15 karma · joined June 7, 2017
Now then, you're right about access to care. If you felt like I was being dismissive of the idea that someone might lack the available funds to get proper treatment for a mental disorder then I apologize. My statement about the long term wasn't to suggest that the access problem is solved now or that it will be solved within the next few decades which in my mind represent the near term as far as timescales go. I simply meant to imply that, assuming the app continues to show promise and is eventually completed as a functional product, and that similar derivative programs aimed at helping treat different mental illnesses can be developed, the concern after those accomplishments becomes ensuring that they don't dissuade patients from pursuing other more appropriate treatment paths once/if their situations improve to that point. I did not mean this as being the only concern or the primary concern afterwards. It was simply the concern I voiced because it was interesting to me when I thought about it and so I shared it.
I'm making assumptions so I may of course be wrong, but my guess is that the latter part of what I just talked about was what upset you. I didn't mean to imply that patients could simply change their situation and go after a different treatment paths. I simply meant that, in a world where the only consideration is treatment appropriateness, I thought it was worth considering the secondary effects app based treatment could have on patient treatment seeking. I didn't mean this to discredit app based treatments as a viable tool and I see no reason they couldn't work in isolation, synergistically with other treatments, or any other variation of "I'm sure they can work" that might be appropriate to this discussion. That seems to be the other interpretation you made from my post, that I was being dismissive of the app compared to other treatments, and this was not something I realized I was communicating. However, since, as far as I can tell, this was the reason you accused me of being churlish I thought it worth clarifying.
That being said, it seems to me that the broader implication of your position is that when men and women participate in group dialogue the meta-game of the dialogue often leans in favor of the male speakers. I'd need to do more research to prove this but in general, if this was your position, I'd be inclined to agree with it based on my own anecdotal experiences. However, this still doesn't establish the hostile intention or implicit sexism that, from my reading of your posts, is presented in your claims.
In realist terms, other nations aren't really an American problem until they detract from American interests both material and diplomatic. I'm focusing on the US because that's where your criticism was centered but I'm of the opinion that this philosophy could be applied to any given nation albeit with altered strategic considerations.
To me, it seems like the biggest risk in the long term isn't in whether or not people get treated. The article demonstrates that the technology needed to make widely available mental health treatment options is being explored and worked on. The danger in my mind comes afterwards when the technology is performing acceptably but not comprehensively. It seems like at that stage there is a possibility of people not seeking more rigorous/advanced treatment from a professional, once they have the opportunity to do so, because they may already view the app as being good enough and any failures to improve beyond what they've already experienced through the app as personal failures rather than treatment failures.