Infinite_Jester wrote:I don't know if this really does validate mental disorders.
It does validate that there is some kind of interaction, no matter how this interaction takes place.
It's strictly independent which set of symptoms you sum up as a mental disorder to observe a reaction (in contrast to placebos e.g.). The discussion about the definition of mental disorders belongs more into the kind of discussion about the definition of "disorder" or "illness" in general, which, unfortunately, always has be to somewhat normative and be measured on a "normal person" in a statistical sense (being the median person in an assumed gaussian distribution). But I see no real harm in this, as nobody would reject defining having 2 legs as human being as normal when the vast majority (>99%) of all humans fulfill this criteria.
I don't argue that there is a somewhat big gap between the soft description of mental disorders in the DSM and ICD and the neurological research of what is really going on in people's brains, but I think that gap will get more narrow in the future. Until then one has to live with its flaws.
Infinite_Jester wrote:It's not really an empirical question about whether or not mental disorders can describe patterns of activity in the brain, it's more of a grammatical question that's settled by looking at what our psychological concepts mean and thinking about what can and can not be the bearer of a psychological attribute.
If I understand you right then you assume that there are "psychological attributes" that can't be reduced to activity in the brain. I think that this is a metaphysical assumption that can't be validated or falsified and is therefore useless in scientific terms. It begs the question how those "psychological attributes" come into existence when there is no physical basis for them and that leads you into unscientific realms. Nothing Psychology or Psychiatry should waste their time on (although some people actually do, but that's another story).
Infinite_Jester wrote:Also, I don't really know what you mean when you talk about definitions being "spot-on accurate". A definition is a normative rule like "memory means knowledge retained" and it can't really be true or false, in the same way that colour words and their referent can't really be true or false. The way we use language is just the way we use language.
With "spon-on accurate" I mean whether they are fuzzy or not. You can define a mental disorder accurate with 558 necessary criteria leaving out every person that violates just one of them or you can define a mental disorder with fuzzy criteria or employing a (further defined) tolerance of deviation (291/558 met, or whatever)
Strict definitions in a mathematical sense are nice and fine, but are hard to use when talking about shady and fuzzy stuff like mental disorders. Even much simpler systems than human brains are hard to describe on such a level. Even if fully understood and theoretical possible, it's pointless on a pragmatical level. The same reason it's futile to use physics to describe chemical properties of molecules; you can do that, but you end up with a massive ###$. Abstractions are mandatory and with abstraction there comes fuzziness. You can't get around that.
Infinite_Jester wrote:Again, I'm not sure what you mean what you talk about something working.
Shown significance in (at least one, better thousands of thousands) double blind studies with N > 1000.
That's what I mean with "working". Proven on an empirical basis. The same way Mendel came up with rules about inheritance of properties of some stupid vegetables without even knowing how or why this stuff happens. It's two different things to find a correlation between things and to actually being able to explain why there is a correlation. In fact, latter is just a nice-to-have to build up a consistent scientific theory, but it isn't necessary to use the found correlation which is exactly what medicine is doing on a somewhat experimental level; trying to find out what "works" and what not.
Correlations are always found first before any theory is build up to explain that correlation. It's just how Science (with which I mean only empirical methods) works.
If people try to turn that principle around, it often ends up in rather absurd generalized theories that lack empirical basis and I am no fan of this.
Infinite_Jester wrote:For example, I could say that someone has a sick mind and when asked for any empirical evidence to back my claim up, I could point out that the person behaves in an unusual way. That could count as a confirmation, but it doesn't mean that the theory that people have these sick minds that cause them to behave in particular ways in falsifiable. Right?
If "sick mind" is defined only by behaving in an unusual way, then you can apply "sick mind" to everyone that meets that definition (probably including me). You are asking the ethical questions I already mentioned in the beginning of this post about when to define something as "illness". This will always be open to debate (see homosexuality) but I also think it's quite irrelevant for this topic as it doesn't change any of the observations that were made to describe the disorders. I don't know where you live, but I am from Europe and here you visit psychiatrists when you decide that you have a problem. The only exception is when you are about to harm yourself or others and I am totally fine with the assumption that people don't really want to kill or hurt themselves.
I hope we can come to the consensus that there needs to be a distinction between "mentally stable" people and people that are a threat to themselves or others, no matter if you call it "sick" or "disorder" or "whatever". In general I don't give a $#%^ about political or ethical correctness of terms.
Thank you. Not my music though. :p
Oh, and as usual, sorry for my bumpy english.