This is the sixth of an ongoing series of book discussions here on Tildes. We are discussing Small Gods by Terry Pratchett. Our next book will be This is How You Lose the Time War around the end of September.

I don't have a particular format in mind for this discussion, but I will post some prompts and questions as comments to get things started. You're not obligated to respond to them or vote on them though. So feel free to make your own top-level comment for whatever you wish to discuss, questions you have of others, or even just to post a review of the book you have written yourself.

For latecomers, don't worry if you didn't read the book in time for this Discussion topic. You can always join in once you finish it. Tildes Activity sort, and "Collapse old comments" feature should keep the topic going for as long as people are still replying.
And for anyone uninterested in this topic please use the Ignore Topic feature on this so it doesn't keep popping up in your Activity sort, since it's likely to keep doing that while I set this discussion up, and once people start joining in.

UPDATE: the surgery went well amd she is recovering now

I talked in the past about my mother here.

She's been diagnosed with abdominal aortic aneurysm and keeping an eye on it.

Now it's time for surgery because it's big and in danger of rupture.

She's already in the hospital and will operate today or tomorrow.

She is still frail and eating less since my brother's death. Weight is only 44k/97lbs. She is 74 years old.

I keep reading that the endovascular surgery is not that dangerous. Just a minor cut in the groin, but I'm really afraid due to her weakness. Doctor assured is OK and he is the best in town. Last year he did 25 of these and this year 15.

Guess I'm just venting and afraid. Lost a brother a year and half ago and now it's my mother.

Feels like I'm just living between tragedies.

I’m really frustrated by recent experiences interfacing with the mental health system for myself and for my teenager. For them, it’s really atrocious. There may be effective options for the upper classes, but they aren’t accessible to me.

This is inspired by @X08’s recent [post] (https://tildes.net/~health.mental/1iia/unable_to_feel_progress_lack_of_happiness_and_not_finding_motivation_to_keep_investing) . Obviously I don’t know about their particulars, but I’ve certainly had the experience of being a part of a group where it appears others are progressing while I am not. Partly this is a problem of how we perceive, measure, and judge “success.” “Don’t compare my insides to others’ outsides,” as the saying goes. But it is possible to a more faithful and reflective comparison, and it does happen that others similar to me* make progress where I don’t, and it’s really frustrating. I’m often wondering, what’s wrong with me that I can’t change and grow?

I don’t have a great answer, although my exceptionally shitty childhood certainly plays a great role.

What I really want to comment on, though, is how insensitive our current mental health system is to the impact disparate causes have on creating similar symptoms, and how that should inform treatment approaches. A gifted psychiatrist (of which there are shockingly few) once put it like this (paraphrasing): Before we look at treatment for depression, we have to make sure the patient isn’t just surrounded by assholes.

But it’s a real problem. CBT is touted by a lot of “weighty” authorities as a valid gold standard treatment for a wide range of MH symptoms, and is claimed to be effective regardless of causes. And it’s my opinion that there is a lot of reasonably scientifically rigorous research backing that claim up. But, it’s not all rainbows, and it’s not working for lots of people. For one, a lot of folks claiming to do CBT are really not. Actual CBT involves a lot of homework, and a lot of recipients don’t have home support and don’t do the homework. This is extra true for children and adolescents living in dysfunctional homes. But more than just patient effort, the research marking CBT as so favorable is mostly based on subjects who are only mild to moderately distressed.* The end result is everyone involved in the “evidence based” healthcare chain is signing sufferers up for CBT when that might not be the best approach. There are lots of other criticisms too. If a practitioner is not well-trained and dedicated, the practice can be very invalidating. It seeks to make the sufferer’s more cognitive process more ‘rational,’ but when that person’s experiences are really, objectively bad, it’s very rational to conclude the world is hostile and unsafe. The tool itself is prepared for this, but it takes a really effective therapist to pull off. Also, it’s not enough by itself, grieving and other healing is also required for success.

The same thing happens in 12 step groups. AA/NA is resoundingly helpful-for a certain set of alcoholics/addicts. Those who don’t make it are often exhorted to become more honest, more open-minded, or more willing.*** My observation, though, is that most of the ones that make it come from intact families with resources. This is not universally true, it’s important for me to point out that there are enough examples of success among folks with no such background to say that there is something valuable in that approach that transcends socio-economics. There are also plenty from well-resourced families who don’t make it, but many of those families are highly dysfunctional. Of this last group, folks from dysfunctional families, some of us find success in other groups. This is because AA/NA are designed for sociopaths, ACA**** is designed for the product of sociopathic parents (who are filled with shame).

I don’t know what the solution is. A lot of malaise, addiction, “maladaptive” behaviors are, I think, born in a dysfunctional society, and so long as that society remains dysfunctional, no individual focused therapy solution will create a permanent fix. I think right here and now, too, we are at one of humanity’s “high tides” of self-destruction, a result primarily of runaway capitalism (is there any other kind?). We also just came through a really nasty global trauma, everyone is feeling it some kinda way.

Thanks for attending my TEDz talk.

*Of course, when talking about something as complex as a human life, there may no way to determine how similar is enough to make valid comparisons

**Also, let’s not talk about the various biases and implementation problems with what those studies refer to as ‘validated’ assessments used for measuring level of distress

***I am, technically, an NA success story

****Adult Children Anonymous, aka Adult Children of Alcoholics and Dysfunctional Families, more info at adultchildren.org.

Hey Tildes,

Recently I picked up WoW again and I've felt a rush and focus I haven't felt for a while. I can play the game for an entire day. I feel nothing but guilt doing so. The one thing that gives me joy feels like something I'm not allowed to do at this stage of my life; I'm 35.

I'm in grouptherapy until march next year but I feel I'm not making any sensible progress. Others around me seem to open and loosen up, finding tangible changes that help their lives. Meanwhile I just keep resenting myself, dread doing anything that might even cost effort.

I feel I'm a fraud, a selfless good-for-nothing profiteer who blames anything but me. It fuels my self-hatred and my wish to self-isolate and act in self-destructive behavior. I also notice a growing bitterness as I get older.

What have you been listening to this week? You don't need to do a 6000 word review if you don't want to, but please write something! If you've just picked up some music, please update on that as well, we'd love to see your hauls :)

Feel free to give recs or discuss anything about each others' listening habits.

You can make a chart if you use last.fm:

http://www.tapmusic.net/lastfm/

Remember that linking directly to your image will update with your future listening, make sure to reupload to somewhere like imgur if you'd like it to remain what you have at the time of posting.

As part of a weekly series, these topics are a place for users to casually discuss the things they did — or didn't do — during their week. Did you accomplish any goals? Suffer a failure? Do nothing at all? Tell us about it!

How many friends do you have? Good good friends vs more casual friends. What's the dividing line or definition of one vs the other for you? Related question: what life stage are you in, and what was friendship like at a different stage?

How do you keep in touch, esp for friends not in your city? Do you call them randomly or call / video chat with them regularly? Do texts count? Do people welcome phone calls out of the blue or is it more like, "oh gosh you have cancer" if one gets a call from a friend these days?

How much effort are regular people* putting into maintaining/strengthening their friendships in their late-30s onwards? (Regular people being, maybe, folks who aren't terminally online, folks who are neurotypical, folks without social anxiety etc?) [edit: oh no I messed up!! I mean that I super want to hear from others who fit one or more of these boxes as well, but since I'm 3/3 plus all kinds of crazy I am interested to know if these are factors in friendships, particularly because most people are of the "normal" sort who would have to put up with me.....my apologies.]

Do folks suddenly realise maybe they don't have many/any close friends, or they're not as close anymore as they thought they were decades ago? How do folks maintain friendship as people age and move apart? Or is it just normal that once you're not in the same city to hang out, they stop being good friends?

Have you ever made conscious and serious efforts to make / rekindle friendships before? How, and how'd that turn out ?

It seems like the last real discussion about the subject was about 6 years ago

I am mostly wondering what the thoughts now are on crossposting something in different tildes groups. This was inspired by a few things. Last week I was unsure where to post something and ended up posting it in the most topical tildes group even though previous posts that took off were posted in a different group. Meaning that people that are subscribed to ~comp but not ~life might have missed the post even though they might be interested.

Then there is this post. I was about to post the same link before realizing it was already posted. The post in question is posted in ~games, I would have posted it in ~tech. I feel like the overlap between ~games and ~tech subscribers likely is a bit bigger, but also here I feel like people might potentially be missing out.

I realize this might not be the biggest issue, the majority of people on tildes seem to be subscribed to all groups. But it still, it tickled something in my brain and this is the second time in a short period that I find myself thinking about this.

Ideally, in my mind, this would be solved on a technical level where you can post something in two groups with a consolidated comment section. However, I don't see this happening in the sort term.

Tags sort of cover this, but given they can be anything and quite numerous, browsing through them is not something I personally would ever use or actually address this.

The second-best solution, and the one I'd like to discuss, is to simply cross post and in one of the posts leave a comment linking to the other post to consolidate discussion a bit.

Am I overthinking the issue? Probably. :) But overall, what are peoples thoughts on allowing cross posts between groups? Any real downsides besides double entries in the listing?

Okay -- I am looking for a decent but dirt cheap tablet, manly for recipes, spotify, youtube/VLC, maybe some simple puzzle games. I want the largest tablet I can get for the fewest dollars spent

Not a lot. I was looking at the Lenovo Tab M11 or something around there.

Also, ideally something that can take a crap-free Android ROM.

quick edit: I gave up on this for a few days because I got into the 'this one is better... but this one is better...' and before I knew it I was hitting a grand for something I'll barely use. I just ordered a Lenovo P11. I don't expect it to be amazing, but it'll be fine for the very basic tasks I'll be using it for.

Its surprising how much old stuff is for sale on Amazon. iPads from 2018, for instance. Doesn't seem right.

double edit: I returned the under-powered P11 and got a Lenovo Tab K11 LTE w/ 8gb and 128gb eMMC. Not a big fan of eMMC, but it'll be fine for my uses.

Tildes is a very serious site, where we discuss very serious matters like alcohol, pavel durov and police raids. Tags culled from the highest voted topics from the last seven days, if anyone was perplexed.

But one of my favourite tags happens to be offbeat! Taking its original inspiration from Sir Nils Olav III, this thread is looking for any far-fetched offbeat stories lurking in the newspapers. It may not deserve its own post, but it deserves a wider audience!

I'm currently at a crossroads for how I want to spend my next few years. For context I'm 33 and considering whether or not to purchase a vehicle after being car free for 12 years.

I rent a 600 sq foot apartment downtown and walk, run or bike everywhere with the occasional trip on transit. I fill up my free time with low cost activities like gaming, magic (the gathering), disc golf, and usually one paid activity like karate or climbing. I enjoy getting out to the mountains to hike when I can get a ride with a friend or meetup group.

I'm pretty content day to day, I have a good friend group, and it feels great knowing I only have to work for 12-17 more years while I am still young enough to enjoy retirement (If I keep my 50% savings rate). I do still splurge occasionally with a few weeks of overseas vacation.

I am considering getting a car as I feel it would allow me to:

• Go hiking more often, and on my terms. Most of the hiking groups I join are 10-20 people going extremely slowly. I run in a 100 mile trail run relay every year and a vehicle would allow me to train more and see how much I can push my body. Running a 50km, 50 miler, 100km, and maybe 100 miles would be goals that I can see myself training towards.
• Provide rides for people out to the mountains. The most luck I have had in meeting new people is through hiking groups, and being on the provider end and being known as someone that regularly hosts I feel can generate a lot more clout, and is seen as more attractive for the purposes of asking people out for dates afterwards if we bonded during the hike.
• Visit family and work remotely more often. I live 500km away from family, but my work allows me to work from anywhere within 1 or 2 timezones, so I could make 1-3 week trips to visit family and work during the day.

However I have the following reservations:

• Getting a vehicle I feel is a dangerous slope of lifestyle creep. Likely at least $3-5k in yearly expenses on top of the purchase cost, pushing retirement at least a few years back
• Getting a vehicle purely for pleasure as I work from home goes against my current frugal nature. What if I don't feel like hiking every single weekend? Sometimes I like just staying in a playing some games or working on a side project. What if I get an injury or it ends up being too smoky?
• The opportunity cost. Is this the best way I would want to spend my money to enjoy life more if I was dedicated to spending it? I could instead spend months in South America doing a bunch of awesome hiking and traveling there.

Has anyone else that was on track for an early retirement give in and decide to start spending more 10+ years out? I currently don't know what I want my retirement to look like, and a house and family is a huge question mark that I feel is so far off as the longest I have dated someone is just 2 months.