Ah yes, the "layperson" who was an NIH-funded principal investigator in psychology and is an internationally-recognized speaker on ethics. https://twitter.com/Collaterly/status/949785937742974976 …
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The ethical guidance for not diagnosing public figures at a distance exists precisely because it sets a dangerous precedent and can have unforseeable consequences.
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We are barely 50 years removed from phrenology being seriously used by clinicians to discredit the "mental fitness" of Black people. We are not yet removed from the same implications being used against transgender people.
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Ethical dilemmas only arise when we have competing ethical frameworks. In this case the dilemma referred to by the quoted tweet is the balance of diagnosing at a distance and the risk of the president doing something heinous.
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When we come to ethical dilemmas, we need to use other calculus to find out way out. In this case, we observe the following:
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1. There is no guarantee a diagnosis would lead to Trump's removal; there is not Constitutional obligation. 2. Nothing evil that Trump has done so far is out of the realm of possibility for someone of sound mind and ability.
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Given those criteria, we must also measure the epidemiological impact of the negative messaging. If we can murmur about removing the President, how does that affect public health? Are people going to hide their conditions as a result? etc
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In can be expressed loosely as expected value: What is the probability of this messaging working * the benefit preventing a large harm vs the probability of the messaging having negative impact * the effect of many small harms?
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The probability of blathering about dementia actually leading to Trump's removal is vanishingly small; the probability of adverse effects of this narrative is... not.
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This is what we mean when we talk about ableism. The negative connotations around depression and anxiety, for instance, lead to suffering as people who need help do not seek it. It has taken much effort in public health education to combat this.
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Elderly care is not much different. The fear of being discarded is extremely real... and extremely well-founded. This is not a seperable narrative.
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