[HN Gopher] Daddy isn't coming back
       ___________________________________________________________________
        
       Daddy isn't coming back
        
       Author : chesterfield
       Score  : 109 points
       Date   : 2021-11-17 20:56 UTC (2 hours ago)
        
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       | SapporoChris wrote:
       | I have a black thought on this. I would be happy if someone
       | corrected me. When something breaks, sometimes we repair it,
       | sometimes we throw it out. The more valuable the item, the more
       | we will spend to fix it. However even with the most valuable
       | items, we sometimes reluctantly decide that it is broken beyond
       | repair. Are people like this? Are some simply too broken to fix?
       | I feel awful thinking this, but I wonder if there is some truth
       | to it.
        
         | whalesalad wrote:
         | You should not feel awful saying this.
        
         | jstx1 wrote:
         | If you think about it coldly, that's probably true - there are
         | a bunch of different human-mental states, why would all of them
         | be reparable? It's more likely that some are and some aren't.
         | But all of this is difficult to measure so regardless of what
         | state you're in, you do the best you can with what you have.
        
         | slx26 wrote:
         | I do definitely believe people can be too broken to fix _in
         | certain ways_. I feel like this about some parts of myself. But
         | the thing is, that we can 't say someone is too broken to fix
         | as a whole, because the paths to be are virtually infinite. So
         | that's why most people intuitively lean towards "you can't
         | never lose hope". I'd say they are intuitively right this time,
         | and yet people can also be too broken to fix in some ways. They
         | are not mutually exclusive.
         | 
         | Now, that doesn't say much about whether one should try to
         | overcome trauma or try to bury it. That depends a lot on the
         | context, the direction you would like to move towards and the
         | support you have to do it.
        
         | staticautomatic wrote:
         | I think the answer must be an unequivocal yes, because there
         | are people who exhaust all of their options for intervention
         | and then kill themselves.
        
         | philwelch wrote:
         | It's a hard question to ask about mental health, but it seems
         | like an obvious conclusion when it comes to physical health:
         | 
         | https://slatestarcodex.com/2013/07/17/who-by-very-slow-decay...
        
         | edmcnulty101 wrote:
         | This is ultimately a nature vs nurture debate.
         | 
         | Are humans the way they are due to their inherent 'nature'? Are
         | they genetically set in stone, programmed and minimally
         | changing from a set point(like an object)?
         | 
         | Or are human's the way they are by 'nurture' and does their
         | environment influence their essence and with a changed external
         | environment they can change as well?
         | 
         | Science seems to believe it's a bit of both. Look at twin
         | studies and epigenetic expression of schizophrenia for
         | examples.
         | 
         | The issue I see with your argument is that it assumes that
         | human's are like objects and therefore heavily 'nature' based.
         | 
         | I think science leans towards more of a balance of nature and
         | nurture.
        
         | lazypenguin wrote:
         | Objectively, it's possible to be "too broken" to be fixed (e.g.
         | acute blunt force trauma, malignant tumor, etc.) where the only
         | "fix" is palliative care. Although, I think technically we
         | would say: "too broken to fix based on our CURRENT tools,
         | knowledge and resources". It's an interesting thought
         | experiment to think about how advanced can we become where
         | anything is fixable?
        
           | NikolaNovak wrote:
           | In addition, this gets complicated VERY quickly; it's
           | relatively easy to say "This leg is broken; it is not right;
           | it needs to be fixed and changed for better".
           | 
           | With mental illnesses though, it's difficult to
           | comprehensively, objectively, universally define
           | "right/correct/well" and "broken/incorrect".
           | 
           | We all perceive the external world through a faulty set of
           | sensors and interpretations which trigger some mental
           | processes and reactions. It's difficult to mark some such
           | perception/processing as "broken, not worth living". My gut
           | feel is that it's more about finding appropriate environment.
           | 
           | Additionally, non-living items are frequently judged based on
           | their utility; "too broken to fix" is related to "cheaper to
           | replace than to fix". With human beings and mental care - not
           | only is it hard to define "Broken" let alone "too broken",
           | it's far harder to define "not feasible to repair" - though
           | of course, when it comes to public policy, such choices are
           | made daily, by necessity. Only so much money to be invested
           | into so many programs.
           | 
           | And while I'm rambling, note that myself, and many others,
           | there is an inherent double-standard: my threshold for myself
           | being too broken to fix is far far lower (and I'm a massive
           | proponent of voluntary euthanasia, for myself) than for
           | others (I don't want anybody in my life to leave ever)
        
             | akiselev wrote:
             | There's a decent Stargate Atlantis episode along these
             | lines called Miller's Crossing. The chief scientist McKay
             | gets kidnapped along with his sister (herself a brilliant
             | scientist) by a billionaire trying to use alien nanite
             | technology to cure his daughter of leukemia. In order to
             | incentivize McKay to cooperate and fix the nanite coding,
             | the guy injects McKay's sister with the nanites.
             | 
             | McKay figures it out but the daughter ends up dying
             | because, although the nanites cure her leukemia, they also
             | cure an undiagnosed heart murmur by stopping her heart and
             | repairing it thus depriving her brain of oxygen and leaving
             | her braindead.
             | 
             | They didn't have much time to explore the philosophical
             | implications (sadly far too common for these scifi shows)
             | but the rest of the episode is a race to disable the
             | nanites before they try to "fix" the sister's epilepsy,
             | including breaking her bones to create work for the
             | nanites.
             | 
             | The only type of nanites in the SG universe that could
             | repair a human being without causing crippling unintended
             | consequences were hyper-intelligent replicator nanites that
             | were hell bent on destroying humanity because they had
             | abandonment issues.
        
           | monkeybutton wrote:
           | Mental illness is not contagious and it is not entirely
           | learned either. By fixing it, you are changing the physical
           | substrate of the mind. Did you fix anything at all? Or did
           | you destroy one mind and create a new one in its place.
        
             | wizzwizz4 wrote:
             | Ignorance is not contagious and it is not entirely learned
             | either. By teaching anyone anything, you are changing the
             | physical substrate of the mind. Did you fix anything at
             | all? Or did you destroy one mind and create a new one in
             | its place.
        
         | neolefty wrote:
         | I think that is a fine question to ask in this forum. Maybe not
         | a question that people in the situation described can handle of
         | course!
         | 
         | Related may be "Too broken to imagine (myself) being fixed."
         | Which is probably more of a failure of imagination (and
         | possibly of support) than a reality.
         | 
         | And then you get into what does "fixed" mean, vs "good", in a
         | _person_ ...
        
         | seoulmetro wrote:
         | The problem is that we know how to fix anything we make and/or
         | can see. We can't make or see the human mind just yet, so we
         | definitely struggle to fix it.
        
         | rossdavidh wrote:
         | There are, certainly, medical situations where we cannot fix
         | it, and we let them go. In fact, most of us will meet our end
         | in such a way, eventually. The difficult thing about mental
         | illness, is that we know so little about how it works (and much
         | of what we think we know is incorrect), so that the solution
         | might be really close at hand, but we haven't found it yet.
         | 
         | We know when someone's physical health, for example a rapidly
         | spreading cancer, has passed the point of no return. We don't
         | understand mental health well enough to know that. In rare
         | cases, of course, like brain damage from trauma that leaves the
         | person in a vegetative state, we know that it will never get
         | better, but in cases like this article I don't think we ever
         | know one way or the other.
        
         | rksprst wrote:
         | I don't think your example works - when a valuable item is
         | broken beyond repair that is a fact (based on known physics /
         | science). If I snap a ruler into two pieces I know there is no
         | way to bring it back to the state it was originally in - a
         | single piece. We can glue it back and use other mechanisms but
         | it won't be exactly the same - we know this definitively. The
         | same cannot be said about mental illness.
         | 
         | We do not have the knowledge and science to make such a
         | statement about mental illness. In fact, medical science and
         | research shows the opposite, that we are learning more and
         | getting better at treating mental illness.
         | 
         | Mental illness is usually not a downhill spiral to death, but a
         | roller coaster that you can jump out of. Your perception of
         | being beyond repair depends where on the roller coaster you
         | are.
        
         | at_a_remove wrote:
         | Well, there's the _estimated_ work to fix and then there 's how
         | ... "valauble" someone is. It's an invisible measure: a little
         | bit of celebrity (or how many people know you), some kind of
         | reputational Whuffie (will they be missed?), a dash of
         | disregard for age("he was so young" versus "it was his time"),
         | some men versus women as kind of a global score, then you have
         | individual removal. As an example, were Taylor Swift were
         | pursued by the black dog, wallets would open up for suicide
         | prevention, but some loathed yet similarly known figure not so
         | much.
         | 
         | Whatever it is, the never-to-be-acknowledged issue that for
         | many, people "care" to an extent that is materially
         | indistinguishable from not caring one bit. Most people give
         | advice with no skin in the game and no penalties for being
         | wrong. Who wants to face the question, "What if it _didn 't_
         | get better?" What if you convince some miserable twenty-
         | something that it gets better, as the platitude goes, and some
         | fifty years later, no, it didn't, that their life was one
         | terrible slog through stone-faced despair, lest we "affect
         | loved ones" via the taboo of picking the time we board the
         | train to Endsville? Whoops, sorry about that, we guilted you
         | into suffering for half a century so we wouldn't have to look
         | at you. Someone who would have done a Richard Cory instead ends
         | up like _Giles_ Corey, and it was just one more weight on the
         | plank crushing them down, but gosh we feel good about saying
         | the right thing.
        
         | Damogran6 wrote:
         | You're not a bad person for thinking it, there's a surprising
         | about of nuance in the handling of life, things like "mom's
         | suffering brings us no comfort" and then mom's long term
         | hospital stay is reduced when she dies quietly in her sleep.
         | 
         | But nobody seems to discuss it.
        
           | IggleSniggle wrote:
           | Well, then, thank you both for discussing it!
           | 
           | I, for one, would like to normalize what is often called
           | "dying with dignity" but could also be described simply as
           | "intentionally dying." It's not suicide in the traditional
           | sense, it's choosing your end of life with the same sort of
           | assertiveness that most of us wish to have in all the other
           | aspects of our lives. I understand why it's difficult. I
           | still think we should be able to be in control of our own
           | termination sequence when many of our subsystems are already
           | doing so of their own accord.
        
         | csomar wrote:
         | That's not how it works in real life. Family (and maybe
         | generous government healthcare) will take care of "too broke"
         | to give any yield, in the future, people. Anyone else who isn't
         | lucky to have that kind of support will find himself in the
         | streets.
         | 
         | And that's fine. Societies can only function if the yield from
         | the people it invested in is higher than the investment. This
         | is why socialized healthcare is tricky. If you invest too much,
         | you might be wasting resources and endangering all of your
         | society. If you invest too little, you might be leaving people
         | who would otherwise be productive once the investment is made.
         | 
         | > Are some simply too broken to fix?
         | 
         | There is no one too broken to fix but how compatible people are
         | with their environments. A duck will leave its baby if it
         | thinks it can't cross the river. Its brothers did cross, and
         | thus it has to go forward, carry on and leave the weak behind.
         | On the other hand, if the duck was living in your backyard and
         | eating from your food; it would not have to do such a difficult
         | choice. Its baby will not need to cross any river and thus
         | it'll keep taking care of it.
         | 
         | > I feel awful thinking this, but I wonder if there is some
         | truth to it.
         | 
         | It's life. Netflix has great series (Planet Earth) that you can
         | watch. We are not really different from animals, we just happen
         | to live in a different environment.
        
           | totetsu wrote:
           | So socialized health care spending millions on a mentally
           | disabled child who will never yield return on that investment
           | is a danger to society?
        
         | carabiner wrote:
         | Many people say this of those who have borderline personality
         | disorder. BPD is the top result when you google "most painful
         | mental illness," and some therapists either refuse to treat or
         | limit their exposure to these patients. And so their imagined
         | fear of abandonment becomes real, and their illness worsens.
        
         | jareklupinski wrote:
         | in a perfect world, i believe there is a happy and fulfilling
         | lifestyle we can carve out for anyone in a well-functioning
         | society, no matter where they come from or where they're going
         | 
         | we just need the space / time / resources to supply all those
         | different lifestyles that swing outside the mean, and a moral
         | code that allows for them all to exist on the same planet
         | 
         | or just more planets...
        
         | amelius wrote:
         | Philosophical questions are fine here, I think.
        
         | sandgiant wrote:
         | I don't think there is such a thing as broken beyond repair.
         | How would you even begin defining that? If you're thinking in
         | economic terms then sure, we can try to optimize a limited
         | budget to save/improve the maximum number of lives. It would
         | still be beneficial to have at least a few people look into
         | whether new methods can be developed to increase the amount of
         | "good life" you get per dollar. Giving up and deciding
         | something is beyond repair can be one course of action in this
         | optimization, but it seems counter productive, and perhaps a
         | bit unethical, to try and generalize this position. Having the
         | thought, and the discussion, is obviously totally fine.
        
         | AnIdiotOnTheNet wrote:
         | Often it isn't that things are too broken to be fixed, it's
         | just that no one cares to expend the resources to fix them. I
         | think people are like that.
        
         | podgaj wrote:
         | It is not that we are too broken to fix, people are just afraid
         | of us because we reveal the fragility of the mental state. And
         | people are just greedy as well.
         | 
         | I do not ask for much help, all I need a simple place to live.
         | A studio or something that is clean. That would help me so
         | much. But all they build now are luxury studio apartments. Most
         | of us would be fine with some stability. For the more serious
         | cases we should bring back the institutions that they
         | dismantled in the 70's.
        
         | SkyPuncher wrote:
         | > Are people like this? Are some simply too broken to fix? I
         | feel awful thinking this, but I wonder if there is some truth
         | to it.
         | 
         | In the criminal justice system, this is essentially what
         | pleading insanity recognizes. Many of these people are placed
         | in long term mental-health institutions.
        
         | moosey wrote:
         | When you say "fixed", I assume you mean that the traumatized
         | brain is returned to a state where a person can learn and
         | experience positive emotions. In most cases, I would argue that
         | it's probable, yes, but I'm not an expert in this area, though
         | I spend a lot of time trying to understand abuse (to remove it
         | from my own language and actions) and trauma (so that I can
         | help my children recover from it).
         | 
         | It is my very slightly educated opinion that given a place of
         | psychological, emotional, and physical safety, it is possible
         | to train a person to gain resilience. I will also say that
         | places that meet these criteria are rare in the United States,
         | at a minimum. Our society is highly competitive and attacks
         | people who do poorly, even though that's largely assigned at
         | random, or is based on already existing/trained resilience,
         | which is not well taught in most schools in the US, at least
         | not to the extent that it needs to be. Emotional intelligence
         | is the primary toolkit for dealing with these kinds of issues,
         | and it can't just be taught as a one-and-done. It is something
         | that requires constant practice, similar to sports or music
         | preparation.
         | 
         | I would even go as far as to suggest that the entire media
         | system, for all that it does well, strongly encourages
         | reductions in emotional intelligence. Advertising is designed
         | to get us to relate to emotions like pride (buy a brand new
         | vehicle to be your own person!) or fear. Facebook pushes anger
         | at us regularly. The fundamental attribution error is so rife
         | and abusive in our society that now we identify ourselves
         | almost completely via the categories and labels that are tossed
         | around so lazily, inducing category error, outgroup bias, and a
         | whole slew of cognitive errors that reduce emotional regulation
         | and empathy, key tools in maintaining a healthy mental state.
         | 
         | Given all this working against us, on the other side there
         | needs to be understanding that safety isn't enough. Abusive
         | language is incredibly common in the US (I don't have insight
         | to what the media really looks like in most of Europe, or
         | Asia). There are positive actions that can be taken to help
         | people around you to heal, and to heal your own mind if you are
         | concerned about hieghtened anxiety or depression, but they
         | probably require counseling (hard to access and expensive),
         | meditation and or pharmacology.
         | 
         | I would recommend understanding NVC (Non-violent communication)
         | as a strictly non-abusive method of communicating with others,
         | understanding abusive language patterns (name-calling,
         | dismissing, condescension, etc.) which are easily found online,
         | and also reading books like "Trauma and young children:
         | Teaching Strategies to support and empower" by the NAEYC. The
         | understanding of trauma, how subjective it is, and how often it
         | is associated with thinking patterns and how to modify them, is
         | key in helping people recover from trauma.
         | 
         | As a side note: I have had to do a lot of counseling because
         | the 750k dead in the US from Covid caused me a lot of secondary
         | trauma. I have a tendency to think in the empathetic, and
         | updating from empathy to compassion freed up a lot of room for
         | new ways of thinking. However, I have access to the necessary
         | health care. People who are under intense pressure (month-to-
         | month pay, homelessness, bullying, etc.) will not be
         | experiencing what is called "toxic stress", which alters the
         | brain and practically eliminates the ability to build good
         | connections in the prefrontal cortex.
         | 
         | I guess what I'm saying is it can be done, if we reorganize
         | society for mental health, or if you have the money.
        
         | tcbawo wrote:
         | In my town was a single mother who lived with her adult son
         | that struggled with mental issues. She probably had very little
         | help through the years, but somehow managed. One day, her son
         | murdered her with a knife. It's very sad, but I think we
         | generally leave people to fend for themselves when they have
         | dependents with mental issues. I worry about disturbed
         | individuals that target, stalk, or kill other innocent people.
         | Maybe some day we might have a more humane treatment for these
         | 'unfixable' individuals. Maybe even a virtual/persistent
         | metaverse where they can live out a satisfying life without
         | putting others in danger.
        
         | frgtpsswrdlame wrote:
         | The man in this article was broken, what would it have cost to
         | fix him?
         | 
         | We don't have the information you're assuming we do, whether
         | the costs are monetary or otherwise there is no estimate for
         | what it would have cost to fix the daddy in this story.
        
         | micromacrofoot wrote:
         | There's an oft-used Lord of the Rings quote:
         | 
         | "Many that live deserve death. And some that die deserve life.
         | Can you give it to them? Then do not be too eager to deal out
         | death in judgement."
         | 
         | What is a broken person? since we're all fallible beings
         | ourselves, who could possibly decide that someone is broken
         | beyond repair? It doesn't matter if there's truth to it.
        
           | anonporridge wrote:
           | I think this is a bit of the wrong analogy.
           | 
           | There's a big difference between judging someone unworthy of
           | life and acting to kill them, and judging that someone is not
           | worth the energy and struggle to fight against their own
           | drive to throw themselves off a cliff.
           | 
           | We're not collectively strong enough to save everyone.
           | Getting strong enough is a goal to aspire to, but the dark
           | reality is that in our state of weakness, we need to
           | prioritize what we struggle to hold onto.
        
             | SigmundA wrote:
             | Never heard of "put them out of their misery"?
             | 
             | Not acting and letting them destroy themselves can be worse
             | in many ways to them and others around them rather than
             | "acting to kill them".
             | 
             | This is a hard truth, I am not advocated mercy killings but
             | doing nothing to help them can be worse in many than doing
             | something for all involved, which is why most advocate for
             | doing something to help even is it seem futile, sometimes
             | its as much for everyone else than the person receiving
             | help.
        
               | anonporridge wrote:
               | I think it really depends.
               | 
               | Ultimately there's a never ending ethical conversation of
               | when or if one ever has a duty to act to help others. I'm
               | inclined to be believe there's a lot of cases where you
               | ethically do have a duty to act, but we're not going to
               | resolve the debate of where that line is here.
               | 
               | But there does exist a practical limitations to what you
               | can do to save someone. A key rule of any kind of
               | emergency response is to always prioritize your own
               | safety first, because if you don't you risk creating an
               | additional victim and making the situation worse for
               | everyone. That can be an incredibly hard thing to accept
               | when you see someone suffering and dying, but it's the
               | truth.
               | 
               | If you jump in the water to save a drowning person,
               | there's a high chance in their panic, they drag you down
               | and you both drown.
        
               | csunbird wrote:
               | I always remember this phrase, from Harry Potter, when
               | thinking about death:
               | 
               | "You are the true master of death, because the true
               | master does not seek to run away from Death. He accepts
               | that he must die, and understands that there are far, far
               | worse things in the living world than dying."
               | 
               | A little bit pessimistic, but lifelong suffering might be
               | worser than dying outright.
        
             | agumonkey wrote:
             | I think societies had a simple curve for this. They help,
             | help a bit more.. but after some time they drop the ball.
             | Most average people have no clue anyway so they are
             | powerless about the whole thing. People who know more may
             | be able to go further in their efforts, but even then
             | you're never sure you can carry someone like that for long.
             | Even though .. I dearly think that most suicidal people
             | only need a root deep emotional connection. Way too often
             | people respond to shared pain, real empathy, understanding,
             | trust ..
        
       | rubyist5eva wrote:
       | As someone that was on medication that made me think about
       | comitting suicide regularly, and I've learned to cope and
       | overcome it somewhat...I thought I could read this...but this was
       | like stepping into another reality where I was gone and this was
       | about me. :S :S. and now I'm sitting at my desk bawling my eyes
       | out...just wanting to hold my son and never let him go.
        
       | muuglay wrote:
       | Suicide is a hard topic. My mom did it. I don't talk to my
       | father. I might be autistic or have aspbergers, and I dont
       | understand why I wake up. I'm a robot emulating a human. I have
       | to do weed to grt any mystery of a cosmic connection because we
       | are strange primates. I hate my job which causes a disease of
       | more when even after excelling in a fang job making over seven
       | figures, I feel very little joy. I just have hope that something
       | will change. I'm going to retire soon. I hope I can find joy.
        
         | agumonkey wrote:
         | Allocate some time to joy seeking. I think I'm a bit on the
         | autistic spectrum... at least I struggled for a very long time
         | with human connections, and it changes a lot about how one sees
         | life.
         | 
         | The analytical part of the brain is not the only one.. that
         | said, I'm neuroscientist, just a dude with a strange
         | upbringing.
        
         | vorpalhex wrote:
         | Talk to a therapist, and if that therapist isn't giving you
         | what you need then try another one. If you are shy about
         | therapists, there are some programs that let you do therapy via
         | text message or video call.
         | 
         | There are a lot of possible causes as to why you may feel a
         | lack of joy. The good news is that the vast majority of those
         | causes are fixable.
        
         | mikeflynn wrote:
         | If you aren't already working with a therapist, I would
         | encourage you to do so. I think it would really help, but
         | either way I hope you find what you're looking for.
        
         | outworlder wrote:
         | There is some research that seems to point out to genetic
         | factors. My only experience with this subject seems to
         | corroborate this, but it's anecdotal. This is true for some
         | other mental health issues too. TL;DR I'd be very careful if
         | there's any history in the family, as in your case.
         | 
         | Given that you suspect that you are neurodivergent(you
         | mentioned autism), please talk to a professional. Maybe
         | figuring out exactly what makes you tick is what you need - or
         | maybe there's something that's preventing you from feeling
         | 'joy' (anhedonia is a classic depression sign).
         | 
         | Don't wait until retirement. You can certainly afford talking
         | to a therapist (from a monetary perspective at least, time may
         | be another matter). But just do it.
         | 
         | I think that 'joy' is a target that can't be reached. No matter
         | how wonderful one's life become, we'll adapt. Joy is fleeting
         | (but you should still experience some occasionally). Not hating
         | having to wake up is a good first goal though. I'm also working
         | on that part.
        
       | ellyagg wrote:
       | Statistics also suggest that, singularly among illnesses, people
       | with schizophrenia fare better in the developing world, where the
       | rates of remission are higher.
       | 
       | It's because developing countries are low-compliance societies.
       | Humans weren't evolved to live in high-compliance societies and a
       | lot of us don't care for it at all. Some of us get by. Others
       | don't.
        
         | valenaut wrote:
         | What do you mean by high/low compliance?
        
           | jarito wrote:
           | Not the OP, but I assume they mean the requirement by society
           | on how well individuals conform to the expectations of that
           | society. In high compliance societies, individuals are
           | ostracized / punished for non-conformance - think atheists in
           | a religious society. In low conformance societies,
           | individuals are able to maintain a high level of privacy or
           | society is more tolerant of divergence.
        
           | AdamN wrote:
           | Meaning it's more acceptable to not comply with cultural
           | standards: i.e. keep standard hours, have a job, not
           | marry/have kids, or whatever else the standards of behavior
           | are.
           | 
           | I'm not convinced though that developing countries are
           | actually lower compliance but that's what the OP means.
        
             | topspin wrote:
             | > I'm not convinced though that developing countries are
             | actually lower compliance
             | 
             | They aren't, and there is far less opportunity to escape
             | compliance. Deviation is an exclusive privilege of the
             | prevailing strong men. Everyone else tows the community
             | line and occupies their time scrutinizing precisely how
             | well others are towing it as well. The romantic fiction
             | that there is some great liberty in such places is a form
             | of noble savage fantasy that emerges among those that have
             | fully inculcated the contempt for their own culture they
             | were trained to have.
        
             | watwut wrote:
             | It heavily depends on what exactly are you supposed to be
             | compliant with. As in, developing countries tend to be less
             | organized with all kind of rules being broken routinely.
             | With people used to dysfunction, bad service,
             | disorganization, bad behavior.
             | 
             | In a lot of ways, it is more tolerant of faults, because
             | developed word demands perfection.
             | 
             | But then, when it turns bad it can be really bad. And it is
             | not tolerant of everything, many freedoms and choices
             | acceptable in developed word are treated with massive
             | hostility.
        
         | gowld wrote:
         | I've also read that schizophrenia is much less painful in
         | countries where cultural/religious context lead people to
         | interpret the hallunications as friendly spirits, and not
         | government spies using mind control tech.
         | 
         | The way someone experiences schizophrenia may be a reflection
         | of their overall societal mental health, and how fearful
         | society is in general.
        
         | [deleted]
        
         | foogazi wrote:
         | I've had friends tell me that they wouldn't move to the US
         | because everything it's too rigid or strict, there are no ways
         | out - think HOAs with street cameras strict
         | 
         | They like living in a developing country that allows more lax
         | behavior- throw a loud party and the cops don't care, no one
         | will sue you either, you can get by without a credit score or
         | just grease some palms to get stuff done
         | 
         | Edit: imagine no IRS, or wage garnishment for debts, no zoning,
         | OSHA, ADA - basically the state having little power to make you
         | comply
         | 
         | More flexibility as the system doesn't form your behavior -
         | although at the same time it can come down hard on you if it
         | wants
         | 
         | Your rights won't mean much though
        
         | vajrabum wrote:
         | That's an assumption I'd say. Another completely different
         | possibility is that people suffering from schizophrenia in the
         | developing world are generally not medicated. Anti-psychotic
         | medications have nasty side effects and perhaps one
         | undiscovered side effect is to turn a chronic relapsing disease
         | into a permanent condition.
        
       | NikolaNovak wrote:
       | It's a difficult read; more of a personal/lived experience but
       | with some stats and thoughts sprinkled through.
       | 
       | I have two young'uns (3 years and 6 months), so it was the title
       | and its expansion that got to me the most; telling your kids that
       | their parent is not coming back? I struggle to tell them when
       | mommy is out for a grocery run!                 I told the
       | children early on Saturday morning. "Daddy isn't coming back," I
       | said as we lay curled into each other in bed. "He didn't want to
       | live any more and he made himself die."
        
       | aerovistae wrote:
       | Not a comment on the story itself, but rather on the postscript
       | which follows it:
       | 
       | > If you are struggling to cope or have been affected by anything
       | in this story, please contact the Samaritans in the UK at 116 123
       | or jo@samaritans.org. In the US, the National Suicide Prevention
       | Lifeline is 1-800-273-8255. More information at mind.org.uk,
       | samaritans.org and save.org
       | 
       | Years ago, unhappy but not suicidal, I decided to call a suicide
       | hotline. I did this for the same reason we have fire drills and
       | software tests - I was verifying whether it would work if I did
       | need it.
       | 
       | It did not work. I was quite disappointed. After my experience, I
       | would never suggest to anyone to call a suicide hotline, and I
       | realized that most people who recommend them probably have never
       | used one and don't know what they're recommending.
       | 
       | The individual I spoke to asked if I was suicidal - I said I
       | wasn't at the moment, but then that doesn't mean much, does it?
       | _I'm still calling, regardless of what I say._ I would imagine a
       | lot of people who call suicide hotlines might not be entirely
       | honest about the urgency or seriousness of their emotional state.
       | Their reaction was dismissive thereafter.
       | 
       | The person would not make any connection with me - they are
       | clearly trained not to do that to avoid certain problems, but I
       | feel that in a moment where what a person needs most is a
       | connection and is calling to try to seek one out, the total
       | refusal to answer any questions at all or be personable in any
       | way was like having a door shut in my face. The individual
       | continually turned the conversation back to a set of formulaic
       | questions that were of no help whatsoever, and I ultimately
       | disconnected feeling worse than when I'd initially called.
       | 
       | I do wonder if my experience is representative of the norm or
       | not.
        
         | gowld wrote:
         | A suicide hotline is not a general mental health therapy. It
         | was one function -- to prevent the caller from committing
         | suicide in the immediate future. It was successful.
         | 
         | You can't test the effectiveness of a suicide prevention with a
         | dry run. Fire drills don't put out fires either.
         | 
         | Also, you essentially admityed that you were making a false
         | call. That's not going to get a great reply. You shouldn't call
         | 911 to test response time either.
        
           | vlunkr wrote:
           | Exactly, and I'm sure they want to keep their lines open for
           | the real emergencies.
        
             | aerovistae wrote:
             | My point is that it can be hard to tell a real emergency
             | from a non-real one. Not everyone is going to be sobbing
             | and shouting. Some may sound calm and alright. If you've
             | known someone who committed suicide, you probably know that
             | there isn't always a flashing warning sign the day of.
             | There is sometimes, but it's not reliable. I think it's
             | important for a hotline to treat all calls equally.
        
           | mjevans wrote:
           | My impression differs.
           | 
           | The caller left the experience feeling more disheartened and
           | unsupported. Logically that seems like they were at an
           | _increased risk of suicide_ relative to when they called.
        
             | watwut wrote:
             | He literally answered "no, I am not suicidal" to the "are
             | you suicidal" question. And in fact, he did not became
             | suicidal after.
             | 
             | This was not failure of suicide hotline. This was them
             | recognizing he is misusing the service.
        
         | agumonkey wrote:
         | Called an emergency line after hallucination episode. Woman
         | meant well but was very limited in her suggestions and empathy.
         | 
         | I don't blame them though. That said whether or not they're
         | optimal.. it's often a good last resort option. Many people
         | might have avoided tragedy through some mild listening. I've
         | seen it happen on other venues.
         | 
         | [0] To be fair.. most psychology professional I ran into were
         | far from perfect.
        
         | have_faith wrote:
         | Is your advice based on this single interaction?
        
           | aerovistae wrote:
           | Well, I have two options going forward:
           | 
           | 1. Despite my bad experience, recommend suicide hotlines in
           | the hopes that they work even though they didn't for me.
           | 
           | 2. Recommend against suicide hotlines while explaining why
           | and cautioning that my experience may or may not be
           | representative of the norm.
           | 
           | I'm going with #2 for the time being, yes.
        
             | mitigating wrote:
             | Recommending against anything because it didn't work for
             | you isn't good, even with the disclaimer. Antidotal
             | evidence is the worst.
        
             | ebb-tide wrote:
             | 3. Not post about something you have scant evidence one way
             | or another about.
        
             | AutumnCurtain wrote:
             | 3. Collect more meaningful data before offering
             | recommendations?
        
             | wpietri wrote:
             | You really can't think of any other options?
        
               | [deleted]
        
             | ccvannorman wrote:
             | Why do you feel recommending anything at all is required?
             | 
             | 3. Share my experience, acknowledge this is a single data
             | point, and withhold recommendation.
        
               | aerovistae wrote:
               | This is a good point, and phrased better and more openly
               | than the other replies.
        
         | paxys wrote:
         | A single hotline experience not working for you doesn't warrant
         | a blanket "I would never suggest to anyone to call a suicide
         | hotline".
         | 
         | There are lots of studies that show that such programs are at
         | least moderately effective (https://bmcpsychiatry.biomedcentral
         | .com/articles/10.1186/s12...)
        
           | thelettere wrote:
           | Look at the methodology - borderline laughable. Tells us no
           | more than his anecdote does, for there are a million other
           | potential explanations - including that it isn't calling
           | those hotlines that helps, but knowing that one can, which
           | dovetails nicely with research on the benefits of friendship.
           | Some things you simply can't test.
        
         | dogleash wrote:
         | >I do wonder if my experience is representative of the norm or
         | not.
         | 
         | When you need help, you find out pretty quickly that
         | institutional support is like bumpers in a bowling alley gutter
         | - it's crude and manufactured. It might keep you on the lane,
         | it sure doesn't help you bowl any better. You also find out
         | that even well-intentioned people aren't much better.
         | 
         | I don't really know how to expand without sounding like a
         | depressed person stuck in that self-pittying state where any
         | and all actions - internal or external - towards normalcy are
         | futile. I don't think that, but there's a mental disconnection
         | that prevents a connection from working. For some people, it
         | might even require talking to someone in a similar headspace
         | just to get on the same page and start talking for real. I've
         | found out I helped people after the fact, and I know that if I
         | was playing defense I'd probably would have been too scared to
         | say the things I did.
         | 
         | Anyway, here's a nice article, the first half of which explains
         | that personality mismatch better than I ever could:
         | https://eggreport.medium.com/envying-the-dead-skyking-in-mem...
        
         | ebb-tide wrote:
         | I used to work at a hotline, and OF COURSE the 'quality' of the
         | volunteer varied. We were not trained to avoid anything, we
         | were there to stay on the line as long as people wanted, and
         | talk about whatever people needed unless there were more calls
         | than we could handle. Many people called who were in crisis,
         | rather than overtly suicidal, we were there for them.
        
       | AmericanChopper wrote:
       | I can't stand articles that start with "we need to talk
       | about...". What the author is really saying is "This topic is
       | important to me, and I'd like to pressure you into having the
       | same views on it as I do". Regardless of the merit of those
       | views, the only thing that ever comes after "we need to talk
       | about..." is a description of some hardship the author (or
       | somebody the author knows) faced, an explanation of how that
       | shaped the agenda they're trying to promote, and some appeal to
       | emotion suggesting that their views are the only valid views a
       | person can hold.
        
         | huitzitziltzin wrote:
         | That's a pretty harsh view.
         | 
         | Let me try something else: the author notes that 6,000 people
         | take their lives in the UK every year. That has a very
         | substantial cost, potentially measurable in many ways, but
         | let's measure it in dollars.
         | 
         | The US EPA uses a value of about 7 million dollars for a
         | statistical life in 2006 dollars [1], or about 10 million 2021
         | dollars [2].
         | 
         | The cost of suicide in the UK in the aggregate is something
         | like 6,000*10,000,000 dollars. That's a 60 billion dollar
         | problem.
         | 
         | Nearly every 60 billion dollar problem is worth caring about.
         | Hypothetically, if you could spend $10 billion dollars to
         | prevent all of those suicides, you would be generating a $50
         | billion dollar gain.
         | 
         | It's worth at least asking of a "we need to talk about..."
         | article how big the problem is (on some dimension, whether in
         | dollars or otherwise). This one is quite large.
         | 
         | [1] https://www.epa.gov/environmental-economics/mortality-
         | risk-v... [2] https://www.bls.gov/data/inflation_calculator.htm
        
           | muuglay wrote:
           | I'm not sure the 10 mil per life is correct. As a counter
           | point value, a highway worker is $10,000.
        
           | woofcat wrote:
           | >Suppose each person in a sample of 100,000 people were asked
           | how much he or she would be willing to pay for a reduction in
           | their individual risk of dying of 1 in 100,000, or 0.001%,
           | over the next year. Since this reduction in risk would mean
           | that we would expect one fewer death among the sample of
           | 100,000 people over the next year on average, this is
           | sometimes described as "one statistical life saved." Now
           | suppose that the average response to this hypothetical
           | question was $100. Then the total dollar amount that the
           | group would be willing to pay to save one statistical life in
           | a year would be $100 per person x 100,000 people, or $10
           | million. This is what is meant by the "value of a statistical
           | life." Importantly, this is not an estimate of how much money
           | any single individual or group would be willing to pay to
           | prevent the certain death of any particular person.
           | 
           | I think it's important to note that the value of a
           | statistical life has nothing to do with actual value, or
           | money provided into an economy. So it's not something that
           | can be taxed against etc. So to me it's false statement to
           | say "spend $10 billion dollars to prevent all of those
           | suicides, you would be generating a $50 billion dollar gain."
           | there is no _actual_ dollar gain. The gain is that the
           | average mortality goes down by 0.001%.
        
         | wasteofelectron wrote:
         | This is an account of a woman's husband and the father of her
         | children being severely ill and dying by suicide, not "some
         | hardship" or a "topic". Have some respect for goodness sake.
         | You never know when you'll need someone to do the same for you.
        
         | wpietri wrote:
         | The author didn't even write that. The subhed is typically
         | written by an editor. So in addition to being grossly
         | uncharitable, I believe your anger is directed at the wrong
         | person.
        
           | AmericanChopper wrote:
           | I really don't think it's grossly uncharitable at all. The
           | details of the editorial process aren't especially relevant,
           | the article itself is some grim anecdote being used to
           | promote a policy agenda. Regardless of the merit of the
           | position being promoted, it's intentionally emotionally
           | manipulative, it's anti-rational and anti-intellectual. It's
           | also entirely based upon the presupposition that the problem
           | they're talking about only has one cause, and one possible
           | solution. Framing issues in this way means that any criticism
           | of the presuppositions of, or conclusions draw by the author,
           | is likely to be seen as disparagement of a clearly
           | sympathetic person. It's not a rational way to discuss a
           | problem, and it's incredibly low quality journalism.
        
       | jstx1 wrote:
       | Knowing that you're at high risk of suicide or have other serious
       | mental health problems is also a good reason to avoid having
       | kids. This isn't directed at the author of the article or their
       | partner; it's how I think when I plan my own life.
        
         | micromacrofoot wrote:
         | There are a lot of mental health issues that make this level of
         | self-awareness and future planning incredibly difficult.
        
           | anonporridge wrote:
           | Perhaps a good reason to keep elevating the socially approved
           | age to reproduce?
           | 
           | By the time you're in your 40s, you likely have a good idea
           | of whether or not you're a stable enough mind to commit to
           | the minimum 20 years required to uplift a new human adult.
        
             | selectodude wrote:
             | The body has a clock that's not really compatible with
             | that.
        
             | saghm wrote:
             | I'd suggest looking up fertility rates for women based on
             | age; it' quite difficult for a woman to get pregnant that
             | late in life, and for some women it might not be possible
             | at all.
        
               | anonporridge wrote:
               | That's a technical problem that will improve with time
               | and has been actively improving for decades.
               | 
               | It also won't be long before we have artificial wombs and
               | can create embryos more expressively than the current 1
               | male 1 female demands of nature.
               | 
               | I see a future where one waits even several hundred years
               | and dozens of careers and lifestyles before choosing to
               | combine their genes and memes with others to spawn and
               | raise a new consciousness, maybe even committing to a
               | hundred years to raise it.
        
               | pengaru wrote:
               | It's historically somewhat common for older, more
               | established and financially secure men to pair up with
               | young women.
               | 
               | It does seem like a good practical/pragmatic approach to
               | raising a family.
        
               | watwut wrote:
               | The 40 years old man marrying young girl were business
               | transactions.
               | 
               | The normal coupling differences were much smaller
               | typically. (Like 6 years or something).
        
               | saghm wrote:
               | Women are still people who can have mental health issues;
               | the solution of "just waiting until you're 40" isn't
               | viable for 50% of the population.
        
             | muuglay wrote:
             | Not sure our biology is great at that, but paradoxically as
             | an almost 40 year old... I have the resources to support a
             | bunch of children. Maybe the change to make is change the
             | dynamic between men and women to introduce more age
             | differences for child rearing.
             | 
             | My parents fought about money all the time, but if they had
             | delayed then they would have been better off. If they were
             | better off then maybe my mom wouldn't have killed
             | herself...
        
               | anonporridge wrote:
               | While I agree with you technically, there's something
               | icky about a community full of older, wealthy men talking
               | about how maybe it's actually ideal for older, wealthy
               | men to wife up young, fertile women.
        
               | watwut wrote:
               | People on their 20 ties are more energetic and better
               | handle sleep deprivation that comes with kids. Kids are
               | not just costing money, they cost energy and effort.
        
               | [deleted]
        
             | crocodiletears wrote:
             | I would think that there'd be a threshold where the
             | elevated risk of birth defects would place a ceiling on how
             | old parents should be.
             | 
             | 25-35 seems to be the ideal window, where the parents have
             | had ample opportunity to get to know themselves as
             | individuals, and the risks of a severe disability aren't
             | particularly elevated. Afterwards, the risk seems to climb
             | very quickly.
             | 
             | https://www.med.stanford.edu/news/all-news/2018/10/older-
             | fat... https://www.ivf1.com/age-birth-defects/
        
             | [deleted]
        
             | [deleted]
        
             | [deleted]
        
           | Ozzie_osman wrote:
           | Also social pressure and expectations. How many people would
           | feel comfortable saying "Sorry mom/dad/friend/potential
           | partner, I'm not going to have kids because I'm worried I
           | might not be a good parent or maybe even take my own life"?
        
             | cyberpunk wrote:
             | No one is ever ready to become a parent. I mean, "we" (I
             | assume we're all in relatively stable, high paying, high
             | demand, low risk jobs) certainly are much better placed to
             | be them than say, my parents were... But nothing prepares
             | you for the abject horror of your entire way of life ending
             | in such a dramatic way. I mean... It was worth it, I kinda
             | like the wee guy.. But it's BRUTAL at the start.
             | 
             | Doesn't help that all your mrs's intsa-friends are posting
             | bollocks about how great everything is while you've been
             | trying to get your newborn out for a walk for 5 hours and
             | failed.. heh.
             | 
             | Don't overthink that stuff though.. I mean, you kinda know
             | deep down if you've got it in you or not. It's kinda like
             | having a puppy times a million..
        
             | nonbirithm wrote:
             | It isn't just about pressure. I've told people things like
             | this while not caring about the stigma and it has always
             | negatively affected the relationship, because I'm perceived
             | as acting too vulnerable too soon. As a result, none of my
             | friendships have advanced past a superficial level.
             | 
             | From my experience, it seems there is a good reason for the
             | stigma. Depressed people with pessimistic worldviews don't
             | make good friends. The worst time for me to make friends is
             | when I need other people the most (such as when I'm
             | depressed), but when I don't need people my interest in
             | them becomes almost nil.
             | 
             | Also, I highly empathize with the idea that when the fear
             | of failure can be linked to the risk of one's life
             | spiraling out of control potentially all the way to
             | suicide, whether or not those consequences logically
             | follow, it takes away a lot of options that might sound
             | common-sense to someone of a healthy mind (aiming for
             | challenging side projects, putting yourself in front of
             | others). For such people, I believe shielding yourself from
             | those signals is a valid option for survival, even if it
             | means having to deceive yourself temporarily.
        
             | hh3k0 wrote:
             | You could simply state that you've lived with depression
             | your entire life and that it's not something you'd wish for
             | your offspring to inherit... or something along those
             | lines. Just make sure to point out early that you're not
             | interested in kids, you can bring up your motivation for
             | that once you're comfortable enough to share it.
        
             | holdenk wrote:
             | My partner and I talked about our health (and mental
             | health) in the context of deciding if we wanted to be
             | parents to a kid. I like to think that's a normal enough
             | conversation to have.
        
           | decebalus1 wrote:
           | Not even mental health. If this level of self-
           | awareness/planning would be universal, we'd reach complete
           | societal collapse within 3 generations.
        
             | jandrese wrote:
             | Isn't this just the start of Idiocracy?
        
         | DyslexicAtheist wrote:
         | many people in that risk group aren't aware of these tendencies
         | (now there are words for it we did not have 30 years ago:
         | suicidal ideation) until their kids are ready to leave home.
         | Plenty of us around with families not knowing how to make it,
         | even we've felt healthy all along until some event (or
         | cascading events) changed everything.
        
         | skissane wrote:
         | I have a long history of suicidal thoughts, and I've even acted
         | on them a few times when I was younger (albeit half-heartedly-
         | if I'd been really serious about it I wouldn't be here now.) I
         | don't know if that makes me "at high risk of suicide" but
         | likely people like me are at greater risk than people who don't
         | have that history.
         | 
         | And yet, having kids has actually made it _easier_ for me to
         | resist those thoughts. They haven't gone away completely, but I
         | feel more confident that I'm not going to act on them, and
         | their frequency and intensity has definitely declined as well.
         | Maybe I _could_ do that to my wife or family or friends, but I
         | could not do that to my own children. I think that, if there is
         | such a thing as hell-if I did that to them, I'd be going
         | straight there.
         | 
         | Having children has given me a new and very compelling reason
         | to not kill myself. The best reason I've ever had. It also has
         | given me a new motivation to try to keep a lid on my own
         | "craziness", which I think has helped my mental health as well.
         | OTOH, it has also led to a lot of stress, and no doubt that
         | stress has aggravated some of my mental health issues. Still, I
         | think overall, the positive benefits of fatherhood on my own
         | mental health have outweighed the negatives.
         | 
         | The only situation I can foresee myself now actually going
         | through with suicide, is if both our kids died (say in a car
         | accident), or if I'm terminally ill and trying to hurry along
         | the inevitable. Outside of those two scenarios, I'm definitely
         | not doing it. I don't think I could have been so firm about
         | that before having children.
        
           | cyberpunk wrote:
           | Yep. I'm with you. I was chaos and anarchy before becoming a
           | parent. Now if I lost mine in such an accident say, I'd
           | immediately do it. What would be the point of waiting?
           | 
           | Not because they were the only thing stopping me, but because
           | life without them, by now, is incomprehensible.
           | 
           | To be honest though, I think suicide is probably the best way
           | to go unless you die instantly. I mean, say I get diagnosed
           | with some horrible cancer or other. My son is 3, he would
           | only remember me as some kind of horrible pale monster in a
           | hospital if I went with the treatments.. TBH, in such a
           | situation, I'd probably just wait until I was so sick I was
           | unable to function, somehow attempt to say goodbye, write a
           | ridiculous amount of letters to him and head off to the local
           | euthanasia clinic.. I'm sure I read somewhere a majority of
           | doctors who get cancer don't accept chemo/etc.. But I have no
           | links to back that up.
           | 
           | Wow! Sunshine and rainbows.
        
             | bladegash wrote:
             | As someone who has watched their parent struggle with - and
             | ultimately pass away from - lung cancer, I can say that in
             | my case the memory of them was far from their last days. I
             | still remember them as my dad, the way you do when you're a
             | kid. The person that is a superhero and strongest person
             | there is/was. FWIW, my dad passed away at home under
             | hospice care, with me there to care for him for the last
             | few days. It was difficult and not easy to see him that
             | way, but I am thankful to have been able to be there for
             | him in his final moments, especially since he'd been there
             | for me my entire life.
        
               | cyberpunk wrote:
               | I've still got both ahead, I guess I was a bit cocksure
               | about how I would deal with it.. It's a tricky line to
               | find for me between 'letting my kid watch me slowly die'
               | or err.. not..
               | 
               | This is a ridiculously personal question and just ignore
               | it if not, but it's something I've had in my mind for a
               | while... If your pop had taken the cyberpunk route, and
               | just pissed off during those last 2 months, would you
               | have felt him selfish or do you think you could
               | understand?
        
             | rekado wrote:
             | > I'm sure I read somewhere a majority of doctors who get
             | cancer don't accept chemo/etc.. But I have no links to back
             | that up.
             | 
             | Perhaps you mean this one:
             | https://www.zocalopublicsquare.org/2011/11/30/how-doctors-
             | di...
        
             | krumpet wrote:
             | Alzheimers reduced my father to a lost shell of his former
             | self, but I wouldn't trade any day I ever spent with him
             | for anything. Regardless of the state he was in at the end,
             | he was still my father and I loved every moment we had
             | together. He was the gentlest, kindest, strongest and most
             | thoughtful man I ever knew and that's exactly how I
             | remember him. That's just my own opinion.
        
           | kreeben wrote:
           | I hear myself in you. I went through some shit. But I have
           | two kids and I would never...
           | 
           | Then I got a little better and those daily thoughts became
           | weekly, then monthly and nowadays they are simply not there
           | anymore. Well, sometimes they are but they are now very
           | easily dismissed.
           | 
           | I just came here to say that, if god forbid both your kids
           | are taken from you, even then, I would say to you, fucking
           | hell man, don't do it. Your loss will crush you and you'll
           | never be the same. But you'd be alive. And you'd get to see
           | how you'd deal with such a loss. And you wouldn't be alone.
           | Because this shit happens to people and with some support,
           | they live through it.
           | 
           | Anyways, I'm glad you find such joy in being a father. Isn't
           | it great?
        
             | cyberpunk wrote:
             | I mean, I'm a buddhist.. So I'm kind of 'pro universe' but
             | I don't see the point in unnecessary suffering. You're
             | telling me you'd keep on going after losing your family?
             | Years and years of pain and misery? What's the point? There
             | are some things you don't get over.. And even the idea of
             | 'getting over' something like that would make me even
             | sadder than I would have been immediately?
             | 
             | Sometimes, kill -9 seems to be a valid option to me, all
             | I'm saying.. (In a responsible way, get your stuff in
             | order, do it in a clinic, etc etc etc)
        
           | xenocratus wrote:
           | I took the parent comment's point to be not (just) that you
           | could be at risk of slipping back into suicidal thoughts and
           | acting on them, but that this might have genetic causes and
           | you could end up passing these tendencies to your children.
           | At least, I know I've thought/worried about this quite a lot.
        
           | sen wrote:
           | Same here, I agree and relate to every bit you said. I always
           | thought it'd be a bad idea for me to have kids, my
           | childhood/early-adulthood was absolute chaos, abuse, serious
           | depression, homelessness, the works. Met "the one", we wanted
           | kids, a decade later I can see it's the best thing that ever
           | happened to me. My brain can still be a very scary place, but
           | they give me purpose/direction/motivation to do better and
           | make sure they don't grow up how I did.
           | 
           | I do now have an illness that's "almost definitely terminal"
           | (but haven't been given a definitive timeframe yet), and old-
           | me would've just ended it to get it over with without a
           | second thought, but instead now I'm driven to make sure my
           | wife/kids have the best possible life set up before I go.
        
         | downut wrote:
         | I have never been suicidal. I do know, having been through a
         | months long Stage IV cancer watch, which provides a solid view
         | of the terminal medical industrial complex experience. I'll
         | efficiently terminate myself before embarking on that way to
         | go.
         | 
         | That said, I have never understood why people think that having
         | kids has no effect on your mental health. When we had our
         | child, I thought nothing of it; I was in a partnership and
         | that's what the partner wanted. However, after the year or so
         | larval stage, we began to realize that the experience of having
         | a kid, steadily growing, seeing the world through changing
         | eyes, different from your own: it made us different people. I
         | wouldn't have missed the experience for the world, even if the
         | terrible twos do happen and the teen years can be a trial.
         | 
         | It gave us a sense of purpose within our own lives. The very
         | opposite of a screen or a job or a bucket list! We're very
         | different people from the weird/sad, entering their 60s
         | childless couples we know, every single one. I'll be kind and
         | say they seem mostly ruled by a flat emotional narcissism
         | that's... pretty damn boring. I won't say that that never
         | happens to empty nesters; it does. But the childless couples
         | all seem a bit off.
         | 
         | I wouldn't have a kid with the idea that it would _solve_ any
         | mental health problems I might have, just as having a kid seems
         | to never solve any couple 's relationship problems. I just
         | point out that your mental health is going to _change_ with a
         | kid, and I 'd not rule out for the better.
         | 
         | Even with those caveats, we've watched a lot of children
         | survive divorce, some ugly. Many of those kids turned out
         | superlatively, and for quite a few the divorce seemed to be a
         | kind of positive stimulus. Not recommending divorce! Same with
         | the death of a parent. Children can be incredibly resilient.
         | It's not always about you, is the lesson. A child has a world
         | that is bigger than the parents.
        
       | podgaj wrote:
       | I have schizoaffective bipolar disorder, and aspergers. I was
       | making $130,000 a year as a network engineer at Cisco in 1999
       | before I became too sick to work anymore. Right now I am homeless
       | living in my van with a transmission about to go. I have
       | attempted suicide three times already. I keep thinking about
       | doing it again. No one wants to provide me the best medicine,
       | stable housing. I make $1700 on disability but I can never save
       | enough for a deposit. So what is the point. The fact that I
       | cannot get housing just proves no one cares.
       | 
       | And through all this I keep up my research on my familial
       | disease, pressuring doctors to at least do some tests. I am
       | pretty sure, looking at my genetics, I actually have a
       | mitochondrial disorder. This is an easy test, but they will never
       | do it. They just keep focusing on the same old pathways and that
       | is why there is no progress.
       | 
       | The medications? They do nothing but make me worse. They usually
       | give me drug induced lupus or just make me more suicidal the next
       | day. The only one I can rely on is Klonopin, it works great but I
       | do not take it everyday adn I only take a very low dose, the
       | lowest that works. And every time I get a new doctor I face the
       | stigma of being a drug seeker. Luckily, that is not so much of a
       | problem anymore.
       | 
       | Now iwth COVID, everyone thinks they haev a mood disoder but in
       | reality it is just situational, but they take up all the
       | appointments so now mine are getting pushed further apart.
       | 
       | My nephew hung himself at 14 years old after a doctor thought he
       | had ADHD and gave him ritalin. It was a misdiagnosis.
       | 
       | If you do not have a serious mental illness you have no idea how
       | bad the treatments are and how they ignore any other issues you
       | have in your body. We are the garbage people in this age but we
       | probably used to be the shaman.
       | 
       | So all I can do now is drink a bit to escape, its a great drugs,
       | an awesome calcium channel blocker.
       | 
       | Oh well, that's enough of that. Just wanted to share.
        
         | winrid wrote:
         | Chevy van? Damn 4L60 transmissions suck. Sometimes it's just a
         | solenoid, and sometimes shifting it manually might get some
         | more life out of it.
         | 
         | I hope you can get help. I have a few family members with
         | schizophrenia / bipolar disorder and the way society treats
         | them is like shit.
        
         | BurningFrog wrote:
         | > _The fact that I cannot get housing just proves no one
         | cares._
         | 
         | All it proves is that there is a big housing shortage.
         | 
         | Have you tried taking your van somewhere where housing is dirt
         | cheap?
         | 
         | I hear small poor towns are better at taking care of the
         | downtrodden too. Walk into the church poor people go to, and
         | see what happens.
        
           | jonny_eh wrote:
           | > All it proves is that there is a big housing shortage.
           | 
           | Which is a symptom of people not caring.
        
           | podgaj wrote:
           | Housing shortage? Probably, but why? In a town I lived in for
           | a bit 50% of the houses were second houses, i would drive
           | around and see them all dark, sitting there empty. Her where
           | I am now, the housing has been moved over to AirBNB. It is
           | all greed.
           | 
           | And go to a poor town? And not have healthcare, be away from
           | my friends and support? But yes, I have tried it. They ask me
           | what I do and when I say I am on disability they deny me the
           | rental. And many of these towns will not let you live in your
           | van while you are looking.
           | 
           | It is inequality, not a shortage.
           | 
           | I am telling you, you have no idea what it is like.
        
             | bettysdiagnose wrote:
             | You're right, he doesn't. The idea that somehow it is
             | sensible, when you're seriously ill, to just abandon your
             | entire support network for financial reasons makes next to
             | no sense whatsoever. Thank you for sharing your story and I
             | wish you all the best.
        
           | bettysdiagnose wrote:
           | Is there a website for compiling the "most vintage hackernews
           | (american/hyper-libertarian/indifferent-to-human-suffering)
           | comments"? Yours would be there. Simultaneously both
           | astoundingly callous and utterly lacking in empathy or
           | understanding. Bravo.
        
         | sandgiant wrote:
         | Thanks for sharing. Getting the right treatment is such a
         | gamble. I wish we were better at talking about mental illness
         | openly instead of stigmatizing it. Perhaps then we would
         | realize the need for better treatments and funding. I have a
         | close relative that's been all the way down the hole with life-
         | threatening mental illness, but recovered due to doctors
         | finding the right cocktail of medication and safe environment.
         | Getting to know this person I'm humbled by how ignorant I've
         | always been on issues of mental health. I shudder when I read
         | comment sections like this one, or talk to friends and family,
         | as I'm reminded how pervasive this ignorance still is in the
         | general public, and even in professional healthcare. I have the
         | deepest respect for people like you, that are hanging on in
         | spite of the terrible circumstances you've been given. I hope
         | you find some shivers of light in between all the darkness.
        
         | laurent92 wrote:
         | I hope my question won't wake up anything, and please accept my
         | apologies if they do.
         | 
         | - What hopes did you have when you were younger?
         | 
         | - What did it look like when you started failing?
         | 
         | - Do you think a different turn of events would have avoided
         | that?
         | 
         | I feel like I was on the high path up to 25 years old, I'm
         | earning now, but I'm getting inexorably rid of my friends, one
         | after another. I'd like to know where I'm at...
        
         | wpietri wrote:
         | Thanks for sharing this. I'm sorry that you've been so poorly
         | treated. You deserve better. Very many people do.
         | 
         | I recently read Van Der Kolk's "The Body Keeps The Score", a
         | book about trauma and its effects. It's a masterwork, and I'll
         | be thinking about it for the next year. But one of the big
         | themes for me is the extent to which he, a well-placed
         | psychiatrist with a strong mix of clinical and research work,
         | had trouble getting the medical establishment to go beyond
         | outdated categories and marginally effective treatments. It's
         | heartbreaking to think of all the patients so poorly supported
         | by the existing system.
         | 
         | It made me realize that as far as mental health goes, we're
         | living in an age that people will later look at with horror. It
         | makes me think of Semmelweis [1], who had the then-radical idea
         | that surgeons should wash their hands before cutting people
         | open. Many in the establishment mocked him. How dare he call
         | them dirty! He ended up being committed to an asylum where he
         | was beaten; he died 2 weeks later from a gangrenous wound.
         | Eventually people realized he was right, but too late for him.
         | And for who knows how many deaths.
         | 
         | [1] https://en.wikipedia.org/wiki/Ignaz_Semmelweis
        
         | SapporoChris wrote:
         | A difficult situation. I am impressed by your success at Cisco.
         | If you had that capability, you still have that capability.You
         | have significant hurdles to overcome, but you do have the
         | opportunity to make it. I won't offer you platitudes, but I
         | encourage you to keep trying.
        
         | gowld wrote:
         | > I actually have a mitochondrial disorder.
         | 
         | If you do, what treatment options does that offer? Can you
         | pursue that treatment without an official diagnosis?
         | 
         | https://my.clevelandclinic.org/health/diseases/15612-mitocho...
         | 
         | mentions no prescription-restricted treatments, just vitamins,
         | diet, exercise, and rest. It mentions therapy, but general
         | skills therapy, nothing specific to mitochondrial disease.
        
         | windock wrote:
         | I'm sorry to hear it is so bad. Thank you for sharing
        
       | sadmandeathsoon wrote:
       | The truth is no one cares about men. Death is the peace we will
       | get.
       | 
       | Society expects us to be obedient tax cows. Women expect us to
       | breadbringers.
       | 
       | Hillary Clinton once said:""" "Women have always been the primary
       | victims of war. Women lose their husbands, their fathers, their
       | sons in combat. """ Unironically marginalizing the death of men.
       | 
       | The existing social contract has failed men. It's better to die
       | fast than suffer a long humiliating and slow death.
        
       | chesterfield wrote:
       | http://web.archive.org/web/20211117073557/https://www.ft.com...
       | 
       | https://archive.md/DvlP6
        
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