Cringing the whole time I'm reading this and the Amador article you link to. Clearly Amador is lacking insight into his dysfunctional perspective. Hm. His resistance confirms my diagnosis of coercive tidiness obsession disorder, which includes lack of self-insight as one of its symptoms.
Well written, and interesting that this followed an unrelated response to Freddie de Boer - I was thinking after I read that (and before!) that your perspective on his push for involuntary treatment options would be valuable. This gets part of the way there, but I'd love to read more, with the same sense of expanding and gently correcting rather than debate that you took in that piece.
I don’t particularly like the term “anosognosia” and thinking of impaired insight as a neurological defect (as some do) is inaccurate in my view. At the same time, I do think impaired insight is a genuine clinical phenomenon and can’t be eliminated even if we take a systems approach. Here’s my discussion of insight and how I think it should be understood: https://www.psychiatrymargins.com/p/insight-into-insight
Cringing the whole time I'm reading this and the Amador article you link to. Clearly Amador is lacking insight into his dysfunctional perspective. Hm. His resistance confirms my diagnosis of coercive tidiness obsession disorder, which includes lack of self-insight as one of its symptoms.
The difference is: they have power, we don't. We have to flip the script.
Agreed!
This is how it plays out on the ground: https://www.publicsource.org/allegheny-county-assisted-outpatient-treatment-aot-involuntary-302/?fbclid=IwY2xjawKQqERleHRuA2FlbQIxMQBicmlkETE0aGpLYWJRYjBNOUtKaThwAR5BA5NWS6ED00SkvPnWzjFBUS6f3IYMjwndYH_9ANCqJn8pqHAaWCVHkfkVfQ_aem_VKAgdHUvy60qpGMSiGv4mw
Well written, and interesting that this followed an unrelated response to Freddie de Boer - I was thinking after I read that (and before!) that your perspective on his push for involuntary treatment options would be valuable. This gets part of the way there, but I'd love to read more, with the same sense of expanding and gently correcting rather than debate that you took in that piece.
This made me cry. It's beautiful. Thank you.
I don’t particularly like the term “anosognosia” and thinking of impaired insight as a neurological defect (as some do) is inaccurate in my view. At the same time, I do think impaired insight is a genuine clinical phenomenon and can’t be eliminated even if we take a systems approach. Here’s my discussion of insight and how I think it should be understood: https://www.psychiatrymargins.com/p/insight-into-insight