Jenner

@ArtGuyNZ @let_part Sure But the fuel they are buying now on the global market costs more so they need more income coming in so they can buy more that might get here - sometime

@let_part No. It hasn't.

Shout out to the fuel companies raising fuel prices, literally by the hour, on stock that has been in the country for ages. Fuck you very much.

@HalfTangible God is a literary metaphor an abstract, infinite concept used to relate to human experiences like stability, guidance, and authority The Bible & other religions texts heavily relies on figurative language- how can it be anything else?

I have yet to see an atheist give an accurate description of what God even is It's always 'oh invisible fairy tale sky daddy' like they never learned anything about God past the age of six.

@cormac_mccafe69 I'm jumping between Amy Remeikis Howard book & Kerry O'Brien's Keating book & yeah - what could have been!

Albo is Howard 2.0. His true heir, legacy, and success story. A near seamless continuation of the same short-sighted nastiness, pathological lying, and cowardice. Howard’s final victory.

@SarahSm07642683 @dabooboo38 @LesleySemmens Tonic immobility is different to freeze/fawn It's a last ditch response that comes after freeze - assessing & fawn - appeasing/ pacifying These 2 are done to find flight & fight Tonic immobility is muscle paralysis & almost complete cognitive detachment- but not catatonic

@dabooboo38 @LesleySemmens Fight, Flight, Fawn, Or Freeze We learn about fight or flight because that’s what males tend to do. We don’t learn about fawn or freeze because that’s how females tend to deal with attacks. We subconsciously know we can’t outrun or fight on attacker so we fawn or freeze.

Heartbroken by the Rochdale acquittal. That 13-year-old froze in pure panic during the attack — exactly the trauma response so many survivors know too well. It’s called tonic immobility: your body shuts down, you “leave” yourself, you can’t scream even when help is close. That doesn’t mean consent. This verdict isn’t justice. We’re sliding backwards on understanding rape, consent, and how fear actually works. The system failed her. Every survivor deserves better.  #RapeMyths #BelieveSurvivors #TonicImmobility @Wommando @WomensRightsNet @DrPamSpurr

it wasn't a spontaneous labour because the drug was taken days or weeks before labour She brought the drugs in Nov They assume she took them 12 hours before she went to the hospital But there's no way to tell if it wasn't a spontaneous labour

a live baby 22 weeks is a non viable foetus - a spontaneous labour that cannot be stopped & without foeticide will result in a live birth (not a still birth) that will die within a few hours! How are they going to prove that the drug caused cervical dilation & that

Misoprostol is an progesterone antagonist At 22-24 weeks it triggers the process of labour It binds to prostaglandin receptors in the cervix, causing it to soften and dilate. Statistically the research is pretty clear - 50% of pregnancies without feoticide will deliver

@Resurgamblog Keep looking at "scrutiny" while ignoring the intentional austerity - deliberate political decisions - that is forcing people to live & die in abject poverty in under funded systems of care without dignity & actual agency! It's bloody money - government spending

Another major difference between assisted dying and abortion is this,abortion has been legal since 1967 under specific circumstances,and and this has been debated and challenged regularly ever since, thus subjecting it to 59 years of scrutiny. Unlike assisted dying, which has not

@RecoveryDoctor A small effece over a large population can still be read as important & be highly valuable clinically despite being a small effect in a study A small shift in depression can still be meaningful to an individual That's how I was taught

As with all psychotherapy studies, the better the study and the better the design, the smaller the effect for ACT. I assume that the effect will approach nil eventually (and I am an ACT super-fan).

@Qldaah My public transport- bus & train runs on diesel Again great for electrified tain/tram/metro networks in the city But the bus I catch into town needs fuel - free doesn't matter for us is there's no fuel!

As we've seen in Queensland from former Premier Steven Miles' 50c fare initiative, lowering prices does increase patronage. However, we have to remember Australians living outside major cities have limited or non-existent public transport services.

@Allamarine @millihill @ToniaAntoniazzi What do when "just before birth" Full term.is anything between 38 & 42 weeks No women knows when spontaneous labour will begin so how exactly are you quantifying before birth?

@millihill @ToniaAntoniazzi So if a woman somehow kills the foetus herself just before birth, that wouldn't be a crime? That seems worrying, although I can see that the bill would stop women whose pregnancies have terminated spontaneously from coming under criminal investigation.

Abortion rights are a reflection of how a culture views women. It was therefore very heartening to see last night's vote in the House of Lords and the amendment brought by @ToniaAntoniazzi - a vote not just for abortion right but for women as whole autonomous people.

@RonniSalt @abcnews What are you doing here - damn they got to the heart of it! PR over community Let me guess this will be spun into "a few bad eggs" & not a place to pause & reflect

Footage from @abcnews this morning shows Anthony Albanese and Tony Burke booed & heckled in a western Sydney mosque. As organisers tried to keep calm, people heckled the two over their involvement in Gaza, screaming: "You don't even represent us" "What are you doing here?" .

@QuackersTich @Artemisfornow Reproductive coercion & abuse IS domestic violence So when a woman goes to hospital to seek care & she's treated by fully trained compassionate staff trained to screen They will report the COERCIVE PERSON to police & they will be prosecuted That's how it works!

@Artemisfornow All true, but the problem is that it is open to abuse, and a suspicion that it will be abused, possibly by coercion of the woman.

The reporting on abortion to term is annoying me. My instinct has always been pro-life. But the debate in the UK was settled around 24 weeks. Some wanted less, some wanted more. It was only after WHO guidance changed that the debate was reopened here. The amendment to the Police and Crime Bill does NOT legalise abortion up to birth. The legislation still centres on 24 weeks. And it has always been the case that abortions after 24 weeks even up to birth, with sign off from 2 doctors, where there are abnormalities or the mother’s life is in danger. Many people question whether a cleft palate should fall into that category, but it is true that the current law allows doctors to interpret it that way. (Unbelievably) The change to the law now means that if a woman procures an abortion herself after 24 weeks, even up to full term, she cannot be prosecuted. Every part of me rejects that. But it is important to be accurate, that is not the same thing as saying abortion is now fully legal up to birth. It’s a change in how the law treats the woman, not a wholesale rewriting of the legal limits of 24 weeks. I think that’s an important distinction. Do I think it will be abused? Yes. Is it abhorrent, Yes.

@rowan_rises @apospodcast The State can legislate every other accept of your life except your death It regulates everything once you die but not death itself?

@apospodcast I agree with this. I really think there’s a place for death with dignity and assisted death. The issue I take is whether the state can be trusted with that power. As it stands, I don’t think it can be.

I don't think that the times are mature to discuss any assisted dying legislation in the Uk. Services right now are violent, cruel & prone to kill so it's not the time. It is nevertheless interest to read how the traditionalist, particularly professionals, understand the issue.

@j_l_marsden Of course! Women are going to carry their pregnancy for 280 something days Endure active labour And just after the head us born a Dr is going to take a scalpel & slice the brainstem You people are vile & deeply delusional to believe this is the choice women make

We now live in a country where an hour earlier, I could’ve had this perfect little girl murdered with no legal consequences. I can’t help think of the lives that will be lost. The babies and the women who will have to live with the knowledge of what they’ve done. Starmer’s utopia

@KateJOCallaghan @Sarah_Haar_ Abortion care might be an uncomfortable thing for you You seem like the type who has utter contempt for the women making complicated health decisions & the competent compassionate care teams that support women But none of that matters - abortion is decriminalised

@KateJOCallaghan @Sarah_Haar_ So you're an atheist but you have fixed beliefs that are resistant to fact - like religion? Abortion is regulated in Australia via the 9 Health Acts that we have - it's just healthcare! Neonatal palliative care which is what is offered is care But facts aren't important!

Being pro-abortion is a good thing, actually. Abortion is healthcare. Abortion is a reproductive & human right. Joanna Howe’s behaviour here is nothing but egocentric, recreational fake outrage that harms women.

@justalexoki Says who? As long as it is evidence based grounded in professional competence falls inside the pre negotiated boundaries of the therapeutic alliance is not something that provides benifit to us & is done to empower clients to make active choice Yeah we ethically are allowed to

therapists are borderline not allowed to give advice. if your therapist is giving you direct advice on how to handle a situation you genuinely need to leave asap

@BadreNicolas US won't ratify the rights if children They wouldn't be able to have the highest child incarcerated population- they'd loose all that slave labour & private wealth The ways of psych are simply political

@BadreNicolas Most of the world used the ICD The WHO is funded - in part - by ember states It would be objectively detrimental to those funding the WHO to include the very systemic harms the contribute significantly to the health & well-being of the global population Much like how the

Are “delusions” a well-defined clinical concept? Forensic psychiatrist here. Dr. Khan is right that delusions are defined as fixed, false beliefs not amenable to reason or evidence. But this doesn’t capture the full clinical picture. Consider Thanksgiving dinner: Uncle MAHA (Trump voter) and Uncle TDS (Biden voter) each view the other’s beliefs as obviously false and stubbornly immune to rational argument. By the literal definition, both would qualify as “delusional.” Contrast that with the person with schizophrenia who insists drinking bleach will stop a politician’s crimes and end childhood poverty. Their belief is bizarre and fixed in content, yet often more inconsistent and changeable when confronted. This is not because insight suddenly appears, but because the underlying disorganization and confusion of the illness prevent rigid maintenance of any belief. The point: delusions are not reducible to a simple checklist. Like much of psychiatry, they require clinical judgment, context, and experience. Garson is correct on this crucial point; the label “delusion” is an act of clinical judgment. There is no blood test, no objective scanner, no universal formula. Reasonable psychiatrists can disagree at the margins. We shouldn’t pretend otherwise. Khan is also correct: in practice, these calls are reliable enough to be clinically meaningful and helpful. Delusions are real, they impair function, and they often respond to treatment. If someone believes my assessment is wrong, the courts exist for exactly that reason. They review these decisions regularly. Where I part ways with Garson: relying on a trained psychiatrist’s judgment is not “unfair” superiority. It’s what patients and society ask of us. We’re not random outsiders; we’re professionals who train for years to call balls and strikes without personal stake in your politics, religion, or worldview. And where I part ways with Khan: calling delusions “well-defined” and purely non-philosophical oversimplifies. Determining where “normal but strongly held belief” ends and “delusion” begins inevitably touches philosophy, culture, and what society chooses to tolerate. That’s why outsiders (philosophers included) can and should challenge us. It keeps us honest. Summary 1. Psychiatry has not defined delusions so perfectly that outsiders have nothing useful to add. 2. The current concept works in practice, but it does demand significant clinical judgment, which is inherently subjective. 3. Precisely because of that subjectivity, we psychiatrists have a duty to be transparent about our reasoning, our limitations, and our fallibility. Trust is earned, not assumed. Thanks to Khan and Garson for this discussion.