• Fedegenerate@lemmynsfw.com
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    17 hours ago

    Science says I don’t get to present my anecdotal evidence. I don’t get to discuss how it has failed me, personally, in the multitude of times I have experienced it. The explanation for that could be that I have failed; the explanation could be that therapy has failed.

    It does, it is represented in the data. Not everyone experienced a positive outcome. Just more people experienced a positive outcome than in the control group. Negative outcomes are represented. Target set. Target met.

    Therapy is presented as infallible; that if it doesn’t work, fault and blame lies primarily or entirely with the patient and their “toxic worldview”.

    1st article, 1st paragraph:

    Talk therapy sessions can help reduce the risk of suicide among high-risk groups, suggests a US study.

    “Can help” not “will help”. “Reduce” not “eliminate”.

    The language is specifically fallible Target set. Target met.

    I feel you are clouded by your personal bias. Valid though your bias is. To feel like you put in the work and got nothing out of it must be harrowing. I’m sorry. That sounds patronising/condescending, it isn’t meant to be.

    I went through some trauma therapy for a traffic accident, the exercises were stupid but I was bed ridden so I did them anyway, the difference was measurable. I have an annecdote and bias too.

    The answer to the question you posed of me is “falsifiability”. An understanding of how therapy can fail, rather than a blanket assertion that it can do nothing but succeed.

    That’s what the study did. It put a bunch of men through therapy and measured the results Vs a control group. Had the therapy group had no better results, then the hypothesis would be proven false. Target set. Target met.

    The conversation that we should be having isn’t how patients can succeed at therapy. It’s how therapy can better serve the patient. And for that, we need to ignore the successes, and look at the people it has failed.

    Respectfully, I am looking at the people the system failed. It’s the post. The conversation should be how do we get more vulnerable men through therapy (because we know it works the same way we know any treatment works: controlled falisfiable studies). Specifically, because we are currently doing nothing, and the language men use around this treatment that we know works) is actively harmful to men.

    And, for those that do not respond to therapy (any therapy), what can we do for them? Not all patients respond to all treatments for any given condition, this is a known phenomena. Just as some patients drop out of studies is a known phenomena

    • Rivalarrival@lemmy.today
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      18 hours ago

      Gotcha. Therapy works. The problem is the men. Makes perfect sense. Thanks for listening, have a nice day.

      • Fedegenerate@lemmynsfw.com
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        17 hours ago

        I am genuinely sorry it didn’t work for you.

        I am genuinely sorry your expectations for what therapy could do for you were not managed successfully.

        I am genuinely sorry you have been made to feel as if it was your fault you didn’t respond to the treatment. Very few treatments are 100% effective

        That doesn’t mean it doesn’t work for everyone.

        It doesn’t mean vulnerable men should be denied the opportunity to do something that we know has a higher chance (not guaranteed) of success than doing nothing.

        It doesn’t mean we shouldn’t do the thing that we know would have saved many (not all) of the lives represented by the corpses in the post.

        It also doesn’t mean that, for those therapy fails, we shouldn’t try something else.

        • Rivalarrival@lemmy.today
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          17 hours ago

          You were very clear. Therapy didn’t fail these men. These men failed therapy. I understand perfectly.

          • Fedegenerate@lemmynsfw.com
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            17 hours ago

            That’s explicitly not what I said. I’m not sure I can say anything to mollify you. I am sorry you were failed by the system and by me.

            • Rivalarrival@lemmy.today
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              16 hours ago

              I am sorry you were failed by the system

              No, no, no. You don’t get to go there now. You’ve spent all this time explaining to me that “the system” works. You’ve shown all the scientific data supporting it. That’s now an absolute fact. The system clearly works, so if I experience any failure, that has to be all on me.

              I’m not sure I can say anything to mollify you.

              You could scroll up. You’ve posted any number of scientific studies showing that therapy works. Scroll up far enough, and you’ll find a graph that says it doesn’t.

              You could shift your focus away from “the system’s” successes and shift instead toward its failures.

              It’s much easier to fix something that we know to be broken. Stop fighting people when you’re told how badly it sucks, and keep the focus on what it needs to change.

              You could completely remove the word “toxic” from your vocabulary: 100% of the time, it is used accusatorily against the very people that “the system” has failed.

              • Fedegenerate@lemmynsfw.com
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                14 hours ago

                I want to be very clear about something, because I think it got lost. I am not saying therapy failing you makes you wrong, broken, or culpable. Nor have I ever said that, please quote me. You havent provided a source for anything yet, I demand one now. Or stop with this pitiful attempt to portray me as something I am not.

                I am saying that generalizing from personal failure to “therapy doesn’t work for men” causes harm at a population level even though that conclusion feels emotionally justified.

                We know men under utilise mental health services. We know mental health services help men on aggregate. I am sorry it didn’t help you personally.

                Those two things can be true at the same time.

                A treatment can be fallible, imperfect, and even damaging for some people (allergies for example) and still be worth recommending when it reduces risk for many others. We don’t not use paracetamol for everybody who needs it just because you’re allergic.

                My frustration is not with men who were failed by therapy. It’s with the narrative leap from “this didn’t help me” to “this shouldn’t be encouraged,” because we know where that road ends for a lot of men. The graph.

                I feel you misrepresented so much in this discussion. The language around therapy is infalible, it wasn’t. You wanted scientific studies until you got them, having got them you didn’t read them. You thought therapy is treated as unfalsifiable, it isn’t. Was it you that suggested therapy is as effective as placebo when it isn’t. It might not have been, I don’t read usernames. I feel like you have gone out of your way to not read anything you don’t like, and interpret everything in the least charitable light you could.

                Here you misrepresent so much of what I say it isn’t worth it to go line by line but to remind you you’ve consistently done it before, tell you you’re doing it egregiously now and leave it at that. Provide a quote.

                It’s much easier to fix something that we know to be broken.

                I am

                We know men under utilise mental health services. We know mental health services help men on aggregate.

                • Rivalarrival@lemmy.today
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                  14 hours ago

                  My frustration is not with men who were failed by therapy. It’s with the narrative leap from “this didn’t help me” to “this shouldn’t be encouraged,

                  You’re arguing against a strawman. That narrative leap isn’t being made.

                  A treatment can be fallible, imperfect, and even damaging for some people and still be worth recommending when it reduces risk for many others.

                  Of course. BUT, (and this is the part you keep missing) when you have concrete evidence in front of you that it is ineffective/damaging (The Graph), the focus needs to shift toward ameliorating that harm. Stop shoving the failing status quo down throats. Stop blaming patients. Admit failure, admit fault, and focus on fixing the system.

                  Recognize that there is a group of people for whom the current system doesn’t work. Stop telling that group to utilize the current system. Give them a system that does actually work for them.

                  • Fedegenerate@lemmynsfw.com
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                    13 hours ago

                    Of course. BUT, (and this is the part you keep missing) when you have concrete evidence in front of you that it is ineffective/damaging (The Graph), the focus needs to shift toward ameliorating that harm.

                    That’s not what the graph shows. Death by suicide is reported at a higher rate for men in all countries. That’s what the graph shows.

                    It doesn’t show therapy being a placebo. It doesn’t show “concrete evidence” of anthing you have assserted. You haven’t shown anything at all. You have provided no evidence to support that therapy less positive outcomes than the control group. You cannot make that claim. Of course I’m missing it, you havent done anything…

                    Here’s what the data does show: Men experience positive outcomes similar to women when using mental health services.

                    But why are men’s suicide rate so much higher? Because men utilise mental health services at a much lower rate. Perfectly explained by the graph.

                    Why do men utilise mental health services at a much lower rate? Perhaps other men erroneously say it doesn’t work for men. Perhaps other men erroneously say its no better than staying at home and jerking off. Perhaps men are under a social pressure to not seek help.

                    I’ve said all this before though. There’s nothing new above just rehashing things you’ve ignored many times before.

                    Stop blaming patients.

                    Liar. I haven’t, please provide a quote of me directly blaming a patient that isnt. If you don’t I’ll ask you stop lying about me. I’ll provide 1 of me directly doing the exact opposite.

                    I am genuinely sorry it didn’t work for you.

                    I am genuinely sorry your expectations for what therapy could do for you were not managed successfully.

                    I am genuinely sorry you have been made to feel as if it was your fault you didn’t respond to the treatment. Very few treatments are 100% effective

                    That was easy.

                    Recognize that there is a group of people for whom the current system doesn’t work.

                    I have, repeatedly. Please stop lying about this too. If you don’t, I’ll ask you stop lying about me. I’ll provide a quote of me doing the exact opposite.

                    It also doesn’t mean that, for those therapy fails, we shouldn’t try something else.

                    That didn’t take long to find.

                    But here’s a new one for you. Just because there are some people allergic to some drugs that doesn’t mean we stop using them. We just don’t use them for that patient. This is the strongest case you can make, this drug a is actively harmful for patient a. We still give drug a to patient b. That also doesn’t mean that, for those that therapy fails, we shouldn’t try something else. just give patient a drug b. Drug a still “works”.

                    Strawman

                    You didn’t say that therapy didn’t help you? You didn’t say that therapy was as effective as sitting at home and masturbating? Hmm maybe that was another guy.

                    This you?

                    Science says I don’t get to present my anecdotal evidence. I don’t get to discuss how it has failed me, personally,

                    And this? This you?

                    Is a therapy session better for men than watching a YouTube video about mental health? taking a walk? Reading a book? Bingeing a TV series? Chronically masturbating?

                    Is this you?

                    Of course. BUT, (and this is the part you keep missing) when you have concrete evidence in front of you that it is ineffective/damaging (The Graph), the focus needs to shift toward ameliorating that harm.