• Imgonnatrythis@sh.itjust.works
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    9 months ago

    A ton of psychology is done through telehealth now. If you are spewing madness on TV, radio, and social media all damn day it’s a pretty decent sample set for analysis.

    • fine_sandy_bottom@discuss.tchncs.de
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      9 months ago

      Yeah but still… a diagnosis is usually made after an interview and tests where appropriate.

      That’s why they’re using a phrase like “is consistent with dementia” rather than “is dementia”

      • maniclucky@lemmy.world
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        9 months ago

        Yeah, that little bit of phrasing is doing a lot of work.

        That said, as a layman, at what point is the vast corpus of data that is his assorted interviews, statements, appearances, etc on TV enough to call it? I’m curious how much more a one-on-one with a therapist could reveal. Obviously, there’s a persona that is prominent any time a camera is on, but if the camera is on all the time, when is it just his base personality?

        • fine_sandy_bottom@discuss.tchncs.de
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          9 months ago

          I don’t think really any amount of this particular form of data is enough to be confident in an opinion.

          As an analogy, I might be obese and have chest pain, but without scans and tests no doctor is going to say I have ischaemic cardiovascular disease.

          Does a 77yo who mixes up names have dementia? Is it just diminished cognitive abilities due to age, combined with stress? Does it really matter?

          IMO, any self-respecting psychologist would avoid paying an opinion without having a chance to interview a co-operative patient.

          • maniclucky@lemmy.world
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            9 months ago

            That makes sense, and I feel like that’s a good rule for 99.99% of people. Trump introduces one unusual facet and one that I don’t know enough about:

            1. He’s on camera all the time. His media presence is more than that of most of humanity, including those that do it professionally. Both being filmed and participating. Sure, a doctor needs scans to do things, but what is the test for this kind of thing and can the answers be derived from his very prominent existence?

            2. How does a therapist handle a non-cooperative patient? Let’s say the court order’s therapy. What does the poor bastard who works with him have to do to accomplish their task?