If the state really wanted to, could it enact "RIAA show trial"-style copyright lawsuits where at least a few people receive steep penalties including confiscation of computers, loss of all data one owns, etc., and steeper punishment than some folks get for CP or RP?
This therapy seems stuck in the 1980s.
Especially considering some research intentionally using this to make past traumatic memories more distant or break people out of loops. Could this effectively make you like the same things less, slowly forget songs, be the type that will feel like a different person as you get older, etc.? This burst of BDNF and adult hippocampal plasticity is so often sold as a good thing, yet is basically a milder version of the well-documented source of extinction of early childhood memories.
Especially since the tone and eye contact rules are falling by the wayside for autism. Willing hands is not natural and feels like being expected to stop stimming.
Even ABA is moving past a strict model of stillness, eye contact, voice adaptation, policing exact phrasing, etc. But DBT honestly seems stuck in the 1980s and almost seems to push its clients into suppressing their personalities, even with close friends, and expecting neurotypical norms of eye contact and body language.
Such as "looking confident," sitting still and upright, facing the person and making eye contact, keeping your hands in certain positions ("willing hands", avoiding fists, avoiding tapping and flapping), practically expecting socialization to look like a customer service jobs, assuming someone is angry or anxious and doesn't even know it, framing advocating for one's discrepancies from social norms as manipulative, etc.
I worry about a friend who also struggles with the expectation of eye contact to be forced to commit to it or even suddenly expect it of me. I worry about her losing the ability to banter.
And after a 5150, I personally was sent home with a packet that included information on BPD, though BPD itself was not in my chart; I worry my pre-existing diagnoses of ASD and ADHD were misinterpreted by someone who thought I was FtM/FtNB and not MtFtNB. I worry this will follow me on some Epic CareEverywhere service, and influence the kind of care I could get, including DBT and mandatory social conformity, when I really might just want something for my ADHD or accommodations for college. (or even medical care for cholesterol, back and allergy issues)
If your patient refuses to obey your screen time limits, would you respect that?
And if your patient is content spending most of their time alone and having a few online friends, is that allowable without you subtly manipulating them into changing?
If your patient is really obsessed with how electronic devices work and wants to build them, or has a special interest in video game history, digital signal processing, etc., is that okay?
If your patient has an exclusive fetish that can really only be indulged online, would you try to correct them? Would you mind if they complained about an SSRI taking it away? Would you covertly give them meds to make them stop liking it?
I am not asking for medical advice. But rather general knowledge on patient rights and advocacy.
If your client refuses to obey your screen time limits, would you respect that?
And if your client is content spending most of their time alone and having a few online friends, is that allowable without you subtly manipulating them into changing?
If your client is really obsessed with how electronic devices work and wants to build them, or has a special interest in video game history, digital signal processing, etc., is that okay?
If your client has an exclusive fetish that can really only be indulged online, would you try to correct them? Would you mind if they complained about an SSRI taking it away?