Bibliographic record
Abstract
Ms. S is afraid to sleep at night because that's when the aliens come. Is she psychotic, or do her nocturnal experiences have another cause? CASE 'I'm not crazy' Ms.S, age 55, presents for treatment because she is feeling depressed and anxious. Her symptoms include decreased concentration, intermittent irritability, hoarding, and difficulty starting and completing tasks. She also has chronis sleep difficulties that often keep her awake until dawn. Fatigue, lack of focus, and poor comprehension and motivation have left her unemployed. She and her teenage daughter live with Ms. S's elderly mother. Ms. S feels tremendous guilt because she cannot be the mother and daughter she wants to be. Initially, I (PK) diagnose Ms. S with major depressive disorder and prescribe sertraline, 100 mg/d, which improves her mood and energy. However, her inability to stay organized results in her being let go from job training. Ms. S reports similar difficulties in school as a child. I determine that she meets DSM-IV-TR criteria for attention-deficit/hyperactivity disorder (ADHD). Adding methylphenidate, 10 mg bid, improves her concentration and ability to complete tasks. It also reduces the impulsivity that has disrupted her relationships. Despite a strong desire to normalize her sleep schedule, Ms. S continues to have difficulty falling asleep, so I add melatonin, 3 to 6 mg at bedtime. Her sleeping pattern is imporved, but still variable. She also tries quetiapine, 25 mg at bedtime, but soon discontinues it due to intolerance. As out rapport strengthens, Ms. S reveals that she has had multiple encounters with aliens beginning at age 3. Although she has not had an experience for about 5 years, she does not feel safe sleeping at night and instead sleeps during the day. Her efforts to stay awake at night strain her relationship with her mother. How would you respond to a patient who claims she has been abducted by aliens? a) explain that there are no such things as aliens b) insist that she was dreaming c) issue mental hygiene warrant and sign a certificate for immediate hospitalization d) explore the experiences in a supportive, respectful manner and rule out organic or substance-induced etiology The authors' observations Approximately 1% of the U.S, population report alien abduction experiences (AAE)--an umbrella term that includes alleged contact with aliens ranging from sightings to abductions. (1) Patients rarely report AAE to mental health professionals. In our society, claiming to be an abductee implies that one might be insance. A survey of 398 Canadian students that assessed attitudes, beliefs, and experiences regarding alien abductions found that 79% of respondents believed they would have mostly negative consequences--such as being laughed at or socially isolated--if they claimed to have encountered aliens. (1) Persons who have AAE may attend support groups of fellow abductees to accumulate behavior-consonant information (hearing other people's abduction stories) and reduce dissonance by being surrounded by others who share a questionablw belief. (2) A survey of abductees found that 88% report at least some positive aspects of the experience, such as a sense of importance or feeling as though they were chosen to bridge communication between extraterrestrials and humans. (3) Data collected over 17 years from Minnesota Multiphasic Personality Inventory (MMPI) scores of 225 persons who reported AAF reveal common personality traits, including: * high levels of psychic energy] * self-sufficiency * resourcefulness * a tendency to question authority and to be exposed to situational conflicts. (1) Other common characteristics include above-average intelligence, assertiveness, a tendency to be reserved and absorbed in thought, and a tendency toward defensiveness, but no overt psychopathology. …
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; both teacher heads agree on what is shown here.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".