Maggie's Farm

There are mayny sources of pain for which opiates are the best temporary fix. For example, knee replacement.

The number of such patients who become addicted is tiny. What bothers me is the withholding of opiates for cancer patients, especially terminal patients with pain.  Since cancer is the end of the road for roughly half of people (and increasing as other causes of final ends are being better treated), withholding pain control for the terminal out of fear of addiction seems deeply wrong to me.

 Should Dying Cancer Patients Suffer From Undertreated Pain Because of 'Concerns Regarding Addiction'?

Podcast: HOW TO RAISE A LOVING AND CREATIVE 30-YEAR-OLD: FINDINGS FROM RESEARCH WITH NATHAN SZAJNBERG MD

However, they do not want to ban therapies to promote and assist genital conversion. It seems to me as if that is encouraged.

In my view, any youth who requests conversion needs to take a good look inside their head. 

Too Soon Old, Too Late Smart: Thirty True Things You Need to Know Now by Dr. Gordon Livingston

All female mammals have clitori and so are capable of orgasm with sufficient stimulation and arousal/excitement. I am not sure about other sorts of animals. The clitoris is a residual embryological penis with similar nerves.

Many sorts of mammals use sex recreationally. Monkeys (and apes like us), especially. A blast of oxytocin and various endorphins is a nice thing regardless of whether it is a part of bonding or just for fun. For non-humans -  and most humans now, it is not purposeful reproduction but a simple biological urge like thirst. Hence masturbation in various forms in mammals including dogs.

It's a shame that so many female humans find orgasm so elusive or difficult to reach whether in an exciting new relationship or an old one. I have spoken with many women of all ages about this. (Yes, women in their 80s like sex.) While a lucky few are able to orgasm at the touch of a penis, most not. It depends on level of attraction and arousal - the psychological component; and stimulation - the biological component. Re the latter, I sometimes recommend vibrators. Why not?

However, this is not a sex therapy post.  I am skeptical about this theory: Why do women orgasm?

A good general-interest book: Dr. Stuart Yudofsky's Fatal Flaws: Navigating Destructive Relationships with People with Disorders of Personality and Character

I have long wanted to write a brief piece on the idea of "failure to launch", a term which has been in use for almost a generation now. I will try to keep it brief, but with not entirely-formed thoughts.

My main point is that many are not equipped to launch out into the big world to become world-beaters, or even to become well-adapted to current economic-psycho-social expectations. In my view, it is remarkable that so many are equipped and willing. It is a social expectation now but not a useful one.

Humans are tribal, family- and extended-family-oriented creatures. Every human has some gifts, and many shortcomings. Luck matters in life of course, but I do believe that "we make our own luck" if we have the temperament to do so. In my career, I have seen many flawed but talented flounder on the rocks because wealth, privilege, and family enablement made it possible. 

A bit more than a century ago, and forever before that, most people worked on farms. Family farms. Life was hard before machines, but there was work for everybody in the family for generations.  Occasionally, an ambitious kid would leave for the city for work or further education. With the industrial revolution, there was work for all (including kids) off the farm, at whatever level one sought to achieve. Not pleasant work in the mills until skills were achieved, but still work, contributing to the family...

The kerfuffle about the soon-to-be First Lady's (where did that obnoxious term come from? From some Third World dictatorship?) honorific has been amusing. 

Tucker Carlson attributes it to "status anxiety." Is that a thing? Perhaps it is, for some more insecure people, whether about attractiveness, wealth, profession, education, or other. Of course, in the US physicians are given the honorific Dr. in formal settings. It is pleasant. In the UK, physicians are given the honorific "Mr." or whatever their pronoun preference is nowadays.

Jill Biden Wants Us to Call Her 'Dr.' So Here's a Look at Her Ed.D 'Position Paper' to Receive That Doctorate

Lots of people have a bit of oddball in them. I like them. I also like hearty, wholesome, uncomplicated  people too.

This Stanford undergrad is a good writer and has a fine future. I do not view her as autistic in the usual sense, but she does have "issues" as she discusses.  She has been through the entire Psychiatric gauntlet without much apparent result. Nevertheless, she is at Stanford, is obviously talented and perceptive: My Brief Spell as an (autism) Activist.

Without trying to diagnose somebody I have ever met, I think this young lady could use some basic life counseling, or life coaching if you want to call it that. There is plenty of room in the world for "outsiders." 

Older people have become younger: physical and cognitive function have improved meaningfully in 30 years

 The functional ability of older people is nowadays better when it is compared to that of people at the same age three decades ago. This was observed in a study conducted at the Faculty of Sport and Health Sciences at the University of Jyväskylä, Finland. The study compared the physical and cognitive performance of people nowadays between the ages of 75 and 80 with that of the same-aged people in the 1990s.

From Dalrymple:

 While I feel guilt for my own bad actions or omissions, the kinds of things that are under my direct control, I do not feel guilt that my own life has been a comparatively fortunate one, probably more fortunate than that of the majority of mankind. On the contrary, I feel gratitude, or perhaps, more accurately, I should say gladness. I feel sorrow for the unfortunate, but not guilt toward them since I am not responsible for their sorrows. True, I did nothing to deserve having the opportunities that I have had, but I did nothing not to deserve them, either. I took the world as I found it and for me to feel guilty about my comparative good fortune would be a sign not of moral sensitivity or virtue, but of moral grandiosity. Moral grandiosity has probably done more harm in the world than indifference, inasmuch as it recognizes no limits to its power to bring about a supposedly better world.

Young women tend to have little problem with sexual delights as long as their partner is not a dud or a selfish jerk.

Middle-aged women (40-65) tend to be more readily orgasmic. It is hormonal, in part. Women in good health remain capable of sexual delight and orgasm until death, but the climaxes are not the same.  Still satisfying, but not the screaming or moaning ones of a 35 year-old.

Healthy men over 60 tend to have a decline in sex drive and performance, but not in sexual/romantic interest. It's complicated.  It is age, hormonal issues, and other things. Men are, biologically, more excited by fertile females of course, but bonding with the wife is important. She's right there, and willing. With age (say, over 70 or 75) things are not what they were at 40 but men are still capable of, and needful of, romantic and sexual pleasure.

It is a component of life happiness. 

Yes, you can have better sex in midlife and in the years beyond. If sustaining intimacy is becoming more difficult, there are many approaches that can help.

Ben Aldridge knew he was an anxious guy so he devoted a year to overcoming his fears and avoidances. 

Not with psychotherapy, not with meds, but with a determination to overcome his weaknesses:  How to Be Comfortable with Being Uncomfortable: 43 Weird & Wonderful Ways to Build a Strong, Resilient Mindset

Studies about romantic relationships, which marriages supposedly are, never seem able to capture the complexities of chemistry, compatability, and partnering. 

Sexual issues, financial issues, disagreements, emotional issues and frailties, etc etc all beset the basically unnatural notion of lifetime monogamous bonding. In Western cultures, committment is important cement, but how often is it, really?

Good friendships can easily last a lifetime, thank God. That's partly because you do not live with them and have to deal with their flaws every day. Friendships are essential in life, I believe. No one partner can meet all of our relational wants, supports, comraderie, and enjoyments.

A relationship study:  A landmark study shows what makes a successful relationship

Summing up personality types, or at least dominant personality traits, in a simple phrase has probably gone on as long as language has existed. "That guy's a jerk - stay away."

Theophrastus (370-285 BC), a student of Aristotle and a botanist among other things, made a list of the types which have been used in drama ever since. They are of course one-dimensional character types (we could term them stereotypes) but I think we all use phrases similar to those to describe people: The Flatterer and the Chatterer

You can make arguments about the de-institutionalization of chronically mentally ill patients, but the medicines used for treatment of the various sorts of schizophrenia have highly-variable results. What we group under "schizophrenia" is not unitary and, furthermore, this rough category of psychoses is a brain-wiring issue and not a primarily chemical one.

Furthermore, many patients do not like to take medicine. You can't force them to, under ordinary conditions.

The other category of severe mental illness, Bipolar Disorder, is thankfully readily medically and psychotherapeutically managed now in people who are willing to follow a treatment program. 

I do not agree with several points made in this piece, but I do not feel that jails and homeless tents are good approaches to severe mental illness. 

 Thanks in no small part to Youmans’s Spencerian pump, the scientific method permeated American popular culture and influenced the major American intellectual movements of the late nineteenth and early twentieth centuries, notably pragmatism and behaviorism. These movements’ most important figures—including Charles Sanders Peirce, John Dewey, and, later, B.F. Skinner—developed their ideas about “the scientific method” partly in the pages of The Popular Science Monthly and its 1915 spinoff, The Scientific Monthly. In the series of articles introducing the philosophy of pragmatism, Peirce granted a monopoly on truth to “the scientific method,” which consisted of restricting one’s conception of a thing to its sensible effects. This method alone, Peirce promised, would carry people past their diverse points of view to converge upon a single, certain answer to any question, “like the operation of destiny.”

The psychology of psychopathy: an inside look at the psychopathic brain

Scott Alexander and The New York Times