ahahaaa turns out the guy who drew those “porn” comics of [you know that game developer who’s being harassed] is the guy who used to draw shredded moose aka the worst webcomic ever
i thought he got booed off the internet years ago
did he seriously make a comeback just for this??
What’s happening in Hong Kong?
- The protests are being held in order to achieve universal suffrage in Hong Kong. Although democracy had been promised for 2017 in 2008, China announced this August that Hong Kong people would only be able to vote from a pool of 2-3 specially selected candidates (all of whom would definitely have pro-China sentiments)
- University students held a week-long boycott of classes to protest for true democracy in Hong Kong
- Today riot police were deployed against peaceful protesters. Equipped in full riot gear the police used pepper spray to deter the protesters, mainly students and youths but also some elderly people have reported being sprayed point blank
- It is estimated that over 50,000 people have joined the protest and this number continues to grow
- This is the largest political protest in Hong Kong since our independence from the UK in 1997
- Although the protests remain peaceful, police have now started to use tear gas and have brought out long guns loaded with rubber bullets (there hasn’t yet been a report of any bullets being shot)
- Over 80 arrests have been made including students as young as 16 for taking part in these protests
- They are cutting cell phone receptions in the protest area so that people can’t share any information
- Violence is increasing as police continue to instigate protesters
- All this comes right before the October 1st celebration of the 65th anniversary of founding of the People’s Republic of China
- There are rumours that the PLA (the Chinese army) are going to be brought into the city tonight
More facts about Hong Kong:
- We run under a one country, two systems policy with China meaning that we are part of China but have our own government and laws.
- Protests for universal suffrage have been held throughout the summer but these are the biggest yet
- Anti-China and anti-government sentiments are at their highest levels yet. Survey results showed that 1 in 5 people are thinking of emigrating from the city.
- In June, China issued a white paper essentially telling Hong Kong to remember their place and re-asserting their authority over the city
The scenes from the protest look awful. In my 17 years in Hong Kong I’ve never seen anything like it. The world needs to know about this and say something before we get a recurrence of the Tiananmen Square massacre.
I hope everyone stays safe. Hong Kong stay strong.
have i mentoned lately how good i am at slowly killing houseplants? because i’m really really good at that
thefunky--buddha asked: Have you ever read the diagnostic criteria for anorexia? "Used by the DSM-V as an indicator of the level of severity of anorexia nervosa. The DSM-V states these as follows: Mild: BMI of 17-17.99 Moderate: BMI of 16-16.99 Severe: BMI of 15-15.99 Extreme: BMI of less than 15" I fully acknowledge that people can have anorexic tendencies/ disordered eating habits and still be overweight (I myself have) but anorexia is classified as extreme weight loss. Please don't be encouraging obese people to
[continued - diagnose themselves with Anorexia. That’s so dangerous and so so insulting for people struggling or recovering from anorexia]
People forget that the DSM was created by PEOPLE through what they have constructed as a disease and is only a guideline to follow to get a diagnosis. It isn’t something that should be followed to the letter or used to exclude people, especially if you are considering that much of our medical knowledge is socially constructed. In our society we believe fat people shouldn’t be fat so they haven’t acknowledged that fat people can have an eating disorder let alone anorexia due to the belief fat people should lose weight no matter what.
The guidelines wouldn’t even fit MOST thin people who have anorexia as everyone doesn’t fall into the weight range needed for the diagnosis if someone were to follow the DSM completely. Also, the weight range the DSM mentions is only ONE part of many that form a diagnosis. People can die before they get to that weight range or lose their menses. The physical damage done to people’s bodies can happen at any stage, particularly damage to the heart when someone isn’t getting the right amount of calories or nutrients. That has NOTHING to do with the amount of subcutaneous fat someone has.
What’s insulting are people who need to call us “obese” and feel so threatened by fat people acknowledging they too have disordered eating and have the same symptoms as thin people who are anorexic. We’re not taking anything away from anyone else with that diagnosis except challenging the narratives and language around anorexia. The very use of the word “normal” when describing what weight range people should be in ”85% of normal” needs to be deconstructed. Who’s normal? Is it “normal” on a BMI chart? Is it normal based on the individual? I’m 250 pounds. If I lost 25% of my body weight by starving I would still be considered “obese” and doctors would look it over as a positive thing. Instead of what it actually was, a massive weight loss that would be categorized as anorexia if my body type was included in the construction of how things like the DSM give guidelines for a diagnosis.
So anyone who finds it insulting that people with mental and physical health problems are attempting to get their issues fixed needs to find something else to complain about. Everyone has the right to good medical care and to not have their problems be brushed off as positive. Doesn’t matter what weight they are.
Oh and to answer your original question, yes. I’ve not only read the DSM but I’ve taken graduate level coursework that deconstructs and challenges the very basis of how they diagnose conditions. The DSM is regularly challenged by researchers and doctors as it is only a guideline (and again is socially constructed).
There are really so many problems with the DSM criteria for eating disorders - everything mentioned above, the huge groups who get left out and labeled under EDNOS, the high level of overlap and transition between different diagnostic categories, etc.
IIRC, they were discussing removing the 85% of body weight criterion from the DSM-5, but ended up making a new subtype under EDNOS (now OSFED) for “atypical” AN. There is research indicating that a BMI cutoff isn’t well supported in terms of differentiating groups of people who experience symptoms differently:
- McIntosh et al., 2004
- Fairburn and Bohn, 2005 (this talks about how many people who didn’t meet the criteria for AN or BN would get thrown in the EDNOS category - which accounted for something like 50-70% of people in treatment for eating disorders - which is unhelpful for both treatment and research purposes)
- Ekeroth et al 2013 (pdf) - this shows more striking differences in terms of behaviors/symptoms between the two subtypes of AN (restricting and binging/purging) than between AAN and those groups.
Honestly, as a clinical psychologist in training, I kind of don’t give a shit about a diagnosis after it’s made. Diagnoses are more important for insurance companies than for effective treatment in many cases. I’m much more interested in, and have been trained to do, solidly conceptualizing the client’s constellation of behaviors and thoughts that are leading to distress and impairment, what’s evoking and maintaining those behaviors, and working with them to change those patterns. Not quite regardless of their weight/BMI, because that is a factor that will likely impact how those behaviors are reinforced by their environment, but taking it into account only as applicable and not based on weightist stereotypes.
Also, you could have said the same thing about people who don’t menstruate (cis boys, post-menopausal women, etc) and AN under the DSM-IV - “you can’t have amenorrhea, so please stop encouraging your followers to diagnose themselves with AN!” The DSM changes, sometimes, very slowly, to address these kinds of limitations and concerns as people who experience their impact advocate for change.
Great response. The issue with insurance is important when the barriers make it so people who are diagnosed as EDNOS get less treatment / coverage than AN. Most insurance companies offer far more support, inpatient treatment etc, for people with AN and very little for people with EDNOS. So that creates huge barriers even if they are able to find a practitioner who isn’t concerned with the guidelines.