Hacker Newsnew | past | comments | ask | show | jobs | submitlogin

Did you ever see the Malcolm in the Middle episode where Lois tries to use therapist techniques such as parroting on Malcolm? (S5E15 - page 6 http://www.malcolminthemiddle.co.uk/episodes/transcripts/eng... ) There's another (S2E8) where Malcolm fakes a breakdown so he can get out of a dorky class thing by talking to the school counselor. (Ed: I don't mean this as evidence, just a comedic primer for the general idea.)

I think a lot of people who read HN are in the same pseudo-category. They're smarter than the people they'd talk to. They don't need someone to listen because they can talk/write to themselves--some people find that scary to do, and talking with others is very helpful! And for volunteer things it's incredibly likely a person on HN knows more about psychology than the volunteer and can help themselves more-so by learning about why they feel the way they feel instead of repeating stuff they already say to themselves to a passive listener who may just repeat it back. I think a lot of therapy is about helping people to introspect, but the tech-crowd members tend to do that on their own. I'd rather talk to an actual friend who physically cares (as opposed to abstractly cares like a volunteer or someone you pay) anyway.



This comment completely misses the point about depression. A person who is actually depressed is likely to need assistance navigating out of that state. Being smart etc. isn't the cure.


Being too smart for your own good can lead to depression in the first place. To get out of that trap you often do need someone to talk to that offers a different perspective. Intelligence is not the issue here. Experience is.


I agree smartness isn't sufficient for a cure, and sometimes drugs are necessary, but neither is just "talking to someone" which is what Befrienders states: "We work worldwide to provide emotional support, and reduce suicide. We listen to people who are in distress. We don't judge them or tell them what to do - we listen." I'm certain what they do is a good idea but I think it's just a cached piece of advice that works well for most people.

If you can talk to the right person, then sure, it's going to help more than talking to yourself. The right people are few and far between even among paid therapists, some of which are paid commissions on how many drug prescriptions they give, and a random person is incredibly unlikely to be the right person. Where smartness comes in handy is that a smart person can do the relevant research for their particular case.

My own opinion is that a lot of the "best practices" and so on are aimed mainly at extroverts, and similarly educational practices are aimed at whatever majority group of student-types you can describe there. (Techniques hackers would love in school don't seem to work well on the general population.)


No, just no. Having a sympathetic person listen and provide good advice can be extremely valuable. And these things do not require anything but the attention of someone who cares, who maybe has gone through the same thing. These people are not few and far between, and they are not random.

Also, therapists cannot prescribe drugs. No one with the ability to write a prescription calls themselves a therapist. And I seriously doubt that anyone who can prescribe drugs gets paid a commission for doing so. That would almost certainly be considered a massive ethics violation.


Sorry about the wrong term, though I think it was clear from context. s/paid therapist/psychiatrist practicing psychotherapy/.

If you don't believe the medical industry suffers from the same problems as the political industry, with "sales reps" taking on the roles of "lobbyists", you should do some googling. Here's a nice database: http://projects.propublica.org/docdollars/


There's a lot of difference between a therapist and a psychiatrist. There's even more difference between getting paid on commission and being wooed by lobbyists. Having doctors influenced by lobbyists is almost certainly a negative overall, but it's nowhere close to having doctors literally paid on commission for writing prescriptions.


"As part of that promotion, Allergan provided kickbacks to doctors in the form of cash, travel, and meals and held seminars instructing physicians on how to bill Medicare for off-label procedures. "

http://www.fbi.gov/news/stories/2010/september/settlement-in...


If the FBI prosecutes for it, it doesn't really count. That's kind of like saying you can't eat at a restaurant because some chefs poison their customers. Sure, but it's illegal and not the typical state of affairs.

I don't believe that kickbacks are common (I'll change my stance if evidence shows that they are wide-spread), even for on-label uses. I'm pretty sure they're still considered a serious ethics violation and probably illegal.


I'm sure you're right.

A slightly different twist: a friend of mine is a pharmacist and he was decrying the end of free lunches provided by pharma companies after he finished first year (a few years ago). The influence of drug companies may exert is a recognized problem, even where it doesn't take the cash for prescription model (that I agree with you is probably illegal but I haven't looked into it). I do think it's likely though that there are creative ways out there that drug companies have come up with to encourage prescriptions.


When someone says that they are suicidal it is imperative they speak to qualified professionals who can assess the situation and potentially avert disaster. your comment is unhelpful.


But is that advice only given because nobody would dare not to give that advice?




Guidelines | FAQ | Lists | API | Security | Legal | Apply to YC | Contact

Search: