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Michael Bailey's avatar

Great article. An uncomfortable but likely hypothesis consistent with a true association (genetic or environmental) between CSA and BPD is that youth who will be BPD behave differently than other youth, including engaging in inappropriate sexual interactions with adults. CSA articles usually have high age cutoffs for childhood. Who believes that no 14 year olds have any causal agency, sexually?

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A. Klarke Heinecke's avatar

Thank you for this clear comparison between competing hypotheses in the specific case of bipolar disorder, with the inference that our mental model of psychological disorders is not well supported by the best data.

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Michael Edwards's avatar

Another sentinel contribution. Thank you.

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Andrew Perlot's avatar

“If you are distressed by anything external, the pain is not due to the thing itself, but to your estimate of it; and this you have the power to revoke at any moment.” — Marcus Aurelius

1) Reanchor for happiness: https://andrewperlot.substack.com/p/why-i-almost-lost-my-girlfriend-and

2) Play the right game: https://andrewperlot.substack.com/cp/145128856

3) Remember you'll get through the next thing too: https://andrewperlot.substack.com/i/144078290/youll-get-through-the-next-thing-too

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Graham Cunningham's avatar

Everything is good for you

If it doesn't kill you

https://www.youtube.com/watch?v=dYWG97ISG1A

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Torin McCabe's avatar

Problem Framing 1: I am sometimes emotionally volatile (neurotic)

Problem Framing 2: I am sometimes depressed based on trauma

Solution Framing 1: Become stronger and have a better life including my neuroticism

Solution Framing 2: Engage in therapy to medicate/cure my depression and trauma

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Jim Johnson's avatar

I am late reading this very fine review. I am reflexively behaviorist. holdover from grad school. so...so much of what I read in this review can be explained by learning theory. and the author alludes to that mechanism with the term "adaptive." the individual learns (is rewarded by or punishment relieved ) by certain behaviors/cognitive events. The many clinicians who seem to get off with various Freudian explanations violate a core scientific notion: simplicity of explanation. parsimony. I was never a therapist, but this certainly points me to various cog/beh approaches. that is my understand of dialectic approaches. that said, I did enjoy van der kolk's book. all said, I can certainly believe that screwed up parenting/interpersonal style can damage a young person. hell, it can damage an adult.

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The Sue With the Goats's avatar

The emergent field of Metabolic Psychiatry is probably going to dramatically change the way we look at mental illness.

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Melva Bintang's avatar

Great reading. It feels like a call to embody the old proverbs, -It takes a village to raise a children.- I'm not a parent, but I can see that the growth of a child isn't only to the parents but to the society, governments, and many other people.

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