As a high-acuity inpatient psych nurse who has to make the decision to apply restraints, medicate, and place patients in seclusion, I appreciate you talking about the nuances and realities behind that process. There's a large stigma surrounding those interventions, but they're ALWAYS a last resort for us and our goal is to use the least restrictive option we can so we can maintain the patient's dignity, and most importantly, keep them and others in the vicinity safe. Thank you for speaking on tough topics like this, and great video as always 🖤
Its so cool from an SH2 veteran seeing someone brand new to the series coming up with their own take going in blind. This game is an absolute joy in the realms of psychological horror
Loving the playthough and the analisys so so much. I laughed imagining Pyramid Head just outside the door waiting and wondering what took James so long to read the diary, haha. Saludos desde México.
Hands down, it's not just my favorite reaction of Mick's during this playthrough, but it's the best reaction I've seen to that creature from any content creator ever. Good gravy, it gives me life. 😆
Maybe I missed it, but I didnt notice you mention it. I think the reason for James "losing his cool" with Laura is cause she said she met her last year in the hospital but at the beginning of the game James said that Mary died 3 years ago which is why he calls her a liar. Obviously this doesnt excuse him lashing out, but I do think its an interesting thing for the scene. He didnt just get angry cause Mary was mentioned, but because this little girl he never met before is saying he met his wife 2 years after she died.
I remember my dad apologizing a few times to me over the course of my childhood, and one in particular really stood out. He was angry about my grades and he really scared me, but it was less than an hour later he came to apologize. I started to tell him it was okay, and he stopped me and said "you don't have to say it's okay, because what I did wasn't okay to do to anyone. You don't have to say anything at all right now, if you need time. I needed to apologize to you, though, so I'm sorry, and if you choose to forgive me, you can tell me that when you're ready." My dad was never a perfect guy, but he really did try to raise us well; he's always had his own demons, and he dealt with them the best he could, taking accountability when he slipped. Would it have been "better" if he didn't react the way he did sometimes? Sure. But he did the next best thing, which was reassure us that his reactions were his, and it didn't make us bad people or mean we did anything wrong.
Quick Stamps for General Mental Health Topics 8:32 Thought about being more savable, comparing to others. 11:19 Judgements and defacto statements 13:26 Strength isn't a binary, journaling in therapy 14:10 Difficulty with medications and self image 19:57 Assuming burdensomeness 21:54 Running rather than "fighting" mental health 23:03 "Should" feel 23:25 How journaling can be helpful 25:33 (someone didn't think that through) 28:05 Historical context to interventions in psych care 32:36 Purpose of restraints 39:45 Cardinal parenting sin, cause and effect (child development) 44:20 Lashing out, Don't hold children to a higher standard than adults 46:57 "blob of human" 52:08 Sex confinement and death Theory, shame around relationship needs and feelings 1:06:10 Laura's reality vs James 1:08:48 (New look who dis) 1:20:55 Shackles 1:22:45 Internal intervention 1:48:13 Internal representations 2:04:06 Brain finds complexity
Genuine question, as someone who use to work security for hospitals (will never do it again) and who had to watch suicidal and homicidal ideations would you still have the same opinion of placing these individuals in a padded room? I don't advocate doing any sort of harm to the patient, but it can be quite taxing to deal with someone for 8 hours spewing vial obscenities, trying to harm themselves or others, and so on. These individuals are not being held for a month, weeks at most until they are cleared for treatment or released. At the end of they day the work is very stressful for very little compensation the requires hyper vigilance.
33:09 not sure if this adds anything, but I used to wrestle in 9-10th grade, and WOW, did it seriously open my eyes to how difficult it is to restrain (much less pin!!) a person thats actively fighting you. Ppl really don't give ER/psych/etc nurses enough credit (Also adding: in wrestling, you cant grab clothing/bite/kick/scratch - people who are (or *believe* they are) in danger don't function under those rules. Wrestling is grappling on *easy mode*)
25:45 The elevator doesn't go to the roof. You fell from the machine room. 32:50 Supposing that someone is severely mentally ill and poses a significant risk to the safety of others and themselves, what's a good alternative to the padded room? The hospital's getting 5 stars from me for the excellent nursing staff.
Yeah lol the music thing at this point im realizing is such a non issue but at the start I was nervous cause I genuinely have no clue what in this game IS the music and what is sound effects. I was expecting like really awkward stretches of silence. It’s It’s definitely not as bad as all the hubbub (me included) built it up to be.
@@Lessembarrassingman Yeah, same. I thought we'd be running through rust-and-blood filled hospital in awkward silence. I'm still nervous about the next few areas because the Pyramid Head fight was terrible, but we'll see. I don't think the devs even know what is music and what isn't. I heard some music in Dr. Mick's playthrough during the Flesh Lips boss fight and in a couple of other places. And the piano music came through the radio that was hanging from the chains, but it doesn't come through the jukebox, even though it's a part of a puzzle. The gameplay music blends with the ambient noises and screaming so well that it's hard to tell what's supposed to be real. But that's the whole point. I still think it's a big deal (I will die on this hill).
I gained a whole lot of knowledge from this episode. One is the explanation to the patient if he or she doesn't want to take the medicine for the stigma of it. As an intern of psychiatric ward, I find myself constantly need to challenge the patients or their families' ideas about the persistence of taking the medicine. Another one is about the development of technique used in psychiatric ward, thank you so much.
I appreciate your discussion on taking medication for your mental health and how it is the same as taking medication for anything else. I've recently started on Lexapro, and while it has been quite life-changing, it was a difficult decision to get there, and I've had on/off struggles in mentally processing needing to take it. Your discussion of it was nice to hear, a good reminder :) Cheers!
40:30 Making a note of this time so I can come back and listen to this explanation later. This sums up the dynamic of my relationship with ALL 4 of my parental figures throughout my childhood, adolescence, and early adulthood to a scary degree of accuracy
The original diary you find on the roof in the PS2 version of the game ended on a much darker note, implying the writer took their own life by jumping from the roof after abruptly stopping their writing. As twisted as it sounds, I like the new version a lot better. I think it more subtly and realistically portrays the dread and fearful uncertainty of being released from inpatient care, uncertain if you're actually ready for the next step.There's still a tone of suicidal ideation and depression throughout the diary, but the way the writer sounds like they know they're still not well enough to be left alone and are scared of what is next feels more appropriate and less like it was put at the end of the letter as a sort of "horror punchline". The original feels that way to me at least, using the implication of suicide as a scare for effect. Even the last letter they write trails off the page as though they jumped as they wrote, which doesn't really feel believable, just kind of cliché and almost disrespectful to the topic of suicide. That last part could just be me misinterpreting intention, I'm honestly not sure.
47:03 if my parents had the maturity to admit mistakes when they made them, all three of their children might actually be speaking to them. All that to say, please admit your mistakes, the only thing it hurts is your pride, and that's not worth much
1:10:36 Dr. Mick already calling out the padding. The original still had you going back to the icky hospital, but everything was much shorter, so it didn’t seem so much like doing it “again…”
Wanted to throw this out there because there are probably people in a similar position, but when I was in a relationship I was dealing with some health stuff. The solution was medication that also helped out my depression/anxiety. My partner at the time once made a comment that my attitude was way different when I was on the medication than when I was off it and they didn't like who I was on it. I was on and off the medication for multiple years but at one point when they made the same comment I just said "well maybe you just don't like me?". Wouldn't suggest this is the best way to go about it, but the relationship was falling apart for other reasons as well, but I do believe we just didn't get along when I wasn't as depressed. 🤷♀
Just for those not in the know about Silent Hill stuff, and now that Dr. Mick is past the boss I can say this without it being a spoiler: More evidence supporting his theory on the patterns of sex imagery is that the canonical name of that boss he and James fought is Flesh Lips. Pretty on-the-nose for the symbolism.
20:23 I think this is the most lore-accurate response. Remember the part about Flesh Lip descending by holding itself up with one hand? You can actually hit that, to temporarily bring it to the ground before the second phase. 55:45 Mayhap you spoke too soon... The original DLC was a prequel story about Maria They considered naming it the OSHA-world, but figured it probably wouldn't be entirely up to code. ...Because of all the infectious sludge and the tetanus, yeah! Speaking of perspectives, some "hopeless cases" did have some rather unpleasant perceptions of their treatment at the hospital - could they have been viewing it from inside the Otherworld? James should go golfing. He always gets a hole-in-wall. In gem-, uhh, gemology or whatever, lapis is associated with breath, insight and self-discovery.
I think the elevator didn't go to the roof the floor there was covered by planks and all the winches where up there i think it was just the room where all the elevator wires were
35:45 ... tel me about it. I have so much more apreciation for the design of this game now than I had 20 years ago. I didn't notice or care about 2/3 of the details and depth of it back in the day. It was one of my favorite horror games back then and it still is today, but for entirely different reasons. Initially I was mad that they remade and changed so many things from the original but seeing it now they clarified many things without runining the interpretability. This game has really spoiled me for most horror games to come. This one and SOMA.
Hey Mick, i really love your playthroughs and analisis on the Characters, i would be really happy if you could play devil may cry 5, it's a hack and Slash game where you kills demons, but the story of the game is really good and i would love to see your analisis on the main Characters such as Dante, V and Nero, i would really be happy if you accept my sugestion to play this game, anyway, i hope you have a good day
My very cynical take on the relative value of patients; in general all health industries, mental or physical, define a healthy patient as "one who can be employed and is minimally disruptive to economic activity." This is not to suggest the individual practitioners lack for a sincere desire to improve a patient's wellbeing and quality of life, but any time I've sought psychological care the trigger for receiving support has been disruption to my ability to work. When the world is sick can't no one be well.
As a high-acuity inpatient psych nurse who has to make the decision to apply restraints, medicate, and place patients in seclusion, I appreciate you talking about the nuances and realities behind that process. There's a large stigma surrounding those interventions, but they're ALWAYS a last resort for us and our goal is to use the least restrictive option we can so we can maintain the patient's dignity, and most importantly, keep them and others in the vicinity safe. Thank you for speaking on tough topics like this, and great video as always 🖤
Knowing it's not the opening move makes me feel a lot less stressed about it
Its so cool from an SH2 veteran seeing someone brand new to the series coming up with their own take going in blind.
This game is an absolute joy in the realms of psychological horror
As the levels get weirder and scarier, I find the pausing to say “I just REALLY want to appreciate y’all are here with me” more amusing hahaha
Loving the playthough and the analisys so so much.
I laughed imagining Pyramid Head just outside the door waiting and wondering what took James so long to read the diary, haha.
Saludos desde México.
Micks reaction to seeing the boss at 39:23 is like someone bumping into somebody they know and then noticing a tattoo that’s in VERY poor taste
thats SO specific and a perfect analogy lmaoo
Hands down, it's not just my favorite reaction of Mick's during this playthrough, but it's the best reaction I've seen to that creature from any content creator ever. Good gravy, it gives me life. 😆
@@jeffhazen4416
Something about the “oh! :)”
Is just very funny to me.
Like it was so…welcoming
Maybe I missed it, but I didnt notice you mention it. I think the reason for James "losing his cool" with Laura is cause she said she met her last year in the hospital but at the beginning of the game James said that Mary died 3 years ago which is why he calls her a liar. Obviously this doesnt excuse him lashing out, but I do think its an interesting thing for the scene. He didnt just get angry cause Mary was mentioned, but because this little girl he never met before is saying he met his wife 2 years after she died.
My favorite genre of horror game, "Shit Gets Rusty, All Doors Locked"
I remember my dad apologizing a few times to me over the course of my childhood, and one in particular really stood out. He was angry about my grades and he really scared me, but it was less than an hour later he came to apologize. I started to tell him it was okay, and he stopped me and said "you don't have to say it's okay, because what I did wasn't okay to do to anyone. You don't have to say anything at all right now, if you need time. I needed to apologize to you, though, so I'm sorry, and if you choose to forgive me, you can tell me that when you're ready."
My dad was never a perfect guy, but he really did try to raise us well; he's always had his own demons, and he dealt with them the best he could, taking accountability when he slipped. Would it have been "better" if he didn't react the way he did sometimes? Sure. But he did the next best thing, which was reassure us that his reactions were his, and it didn't make us bad people or mean we did anything wrong.
Quick Stamps for General Mental Health Topics
8:32 Thought about being more savable, comparing to others.
11:19 Judgements and defacto statements
13:26 Strength isn't a binary, journaling in therapy
14:10 Difficulty with medications and self image
19:57 Assuming burdensomeness
21:54 Running rather than "fighting" mental health
23:03 "Should" feel
23:25 How journaling can be helpful
25:33 (someone didn't think that through)
28:05 Historical context to interventions in psych care
32:36 Purpose of restraints
39:45 Cardinal parenting sin, cause and effect (child development)
44:20 Lashing out, Don't hold children to a higher standard than adults
46:57 "blob of human"
52:08 Sex confinement and death Theory, shame around relationship needs and feelings
1:06:10 Laura's reality vs James
1:08:48 (New look who dis)
1:20:55 Shackles
1:22:45 Internal intervention
1:48:13 Internal representations
2:04:06 Brain finds complexity
Genuine question, as someone who use to work security for hospitals (will never do it again) and who had to watch suicidal and homicidal ideations would you still have the same opinion of placing these individuals in a padded room?
I don't advocate doing any sort of harm to the patient, but it can be quite taxing to deal with someone for 8 hours spewing vial obscenities, trying to harm themselves or others, and so on. These individuals are not being held for a month, weeks at most until they are cleared for treatment or released.
At the end of they day the work is very stressful for very little compensation the requires hyper vigilance.
33:09 not sure if this adds anything, but I used to wrestle in 9-10th grade, and WOW, did it seriously open my eyes to how difficult it is to restrain (much less pin!!) a person thats actively fighting you. Ppl really don't give ER/psych/etc nurses enough credit
(Also adding: in wrestling, you cant grab clothing/bite/kick/scratch - people who are (or *believe* they are) in danger don't function under those rules. Wrestling is grappling on *easy mode*)
Always excited to see a new addition to this playthrough, keep up the amazing work!
Great to see it continuing! Can’t wait for the next one.
I've been enjoying this playthrough so much as an og silent hill fan 🖤 thank you for doing this. @46:30 💯💯💯💯💯
25:45 The elevator doesn't go to the roof. You fell from the machine room.
32:50 Supposing that someone is severely mentally ill and poses a significant risk to the safety of others and themselves, what's a good alternative to the padded room?
The hospital's getting 5 stars from me for the excellent nursing staff.
Yeah lol the music thing at this point im realizing is such a non issue but at the start I was nervous cause I genuinely have no clue what in this game IS the music and what is sound effects.
I was expecting like really awkward stretches of silence.
It’s
It’s definitely not as bad as all the hubbub (me included) built it up to be.
@@Lessembarrassingman Yeah, same. I thought we'd be running through rust-and-blood filled hospital in awkward silence. I'm still nervous about the next few areas because the Pyramid Head fight was terrible, but we'll see.
I don't think the devs even know what is music and what isn't. I heard some music in Dr. Mick's playthrough during the Flesh Lips boss fight and in a couple of other places. And the piano music came through the radio that was hanging from the chains, but it doesn't come through the jukebox, even though it's a part of a puzzle. The gameplay music blends with the ambient noises and screaming so well that it's hard to tell what's supposed to be real. But that's the whole point.
I still think it's a big deal (I will die on this hill).
@
“Hey man you see that dead guy up on that hill?”
“Yeah.”
“You know who that guy was?”
“No clue.”
“…well why’d he die up there?”
“I dunno man.”
I gained a whole lot of knowledge from this episode. One is the explanation to the patient if he or she doesn't want to take the medicine for the stigma of it. As an intern of psychiatric ward, I find myself constantly need to challenge the patients or their families' ideas about the persistence of taking the medicine. Another one is about the development of technique used in psychiatric ward, thank you so much.
I appreciate your discussion on taking medication for your mental health and how it is the same as taking medication for anything else. I've recently started on Lexapro, and while it has been quite life-changing, it was a difficult decision to get there, and I've had on/off struggles in mentally processing needing to take it. Your discussion of it was nice to hear, a good reminder :) Cheers!
40:30
Making a note of this time so I can come back and listen to this explanation later. This sums up the dynamic of my relationship with ALL 4 of my parental figures throughout my childhood, adolescence, and early adulthood to a scary degree of accuracy
This playthrough is honestly just impressive. Really good stuff
23:33 Pyramid, outside, in the rain :🧍🏽
do "lobotomies" fall under the definition of "medical misunderstanding"? :/
The original diary you find on the roof in the PS2 version of the game ended on a much darker note, implying the writer took their own life by jumping from the roof after abruptly stopping their writing.
As twisted as it sounds, I like the new version a lot better. I think it more subtly and realistically portrays the dread and fearful uncertainty of being released from inpatient care, uncertain if you're actually ready for the next step.There's still a tone of suicidal ideation and depression throughout the diary, but the way the writer sounds like they know they're still not well enough to be left alone and are scared of what is next feels more appropriate and less like it was put at the end of the letter as a sort of "horror punchline".
The original feels that way to me at least, using the implication of suicide as a scare for effect. Even the last letter they write trails off the page as though they jumped as they wrote, which doesn't really feel believable, just kind of cliché and almost disrespectful to the topic of suicide. That last part could just be me misinterpreting intention, I'm honestly not sure.
47:03 if my parents had the maturity to admit mistakes when they made them, all three of their children might actually be speaking to them. All that to say, please admit your mistakes, the only thing it hurts is your pride, and that's not worth much
So hyped for more!
Hello Dr Mick, i'm happy to watch a new download of Silent Hilll. I'm enjoying this playtrough very much. Keep up the good work👏😊
you are very good at interpreting the story of silent hill. i am genuinely impressed 😮
Finally! I cheated like the other people and watched the Twitch vod but happy to support both channels! Again, loving your playthrough DrMick
1:55:23 well.. the theme of suffocation would stand true with a gas powered generator with no ventilation.
2:05:59 mick you bastard 😭
this episode was gnarsty
1:10:36 Dr. Mick already calling out the padding. The original still had you going back to the icky hospital, but everything was much shorter, so it didn’t seem so much like doing it “again…”
Wanted to throw this out there because there are probably people in a similar position, but when I was in a relationship I was dealing with some health stuff. The solution was medication that also helped out my depression/anxiety. My partner at the time once made a comment that my attitude was way different when I was on the medication than when I was off it and they didn't like who I was on it. I was on and off the medication for multiple years but at one point when they made the same comment I just said "well maybe you just don't like me?".
Wouldn't suggest this is the best way to go about it, but the relationship was falling apart for other reasons as well, but I do believe we just didn't get along when I wasn't as depressed. 🤷♀
Just for those not in the know about Silent Hill stuff, and now that Dr. Mick is past the boss I can say this without it being a spoiler: More evidence supporting his theory on the patterns of sex imagery is that the canonical name of that boss he and James fought is Flesh Lips. Pretty on-the-nose for the symbolism.
Not just the lips. The parts that are not caged/covered are: a hand, a mouth, and feet. Just the required parts for _[something]_ -job 😉
20:23 I think this is the most lore-accurate response.
Remember the part about Flesh Lip descending by holding itself up with one hand? You can actually hit that, to temporarily bring it to the ground before the second phase.
55:45 Mayhap you spoke too soon... The original DLC was a prequel story about Maria
They considered naming it the OSHA-world, but figured it probably wouldn't be entirely up to code. ...Because of all the infectious sludge and the tetanus, yeah!
Speaking of perspectives, some "hopeless cases" did have some rather unpleasant perceptions of their treatment at the hospital - could they have been viewing it from inside the Otherworld?
James should go golfing. He always gets a hole-in-wall.
In gem-, uhh, gemology or whatever, lapis is associated with breath, insight and self-discovery.
I think the elevator didn't go to the roof the floor there was covered by planks and all the winches where up there i think it was just the room where all the elevator wires were
35:45 ... tel me about it. I have so much more apreciation for the design of this game now than I had 20 years ago. I didn't notice or care about 2/3 of the details and depth of it back in the day. It was one of my favorite horror games back then and it still is today, but for entirely different reasons. Initially I was mad that they remade and changed so many things from the original but seeing it now they clarified many things without runining the interpretability. This game has really spoiled me for most horror games to come.
This one and SOMA.
What happend to your left eye?
Really enjoyed this ep, game sets up the cliffhangers perfectly for you eh?
Another banger
There are some parts that are strangely silent in the game, did you turn off the music or did the audio capture go wrong?
Music has been turned off from the start. c:
gameplay experience choice.
Hey Mick, i really love your playthroughs and analisis on the Characters, i would be really happy if you could play devil may cry 5, it's a hack and Slash game where you kills demons, but the story of the game is really good and i would love to see your analisis on the main Characters such as Dante, V and Nero, i would really be happy if you accept my sugestion to play this game, anyway, i hope you have a good day
My very cynical take on the relative value of patients; in general all health industries, mental or physical, define a healthy patient as "one who can be employed and is minimally disruptive to economic activity." This is not to suggest the individual practitioners lack for a sincere desire to improve a patient's wellbeing and quality of life, but any time I've sought psychological care the trigger for receiving support has been disruption to my ability to work.
When the world is sick can't no one be well.