22 4 / 2013
Land of Hope and Glory - Chapter 10
Sherlock knew he couldn’t stop the explosion any more than he could turn back time and make sure none of this could ever happen. He needed to make the most of what time he had left with John. They would be together in these final moments and that was what truly mattered.
Genre Adventure/Action, Kidfic, Espionage, Romance, Dark,
Characters Sherlock/Irene, Sherlock&John, Mycroft/Anthea, Lestrade, Sally Donovan, Anderson, Moriarty
Length 40,000+ 16 Chapters
20 4 / 2013
killthemwithrhetoric asked: I'm autism spectrum, and I identify strongly with Sherlock. This show became the reason that I don't hate myself for what I am. That said, I agree with a lot of what you say. Misconceptions in the media are awful. I decided against getting formally diagnosed because of Sandy Hook—because despite the media's repeated iterations that Aspergers is "non-violent," I was afraid of the stigma. Being misrepresented in the media is awful, and I'm glad you're putting the clinical truth out there.
Thank you very much for your thoughtful response.
I’m glad to hear that Sherlock made you more comfortable with yourself. This unique character has been able to give many people a positive role model to identify with and relate to. We all have our own personal ways of interpreting Sherlock and they are all equally valid. The beauty of a fictional character is that he exists inside our imaginations and each of us has the joy of being able to have our very own Sherlock.
I have no desire to impose my headcanon on other people. In the same way people should not label Sherlock with a psychiatric condition either because he is a fictional character and he does become a caricature from which people can draw the wrong conclusions.
17 4 / 2013
Anonymous asked: When autistic people call you out you don't continue to dismiss them. This isn't the first time you've been called out on this and yet you still don't seem to get it. You are a popular meta writer and what you say reaches a lot of people, and yet you don't use any input from people with autism in your metas. And when they do reply, often with legitimate arguments/criticisms you claim to be attacked. When in fact it's us autistics who are dismissed, attacked and otherwise overwritten. By you.
Thank you for your response.
The hate mail I have been referring to are not the responses from other people’s blogs. It comes straight to my inbox and never publish them because of the foul language.
My metas are written from a medical perspective. There are plenty of well written and legitimate analyses of Sherlock from people who do have Asperger’s or autism on the internet.
I choose to bring a different perspective to the debate. The professional opinions, experience and medical knowledge of the psychiatrists are just as valid as the other opinions circulation on the internet and yet they are seldom heard.
This meta was about giving people an insight into the working lives of psychiatrists, and their professional opinions regarding Sherlock.
I have not dismissed, attack or overwritten other people’s opinions. This meta on Sherlock’s Asperger’s/autism is about giving people access to information.
Most people do not have access to the rather closed off world of psychiatry. They do not know what psychiatrists do, the nuances of divisions between different specialists, and how pervasive developmental disorders are diagnosed.
You may not agree with the professional opinions of these psychiatrists but I feel that this information needs to be out there if only to provide a comprehensive debate.
17 4 / 2013
Anonymous asked: …OK so I still can't get over the fact that you literally called in experts to make your head canon sound more superior to all others?? When you admit that we know nothing of his childhood which is SO IMPORTANT (and wow its a spectrum too) also someone as smart as Sherlock is going to KNOW how to resist appearing autistic to people who would dismiss his intelligence/deductions as a neurological mix-up like say Donovan. I just. It's beyond trying to reason with you so I'm going to stop.
I did not “call in experts” to make my headcanon superior. This meta had nothing to do with my head canon.
I personally don’t agree with everything the psychiatrists have said. Had they decided Sherlock did have Asperger’s I would have published the meta anyway because I respect their professional opinions.
This meta was published to give a professional medical angle on the debate regarding Sherlock’s Asperger’s Syndrome/autism.
These doctors diagnose autistic spectrum disorders for a living, that is their professional and specialism. They do understand that there is a spectrum because they see it every day. They also understand the importance of childhood and social histories. A lot of the time doctors do not get a complete history from patients for their families and they have ways of working with that. They do not relied solely on a accurate childhood history for every patient because its no always attainable
They also know about the behaviour modifications in people with pervasive developmental disorders. This is why there is a separate criteria for diagnosing Asperger’s Syndrome and autism in adults which accounts for the behavioural modifications. It is also why its takes years of specialist training to be able to diagnose pervasive developmental disorders in adults.
15 4 / 2013
The Holmes Brothers and Mummy - A Psychoanalysis
I use the development maturation model to explain why and how the Holmes brothers developed their unique approach to emotions.
In the process I also delve into what their emotional management strategies can tell us about their mother’s parenting skills and I speculate if “Mummy” did have some kind of psychiatric problem.
My area is psychiatry rather than psychology. Analysing healthy people like Sherlock and Mycroft is purely for fun and not to be taken too seriously.
12 4 / 2013
A Day in the Life of Dr Watson
What’s working life really like for a doctor? What does John Watson do as a GP?
A short, light-hearted guide to
- what John would really be doing as locum GP (besides falling asleep),
- the kind of patients he would see
- the amusingly bizarre problems him might encounter
- an introduction to the healthcare system in the UK and why John would never bill his patients.
An accurate resource for fanfiction writers but an entertaining read even if you don’t intend to write.
12 4 / 2013
Anonymous asked: It seems that most of the criticism you've gotten has been rooted in epistemological and philosophical discord, not whether you've accurately used the medical view to make your claims. It's gotten hard to keep up, but have you actually had any rebuttals/disagreement specifically concerning your interpretation of ICD criteria and whether a character meets/doesn't meet any given criterion (ie the actual purpose of the metas)? If so, which and why?
I went through my old posts and found just this one particular ask from a anonymous contributor:
As far as I can tell this is the only one I have received. I think this is a bit of a disagreement between psychology and psychiatry and it was interesting.
Sadly, the person didn’t leave enough details but that’s probably because of the ask box restrictions.
Otherwise Kate221B and I had a great discussion about Sherlock and ACD!Holmes bipolar, which led me to write this. She definitely thinks ACD!Holmes has bipolar though there’s much more debate regarding Sherlock.
She has also sent me a good rebuttal about the drug that Irene used on Sherlock. I suggested anti-psychotic but her suggestion of ketamine was much more appropriate. She knows more about this than I do given that she is already a doctor.
12 4 / 2013
Anonymous asked: You can actually possess traits of Asperger's Syndrome without being fully-fledged Asperger's. Most intelligent people do, and according to my mother (a highly regarded British psychologist), Sherlock definitely does. He may not be a definitive sufferer of Asperger's, but he certainly possesses several traits (obsessive behaviour, poor social skills, etc are all very much linked in.) You could probably say the original Holmes has many elements of Asperger's, actually.
You are completely right, Sherlock and about 20% of the general population display some traits of Asperger’s Syndrome. This is because every individual trait that makes up Asperger’s Syndrome is non-specific.
For example, obsessive behaviour is a trait of many other psychiatric conditions and also a variant of normal human behaviour.
People are diagnosed with Asperger’s Syndrome if they present with the correct constellation of signs, symptoms and history. Yes there is a spectrum but the spectrum has to end somewhere (and it ends where psychiatry dictates it should end) or else the psychiatric condition would encompass most of the general population and be completely meaningless in a medical context.
The cut off is to allow doctors to diagnose the people who are in need of medical attention.
My friend is currently researching Asperger’s Syndrome and non-verbal reasoning parts of IQ tests. She wanted to see if people diagnosed with Asperger’s Syndrome are better at non-verbal reasoning than “normal” controls.
The problem with conducting experiments in Cambridge is that most of your “normal” controls end being the university students just because there are a lot of us and we are interested in participating in research.
She has found to her dismay that just about every one of her “normal” controls has traits of Asperger’s Syndrome. Some of them have so many traits, they overlap with the subject group (people with formally diagnosed Asperger’s Syndrome).
I got dragged into participating in this study because she thought I’d score quite low on the official questionnaire and help to spread out her data so it would represent the general population a little better.
Apparently, I also have traits of Asperger’s Syndrome. Not enough to warrant a trip to the psychiatrists but they are there. Socially, I’m unremarkable. I do score very high on obsessive behaviour and having a focused but narrow range of interests but I think of them as traits of my personality as much as they are traits of Asperger’s Syndrome.
I do know all the important political and military conflicts of the Roman Republic from 63BC - 31BC. I can list all the important landmarks of Augustus Caesar’s life and the entire Julio-Claudian family tree. I have no real reason to know these things, I just found it interesting. I don’t think this makes me unusual or in need of a psychiatric diagnosis.
My friend’s data ended being very skewed and the analysis showed that the “normal” controls performed significantly better than the subject group on both the non-verbal and the verbal reasoning.
Obviously she had to do the research again but this time she needs find a way of removing unintentional selection bias.
So yes, many people have traits that also appear in Asperger’s Syndrome but we shouldn’t really think of these behaviours as only traits of Asperger’s Syndrome because they are not specific to this syndrome.
12 4 / 2013
adorent asked: Your essays are the best and most legitimate analysis I've read c: I've been looking for an explanation as to why Sherlock is referenced as having "aspergers" and then "sociopathy"; your meta did a fantastic and well-researched job of explaining Sherlock. Thanks for making the wait to season three a bit more bearable! Carry on your classy way. xx
Thank you very much! Your support means a lot to me. I decided to publish this ask because I wanted to rant about medicine…again.
I really wanted to correct the misconceptions people seem to have regarding psychiatric conditions and their diagnoses. Psychiatrists seldom get a public voice and when they do, their messages are sometimes misinterpreted.
In the same way current medical research hardly ever makes in into the media spotlight (it’s just not that exciting) and unfortunately when it does the media tries to hype up the new story with a great deal of inaccuracies and misinterpretations.
Doctors and scientists do get very frustrated at the situation.
I started writing metas because I wanted to correct the medical inaccuracies that keep popping up such as Dr Watson fighting on the frontline, or Molly Hooper being a morgue technician (only doctors do post mortems), or people saying that Sherlock definitely has Asperger’s Syndrome when psychiatrists agree that he would never be diagnosed.
11 4 / 2013
Being a Medical Student
Anonymous asked: what do you do all day?
This has got to be the strangest ask I’ve ever received. Normally I answer short asks straight from my inbox but I thought I’d turn this one into a post.
This is what I do all day:
Except without the white coat or the beard or the really scared patient.
As a senior medical student I basically do everything the junior doctors do: ward rounds in the morning, then jobs: including taking blood, writing discharge letters, clerking new patients and endlessly chasing after non-existent paperwork or mythical doctors on another ward who never answer their bleeps.
The perk is that I’m not actually responsible and I can go home whenever I want. I’m basically providing the NHS with sporadic free labour whilst attempting to learn the mysterious art of being a doctor.
It’s not like an academic degree - in clinical school we hardly have any lectures. I would describe being a medical student as a very long and expensive apprenticeship.
I used to be like this:
But with only two months left until I qualify, I pretty much feel like this:
I’ve met some pretty crazy patients and doctors over the years that have made me question my own sanity (but the craziest things I’ve ever experienced are definitely on tumblr). In comparison to medicine, a job folding jeans would be much better for my mental health.
I love fandom and tumblr because it lets me escape from real life. My real life is actually incredibly dull. Medicine is 99% routine boredom and 1% pure adrenaline. The adrenaline moments are unfortunately not pleasant for the doctor or the patient. I’d much prefer 100% routine boredom and so would they.
I started this blog with the intention of writing epic fanfiction and leaving medicine firmly in the real world.
It didn’t work: I ended up dragging medicine into Sherlock. Now I can’t let go of tumblr. I even left the ward round for five minutes to check my tumblr this morning! That is a sign of true addiction.
I like to check my tumblr ask box whenever I can. I get some wonderful, thoughtful and encouraging asks: mostly from anonymous people.
After a long day of not getting much done and feeling like and idiot: it just feels nice to escape.