Wouldn't the proper ideas be "reinforce and bulwark the idea that client-patient confidentiality is a thing" and "no matter what fucked up thing is in your head, your shrink has heard worse"?
The stigma doesn't matter. If you tell a tax lawyer that you sold weed illegally, their response should be "well, that's a sole proprietor farming business with a variety of expensible items", not running to facebook to publicize it. And it usually is. Because everyone knows lawyers and financial consultants adhere to client confidentiality. But for some reason, people don't seem to have that association with psychologists. Plenty of stigma against being in an active criminal enterprise, but the Mafia employs accountants and consultants.
So why would stigma be the issue with this case?
If anything, MORE stigma is useful. "If you're fucked up in the head in any way, go see a confidential brain-doctor, get it sorted before you get more fucked."
You don't need the "thrill of retribution". You just need to highlight that the DSM 4 is the definitive edition, DSM 5 is fanfiction, and get treating.
Getting people into the room is the hardest part across the entire industry. Most people who go to therapy have little need for it, and those who do don't recognize they have a problem to begin with. They've either built such a cushy headspace its doesn't even register its wrong, or they have justified it entirely.
Also the confidentiality clause is required to be broken if you are an immediate threat to yourself or others. Look at the immediate reaction most people have to just hearing the word pedo. They will absolutely consider you an immediate threat to children and report you. So there is good reason for not trusting that confidentiality either.
So the stigma problem is "getting help before you are a shaking mess one bad day from snapping" and the much more general "actually getting help instead of justifying it to yourself."
Wouldn't the proper ideas be "reinforce and bulwark the idea that client-patient confidentiality is a thing" and "no matter what fucked up thing is in your head, your shrink has heard worse"?
The stigma doesn't matter. If you tell a tax lawyer that you sold weed illegally, their response should be "well, that's a sole proprietor farming business with a variety of expensible items", not running to facebook to publicize it. And it usually is. Because everyone knows lawyers and financial consultants adhere to client confidentiality. But for some reason, people don't seem to have that association with psychologists. Plenty of stigma against being in an active criminal enterprise, but the Mafia employs accountants and consultants.
So why would stigma be the issue with this case?
If anything, MORE stigma is useful. "If you're fucked up in the head in any way, go see a confidential brain-doctor, get it sorted before you get more fucked."
You don't need the "thrill of retribution". You just need to highlight that the DSM 4 is the definitive edition, DSM 5 is fanfiction, and get treating.
Getting people into the room is the hardest part across the entire industry. Most people who go to therapy have little need for it, and those who do don't recognize they have a problem to begin with. They've either built such a cushy headspace its doesn't even register its wrong, or they have justified it entirely.
Also the confidentiality clause is required to be broken if you are an immediate threat to yourself or others. Look at the immediate reaction most people have to just hearing the word pedo. They will absolutely consider you an immediate threat to children and report you. So there is good reason for not trusting that confidentiality either.
So the stigma problem is "getting help before you are a shaking mess one bad day from snapping" and the much more general "actually getting help instead of justifying it to yourself."