My Experience in Inpatient Psych
So I know a lot of people on here have talked about their experience in inpatient psych facilities, but I'd like to add mine just to give all you writers out there a writer-focused one. It's below the cut just in case you have to sit this one out for your own reasons.
To give you some background, I am 30 years old and have had hallucinations since about 16 and bizarre intrusive thoughts (someone living in my house that wasn't supposed to be there, somebody poisoned my walls, etc...) for about a decade, as well as very severe anxiety since I was about 3 years old. This is something not a lot of people know about me, even people I am friends with IRL.
The only thing I am actually diagnosed with is anxiety, which I'm starting to think is a failing of the psych systems I have been a part of. I have had counseling off and on and prior to this hospitalization I took escitalopram, aripiprazole, and gabapentin prescribed by my primary care doctor- all for the severe anxiety.
Quite frankly, I should have been in inpatient psych at least a few times before this, and it's by sheer dumb luck that I've survived to continue this blog.
On Friday, I was at home alone and made a few pretty bad decisions. I wont say what they were because frankly they're embarrassing, but they have to do with self-harm. I was scheduled to work Saturday and at about 9pm I realized that if I drove myself to work I would crash my car. Since my wife drives me sometimes, I figured I would just ask her to.
I told my wife and she asked- even if she drove me to work, since I was a nurse, would I be able to keep myself safe around insulin or other potentially dangerous drugs? I couldn't answer that question. We talked for a couple hours and came to the conclusion that I probably needed to go to the emergency department.
At this point I figured they would evaluate me and release me because I couldn't possibly meet the criteria for inpatient. I was wrong in this assumption. After telling them the decisions I had made that day, the feelings of wanting to die in a car crash, plus about a previous attempt, they recommended inpatient. Turns out, when you're a nurse, you can make some really bad life choices with the knowledge you have, and they didn't want to take any chances.
I was given paper scrubs to wear (so I couldn't hurt myself with my clothing or a hospital gown). I was also given a patient companion (someone who sits in the room and makes sure you don't hurt yourself).
They gave me the option of signing myself in voluntarily, or putting me on a writ of detention. A writ of detention is a piece of paperwork that allows a medical professional or law enforcement officer to hold someone for 3 days in a psychiatric facility against the person's will for the purposes of psychiatric treatment. Whether you sign the voluntary or get placed on a writ, you cannot sign yourself out. You need to wait until the psychiatrist taking care of you thinks you're ready to go.
I didn't believe at this point I needed to go inpatient, but I took the voluntary option because there are some perks, like being able to leave within 3 days if appropriate. At this point I was convinced I was probably going to have to call off work Saturday and Sunday, probably be out of the hospital Monday, have a few days to rest and be back at work on my next scheduled shift after that, which was Thursday.
Well, that's not what happened.
Because of some of the decisions I had made, along with bed availability, they wanted to keep me in the observation unit overnight before they sent me to psych. I stayed overnight in a unit that shares staff with the unit I work on, so I was taken care of by my coworkers. This was surprisingly not that bad. I like my coworkers and they were really professional about it.
Saturday I felt like I was in a fog all day. I couldn't watch TV. I couldn't color or write. I worked out some in my hospital room and paced the halls once or twice. Mostly I hung out with my wife and occasionally talked with my companion, but even talking was difficult. I had refused ativan because I felt like I had no hope of finding a medication that made me feel better, and I figured I didn't want to take the one medication that might actually work and then not be able to get it ever again.
Around 7PM I took a 45 minute ambulance ride to the facility. Getting my blood pressure taken is a big anxiety trigger for me, but my brain felt so scrambled that I couldn't express this well. They took it every 10 minutes on the ride there and by the time I got there it was in the 170s/100s (BP goes up when you're having severe anxiety). This was not their fault of course, but no matter how much I thought about telling them or refusing the BPs, I just couldn't do it.
When I got to the facility I was greeted by a tech who took my BP again (150s/90s this time), showed me around and looked through my personal belongings (basically just the clothing I came in with since my wife took my phone and wallet knowing I wouldn't be able to have them on the unit) to make sure I didn't have anything I wasn't allowed to on the unit. She showed me around my room and was really thorough with telling me how things worked, what the rules were, etc..
The rules included:
No patients allowed in other patients rooms
No personal belongings that had strings, belts, or laces, or that could be used as a weapon
No caffeine after lunch and no free access to caffeine
No personal electronics (including eReaders and watches). There was a TV in the day room and 2 phones mounted to the wall for patient use
A little later my nurse came into my room and asked me a ton of questions. Here's the thing about any hospital- you get asked the same questions over and over. By the time I'd gotten there I could give my story in under a minute. Or at least, that's what it felt like. There were only 2 clocks on the unit, at the nurses stations.
The unit itself was laid out in a "T" shape. There was a main nurse's station at the place where the two hallways intersected. At the end of the long hallway there was another smaller nurses station, a cafeteria/day room, and a "comfort room" which was a small room off the day room that had a collection of the oldest and worst donated books that have every come together on a bookshelf.
I did some pacing that night and then went to bed, but didn't sleep particularly well.
On Sunday morning the tech woke me up to take my blood pressure, which was, not unsurprisingly, still high. It was about 5 AM so I got up and paced the longer of the corridors for about an hour. Breakfast was served at 8 and the food wasn't that bad. The coffee was about the worst I'd ever drank, which I suppose helped with the no caffeine goals.
Just after breakfast I met with a psychiatrist on an iPad for about half a minute, and I'm not exaggerating there. The only questions he asked were whether I was suicidal and whether I would be fine with tripling my dose of aripiprazole in light of the hallucinations. I had had a 50-lb weight gain in the last year so I asked to switch my med. He switched the med to cariprazine. That was all.
I had a much longer meeting with my nurse later. All the nurses did an excellent job of assessing me, asked tons of questions, and it seemed like they really tried to figure out what was going on. That day I also met with a social worker, and a therapist, and a nurse practitioner. Each of them did an assessment to see what my needs were while I was there.
There was also a music therapy session where I cried my eyes out to Because of You by Kelly Clarkson.
I was really tired by the end of the day but I also didn't think I could sleep so I asked for trazodone. I should clarify that when I say "I" in this piece I really mean my wife convinced me to ask because I legitimately didn't believe I needed or deserved any of the things I asked for at this point. To my utter shock and surprise, they gave me the trazodone.
My first night on trazodone was amazing and I realized I hadn't slept well in a long time. With trazodone I fell asleep and stayed asleep until the blood pressure cart came rolling down the hallway at 5am. The second I got up on Monday morning I was wide awake.
I paced a lot Monday. I went to a goals session in the morning where I gave a goal to write 3/4 of a page. I didn't know if I could do it or what I was even going to write about, but I know I like to write and it might be a reasonable introduction to getting back to life.
I also was having kind of a rough day brain-wise. My brain was coming up with all the ways I could hurt myself in my room. There weren't a lot of them, but it was trying. I told the nurse during her assessment and she asked if I felt I could keep myself safe. I asked her what she would do if I said no. She said they could move me to a more secure part of the unit and give me more supervision. I knew what part of the unit she was talking about, and I didn't want to go there (no space to pace, and pacing was keeping me alive right then). So I told her I could keep myself safe (if anything, the idea of moving was good motivation to do stay safe in itself). I hallucinated some black and white blood cells falling from the ceiling and music coming out of my vents.
I also had another meeting with the social worker to figure out discharge plans. I voiced in the meeting that I wasn't sure that I could trust my wife, since it felt like at the time she was the one who exaggerated my symptoms to get me in here. The social worker said we had really good communication skills, since this was something I felt needed to be said in front of both of them and we both stayed really calm through the whole thing.
I finished the day with an art therapy session that really helped me turn a corner. The prompt was to draw the emotion(s) you felt right now on one side of the paper, and to draw the emotions you wished you could feel on the other side. For the first time I realized that my emotional state was actually really bad and that the suicidality hadn't come out of nowhere, and that I needed help.
When my wife came to visit later that night I was able to tell her about my breakthrough, even though I still felt a little bit like she had done something to get me in here and I still wasn't sure I needed to be inpatient.
Tuesday was a lot better. I felt like I had woken up out of some kind of fog and I had no idea how long I'd been in it. I went to goals group, a spiritual group, and group occupational therapy. My goal was to be more social and I made a friend and we paced together and worked out. I read a quarter of The Martian by Andy Weir (my wife brought it for me because the best thing on the bookshelf was Louis L'Amour). I wrote about how good I suddenly felt. Turns out, I thought, a few days of good sleep, lots of therapy, and a new medication or two will really change things.
A quick side note about The Martian. I highly recommend it to anyone who is chilling in a psych hospital but has the ability to read while they're there (I sure didn't the first few days). I don't really know why, but the first few times I read it, I felt like they had created this superhuman character in Mark Watney just so they could throw a ton of wild things at him for the story. This time reading it, as a suddenly not suicidal person, I realized anyone with Mark's skill would have done the same thing and not just died on Sol 7 to get it over with.
Wednesday I woke up not feeling nearly as good as Tuesday, but still like the fog had lifted. I was a little disappointed (I hallucinated my cat (thanks for coming to visit me, Corina), some spiders, and just felt kinda meh. But I remembered how good I felt the day before, and that really kept me hopeful about going home.
I saw the psychiatrist again and asked to go home. He joked a little about me staying till Christmas, but ultimately he said as soon as his note was in I could go. I ended up leaving at about 12:30 with my wife.
In the time since leaving I have required a lot of support from my wife. The medications are all locked up, so are the blades and anything I could use to hurt myself. My wife has me in eyeshot at all times. I can't drive due to intrusive thoughts, so she does all the driving now. I quit my job because I feel like it was a big part of why I ended up as bad as I was. As someone who has been a pretty independent person this is a big change of pace, but something that is really necessary to my healing.
Ultimately at the end of my hospital stay, I was prescribed escitalopram, gabapentin, trazodone, cariprazine, and then a few days later propranolol. I'm currently on a total of 5 psych meds and honestly I don't care one bit because its so much better than being not on them at this point in my life.
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mental health check-in for reality shifting.
⋅˚₊‧ ୨୧ ‧₊˚.
as we all know, reality shifting is generally neural thing but tends to be glorified & romanized by a select few due to people wanting to have a better situation or a more desirable life.
that in itself is totally fine but this post is created with the intent to make sure the community has a healthy relationship with shifting & if not possible solutions.
if mental health is left unchecked it can lead to destructive behaviors & can worsen preexisting mental health concerns. for me personally, that’s not what shifting is about. you can learn about yourself & grow without even shifting. the expansion of your perspective & becoming more empathetic to yourself is something i believe is extremely important.
⋅˚₊‧ ୨୧ ‧₊˚.
♡ how often do you think about shifting ?
while it’s fun to daydream & think about your desired reality — does it consume your life or take away from other tasks that need to get done in this reality? if you’re somebody who has maladaptive daydreaming disorder (like myself!) it can exacerbate the fantasy-like aspect of thinking about shifting.
if you’re someone whose mind wanders a lot do something productive. this could be finishing some homework that you’ve been putting off for a long time or rearranging your bedroom. stuff like partaking in hobbies while listening to youtube videos in the background may help too.
⋅˚₊‧ ୨୧ ‧₊˚.
♡ why are you shifting ?
is it because you’re searching for something bigger ? maybe you’re looking for friends ? while you probably aren’t going to be able to meet your favorite characters here, you can meet lots of other people & make new connections at anytime. if it’s in person or even if it’s in an online space , i bet there are lots of people in this comment section or any shifting video who would love to be your friend.
defining why you want to shift can do wonders for uncovering more about yourself. 90% of the things people want to shift for are & can be found here & you’re more then worthy of them. just because you want something like love or a sense of belonging doesn’t mean you have to travel the multiverse for it.
⋅˚₊‧ ୨୧ ‧₊˚.
♡ “i want to k!ll myself because i can’t shift.”
while i understand frustration, extremes that result in life altering & ending choices are never good and quite frankly, frightening for a creator to see in their comment sections. most sv!c!des are committed on impulse. we go through so many emotions on the daily & process so much information a day. taking a moment alone to think & break down thought process & long term effects your actions will have is a nice way to come back down to earth.
meditation is also a great tool to calm down. you can even use shifting guided meditations without the actual intention to shift. breath work has also been helpful to me.
i understand these suggestions aren’t long term fixes but if you’re someone who has echoed these words & truly meant it then i cannot recommend therapy & possible taking a break from shifting even more to focus on yourself right here where you are. this may not be the answer you’d like to hear but it’s the one that is possibly needed.
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♡ timing.
there is no specific time frame that you have to shift. both children & adults do hold the capability to shift. if someone tells you, you can’t shift because ___ or that you’ll age out of something its simply not true. things take time & it’s okay if your journey doesn’t look like everyone else’s. there’s no need to stress yourself out. try to enjoy the journey as well as being excited for the outcome. essentially, a large part of the shifting journey is meditation & affirmations which are both beneficial to your mental & physical self. try to sprinkle in some self love affirmations or general positive thoughts too. even if you need to take a step away from shifting & pick it up at a later date, i encourage you to do so if it’s stressing you out or you’re only focusing on shifting or neglecting your life / responsibilities here.
⋅˚₊‧ ୨୧ ‧₊˚.
♡ shadow & trauma work.
answering questions that are meant to make you think & deeply reflect are tools that hi light some issues you may not even realize you’ve had. i have a tumblr post here with some, but for tiktok, ill list some on the next side. these ones are specifically for shifting but i encourage you to venture out to discover some more personal ones to expand upon your answers to these.
⋅˚₊‧ ୨୧ ‧₊˚.
i should also mention, i’m not a therapist so take what i say as non-professional advice & mere suggestions & a starting point to truly expand what shifting has done for you, negatively & positivity. im a huge advocate for therapy & if you feel comfortable enough expand upon these conversations in sessions if you feel comfortable.
i understand my audience is varied in age but i do notice a lot of you are younger then myself. it’s hurts to see people who are so young stress themselves out this much over trying to shift. i really do care about you & want to see all of you happy — with or without shifting.
⋅˚₊‧ ୨୧ ‧₊˚.
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I have never heard of an epithet before! What does it mean?
This is a great question! You have probably seen many of them, and just not heard them referred to as epithets.
An epithet is more or less a descriptive word or phrase that stands in the place of a name or a pronoun, such as, “the taller man,” or “the brown-haired woman.” In my experience, fanfic writers in particular tend to latch onto them, especially when trying to create variety in scenes with two characters who share the same pronouns.
I’ll put my thoughts on them under the cut, because I have Opinions on epithets, but I am not An Authority. I’m not your mom. I’m not here to tell you what to do or how to write, and I’m not here to ruin your fun, but we all have the hills we’ll die on and this one is mine. If you are a fan of epithets, just give this post an eyeroll or the finger and scroll on. If you want to know more about epithets and why I think writers can and should avoid them, read on!
Let me get this out of my system: I loathe epithets. Do whatever you want with your oxford comma, but take your epithets out back and shoot them.
Okay, now that’s out of the way, I’ll be a little more constructive about the purpose epithets serve and why I think they are so frequently used poorly.
In my experience, they’re often used as a tool to avoid pronoun confusion, but it’s an inelegant tool that can become a crutch. You have two characters of the same gender in a scene, you have already used their names in a sentence, but the pronoun antecedent is unclear unless you name the character again. You don’t want to do that because it feels repetitive, so you pick out a physical quality and use that instead. Problem solved! Except instead of solve the problem, you’ve potentially introduced new ones.
Nuance is important, and to talk tools we should be using the same toolbox, so for the sake of this argument I’m going to assume we’re talking about 3rd person limited POV, because that’s what I generally see, read, and write the most of.
Chances are very high that the descriptor you chose for your epithet derived from you the writer’s perception of the character being described and not the POV character. This is important, because if you are writing in 3rd person limited, the way you describe other people is how the POV character sees the person being described.
Now tell me. Have you ever thought of a close friend, a lover, or someone whose name you know as, “the taller woman,” or “the dark-haired man?” Have you ever thought about YOURSELF in these terms? Probably not. I have never looked at my Real Life Romance Option and thought of him as “the brown-eyed man” or “the taller man.” I’ve also quite frankly never consciously thought of him as “my lover.” Is he all of those things? Yes. But from my POV, those are never descriptors I would use for him. Once you know a person’s name, they tend to become Their Name and not ‘Random Characteristic” in your mental picture of them.
So when you default to Random Characteristic, it’s usually the writer talking, not the character. And chances are high that the characteristic you choose to represent is not something that is important to the POV character or the scene in that moment. Therefore, is it significant enough to the reader that it clearly identifies the character, or does the reader now have to stop and think, ‘wait, which one is taller?’ So instead of eliminate confusion, you may have actually introduced more of it.
And even if it is an important detail, stating it as a fact is generally a lot less effective than making it part of the character work being done in the scene. For example:
“Can you help me reach this?” Jed asks the taller man. Leo stops chopping vegetables to oblige, and snags the wine glass the shorter man couldn’t reach off the shelf.
Vs.
Jed sighs as he makes another futile swipe with his fingers and barely grazes the bottom of the shelf. He looks over at Leo, blissfully chopping vegetables in a world where stepstools are for other people. “Can you help me reach this?”
Leo sets the knife down and looms behind him, effortlessly snagging the wine glass and handing it to Jed with a grin.
Hopefully, the second example feels more impactful than the first, because the height difference became part of the scene, and not just a descriptor cosplaying as a pronoun.
Epithets become even more distracting when they become part of a prose style rather than just a means to avoid pronoun confusion or name repetition. I see a lot of writers make the stylistic choice to have a POV character refer to themselves as an epithet right alongside the epithets being thrown around for other characters, and there are so many crammed into a paragraph or two I can’t figure out who is doing what.
At best, epithets are distracting. At their worst, they’re actively confusing when their purpose is to do the opposite.
“But Swaps, if I don’t use an epithet, how do I avoid pronoun confusion without wanting to throw myself out a window?”
This is a problem every writer contends with, whether you’re writing same gender smut, combat, or just have two people of the same gender doing things in a scene together. And unfortunately, this is one of those ways in which writing is hard. When you have some pronoun confusion in a sentence you can’t wriggle your way out of, the answer is probably to try a different sentence. Break the sentence up. Structure it differently. Finding the better sentence is part of becoming a better writer.
If repetition is what you’re concerned about, know that just saying a character’s name and using their pronoun is okay. It’s like ‘said.’ ‘Said’ isn’t a trendy word that goes in and out of style. It’s a building block word that blends into the background. Can you get fancier than ‘said?’ Sure! But do it with purpose. Don’t be afraid to use a character’s name. It’s their name. It’s what you’re supposed to call them. Why are we fighting so hard to respect people’s names and pronouns if all we’re going to do is replace them with epithets? (Kidding. Mostly.) And if you’re using their name so much it’s interfering with readability…it’s probably time to revisit a few of those sentences and figure out what the better sentence is.
When can you use an epithet?
I joke that there are no exceptions to my There Are No Good Epithets stance, but there are. Sort of. Because rules are made to be broken, though I do believe you should understand why the rule exists before you break it, and you should break it with purpose.
Here’s the easy one.
Epithets are useful when the POV character doesn’t know a character’s name. Now you have to use something else! And here’s the great thing about that: the epithet is now a vehicle for characterization. What about this stranger stands out enough to get the POV character’s attention? Do they notice a physical characteristic? Clothes? Attitude? What does the thing they notice say about the POV character and the character being observed?
For instance, my POV character is eavesdropping on a conversation between two people in a restaurant. You could grab the low hanging fruit and describe them as, “the brunet woman” and the “older man.” Or you could make your scene work harder. “The man with the punchable face,” or “the woman who makes eye rolling an art form.” Or how about, “the woman wearing fake pearls,” shorthanded to Fake Pearls Woman, and “the man with the name-brand suit that’s seen better days,” shorthanded to Shabby Suit. Now you’ve said something about the characters that place them in a more useful context than their hair color – you’ve said something about them that helps inform the scene, and how your POV character observes the world around them.
Are there other instances where you can effectively use an epithet? Yes, if you are using them like this: with narrative purpose. And in those cases, is it really just an epithet anymore? It is in that yes, it is a descriptor taking the place of a name or pronoun, but it’s doing a lot more heavy lifting now. Maybe you have a character who chronically can’t remember or can’t be assed to remember people’s names. The epithet is now a means of characterization. Maybe you have a Jekyll and Hyde style character, in which a descriptor of those different personas becomes a means of setting a scene or crafting their relationship with the POV character. These descriptors are narrative vehicles being used with intention. “The other man,” is rarely a tool being used with any real intention. If there is an instance of it, I have never seen it.
Now, if reading this makes you second guess your own work, or to feel like you write wrong, or if the thought of going to painstaking lengths to rewire sentences you would typically use an epithet in gives you hives, there’s an easy solution: forget about this post.
Because fanfic is supposed to be fun. It’s your hobby. You are not getting paid for it. You don’t have to use a specific writing style, or meet anyone else’s expectations. That’s part of what makes fanfic such a beautiful thing. You can do whatever makes you happy. Not me, not anyone else. If you fucking love using epithets, use them. If you think I am made of bullshit, give this post the finger like I initially suggested and write five epithets just to spite me. No one will stop you, certainly not me. Though I will continue hating epithets, because you can’t stop me, either. XD
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It's hilarious to see the antis losing their minds over Daemyra's HBO video called Love Story. They keep repeating that this is grooming and that the relationship should not be romanticized and glorified. It's frankly worrying to see all these people throwing around such a serious word so seriously when they probably don't know the definition. Book or show, Daemyra is not grooming. And these people make me laugh. They complain about seeing Daemyra as a romance when that's what it is. It's not because there is an age difference and incest that the relationship is toxic, open a history book for pity's sake people... A bit of culture. The toxic elements of the show don't even exist in the book. Like Daemon's delirium taking Rhaenyra to the brothel in episode 4 (and even if it has a toxic aspect, not only that, it's also a liberating scene for Rhaenyra's character. It's a complex scene. Gray. Not black or white) Or even when he strangles her in episode 10. (which many people point out elsewhere to counter the video, while once again, in the book it does not exist, and this scene has already been criticized a lot for its inconsistency...) Even if also, I don't know in what world these people live, but they are aware that a romance can have problematic aspects in fiction? This is nothing new. Especially in fantasy universes. This tendency to associate love with a situation only deemed pure is also worrying. Especially in a fictional format made for entertainment. Also, worst comment: "Everyone forgets what Emma D'Arcy says about Dameyra?!!!!!!!" As gospel. Let's be clear, Emma D'Arcy is a human being who can and does say stupid things, exactly like calling Daemyra grooming. Especially since in the same interview where she talked about it, she was completely wrong about Rhaenyra's age! But hey, since it's a trend in this fandom to rejuvenate Rhaenyra to make her appear underage in episode 4, I imagine that people don't care about this detail. Plus, for what it's worth, she's also spoken highly of Dameyra in different interviews and even said she would read fanfiction of them. 😂 So frankly, it makes me gently laugh at those who promote Emma D'Arcy's words as the ultimate truth. Worse, there are even people who don't like Rhaenicent and claim that it's a better romance than Daemyra. In what ? In the show, apart from the completely occ strangling scene we can't say that Daemon actually did anything bad to Rhaenyra. While I recall that Alicent, not only in addition to having injured Rhaenyra, giving her a lifelong scar by having tried to take Lucerys' eye, well she harassed her and her children for 10 whole years, threatening peacefully the lives of his children. Not to mention that she then usurped him, while hiding the death of Viserys while she crowned Aegon II. But I guess a woman can't do any harm so all that doesn't count...
I stick to the principle that actors are only actors, the same people as you and me, and their words are not prophetic revealed truth. They can be smart, or they can be completely stupid. In fact, an actor is a tool to bring the writer's and director's vision to life, so just because an actor says X doesn't mean the writer will be wrong when he says Y.
People ALWAYS have a problem with character relationships in books and movies. Sometimes these problems make sense, and sometimes they come out of nowhere. I would understand that people have a problem with Daemyra because they think that incest is wrong and there should be no exceptions even for a culture where it is normal. Or that they think there is too much of an age difference between them. People have this right. It was similar, for example, with Darklina. When people said "I think that Alina and Aleksander shouldn't be together because he is much older than her, so they have too much of a generation difference" it was okay, it was their right. But when they said "he is a pedophile because he wants to have a relationship with a teenager!!!1" it was already wrong and untrue. And it's exactly the same with Darklina. People do not focus on what could be a problem, but invent their own problems, using big words that they do not know the meaning of. They throw around "pedophile" and "grooming" left and right, even if the situation does not fit the definition of this meaning in any way. I do not understand this. If you don't have any real, valid arguments as to why something is bad, why would you want to argue that it is?
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