestyle patterns but without the social withdrawal.
        
       | woweoe wrote:
       | Japan is one of those countries where rumors and social pressure
       | can be worse than law enforcement. The UK is a similar country in
       | many regards (especially in terms of social culture) but has
       | managed to build a better social support network and awareness of
       | the negatives of mental health and "bullying" is more apparent. I
       | also think that "witch hunt" morality is more tolerated in Japan
       | whereas in the UK it's considered harmful. Japan does have a lot
       | of strict laws against such things, but it may also reflect the
       | severity of the issue in that the problem still exists (for
       | British people a good comparison might be classism and associated
       | cultural traits in the UK). The issue can be associated with
       | mental health issues (especially the aftereffects) but it needs
       | to get to the core of the issue that is the bullying and
       | exclusionary social pressure in Japan.
       | 
       | These people have almost universally been bullied or subject to
       | severe stress from social pressure. I currently live in Japan but
       | I find it hard to speak out because the internet can be too
       | Americanized to explain my culture comparison.
        
         | toyg wrote:
         | There are many societies you could suggest as a model to
         | improve what Japanese culture lacks. The UK is not one of
         | those.
         | 
         | Urban UK is a crumbling non-society, plagued by social
         | disgregation, ghettos, wanton violence, relentless vandalism,
         | shocking rates of theft, and significant amounts of abuse on
         | women and minors. Compared to urban Japan, it's a Middle-Age
         | hellhole.
        
         | [deleted]
        
       | miniwark wrote:
       | Japan would do better against "Hikikomori syndrome" by changing
       | the studding environment culture of their school: bulling against
       | the non-normative people (with closed eyes from the school),
       | super competitive studies, almost mandatory second school, all to
       | become boring salarymen bullied by the corporate higher ups. The
       | society pressure for this life model is the problem, not some
       | sort of genetics.
       | 
       | Also, most Hikikomori are men, because women may be able to
       | escape all this crap by getting married. This is also a failure,
       | because they are not expected to get a "real work" and to quit
       | asap if married.
       | 
       | There is also the "herbirore" phenomenon, the cousins of the
       | Hikikomoris, mainly people who want to avoid the family culture
       | of Japan. (And let not forget about the suicides, but japan is
       | not ranked first on this contrary to common beliefs)
       | 
       | Fortunately all this seems to change little by little, but
       | searching for "biological roots" is just searching for excuses.
       | Next research will be an American university searching for
       | "biological root" in young people doing killing spree in schools
       | ?
        
         | DiggyJohnson wrote:
         | Answering the question of _why does coping with these pressures
         | take this form_ does indeed have a biological component. It's
         | not excuse making to ask why humans respond to certain negative
         | pressures in a recognizable pattern.
        
           | turdit wrote:
           | i wonder if your interpretation of the myth of sisyphus that
           | sisyphus just doesn't cope with negative pressure well
           | enough. maybe we should look for a biological component to
           | explain sisyphus's attitude.
        
           | ravenstine wrote:
           | _Yeah, but first we must ask why more people drown when a
           | Nicolas Cage movie comes out._
           | 
           | https://www.nationalgeographic.com/science/article/nick-
           | cage...
           | 
           | Point being, all we have is correlation, and to go down the
           | road of chemical imbalance can lead to wasting time, more
           | people socially withdrawing, and possibly more people being
           | harmed by some cockamamie medical treatment for something
           | that may very well be socially instigated.
           | 
           | And what better way to dismiss people's problems than to
           | assume they're defective.
        
         | NalNezumi wrote:
         | The herbivore (I assume that's what you meant), Cao Shi Xi Nan
         | Zi  has little to do with "not wanting family" and more to do
         | with men that are not keen to approach / take initiative
         | towards women. Usually not just because of shyness but because
         | relationships are very very low in their priority list.
         | 
         | Jue Shi Xi (roughly translated to "fastivore", fasting) are
         | probably the one you're referring to.
         | 
         | The statistics that says 40-60% of 30s year old males have
         | never been in a relationship is probably more from this
         | attitude.
        
           | nervousvarun wrote:
           | "40-60% of 30s year old males have never been in a
           | relationship"
           | 
           | That is a staggering statistic.
           | 
           | If that's even remotely accurate the implications for the
           | future of the country are astounding.
        
             | [deleted]
        
       | swayvil wrote:
       | When I was a wee lad it occurred to me that there was a choice
       | before me : to imitate or not to imitate.
       | 
       | Society is largely composed of people imitating each other.
       | Imitation is membership. Imitation is moral. Imitate effectively
       | and your future is bright.
       | 
       | These hikkomoris are making a choice.
        
       | taurath wrote:
       | That we still think there are biological rather than
       | sociopsychological roots shows we've got a long way for science
       | to catch up. Misunderstanding of trauma and the effects on
       | physiology of it abound. The amount of pressure put on children
       | in society is extremely high.
        
         | camdenlock wrote:
         | The amount of firmware that ships on the human brain is
         | staggering, and we have only just begun to uncover it. We
         | ignore our evolutionary origins at our most extreme peril.
        
       | jongjong wrote:
       | I think that a large portion of society has gone insane and I see
       | the need for social withdrawal as a mark of sanity. It reminds me
       | of this Aldous Huxley quote:
       | 
       | "The real hopeless victims of mental illness are to be found
       | among those who appear to be most normal. Many of them are normal
       | because they are so well adjusted to our mode of existence,
       | because their human voice has been silenced so early in their
       | lives, that they do not even struggle or suffer or develop
       | symptoms as the neurotic does. They are normal not in what may be
       | called the absolute sense of the word; they are normal only in
       | relation to a profoundly abnormal society. Their perfect
       | adjustment to that abnormal society is a measure of their mental
       | sickness. These millions of abnormally normal people, living
       | without fuss in a society to which, if they were fully human
       | beings, they ought not to be adjusted."
       | 
       | I find that a lot of highly socialized/extroverted people seem
       | mentally ill - They tend to resort to common catch phrases to
       | express themselves. They don't seem to have their own opinions
       | about anything. They never seem to be able to justify the thought
       | processes which led to their decisions or beliefs - Their line of
       | thought about anything tends to be short and tends to link back
       | to mainstream media rhetoric or religious dogma imposed on them
       | by authority figures. They seem incapable of even basic self-
       | analysis or introspection; they are only able to judge themselves
       | and figure out what they want through the opinions and feedback
       | of others. Also, they seem to lack creativity.
       | 
       | For me, this is pretty obvious because I know enough sane people
       | that I can see the difference. Spending time with sane people
       | feels great and is fulfilling. Spending time with normal 'highly
       | socialized' people feels terrible. It's just very difficult to
       | find sane people these days... Especially within certain social
       | groups, many people are just incredibly fake and incapable of
       | forming a genuine relationship.
        
         | toyg wrote:
         | I find these takes pretty silly, if you look at them in a
         | historic perspective.
         | 
         | Is it more human to live in a village where the local feudal
         | lord has right of life and death on everyone? Where people are
         | bought and sold as cattle with the land they are forced to live
         | on?
         | 
         | Is it more human to live in a kingdom that will go to war with
         | another because someone stole someone else's woman, or because
         | they are arguing about whom is the son of whom? You are minding
         | your own business, until one day some authority drafts you and
         | suddenly you're in a field with a heavy pole, shouting that
         | you'll butcher or be butchered in the name of something that
         | makes no difference to your life.
         | 
         | Is it more human to live as a slave and drag massive rocks day
         | in and day out, in order to build funeral monuments to some
         | "living god"?
         | 
         | An ever-increasing percentage of the world population lives in
         | the best of times - something undeniably demonstrated by the
         | enormous demographic rise. There are more humans that ever, how
         | can you seriously argue we are "less human" than before...?
        
       | yata69420 wrote:
       | American here, but this seems like a problem only for working
       | class Japanese? And this study seems to be looking for a
       | "solution"?
       | 
       | I can't imagine that anyone would care if you're rich and
       | isolated.
        
       | forinti wrote:
       | Japanese society seems so demanding and judgemental, I would go
       | looking for socio psychological motives before digging into
       | biology.
        
       | hirundo wrote:
       | I'll guess that the biological roots are the same as for any
       | learned avoidance of painful stimuli. When people make social
       | contact and repeatedly and predictably find that it is negative,
       | they learn to withdraw from it. They try withdrawal once, it
       | relieves some of the pain, and it does so over and over. It's the
       | same as a dog who avoids the kid who kicks it. I'd bet that the
       | dog would make a good animal model to investigate the biology ...
       | but I'm not sure it's worth learning at that price.
       | 
       | You might be able to "cure" the dog of withdrawal by changing its
       | chemistry such that it no longer avoids the abusive child. But if
       | the child is still out there that isn't necessarily a favor to
       | the dog.
        
         | maltyr wrote:
         | This is pretty much my take on it as well.
         | 
         | Once you hit adulthood, most able-bodied, able-minded people
         | are expected to be "contributing members of society". But that
         | definition is pretty nebulous - it doesn't have to be society's
         | definition - whatever you set to be your own expectations for
         | success. If you repeatedly fail to meet those standards you set
         | for yourself, it can cause you to turn this feeling of pain and
         | frustration from failure inwards, towards yourself.
         | 
         | At some point, you simply withdraw entirely, because you are
         | afraid of feeling the pain of failure that you trained yourself
         | to associate with attempting to meet your goals.
         | 
         | This is often compounded by well-meaning people trying to shame
         | you into doing something: "You can't live like this! You HAVE
         | to get a job!" - sort of "support" from family members or
         | friends.
         | 
         | Or, they might throw blame: "Why don't you work harder? Stop
         | wasting your time doing nothing!"
         | 
         | I think this may be a significant factor on why this symptom
         | appears much more common in Japan, a mono-cultural society with
         | very high expectations to conform. Also perhaps why it's
         | growing overall, as the general prospects for younger people
         | seem to be worse than the previous generation across most
         | developed countries.
         | 
         | However, I don't think you can treat the chemistry to "fix"
         | social withdrawal. I believe it's linked to other mental health
         | issues, like depression, anxiety, and low self-esteem. Treating
         | those issues, primarily through therapy, is required first,
         | before working on fixing social withdrawal, which at that point
         | should be straightforward.
        
           | revolvingocelot wrote:
           | >I don't think you can treat the chemistry to "fix" social
           | withdrawal
           | 
           | Oh, I'll bet you a fat R&D contract and a promised economic
           | boom that you can. And you probably "can", for a given value
           | of ""fix"". It'll just be another neoliberal pressure-washer
           | pointed at the weathered rock face of our collective
           | humanity. See, it's still just fine!
        
           | nradov wrote:
           | You're not wrong, but some fraction of the hikikomori could
           | also be treated effectively through tough love. Their
           | behavior is being enabled by parents who allow them to live
           | at home, set low expectations, and fail to enforce
           | consequences. If parents kick them out then they'll be forced
           | to sink or swim. This may seem harsh, but those parents will
           | die eventually and the hikikomori will eventually have to
           | fend for themselves no matter what. Better to learn how to
           | live in society sooner than later.
        
             | yata69420 wrote:
             | > If parents kick them out then they'll be forced to sink
             | or swim.
             | 
             | If you've ever lived in or near a US city, the "sink"
             | outcome is actually quite common.
             | 
             | > Better to learn how to live in society sooner than later.
             | 
             | Your approach converts a family struggle into a community
             | problem.
             | 
             | I don't see why society would encourage families that can
             | support hikikomori for some number of years to offload all
             | of them onto society immediately, even if some would
             | successfully "swim".
        
               | nradov wrote:
               | The community will have to deal with those people
               | eventually. Putting it off just makes things worse.
               | 
               | Some of those shut-ins would do well enlisting in the
               | military, if they can pass the medical screening.
        
               | UncleOxidant wrote:
               | > Some of those shut-ins would do well enlisting in the
               | military
               | 
               | that's probably exactly the worst thing you could do to
               | them.
        
               | yata69420 wrote:
               | Yes, eventually, and we will need programs for people in
               | their 40s+ who have been cared for by their now deceased
               | families. I suspect you're going to need hot pockets,
               | video games, cots, showers, and they'll do ok. Maybe by
               | then they'll be happy they're in a community together
               | because they've been community deprived their entire
               | lives. Who knows, this is a new problem.
               | 
               | But if you force them to "sink or swim" now, you're going
               | to have a raging generation of 20-somethings with nothing
               | to lose and contempt for the society and families that
               | abandoned them. Also, did you notice the planet is
               | literally burning?
               | 
               | For personal reasons, I'd like to keep society going a
               | little longer. If we could not start a Joker breeding
               | program, that'd be great.
        
               | Nullabillity wrote:
               | Sending people off to die is not the answer to anything.
        
               | nradov wrote:
               | How many people die in the Japanese Self-Defense Forces?
               | Or are you proposing that they shut down their military
               | entirely?
        
             | livueta wrote:
             | You're not wrong about parental enablers, but those without
             | that kind of support basically just end up as freeters.
             | Cost of living is surprisingly low for a first-world
             | country if you've got low standards, so life can be
             | sustained by not many hours of a robotic low-wage job. The
             | reality of sonkeigo/kenjougo phrasebook shit means that
             | there's not much risk of authentic human interaction even
             | in a public-facing role, so I think you'd be surprised at
             | how many people who are technically employed resemble the
             | classic hikkiNEET pathologies. I'd call it more of a
             | worldview than a specific state strictly defined by
             | employment status.
        
             | maltyr wrote:
             | I rarely use absolutes, but I don't think "tough love" is
             | the solution to anything, if your goal is to truly help the
             | person you are applying "tough love" to.
             | 
             | As long as there's a thread of trust between the caregiver
             | and the shut-in, you have access/influence with them, and
             | they can be rehabilitated, under the right circumstances.
             | 
             | A safer option might be to completely change their
             | environment, but stay supportive, in order to break any
             | entrained behavior connected to being a shut-in. Might be
             | difficult to achieve this in Japan, though.
             | 
             | If you delete that remaining thread of trust by applying
             | "tough love," they will be forced to face the trauma that
             | they could not before, but without any support.
             | 
             | Perhaps some small fraction might "survive" that ordeal,
             | but it's not exactly setting them up for long-term success.
             | 
             | I do think many parents have no idea how to handle a
             | dependent in that situation. The worst case scenario is
             | when parents have also "given up" on their child ever
             | recovering/improving - those situations need intervention
             | from an outside party.
             | 
             | EDIT: I'd define "tough love" as actions done with the
             | intent of "helping" someone, but with wanton disregard to
             | that someone's health.
        
               | nradov wrote:
               | Tough love doesn't work for everyone, but it works on
               | many people. Worth a try at least.
               | 
               | This modern concern about "trauma" over minor little
               | discomforts is just pathetic. Some people just need to
               | harden up and quit whining.
        
             | kitsunesoba wrote:
             | It may just be my own misperception, but the "tough love"
             | approach comes too close to the "pull oneself up by their
             | own bootstraps" for personal comfort. It _can_ work, but it
             | _doesn 't_ often enough that I would strongly hesitate to
             | propose it as a solution.
             | 
             | Ultimately, I don't think that any set of short-term
             | actions alone can truly solve this. Macro-scale societal
             | changes need to be in place or at minimum in progress
             | before micro-scale efforts with individuals to make sense.
             | Cure the disease, not the symptom.
        
           | HPsquared wrote:
           | I think you hit the nail on the head mentioning monoculture.
           | If there's only one way to be successful and accepted, anyone
           | who doesn't fit the mold simply drops out. In a more varied
           | society there are more alternative "acceptable" paths
           | available to those people who didn't fit the mold for the
           | primary path.
        
         | tootie wrote:
         | I'm purely speculating but I think it's also a side effect of
         | the high degree of development in places like Japan and
         | elsewhere in the first world. If you're the child a middle
         | class family it's just so easy to live a subsistence lifestyle
         | without working hard or engaging in your community. This kind
         | of isolation would kill someone in a more primitive society but
         | if you can lock yourself in an apartment with running water and
         | food delivery you can be relatively comfortable forever.
        
           | bergenty wrote:
           | All that housing, food, water and internet cost money. I
           | don't think it's as easy as you're making it seem.
        
           | HPsquared wrote:
           | Kind of like how in older societies there have been examples
           | of reclusive people from aristocracy. You don't hear about
           | that in the lower classes, of course, because it's so
           | unsustainable for someone in that position.
        
             | jjoonathan wrote:
             | Hermits were aristocratic? I thought they hunted, fished,
             | and generally saw to their own needs, supplemented with
             | occasional (minimal) trading.
        
               | revolvingocelot wrote:
               | I think grandparent is talking about wealthy aristocrats
               | who decide they don't want to interact with
               | society/anyone. Pre-pizza-delivery, one would have had to
               | be incredibly wealthy to manage to pull this off -- or be
               | a penniless hermit, yeah.
               | 
               | The reason I replied, however, was the use of the phrase
               | "hermits were aristocratic?", because it brought to mind
               | the fad of the ornamental hermit, kept as a positional
               | good on estates of the rich. [0]
               | 
               | [0] https://en.wikipedia.org/wiki/Garden_hermit
        
             | Vespasian wrote:
             | To be fair we don't hear about the lower classes in
             | general.
             | 
             | People who wrote the (history) books didn't bother and
             | therefore historians and archeologist have not a lot to go
             | by. Much of their everyday lives has to be pieced together
             | from scarce evidence.
             | 
             | Sociology is only arriving on the scene much later.
        
         | Avicebron wrote:
         | I believe in Japan's case there were significant economic
         | issues (the removal of the "lifetime salaryman career path
         | where the company spent significant amount of time in
         | investing/promising it's employees a social contract based on
         | financial security) towards the end of the 80s, resulting in
         | severe penalties to the nations youth at the time that
         | initiated a so called "lost generation" who frequently ended up
         | as Hikkimori.
         | 
         | e.g. when the rug/promise was pulled out and the only prospects
         | were low paid temp work often with no or little social safety
         | nets, whole swathes of people realized that the social contract
         | they signed up for was gone and it drove a lot of people into
         | seclusion.
        
           | [deleted]
        
           | whatshisface wrote:
           | Add workweeks so long that you can't see your family if you
           | have one and can't meet a partner if you don't...
        
             | decafninja wrote:
             | I was under the impression that the lifelong salaryman
             | career was still both available and common - just that many
             | youths see their parents trapped in it and find such a
             | lifestyle extremely undesirable.
        
               | bluefirebrand wrote:
               | My understanding is it may be available and common but
               | also not as rewarding.
               | 
               | The parents may be trapped in it but that's partially
               | because they earn a lot of money doing it, so changing
               | jobs is hard.
               | 
               | Nowadays it's likely those jobs aren't even as lucrative
               | as they used to be, on top of being an unappealing
               | lifestyle.
               | 
               | Which is basically true the world over it seems. No one
               | is making as much as people used to
        
               | jjoonathan wrote:
               | Well, some people are making _a lot_ more. The enormous
               | cash flows from economic expansion didn 't all vanish
               | into thin air.
        
               | bluefirebrand wrote:
               | Yes, I'm not blind to that.
               | 
               | So where is the incentive for your average salaryman to
               | go and work hard, to make those people way way richer?
        
               | decafninja wrote:
               | As is always the case, aren't they a stark minority
               | though?
               | 
               | The average middle aged Japanese family salaryman seems
               | to be firm and stable middle class in return for a
               | lifetime of slogging through long, bureaucratic, workdays
               | where he seldom sees his family (and his family, him).
               | 
               | I specifically use the term "him" because this seems to
               | be overwhelmingly a male phenomenon. On the other side of
               | the equation, the wife and kids rarely see the
               | husband/father.
        
               | the_only_law wrote:
               | A few YouTube videos have popped up in my feed suggesting
               | a similar trend in Chinese youth.
        
           | jokethrowaway wrote:
           | The same thing happened in several European countries and, to
           | an extent, in the States. People still talk about being hired
           | for life and never having to struggle to find a job.
           | 
           | Tech is mostly immune to that though
        
         | swayvil wrote:
         | Those roots could also be called reasonable.
         | 
         | Do we cure reasonable?
        
         | iaaan wrote:
         | > But if the child is still out there that isn't necessarily a
         | favor to the dog.
         | 
         | I think this is the major problem of a lot of
         | modern/contemporary mental healthcare. The "tough
         | love"/rewiring/reframing + medication approach probably does
         | often get the desired result from a 10,000ft view (the patient
         | is "functional" within society and isn't actively trying to
         | harm themselves or others), but it frequently gets administered
         | in the most disgustingly dogmatic, abusive way, which leads to
         | the person in question becoming either emotionally dead, or an
         | anxious, neurotic mess. But hey, at least they show up on time
         | for their cashier job!
         | 
         | There are too many people receiving therapy licenses (only
         | referring to the US here as I'm not familiar with the rest of
         | the world) who have zero real understanding of what they're
         | doing to/with their patients beyond reciting the scripts they
         | learned in a three-day CBT or DBT seminar.
         | 
         | And on one hand, it's hard to blame the practitioners, because
         | what are they supposed to tell someone who hasn't been able to
         | make rent for three months despite working full-time and is
         | about to get evicted again? Or who is neurodivergent in some
         | way that literally prevents them from engaging in menial labor
         | without wanting to kill themselves? What can they concretely do
         | to help these people other than teach them to convince
         | themselves that everything is fine and they are the problem?
         | 
         | The whole system is fucked up and there's not really a clear,
         | simple, realistic solution.
        
       | zitterbewegung wrote:
       | With an n=83 they did clustering, random forests and a regression
       | model to develop a new genetic test? At least they used the
       | standard questionnaire which should resist the chance of them
       | overfitting the data.
       | 
       | But, the problem could be generally solved by treating people
       | with the disease just using the questionnaire. Taking people's
       | blood to see if treatment is progressing is an interesting way to
       | assess people for treatment. Would be great if this test was
       | expanded to a larger amount of people.
        
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