awkward aesthetic

...do you still feel love is a laserquest?

[augusst-deactivated20200928]

[sweetschizo-deactivated20190808]

Hey if you’re schizophrenic/psychotic I just want you to know that you’re a wonderful person and that you deserve so much better than the demonization, marginalization and stigmatization you face in this society.

[sweetschizo-deactivated20190808]

Please consider reblogging this/other positivity posts for schizophrenic/psychotic people every once in a while. If you have more than 100 followers, odds are that a couple of them experiences psychosis and that they rarely see positivity posts for people with their symptoms.

[unaverage-confessions]

When my therapist makes me commit to staying safe

I’m like: 

[therapy101]

This is disturbing. Clinicians should absolutely not use safety contracts to prevent self harm. It is not effective and unethical. Relapse prevention and similar wellness management strategies are the best practice for managing self harm and suicidal ideation.

[unaverage-confessions]

I feel like this needs some clarification on my part - my therapist wasn’t asking me to commit to safety in terms of self harm (she’s never done that). I had been planning on trying to kill myself, and she asked if I could commit to staying alive until the next session. The therapist I saw before this one did the same thing, and I think it’s always been effective for me personally, because often it’s the only thing that keeps me from attempting suicide. As far as the ethics issue, I can’t say I’ve learned about this specific method yet - but based on what I have learned about ethics, I can’t see anything glaringly wrong with it. With that being said, I’m definitely not a therapist (although I’m hoping to become one), so I’d love some insight. 

[therapy101]

I’ll go into more detail about what I meant, but let me first say that my comment wasn’t criticizing you or anyone else who your initial post resonated with. I’m 

I was including suicide under my general “self-harm” term, which might have been unclear. There’s quite a bit of literature that safety contracts or “no-suicide” contracts are not effective, while other risk management strategies like safety plans, relapse prevention plans (like WRAP, for example) are effective. The semantics between them seems insignificant, but it’s a big difference clinically (and it shows in the research)- for one, the clinician asks the person the make a promise or agree to a contract, and for the other, the person and the clinician work together to figure out how to cope with the urge to commit suicide (or self harm, use substances, etc) to ideally prevent it. 

The ethics issue is complicated. Partially, it is a coercive strategy. If the client does not want to be hospitalized and/or wants to maintain a good relationship with clinician, they have to agree to the contract even if they do not feel they want or can honor it. The contract can hugely rupture the therapeutic relationship by prioritizing the contract over the relationship and the client’s needs. The client may not disclose future suicidal thoughts because of worry that it will result in the clinician punishing them for breaking the contract or starting a new contract. The client may not be able to trust that the clinician has the client’s best interest at heart, and is more focused on liability (no-suicide contracts are sometimes intended to remove clinician liability if the client does commit suicide). They may feel alone and like they cannot discuss their suicidal thoughts in session or they will be punished. They may leave therapy altogether.

It also strips the client of their agency. When people consider suicide or self-harm, it is often because they feel that there are no other choices. And then if the therapist comes in and says, no, you can’t, they remove the last bit of agency and self-efficacy that person has. It can do far more harm than good. 

Last, most clinicians (let alone non-mental health professionals) are not trained in suicide assessment and treatment. People without expertise creating safety contracts is a huge ethical problem. 

references: 1 2 3 4 5 6

[shimanamii]

imagine: blake’s inner monologue, but it’s just sarah shauer tweets

[megansplants]

[witcherscreenshotsdump]

no hat?no hat.

[incorrect-the-witcher-quotes]

Vernon Roche: Tell the whole world we're bros

Geralt: *at Roche's ear* We are bros

Vernon Roche: Why did you whisper that?

Geralt: 'Cause you are my whole world, bro

Vernon Roche: BRO!

[this-is-a-job-for-vesemir]

I’ve long awaited our meeting. Laid plans, set traps… and now you appear in my forest of your own volition.

[deaderthandoubledead]

I want someone to look at the me the same way Vernon Roche looks at Temeria

[solarmidnight-deactivated202209]

I’ve had Yennefer for five minutes and if any of you say anything bad about her I will slap you all.

[gardenofgrowinghearts]

Geralt: it doesn’t rhyme. All good predictions rhyme.

Me: WANNA HEAR A LIMERICK? LAMBERT LAMBERT WHAT A PRICK

Hmm, indeed.

[heartlessxdeer-deactivated20260]

" The worst part of having a mental illness is people expect you to behave as if you don’t "

~ Joker 2019

[catchymemes]

[bob-belcher]

September 30th

October 1st

November 1st

December 1st

[destinytomoon-deactivated202006]

YEAH.

[tinfoil-crown-deactivated201801]

‘Rat Park’ -Stuart McMillen

You’ll never think about drug addiction the same way again after reading this comic.

[elodieunderglass]

What I found absolutely impressive and stunning about this comic is the way the artist explained the identification and elimination of the confounding factors in the Rat Park study. This is one of the hardest parts of experiments to explain to the public, and I think it was just brilliantly done.

[jenroses]

This is one of the most important pieces of research done in the last 50 years. 

[wrigglesandgiggles-deactivated2]

Read this!

[jerichocaine]

A beautiful experiment and so simply explained for even the most naive layman to understand. I love it.

[fleurdulys]

The Irritating Gentleman - Berthold Woltze

1874

[gonegrls]

why does this communicate the universal mood we women experience so perfectly

[foxy-voxy]

This is doubly annoying because she’s clearly in mourning; look at her clothes. those are mourning clothes. The way she clutches her handkerchief. The wetness of her eyes. She’s not a lark to the seaside, she’s traveling to or from a funeral. And this dandy fuckboy can’t look beyond his own nose and have some fucking respect.

[jeanjauthor]

This is why I support artists.  You can tell a story without any words at all.  You don’t even need to title this piece “The Irritating Gentleman” and yet most 21st Century women will know exactly what this 19th Century woman endured on the day of that painting.