Is everything you think you know about depression wrong? | Society | The Guardian

n the 1970s, a truth was accidentally discovered about depression – one that was quickly swept aside, because its implications were too inconvenient, and too explosive. American psychiatrists had produced a book that would lay out, in detail, all the symptoms of different mental illnesses, so they could be identified and treated in the same way across the United States. It was called the Diagnostic and Statistical Manual. In the latest edition, they laid out nine symptoms that a patient has to show to be diagnosed with depression – like, for example, decreased interest in pleasure or persistent low mood. For a doctor to conclude you were depressed, you had to show five of these symptoms over several weeks.

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The manual was sent out to doctors across the US and they began to use it to diagnose people. However, after a while they came back to the authors and pointed out something that was bothering them. If they followed this guide, they had to diagnose every grieving person who came to them as depressed and start giving them medical treatment. If you lose someone, it turns out that these symptoms will come to you automatically. So, the doctors wanted to know, are we supposed to start drugging all the bereaved people in America?

The authors conferred, and they decided that there would be a special clause added to the list of symptoms of depression. None of this applies, they said, if you have lost somebody you love in the past year. In that situation, all these symptoms are natural, and not a disorder. It was called “the grief exception”, and it seemed to resolve the problem.

Is everything you think you know about depression wrong? | Society | The Guardian

‘We believe you harmed your child’: the war over shaken baby convictions | News | The Guardian

At first, Craig Stillwell and Carla Andrews only vaguely registered the change at the hospital; how the expressions of warm, calm concern in the doctors and nurses who had been helping them look after their sick baby had iced over. It was 15 August 2016, in the early hours of the morning, and their three-month-old daughter, Effie, was fighting for life.

Two hours earlier, Effie had woken up screaming. Her parents, both 23, had no permanent home and were staying at Craig’s father’s place in Aylesbury, Buckinghamshire. They had all been asleep on the floor in the lounge: Effie in the travel cot that detached from her pram, Craig still in the uniform he wore as a grass cutter. Carla thought the problem was acid reflux. She passed the baby to Craig and went to prepare a bottle of formula in the kitchen. As she worked, Effie screamed and screamed in the other room. Suddenly she fell silent. Carla heard Craig panic: “Effie! Effie!” She rushed in. Craig, terrified, was holding the child. Effie was white-faced, limbs floppy, eyes fixed, gasping weakly for air.

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Paramedics arrived at 3.19am, by which time Effie appeared dead. They reached Stoke Mandeville hospital at 3.50am. She roused a little and was taken for a brain scan. Afterwards, in the resuscitation unit, a doctor told them what they had found. Effie had suffered a bleed on the brain, and it didn’t look like it had been the first. Carla and Craig both started crying.

“But how could this happen?” asked Craig.

“We’re going to look into it,” the doctor replied.

At that moment, Craig realised everyone had started treating them with a cold, professional distance. Apart from one nurse, who remained kindly, all the reassuring faces were now hard.

Later that morning, Effie was moved to the high-dependency unit. As the hours passed, the young parents noticed lots of nurses and doctors peering in through the window, staring at them, before hurrying along. At about 3pm, two officers from Thames Valley Police appeared. Craig and Carla were taken to a small room that was empty but for two sofas.

“We believe you’ve harmed your child,” said a detective sergeant.

‘We believe you harmed your child’: the war over shaken baby convictions | News | The Guardian

Life after extreme weight loss | Life and style | The Guardian

The opening photo in Half, Julia Kozerski’s series of naked self-portraits, is actually the bookend to a sequence of earlier photos. In those, she appeared unhappily in her wedding dress in a changing room cubicle, more than 300lb (21 stone) and mortified. Here, she appears in the dress again, standing sideways on to the camera, to show how much of the dress is unoccupied. Over the course of a year, Kozerski lost half her body weight, and you might expect the resulting photos to conform to the glib narrative of before and after. Instead, the 28-year-old took pains to show “what real is, what raw is” – in this case stretchmarks, skin folds, contours like sand dunes. Raw is Kozerski naked, and frequently crying.

Nudity is an overused gesture in photography, particularly when it purports to “celebrate” the “ordinary”. You can’t turn on the TV (Lena Dunham), go to a gallery (Spencer Tunick) or, if you’re in San Francisco, enter a civic building these days without tripping over someone getting their kit off in the name of corporeal democracy. That Kozerski still manages to be shocking and interesting is testament to her ideas and her courage. The question most people ask on seeing the photos – after “Why don’t you get surgery to remove the extra skin?” – is “How did you get the weight off?” which she thinks misses the point. Losing the weight was tough, she says: “I had no idea who I was, and while I went through all that I was lost.” But what came after was tougher. Contrary to media everywhere, being thin isn’t enough of an identity to go on. “This is it!” she thought, when she finally got her weight down, and then: “Now what do I do?”

Life after extreme weight loss | Life and style | The Guardian

What if Trump is actually a master of empathy? | Richard Friedman | Opinion | The Guardian

Many Americans see President Trump’s preoccupation with the protesting NFL athletes – and his near silence on the unfolding humanitarian crisis in Puerto Rico – as evidence that Trump has no empathy. Wrong.

Actually, Trump is a master of empathy. Most people confuse empathy with sympathy and don’t understand the nature – or power – of empathy. There is nothing necessarily nice about empathy, which is essentially the ability to imagine and intuit how other people think and feel.

It has nothing to do with genuinely identifying with others or actually feeling their pain; that would be sympathy. Instead, empathy is really about having an accurate theory of mind of other people – and getting under their skin.

Trump has lots of empathy. What he doesn’t have is sympathy – he doesn’t really feel badly for other people. He is not using his considerable empathy skills for Puerto Rico for a simple reason: they are not his base and he has little interest in them.

What if Trump is actually a master of empathy? | Richard Friedman | Opinion | The Guardian: “”

(Via .)