←back to thread

461 points LaurenSerino | 1 comments | | HN request time: 0s | source
Show context
aeturnum ◴[] No.45290780[source]
> We medicalize grief because we fear it.

I think this is just incorrect. You are not obligated to seek treatment for most medical problems[1]. The point of medicalizing something is to draw a line between situations where it would be too soon for medical professionals to step in and when people enter a situation where they may need external help. One of the diagnostic criteria, which this article mentions, is that your grief is disrupting your life - but despite what this article claims they have misunderstood that criteria. Of course grief changes your routines and life. That change only becomes "disruptive" if you feel the change has somehow gone too far or you are struggling to undo it. This writer is doing neither and therefor does not meet the diagnostic criteria for disordered grief. They are grieving normally and the medical literate supports that understanding.

There are of course medical professionals who use diagnostic criteria as cudgels. Trying to force people to become patients in order to enforce their idea of what someone "should" want. This is a problem but it is a problem that the official diagnostic guidelines try to avoid. For those who are interested in this kind of problem with our medical system might look into the professional philosophy of doctors (generally arrayed around identifying and curing disease) and nursing (generally arrayed around making the patient comfortable as possible). I tend to think the nursing model is the more useful and sensible of the two - even though, of course, if one wants to cure a disease a doctor is helpful.

[1] There are very few diseases, such as tuberculosis, where you can be forced to treat the disease.

replies(10): >>45290900 #>>45291021 #>>45291848 #>>45291879 #>>45292467 #>>45293570 #>>45295336 #>>45296819 #>>45301316 #>>45332560 #
Aurornis ◴[] No.45290900[source]
> The point of medicalizing something is to draw a line between situations where it would be too soon for medical professionals to step in

The problem is that medical diagnoses and therapy speak have spilled over into common language where they’re so diluted that they’re not accurate any more. For many there is no line drawn anywhere because they are self-diagnosing based on flawed understandings as soon as any feeling or symptom arrives.

This is scarily obvious when I’ve worked with college students and early 20s juniors lately: A subset of them speak of everything human nature in medical and therapy speak. Common human experiences like being sad about something or having a tough day are immediately amplified into full-blown medical terms like “I’m having a depressive episode today” (which is gone by tomorrow). Being a little nervous about something is “I’m having a panic attack”. Remembering an unpleasant disagreement at work “gives me PTSD”. When they’re procrastinating a task that is fun “my ADHD is flaring up today”.

This is only a subset of people, but it’s a rapidly growing percentage of younger people I work with. When someone falls into this mindset it only grows: The same people using these terms usually accumulate a lot of different self-diagnoses to cover every element of common human experience: They will claim ADHD, social anxiety, often some variation of Autism despite showing none of the signs, PTSD due to a previous relationship/boss/professor they didn’t get along with, and insomnia or delayed sleep phase syndrome. Many will have no formal diagnosis at all or even proudly claim that they don’t trust the medical system, they’re just diagnosing themselves.

I’ve been offered helpful links to TikTok ADHD influencers to help me understand them, because that’s where they think the best information comes from. 20-something engineers confidently tell me they know more than their doctors about ADHD and how to treat it (usually after their doctor refuses to increase their dose of Adderall again or denies them some other controlled substance they think they need like ketamine or perpetual daily Xanax). There’s also a growing culture of casual drug abuse and misuse that gets justified as self-medication, but that’s a topic for another post.

replies(14): >>45291050 #>>45291088 #>>45291167 #>>45291327 #>>45291378 #>>45291485 #>>45291682 #>>45291727 #>>45291764 #>>45291947 #>>45292406 #>>45292455 #>>45294214 #>>45298060 #
retrac ◴[] No.45291378[source]
I'm not sure if this is "human nature" or if it's a specific cultural problem in the modern west. It's certainly true here in Canada too -- everyone uses terms that are really quite heavy duty to describe quite minor things.

I'm deaf. When I tell people this, one of the most common response is "Oh, don't worry. I'm a little bit deaf too." Now not to go policing people on their identities but -- no you're not.

Like what do I need to say? Clinically deaf. Severe-profoundly deaf. Cannot hear a fire alarm without hearing aids?

It's one thing when it's an elderly person. Yes maybe they are in fact a bit deaf too. But for all the people in their 30s or 40s who have said it to me -- the odds they all have moderate or worse hearing loss is nil! Most of the people who are saying it presumably have normal hearing. I understand that they're trying to identify with and not alienate me. But it's such a strange dynamic.

replies(4): >>45291663 #>>45291819 #>>45294156 #>>45298172 #
1. floxy ◴[] No.45294156{3}[source]
>When I tell people this, one of the most common response is "Oh, don't worry. I'm a little bit deaf too."

I think that is just people being people, and that's the first "acceptable" thing that pops into their mind when they hear that. They are just trying to relate to you. They are socially conditioned to not say things like, "that's too bad", or "I'm sorry", etc.. They were probably prepping to say something about the latest weather trends or something equally banal, and now you've hit them with something out of left field that they've never encountered before. How would you like people to respond? I am a migraine sufferer, and get the same types of responses, like "oh, I get headaches too", and "my sister in-law cured her migraines with mint oil!". I mean, most of the things that most people say are rather dopey.