(I assume there must be some fascinating sociological explanation for why the doctors have terse abbreviations for common terms and phrases—_Rx_, medication; _d/c_, discontinued; _disc r/b/a_, discussed risks/benefits/alternatives—and yet the phrase "does not meet criteria for California Welfare & Institutions Code 5150 (LPS) for involuntary detainment for inpatient psychiatric monitoring" is written out in full, three times. Why not just say, "we're not 5150'ing him"?)
-I was glad not to get 5150'd. I have a memory-fragment of resisting—having a sense that the doctors wanted to institutionalize me, but that I insisted on walking out, and got away with it. I think I trust the doctors' notes more than my memory on this count. To be clear, I still think I was correct to want to avoid the psych hospital, but that's _not at all_ the same thing as thinking that I was sane; the sleep deprivation was still taking its toll in the form of dreamlike delusions.
+I was glad not to get 5150'd. I have a memory-fragment of resisting—having a sense that the doctors wanted to institutionalize me, but that I insisted on walking out, and got away with it. I think I trust the doctors' notes more than my memory on this _particular_ count. (Although in general, the doctor's notes contain a striking density of outright falsehoods. Humans are not very good reporters!)
-I remember having a vision of seeing autogynephilia as a separate taxon in the configuration space of minds, and of negotiating with some celestial agency to _pry_ it apart in our shared ontology—it was real, and I saw it, but somehow it couldn't be _fully_ real until it was accepted as real.
+To be clear, I still think I was correct to want to avoid the psych hospital, but that's _not at all_ the same thing as thinking that I was sane; the sleep deprivation was still taking its toll in the form of dreamlike delusions.
+
+I remember having a vision of seeing autogynephilia as a separate taxon in the configuration space of minds, and of negotiating with some celestial agency to _pry_ it apart in the world's shared ontology—it was real, and I saw it, but somehow it couldn't be _fully_ real until it was accepted as real.
I sent some more messages from my phone in the afternoon. I couldn't sleep because I was scared, I told "Chaya". I had built up a distinction between social reality and physical reality, and I didn't know what to do now that it had been undermined.
I don't think that's right. I _was_ crazy, but _that doesn't mean ordinary social reality is sane_—and it doesn't mean that some of the things I thought I saw from my altered perspective weren't _directionally_ correct, as I can evaluate them from a more standard frame of mind now.
-Sometimes, the words written down in official documents really are just lies. I have in my possession an "Involuntary Patient Advisement" form, which claims that I "self presented due to [my] suicidal thoughts". This isn't true. Getting accosted by cops while trying to go into the train station to get back to my apartment is not the same thing as "self presenting"!
-
-
-
+Sometimes, the words written down in official documents really are just lies. I have in my possession an "Involuntary Patient Advisement" form, which claims that I "self presented due to [my] suicidal thoughts". This isn't true. Getting accosted by cops while trying to go into the train station to get back to my apartment is not the same thing as "self presenting"![^telephone-game]
+[^telephone-game]: Reading the doctor's notes six years later, it seems likely that this false description was copied from the beginning of a note ("WHO WAS SELF PRESENTED TO CCRMC PES VOLUNTARILY DUE TO SUICIDAL THOUGHTS") that _also_ contains a more accurate description of events later in the same note, except for the substitution of Oakland for Walnut Creek ("PT SEEN EARLIER TODAY IN THE KAISER OAKLAND ED BUT WAS RELEASED WITH THE CONTRACT MOTHER WOULD TAKE HIM HOME AND MONITOR HIM. AFTER THEY GOT HOME PT LEFT WITHOUT TELLING ANYONE. MOTHER REPORTED HIM A DTS"—danger to self—"AND POLICE EVENTUALLY FOUND HIM AT THE BART STATION").
I ended up with a "Rights for Individuals in Mental Health Facilities" handbook, which claims that:
I worry, again, that some readers will take this as vindication that the authorities were right: they forced me to take drugs, and now that I'm sane and have a little more information, I agree that the drugs were a good idea. Why, the contemptuous normie reader asks, does this not demonstrate that they were right to force me, when I was crazy and therefore couldn't make decisions for myself?
-Because submission to authority isn't the same thing as sanity. In the psych ward in February 2017, I _knew_ that I needed sleep. If someone I trusted to have my best interests at heart had _told me_, "This is 50mg Trazadone; I strongly recommend you take it, because it will help you sleep; I also have this Trazadone fact sheet you can read if you want more information," I probably would have taken it.
+Because submission to authority isn't the same thing as sanity. In the psych ward in February 2017, I _knew_ that I needed sleep. If someone I trusted to have my best interests at heart had _told me_, "This is 50mg Trazadone; I strongly recommend you take it, because it will help you sleep; I also have this Trazadone fact sheet you can read if you want more information," I would have taken it.
-But a system that actually had my best interests at heart would not have _kidnapped me and locked me in a building with strangers_, which is _not a good environment for getting rest_. Serious antipsychotic medication is scary stuff. When I was institutionalized in 2013, I had tardive dyskensia—an involuntary lip-smacking compulsion—from the Haldol that they gave me. Tardive dyskensia can be permanent in some cases. Given the information I had at the time in 2017, I do not think I had good reason to trust the system.
+But a system that actually had my best interests at heart would not have _kidnapped me and locked me in a building with strangers_, which is _not a good environment for getting rest_. Serious antipsychotic medication is scary stuff. When I was institutionalized in 2013, I got tardive dyskensia—an involuntary lip-smacking compulsion—from the Haldol that they gave me. Tardive dyskensia can be permanent in some cases. Given that experience, and given the information I had at the time in 2017, I do not think I had good reason not to just trust the system!
...
-I remember pacing the tiled halls of a the first facility where they took me. I was exhausted, but also feeling a sort of manic euphoria, pacing around, tapping demonstratively at the signs on the walls, thinking it was my duty to teach the other inmates how to read. Ziz's report of Vassar's comment about "Zack Davis _vs._ the world" stuck with me; I had of vision of myself as one of the seven most important people in the world in the lead-up to the intelligence explosion, as reckoned by future historians. Being a world–historically important genius wouldn't have _felt like_ being a genius at the time, most of the time. It must have felt like being pretty smart, and the rest of the world seeming dumb and crazy. (A young Albert Einstein working in the Swiss patent office wouldn't have had the mononymic aura of "Einstein" _to his contemporaries_.) Notwithstanding that I was having psychotic delusions of grandeur at the time, I do think I had reason to feel pretty smart, and that the rest of the world was dumb and crazy.
+I remember pacing the tiled halls of a the first facility where they took me—probably [Contra Costa Regional Medical Center](https://cchealth.org/medicalcenter/psychiatric.php) in Martínez.[^ccrmc] I was exhausted, but also feeling a sort of manic euphoria, pacing around, tapping demonstratively at the signs on the walls, thinking it was my duty to teach the other inmates how to read. Ziz's report of Vassar's comment about "Zack Davis _vs._ the world" stuck with me; I had of vision of myself as one of the seven most important people in the world in the lead-up to the intelligence explosion, as reckoned by future historians. Being a world–historically important genius wouldn't have _felt like_ being a genius at the time, most of the time. It must have felt like being pretty smart, and the rest of the world seeming dumb and crazy. (A young Albert Einstein working in the Swiss patent office wouldn't have had the mononymic aura of "Einstein" _to his contemporaries_.) Notwithstanding that I was having psychotic delusions of grandeur at the time, I do think it was legitimate for me to feel that I was pretty smart, and that the rest of the world was dumb and crazy.
+
+[^ccrmc]: I only know this because, when consulting the doctor's notes available to me while writing this up more than six years after the fact, one of the notes mentions "CCRMC PES". "PES" is probably "Psychiatric Emergency Services".
-There were two rooms with beds, in that first facility: one for women, and one for men. I didn't end up sleeping there that I recall. Before long, I was taken to a separate facility, with individual rooms. (Or was I incredibly lucky to not have been assigned a roommate?)
+There were two rooms with beds, in that first facility: one for women, and one for men. I didn't end up sleeping there that I recall. Before long, I was taken to a separate facility, [Fremont Hospital](https://fremonthospital.com/), which had individual rooms. (Or was I incredibly lucky to not have been assigned a roommate? Having to sleep by someone else at night would have been very bad for me, given my fear of the other inmates and my desperate need for sleep.)
...
I was a very genre-savvy psych prisoner. I was distrustful of the other inmates, and distrustful of the authorities, but in different ways; the optimal strategy to protect myself against each was different.
-I feared violence from the other inmates. I thought I could subtly leave clues that (as a Jewish male with long hair), I was an incarnation of Jesus, which would discourage them from attacking me (because many of them would have already been programmed by Christianity meme to believe that killing Jesus was the worst sin). I told people that my father was coming to pick me up at the end of my three-day evaluation period, but that it wasn't fair that I couldn't rescue everyone. (I'm proud of this one, even though I no longer agree with the threat model.) My father actually did pick me up in three days.
+I feared violence from the other inmates. I thought I could subtly leave clues that (as a Jewish male with long hair), I was an incarnation of Jesus, which would discourage them from attacking me (because many of them would have already been programmed by the Christianity memeplex to believe that killing Jesus was the worst sin). I told people that my father was coming to pick me up at the end of my three-day evaluation period, but that it wasn't fair that I couldn't rescue everyone. (I'm proud of this one, even though I no longer agree with the threat model.) My father actually did pick me up in three days.
]
-----
-After being released,
+After being released from psych prison, arrangements were made for made for me to attend the Intensive Outpatient Program at Kaiser Walnut Creek. That was also anti-helpful, but it was much less of a problem. The outpatient psych authorities are of course just as stupid and overbearingly paternalistic as the inpatient psych prison wards, with the essential
+
+
+The intake assessment
+
+"retreats into highly intellectualized, incomprehensible philosophy as a defense against disorganization/psychotic thought process".
+
[TODO: interacting with the outpatient program]
projects / Ultimately_Untrue_Thought.git / blobdiff