It has been a hard two years. Over 5 million have died, and daily new cases in the UK are over 40,000, with a much lower death rate than before. We can be thankful for this, but must think hard.
If we go back to the major waves, the death rates were much higher. There are multiple reasons for this, including a lower level of natural and vaccine-mediated resistance, and higher death rates in susceptible populations. The virus killed the most at risk.
We know this. Older age, obesity, ethnicity, presence of cancer, or other chronic issues all raised the risk. Although the overall death risk was small, higher risks in large populations still added up. For me, a 33-year-old, it's low, but for my grandma, the risk is intolerable.
Then came the public health measures. No single one is 100% effective, but by the rules of large numbers, even a small reduction in the risk of spread means much less death overall. It also means fewer infections, less chance of mutation.
We were pushed to create vaccines, and through extensive tests the mRNA spike technology, a wonder, was created. This drove down death rates significantly, as well as infections. As a result most serious cases, including deaths, were reserved for those who did not get a vaccine.
But there came conspiracy marked with politic and cash. Charlatans spread rumours of hoaxes, risk, overinflated adverse event rates, missed noting simple things like comparing lives saved vs risk of death, and the public were confused and manipulated.
This was not all in bad faith. Many who opposed vaccines and masks had good reasons, or believed that they did. They looked out for others. Some just wanted to capitalise on the power provided by fear. Others did it because of their insecurity and narcissism.
With the relaxation of public health measures, we have seen numbers grow. But thanks to vaccines alongside some natural immunity, the number of infections is not as predictive of death as before. But this can change.
Although we have, for better or worse, weathered the storm that has been #covid19 thus far, there is always a chance that our denial and complacency can bring another wave, or spread a vaccine-resistant variant. As of now with #Omicron, we don't know.
I know we are tired. I know some of us feel this is personal, a restriction of freedoms, or a hoax. But any ICU doctor will tell you the opposite. Millions of graves suggest otherwise. The ultimate loss of freedom is death, and perhaps not for you, but for the vulnerable.
If you were to ask a three-year-old if she would wear a mask to protect grandma, she would say 'yes.' If you were to ask a ten-year-old to protect someone on the bus, she would say yes. But you ask some 30' year olds, and the answer is no.
This is not about power from power or restriction from a government. Unfortunately, we have a tyrannical set of nepotists at the helm, but it does not mean that the public health measures they are pushing are wrong. Even a broken clock is right twice a day.
There is no victory in masculine delusion, in the idea of a mask or vaccine reflecting weakness, it reflects empathy, giving and alturism. It tells others that you care for the unknown, if not your own family. It sucks, but survival is not all sunshine and rainbows.
So please, keep going. A mask a day keeps the virus away, a vaccination saves respiration, and social distance in the first instance. We can work together to save lives, to reduce the risk of variants, to prevent the undoing of years.
There is no hoax, 5g cause, de-vaccination or secret plan. No microchip, or mind control. Ivermectin is not a cure, nor the deepstate the cause. China is not after you, nor is Bill Gates. And no, masks do not suffocate you, and if they do, you already have a significant problem.
Please retweet. And if you feel angry enough to post a scathing reply below this, or mock me, feel free to do so. Use your anger, displace it, if time tells me I am wrong then I will be taught. But insults mean little when lives are saved.
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Let's take a moment to address some of the conspiracies around #covid19 using psychology and sociology. Thread/
First off, some basic ground theory to put this into context. Human beings work on a very primal level when emotions are high, using a number of cognitive shortcuts
Our emotions serve a primary purpose in survival, and as such they work fast in influencing our behaviour. These are very old, existing before the more clever aspects of our brains, and can be referred to as 'survival mechanisms.'
They evolved during a different time, where major threats were more simple. Aggression, starvation, predators. As such they needed to move quickly, creating fear, alliances based on protection, formation of groups (tribes.)
Mosaics are quite incredible. Not only do they present contemporary representations of culture that teach us about the past, but also show just how much passion there is for expression. Using sediment to create a totality, quite astonishing.
If anything, these remind me of the mandala approach to unconscious expressionism, not so much in the artistic design, but the time is taken and the knowledge that such things, by nature, are impermanent. This is an expression of the duality of mankind, a brief fire in the dark.
Regardless of the aesthetic appeal, we have to remember that art, from a Jungian perspective, is what unites us and forms the sublimation of our shared fears, loves, and phantasy. With mosaics, we listen to Yeats when he says 'tread softly because you tread on my dreams.
No, not at all. You say that because then you can paint me as an elitist and make yourself seem a hero. Its very obvious, and no matter how much you bluff and try to shame me, your technique is obvious. Its an insult to the intelligence of your following to mislead them so.
If I felt people were beneath me, I would not engage with them. If I felt those who had different views were lesser than me, why would I talk to them as equals? All you accuse me of, you do yourself. You set yourself up like the messiah, the defender of the meek..
And im glad that your words help people, and that others find solace in your confidence. But if there is one thing I have learned, it is that often compromise and caution are more respectful and giving than bluster. Neither of us are heroes, so perhaps accept it.
This here is the problem. People assume my career choice means I don't value people, or see myself as superior. Ask anyone who works in mental health if they believe 'we are better people.' We work with that society have excluded, and it is more humbling than you would know.
Over the last two years, we have gone from 'heroes' to 'enemies' and back, but we do the same job day after day. It is not us, but the political expediency by which we are portrayed for the gain of charlatans and government. Am I Adams's enemy? No. We simply disagree.
To paint myself, and most doctor, as some kind of elitist authoritarian is simply wrong. If we were elitist and authoritarian, we would not have gone into a job where we disproportionately help the poor and forgotten. Why? Because they suffer the most.
Many vocal professional opponents of psychiatry will hide behind philosophy and pedantry to drum up business for their own benefit, whilst clearly aware of the hypocrisy of their ideological crusade.
Much of it is narcissism disguised as "protecting others."
As a psychiatrist also training in psychodynamics, we both work within working models adjusted by idiosyncracy and marred by our own subjectivity, so perhaps such poignant opposition tells us more about one's blindness than vision.
I have seen some force patients off medication, others make false allegations, and even more quote charlatans to undermine those who wish to help. None of us are perfect, but those who claim omnibenificence are, frankly, no better than snake oil salesmen.
In 40 minutes I turn 33 years old, and every year passed gives me pause to reflect on how a deal I made in my youth. When I was 24, and severely depressed, I imposed the date of my own execution. If things did not improve by age 30, that was it.
I was going through therapy at the time, and probably my 3rd major depressive episode, but quite certainly the worst until that point. In truth, it carried on in some fashion until I was around 29, before disappearing for a brief time. At this time the deal was still there.
Around 2017 I suffered the worst depressive episode, and during that time decided to move into psychiatry. In a grandiose manner, I decided to sublimate my pain into helping others. This was selfish, to think my experiences would entitle me to such responsibility.