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by m0llusk 528 days ago
Psychiatry has some of the worst reproducability of any science. People who are forced to live on the streets without good access to services begin to exhibit symptoms of psychosis within one to two days and lose those symptoms after a similar duration of one or two days with housing.

In Europe such a policy might make sense, but in America where being dumped on the street is rather common the situation is different. Also, in America the general social situation is quite different from life in Finland.

2 comments

I can see this. I knew someone who was homeless for a time.

I asked her where she slept. She said "you don't sleep". You don't even have to run an experiment to know that sleep deprivation, even in your own home, causes psychosis. Now add the shock of being exposed to filth for the first time, poor climate control (homeless don't walk around with multiple layers of Patagonia and a nice backpack to stash them in as it warms up), the very real threat of sexual or physical assault, the shocking awareness that you are now "one of them" and know that a sizable percentage of your acquaintances would immediately distance themselves from you if they knew your plight. We're not even talking about food and vitamin quality here.

That is my experience too. Of course being sleep deprived as a result of having a ...tenuous relationship to safety, shall we say, fucks with a person. Understatement of the century lol

It's popped up in the news (and in the comments here too) a bunch about how parts of the US's prescribed 'solutions' to this is to put people on antipsychotic medications. One big effect is that these medications sedate. If someone has passed out and has an inability to be roused and can hardly function if roused is an insane risk for homeless people. People aren't getting no sleep for funsies. Antipsychotics being used to chemically restrain the inconvenient is just abhorrent. Making them considerably less safe as a result is just inexcusable.

Not to mention the extrapyramidal side effects of antipsychotics that compound chronic health problems like metabolic syndrome. I'm sure that the nurse who's hardest science class was in high school who's now allowed a prescription pad after an only only diploma mill 'masters' is prescribing complex medications appropriately and managing overall health impacts of such meds when even experienced psychiatrists fuck it up (but NPs are a rant for another time.).

Having been homeless and on antipsychotic medications (thankfully not at the same time) it's just nuts to me that it's even considered a possible solution to homeless people having mental health issues (arising from circumstance or not) or being 'nuisances' is to just sedate them and leave them for dead.

Disclaimer: Antipsychotics are a tool and they can greatly impact a person's life in positive ways. Also in negative ways. They're also not just used for psychosis. I just wanted to clarify I think there's nuances in my anti antipsychotic rant here lol

> Psychiatry has some of the worst reproducability of any science. People who are forced to live on the streets without good access to services begin to exhibit symptoms of psychosis within one to two days and lose those symptoms after a similar duration of one or two days with housing.

Is this a studied phenomenon I can read about? I'd appreciate any literature suggestions if you have them.

There is a lot of literature on acute sleep deprivation causing symptoms of psychosis, and there is a lot of literature on acute sleep deprivation as a result of homelessness.