Category Archives: mental health

I Bet It’s Exactly Like That!

[Trigger Warning for descriptions of violent thoughts of self harm]

Oh, by now, faithful readers, you know where we are about to go. We are about to go on a little journey into my mind, the scary place that it is, where I open the floor to discussion about the ways that, once again! Stars and Stripes has managed to get so much so wrong. Because tonight, gentle readers, as I clutch the place that might be close to where my duodendum is and sip my Korean Red Ginsing tea, which the lady at the market told me might help my indigestion, I am reminded once again that I am my mental health are nothing but a metaphor to be co-opted at someone’s convenience!

Let me give you a little background here, because the only online version I can scrape up is this e-version of the print edition, and while WAVE found no accessibility issues with it, I am not going to guarantee that it will be accessible to everyone or accommodating of everyone’s needs. It is, however, a way around their habit of not putting all of their content in their online version (and also allows deployed troops to access the daily paper as well). The front page has the story’s picture, of a white male soldier in Army Green uniform: a light green collared shirt, black tie, green jacket with various awards and pins, a black belt, a black beret, holding a rifle with a bayonet affixed to it. The text on the photo says “Model soldiers [break] Every detail counts when you’re trying to join the storied Old Guard”. The actual article starts on page 4 if you are so inclined to read.

The Old Guard is a ceremonial guard that headquartered out of Fort Meyer, VA, and performs most of its duties in Arlington National Cemetary, similar to the Navy’s Ceremonial Guard, in that they perform many military funerals daily with the cleanest of precision. Their military bearing is expected to be above and beyond that of any other in their branch of service. Their uniforms are expected to be ridiculously perfect, with exquisite attention to the finest aspects of the details, not missing a single loose thread or even a speck of lint. A scuff on your shoe could set you back a week in training. They stand grueling hours at “attention” (The Navy’s Ceremonial Guard does this while holding the business end of the rifle and keeping the butt parallel to the ground for hours, I do not know about the Army’s Old Guard. Full disclosure: I once and briefly dated a guy from the Ceremonial Guard). Everything you know about military bearing is wrong when you arrive for duty, and it is re-taught to “look better”, including the way you turn, march, stand, dress, and press your uniforms (you are even issued special dress white uniforms that are made to withstand the repeated ironing in the Navy Ceremonial Guard).

Do you see what I did there?

I was able to give you some brief background on the very strict regulations of the Old Guard and the Ceremonial Guard without using ableist language. I didn’t once have to compare soldiers or sailors who are required to iron their uniforms exactly right, or who are trained to notice when their medals are one sixteenth of an inch off from the proper dress line to someone who actually obsesses over things like drinking bleach or shoving cork screws in her eyes. Or what it would feel like to jump from a fifth floor balcony.

Because these, my gentle readers, are actual obsessions. They actually intrude on your thoughts and disturb your life, and are really very upsetting, I can assure you. They make you do things, like pull out your hair, burn yourself with a curling iron, wash your hands again and again, and pick at the little imperfections on your skin. Yes sometimes you even iron your uniform again and again and again because you just can’t get it right and double creases are the End of The Universe as We Know It, but it might be because you are certain that if you stop then you are going to iron your hand, not because your Leading Petty Officer is going to chew you out (or your whole division, I mean, does the article expect me to believe that the entire Old Guard has Obsessive Compulsive Disorder? Because that is not on the application!) but maybe because you recently thought that you might do something very harmful to someone you loved if you stopped holding that iron very tightly. Even if your LPO has put the fear of Cthulhu in you.

Being part of an elite military unit who is honored to be charged with memorializing the fallen and handing flags to their loved ones* or escorting the President or guarding the Tomb of the Unknown Soldier is a pretty powerful thing, I am sure. The end result of the intense training, of the weeks and weeks of repeated inspections and physical demands, might very well leave some people with OC tendencies or maybe even OCD outright I suppose — I am not a doctor I don’t know and I don’t pretend to know every experience — but it isn’t the same as living with a condition that sometimes (OK, often) inhibits your day to day ability to live, interact, and (here’s the important one) do your job because you are busy carrying out compulsions to get the damned obsessions out of your head.

Yeah, getting worked up over a uniform inspection? I bet it’s exactly like that!

Only, I’ve been there and done that and bought the cheap t-shirt (hell, I’ve been the OC girl who has had to prepare for uniform inspections!).

It isn’t anything like that at all.

*I want to also point out that the article, for those of you who aren’t able/don’t want to read it via the e-reader the requirements for Old Guard: Must be 5’10 or taller, must have combat experience, blah blabbitty blah. Nothing like another exclusionary Old Boys Club for the military, so they can sit around and pat each other on the backs about how Awesome! they all are. I might note, out of some Branch Pride that the Navy Ceremonial Guard frequently wins the Joint Service competitions and they have *gasp* women in their guard.

Oh, and those people receiving flags? Always widows. Always. Way to erase anyone else who might be a surviving loved one of a fallen troop, there S&S, Army, and anyone else involve. UGH!

Why My Disability Makes Me a Better Employee

As people may have noticed, I’ve been a bit quiet lately, mainly due to being totally snowed in and overwhelmed at work. I’ve had a major project with a hard deadline and have been devoting nearly every waking moment to either working about it or just worrying about it. That worry and constant fretting is directly related to some of my anxiety issues – it’s a worry I feel both mentally and physically, with tensed muscles and clenched stomach and jitters. And I’m convinced that anxiety helps make me a better employee and better at my job.

I am a lawyer and my major project was a hearing with an administrative law judge to determine whether one of my clients will be considered disabled by the Social Security Administration and thus eligible for cash benefits and medical coverage. Our office had been working on this case since his initial application for benefits in 2006 and in the interim, I’d seen him struggle to avoid homelessness while his income disappeared and his medical condition deteriorated without access to effective medical treatment. So this case was an extremely big deal and the outcome would make an enormous difference in the course of his life from this point.

No pressure, right? And it didn’t help that it was an extremely complicated case involving about 15 years of medical records from 10 different medical providers and facilities about three or four distinguishable medical conditions. And that, although his disabilities have extremely serious effects, they were the kind of disabilities that Social Security usually has a hard time understanding and so tend to lead to findings that the individual is not disabled. So – a major case with a lot of difficult work for an extremely important outcome. And the short time between when we were notified of the hearing date and the actual date meant that to succeed, I would need to spend nearly every waking minute in between working on the case.

Which is when my anxiety kicked into high gear – and actually made that possible. I spent all my time in the office reviewing records, teaching myself relevant medical terms and context, and coming up with an overarching narrative to frame the disabilities. But when I would close the file and go home at the end of the day, my anxiety would not let me stop thinking about it. While I was driving, making dinner, in the shower, at the gym, my mind was constantly spinning, either worrying over some aspect of the case or making a list of my next steps when I got back to work. I was not only waking up in the middle of the night to spend some time thinking about the case while staring at the ceiling, I was dreaming about it.

When I’m that anxious about a specific topic or issue, I think of my brain kind of like a rock polisher – it takes a dull idea or problem, with jagged edges, and rolls it over and over and over (and over) again until the edges are worn down and the surface is polished to a brilliant finish that can be appreciated by even the most casual observer. But the end product wouldn’t be the same without the constant, unceasing motion and effort. If the motion, the tumbling, stopped for stretches of time, the end result would not be as smooth, as shiny, as easily appreciated.

My anxiety makes it impossible for me to slack off while working on such a major project. Even when I try – by watching tv, reading a book, talking to my cat – there’s a portion of my brain that keeps spinning and spinning away, and my whole body is ordering me to pay attention to that part of my brain. Yoga wouldn’t help, hot baths didn’t work, even a hard session on the treadmill just made me more tense. The only thing that would reduce the anxiety was making some progress on the case.

I think that drive makes me a better employee and results in better and more persuasive case work. I certainly know that I would love to take breaks and put work out of my mind and to not dream about it every night. But I don’t think the end product would be as good if I were able to do that. So my employer never needs to worry about me blowing off a case or putting less that my full effort into it, because of the anxiety that will not permit me to do anything less.

(By the way, we won the case and my client will get his benefits. Yay!)

There are definitely other aspects of my disability that either aren’t relevant to or actually make it more difficult to do my work, and I don’t want to imply that everyone who is a lawyer should have anxiety to make them more effective. But this particular aspect of my disability definitely enhances my ability to focus and concentrate and motivates me to put in lots of time and thought, which is an advantage for my job.

Are there aspects of your disability that enhance ro amplify your abilities in certain areas?

Recommended Reading for June 3, 2010

Two totally adorable golden lab puppies with floppy ears, wearing blue cotton bandanas with the tag "Service Dogs."
Two totally adorable golden lab puppies with floppy ears, wearing blue cotton bandanas with the tag "Service Dogs."

Service puppies in training!!

Miami Herald – Embedded therapists protect National Guard members’ mental health

Roger Duke is a Vietnam veteran, a retired Marine lieutenant colonel and a licensed marriage and family therapist. Since 2006, he’s spent at least one weekend a month embedded with a California National Guard unit. Duke, 57, wasn’t deployed with the unit’s soldiers in Iraq and Kosovo, but he’s a trusted face whom the soldiers confide in before and after their deployments. “Some of the best conversations I have with them are at one in the morning in a Humvee during a training exercise,” said Duke, who’s part of a California program designed to help returning Guard and Reserve members by attaching mental health counselors to their units.

Threadbared – Hanky Pancreas: insulin pump accessories and cyborg embodiment [this post was so nuanced and complex and beautifully written that I hesitate to even do a pull quote because I strongly (strongly) encourage you to click through and read the whole thing]

Floeh’s designs permit wearers to make a strategic double-move around camouflage and visibility, simultaneously hiding the pump and drawing attention to its location (i.e., waist, hip, bustline). When I’m in disability-pride mode, I’m troubled by this kind of hiding, following the logic that visibility is good (i.e., wearing the pump on the outside makes us legible, shows the limits of clothes designed for bodies without peripherals, disrupts conventional, hetero feminine gender presentation) and hiding is, well, hiding, with its affective companions: shame, fear, desire for normalcy, willingness to pass.

But visibility is only one tactic among others, and hiding the pump can also be a radical act – especially if it facilitates feeling-good-while-diabetic (for example: the best act in my burlesque repertoire hinges on repurposing a strap-on harness as an under-dress pump-holder; most of the time, my solution to the dress-problem is a jury-rigged system involving a black garter with small cosmetics pouch from Benefit, bra straps, and safety pins to keep things from sliding down my leg – unless I’m already wearing a garter belt). Of course, in the case of hiding or disguising one’s pump, feeling good can also mean feeling closer to a conventional femininity and mythic norm. I don’t want to elide that possibility, but I also return to the reality of living with chronic illness: that we live in a space of contradiction, that we work with what we have & do what we need to do to claim our (sick, cyborg, incurable) bodies as desirable. In my ideal world – one I suspect Floeh wants, too – we’ll recognize that transformation can (and should) mean more than transforming the pump, or the wearer’s relation to it, to align more closely with a dominant, normate feminine ideal. Creating, enabling, accommodating, and celebrating a multitude of diabetic, cyborg embodiments — and advocating for wider access to the pump (with all of its troubling potential) for those who are uninsured and can’t afford the $6000 price tag — these are the kinds of social transformations that need to happen in conjunction with personal ones.

BBC News – Mental health research is ‘incredibly underfunded’

Only 5% of medical research in the UK is into mental health, despite 15% of disability resulting from disease being due to mental illness.  Last week, one of the major research funders, the Medical Research Council, published one of the most up to date reviews of the strengths and challenges of mental health research in the UK. It not only showed that the research that does get funded is world-class but that the UK is well-placed to lead the way in this area. The review concludes that there are several opportunities to fund more research in the UK that would help accelerate progress in developing new treatments, or lead to better ways of preventing mental illness in the first place.

7 News Denver – Is Xcel’s Tiered Rate Program A Surcharge On Disability?

Xcel Energy’s new tiered-rate program [for electricity] began Tuesday. Customers whose lives depend on electricity aren’t given an exception. Xcel users who need electricity 24 hours a day to power oxygen tanks or ventilators have to pay the same usage costs as someone who wastefully keeps on their air conditioning.”That’s what the problem is, it’s basically a surcharge for disability,” said Julie Reiskin, executive director of Colorado Cross Disability Coalition.Reiskin told 7NEWS her organization was never notified by the Public Utilities Commission prior to the tiered-rate system decision. The PUC oversees Xcel.”I was shocked we did not know about it,” said Reiskin. “It’s disturbing that the PUC saw fit to get input from Xcel, but not from the people who are directly affected by this.”

A Happiness That Forgets Nothing – You know what? I take back that shit about not hating people.

SO. My brother—my clinically depressed brother—was met by police today. You know why? Because he mentioned to his friends that he had suicidal feelings. So what did they do?
CALLING THE POLICE, TELLING THEM WHERE HE WORKS, AND HAVING HIM HOUNDED BY THEM ABOUT HIS PERSONAL FEELINGS IN FRONT OF HIS COLLEAGUES.
I am in tears right now. Enraged tears.
My brother has a mental illness. But he is still an autonomous, competent fucking person. He can make his own goddamned decisions without alleged friends having  him hunted down like a fucking criminal.

[and finally, a mystery in which I ask for your assistance! I have seen several blog mentions of this thing – product? service? – called ‘Buddy’ that has a contract with the NHS and is supposed to help people with disabilities and I cannot understand it! Perhaps you can help?]

Buddy is a post-digital social care service that seeks to improve the well-being of people living with long term conditions, and at the same time, reduce the cost of service provision. At the heart of Buddy is a social media radio which lets users broadcast from a physical device, to a range of social media platforms. By using social networks, Buddy extends the community of carers around an individual beyond healthcare professionals, to friends, families and peers. Our idea is to decentralise and socialise care, creating a more people-powered service, where friends and families are working alongside professionals to support individuals, in real time. Co-production is the jargon.

Where About Us But Without Us Leads

On 1 June 2010, E. Fuller Torrey MD wrote an op-ed column for the New York Times, “Make Kendra’s Law Permanent.” Dr Torrey is the founder of the Treatment Advocacy Center (TAC), a nonprofit group whose sole purpose is to lobby states for the passage of so-called assisted outpatient treatment (AOT) laws like Kendra’s Law in New York and Laura’s Law in California. The New York law is named after Kendra Webdale, who was killed by Andrew Goldstein in 1999.

Dr Torrey and TAC will tell you Mr Goldstein had untreated schizophrenia. They’ll tell you people like him are dangerous, they’ll tell you people like Mr Goldstein are often so sick they don’t understand they’re ill and need treatment, and they’ll tell you they know best. They won’t tell you that Mr Goldstein had been seeking treatment desperately and been turned away repeatedly.[1. Source: Time Magazine, “Will the Real Andrew Goldstein Take the Stand?”] Continue reading Where About Us But Without Us Leads

Ableist Word Profile: Crazy (to describe political viewpoints or positions)

  • Ableist Word Profile is an ongoing FWD/Forward series in which we explore ableism and the way it manifests in language usage.
  • Here’s what this series is about: Examining word origins, the way in which ableism is unconsciously reinforced, the power that language has.
  • Here’s what this series is not about: Telling people which words they can use to define their own experiences, rejecting reclamatory word usage, telling people which words they can and cannot use.
  • You don’t necessarily have to agree that a particular profiled word or phrase is ableist; we ask you to think about the way in which the language that we use is influenced, both historically and currently, by ableist thought.
  • Please note that this post contains ableist language used for the purpose of discussion and criticism; you can get an idea from the title of the kind of ableist language which is going to be included in the discussion, and if that type of language is upsetting or triggering for you, you may want to skip this post.

We just ran an ableist word profile on the word “crazy,” written by the lovely guest poster RMJ, who discussed how the term is used in a variety of contexts and situations. This follow up is sparked by what I’ve seen as a recent resurgence here in the United States in use of the term in a political context, to describe or characterize an individual with a particular set of political views. Every time I see it, it grates on me, and I thought it was worth a focused discussion here at FWD.

Before I begin, I should make clear that I personally identify as “crazy” sometimes. Not always, but when the depression gets overwhelming and I can tell my thoughts are getting tangled, or especially when I’m in the grips of a manic episode. (More accurately, I identify as a “crazy bitch,” but that’s neither here nor there.) I’ve also been consistently described by others as “crazy,” in contexts ranging from affectionate to outright hostile and dismissive. So when I see this term tossed around in the media, it feels personal to me.

And it’s been tossed around a whole lot lately, largely by traditionally liberal or progressive media outlets. I first started seeing it show up at Talking Points Memo, Josh Marshall’s blog that combines “breaking news, investigative reporting and smart analysis.” Marshall doesn’t mention it on the site, but it also contains a big heaping spoonful of ableism with that political analysis. Here are some recent examples:

This is just a sampling of the posts with headlines including the term “crazy” and is not at all comprehensive. Even within this sample, we can see that the term is used to describe viewpoints with which TPM does not agree (like revising history textbooks or arguing, like Gaffney, that the Pentagon logo indicates a secret plan to subject the United States to Shariah law) and thinks are biased, bigoted, racist, or otherwise offensive (such as the protests about Obama speaking to schoolchildren or the racial laws in Arizona).  None of the posts, though, engage or critique those viewpoints or speakers in a substantive way – simply describing them as “crazy” is seen as self-evident and no further discussion is needed to demonstrate these views or people should be excluded from reasonable political discussion.

There’s been an even more recent explosion of use of the term to describe Rand Paul and Paul’s views, after he won a Republican congressional primary in Kentucky.[1. An earlier version of this post had stated, in error, that Dr Paul won the Republican congressional primary in Virginia. Thanks, Katie, for the catch.] Paul favors the free market and freedom of private business, to the extent that he seems to believe that anti-discrimination laws are an unreasonable restriction on businesses. Now I am no fan of Mr. Paul – and wrote about my problems with him previously on FWD – but that doesn’t mean I approve of political cartoons like this:

A political cartoon portrays Rand Paul as the Mad Hatter from Alice in Wonderland. Added to the original Tenniel illustration are a 'Don't Tread on Me' flag, a Rand Paul button, and an I Heart BP button.
A political cartoon portrays Rand Paul as the Mad Hatter from Alice in Wonderland. Added to the original Tenniel illustration are a 'Don't Tread on Me' flag, a Rand Paul button, and an I Heart BP button.

To my mind, characterizing Rand as “mad” or “crazy” and not saying anything further is a lazy way to dismiss him and his ideology without actually having to engage with it. There is a lot to say about Rand’s ideas: how prioritizing private business over human rights preserves existing institutional structures that will continue to perpetuate racism, sexism, ableism, and other oppression if not checked by a larger force like the government; how the line between private and public realms is a lot fuzzier and less distinct than Paul implies it to be; that the Gulf of Mexico oil spill and BP’s seemingly inadequate safety protections and near complete inability to effectively respond are strong indications that business will prioritize profits over public goods like environmental safety; how an attitude of business before anything else will influence Rand’s views on everything from the minimum wage to immigration policy to climate control to internet neutrality. Those are all important discussions to have, discussions where we can’t assume that everyone in the audience will come down on the same side, but calling him “crazy” or “mad” and leaving it at that elides all of those complicated issues. Even more strongly, it implies that those discussions are not even worth having because it is so evident that the views or person being dismissed are wrong and absurd and laughable.

In Newsweek, Conor Friesdorf made an interesting observation about the policies and people who are dismissed as “crazy”:

Forced to name the “craziest” policy favored by American politicians, I’d say the multibillion-dollar war on drugs, which no one thinks is winnable. Asked about the most “extreme,” I’d cite the invasion of Iraq, a war of choice that has cost many billions of dollars and countless innocent lives. The “kookiest” policy is arguably farm subsidies for corn, sugar, and tobacco—products that people ought to consume less, not more.

These are contentious judgments. I hardly expect the news media to denigrate the policies I’ve named, nor do I expect their Republican and Democratic supporters to be labeled crazy, kooky, or extreme. These disparaging descriptors are never applied to America’s policy establishment, even when it is proved ruinously wrong, whereas politicians who don’t fit the mainstream Democratic or Republican mode, such as libertarians, are mocked almost reflexively in these terms, if they are covered at all.

What I conclude from that is that the media doesn’t consistently use “crazy” and other ableist terms to refer to absurd policies or those that lack rational support, but instead reserves those terms for people outside of mainstream politics. Which in turn implies that the term is used primarily to further marginalize and dismiss people who don’t fit expectations of what a politician is or what are common or popular political arguments. To me, this is even more evidence that the implicit subtext of terming a person or policy “crazy” is “shut up and go away, or start blending in better.” Which, again, is exactly the message leveled at people with mental illness when they’re called “crazy” or “loony” or “unhinged” or any number of synonyms.

This selective usage is even more reason the term “crazy” shouldn’t be used in the political context – partly because it’s a lazy out for commentators who refuse to engage with the actual policy issues or political ideas being proposed on a substantive level, and partly because it fiercely underlines and reinforces marginalization and dismissal of people with mental illness. It reminds me that when people call me “crazy,” what they really mean is “stop existing in my consciousness – either disappear or become normal.” To see progressive writers and organizations rely on the marginalization of people with mental illness to score easy points against unpopular politicians is upsetting not only because of their perpetuation of ableism, but also because it puts me in the extremely uncomfortable position of defending people like Palin and Paul against this kind of criticism.

What is “healthcare”? A tale of a murderer, a victim, and a tattoo.

[*** WARNING for detailed domestic violence description from the fourth paragraph on. ***]

My local paper has been abuzz with righteous taxpayer outrage over the State paying for a tattoo removal for a woman, who I’ll call JMN.

The story of JMN disrupts a number of neat stereotypical societal narratives about domestic violence, about victimhood, about killers, about the meaning of ‘healthcare’.

To go back to the beginning, at least to the beginning of the public part of the tale, JMN is a convicted murderer. She was found guilty nine years ago of murdering her “Internet lover”, MW.

According to published accounts of the trial, JMN’s husband MH, an abusive, violent gang member, found out about her relationship with MW, and “punished” her repeatedly. He violently cut off her hair, leaving her needing skin grafts to her scalp and hand. He beat her repeatedly, with fists, with pool cues, with a belt. He poured boiling water over her. He forced her to have a tattoo reading “Property of [MH’s full name]”. He punched her and choked her, leaving her needing hospital treatment.

And after all of this abuse and intimidation which left her in fear for her life, he visited and threatened the lover, then ordered JMN to kill him.

JMN shot MW under her abusive husband’s orders, backed by this violent intimidation, and she was convicted of wilful murder. She has been in custody ever since, with a minimum sentence of fifteen years.

Unsurprisingly, perhaps, JMN now has mental health issues. (These are not described in detail in the press, nor should they be.) She was a victim of unspeakable violence (as well as being a perpetrator under duress), and is currently seeking criminal injuries compensation – which is what has triggered off the righteous-taxpayer-indignation. Her criminal injuries compensation was initially refused, and the case is now under appeal.

But the Righteous Indignant Taxpayers haven’t stopped there. The papers are now pawing over the rather insigificant detail that the State may partly fund tattoo removal for JMN. The Department of Corrective Services has committed to paying for half the cost of the procedure, which is expected to cost only $2000.

$2000.

The shadow attorney-general is outraged, he says, outraged! How dare the Precious Indignant Taxpayer be asked to fund “cosmetic surgery”! The Corrective Services Commissioner has responded in sensible and general terms, saying that he “was acutely aware he had to take into account many factors when making difficult and sensitive decisions in cases that involved complex social, psychological, cultural and physical health considerations”, and that he made a judgement call, as he does on a daily basis.

JMN is statistically at very high risk for mental health problems, self-harm, and suicide. She is incarcerated, and suicide is the leading cause of death in Australian prisoners. She has been the victim of horrific domestic violence, and victims of domestic violence are five times more likely to commit suicide than average. The Commissioner took into account psychological reports and his personal interview with JMN when making the determination that the State would fork out a grand or two to take off the tattoo she was violently forced to get, the tattoo that is reminding her constantly of her abuse and contributing to her mental health difficulties.

Let’s get a little perspective. One acute psychiatric bed-day in Western Australia costs just over $1000. The cost of this tattoo removal equates to around one weekend stay in hospital for a relatively minor psychiatric crisis. We’re not talking huge pots of cash here. We’re talking about a sum that is absolutely tiny in the scale of costs involved with healthcare and with the justice and corrections system.

We expect, as a society, to provide healthcare for prisoners. Western Australia is committed, on paper at least, to providing prisoners with the healthcare they need, including mental healthcare. The general level of care we as taxpayers have committed to equates to the level of care that people should be provided in the public healthcare system. Tattoo removal is on the proscribed “cosmetic surgery” list for State hospitals, but that list comes with one very important caveat – that the procedure should be denied State funding if there is no “clinically significant” indication.

I can’t think of any more “clinically significant” indication than a tattoo someone was forced to get at the hands of her abuser, a tattoo that is making her sick. A tattoo that reminds her around the clock of his attempts at intimidation and dehumanisation. A tattoo that states outright that she is the “property” of this violent man. A tattoo that contributes to her greatly increased risk of self-harm and suicide.

Cannot we, as fellow humans, can find enough shreds of compassion to be comfortable with spending this trivial sum on what is likely to be a cost-effective contributor to the health of someone we are, as a group, responsible for?

This case is a touchstone for a whole pile of prejudices. It makes people particular uncomfortable, I believe, because it disrupts the nice little myths that nice little Indignant Taxpayers like to indulge in. The neat little “innocent-victim” narrative of domestic violence is disrupted by the fact that this women is also a perpetrator. The neat little “evil-murderer” narrative is disrupted by the fact that she was the victim of horrendous abuse, and that she committed the killing under fear for her own life. The neat little “nasty slut” tattooed-woman narrative is disrupted by the fact that she was forced to get this tattoo in the course of her husband’s abuse. The neat little “adequate healthcare” narrative is disrupted by the fact that tattoo removal usually lies outside of what some of us might usually consider to be “healthcare”.

All of this is adding up to a situation where the Righteous Indignant Taxpayers want to wash their hands of it altogether, though it’s clear they’d rather have a set of public stocks and rotten tomatoes to throw. They shout in comments “Give her nothing but bread and water”, “Why am I responsible?”, and “This woman knew what she was marrying into – hard cheese, I’d say”. Revolting.

Australia’s National Mental Health Policy states that as a nation, our key aims in mental healthcare include the prevention of the development of mental health problems and mental illness, the reduction of impact of mental health problems, and the promotion of recovery from mental health problems. These aims apply no less to people in custody, who are at extremely high risk and have particular mental healthcare needs that are all too frequently dismissed or actively resisted by people in a society that wants nothing more than to inflict as much suffering as possible on prisoners.

There’s an interesting wider question here, which is about our definitions of healthcare, and about the fact that the determinants of health often lie outside the very narrow systems and procedures that we label “necessary healthcare”. For example, we know damn well, on a macro scale, that poverty and inequality is a more important determinant of health than doctors and nurses and public education programmes aimed toward “behavioural modification”. Could not a piece of marked skin be a more important determinant of health in a single person than all the psychologists and pills in the world?

For Cereal, Internet?: I Has A Hotdog edition

I love looking at pictures of cute animals on the internet. Cats, dogs, monkeys, dolphins, turtles, otters – whatever. And I find that skimming through a few LOLcat macros during the workday can do wonders to perk up my mood or give me a smile before diving back into work. Which is part of why I get so annoyed when the LOLcat sites do something offensive or wrong – this is supposed to be my fun time, not my get-my-rage-on time! I have a whole other folder of RSS feeds for rage time!

So I got mighty cranky when I saw this at I Has a Hotdog, the spinoff site from I Can Haz Cheeseburger that has LOLdog macros:

A group of identical white pomeranians, with the caption "Multiple Personality Disorder: you're doin it right."
A group of identical white pomeranians, with the caption "Multiple Personality Disorder: you're doin it right."

Ok, FOR CEREAL??? This is not only offensive, it doesn’t even make sense. A person with Multiple Personality Disorder (MPD), which is more commonly and more accurately termed Dissociative Identity Disorder (DID), does not manifest in multiple identical bodies. The whole point is that there is one body/mind that manifests multiple, distinct identities or personalities, called alter egos. A person who could split themselves into multiple identical bodies, all with distinct identities, is not a person with MPD or DID, but instead is some kind of magical self-cloning person who should probably be off fighting crime in Gotham City.

This underlined for me how DID is a go-to joke, a punchline often used in contexts or situations that make absolutely no sense to anyone who actually understands what DID is. It’s a lazy way to make a joke about a “bizarre” or “outlandish” mental illness without even taking time to understand the diagnosis being thrown around so cavalierly. For me, it reads as a shorthand “hahaha saying the name of a mental illness is funny isn’t that funny??”

I can’t imagine how this use of DID as shorthand for “exotic and hilarious mental illness” must affect people who actually experience DID. Given that the second google link when I searched for “multiple personality disorder” is to a site discussing whether MPD or DID actually exist or whether they are made-up movie illnesses, I imagine there’s an extraordinary stigma experienced by people with DID and an overwhelming tendency to doubt and discount their experiences at best, and to mock and ridicule them at worst. These kind of “jokes” only add to those issues. And they should not be tolerated.

Recommended Reading for Thursday May 20 2010

An image of a beach with blue sky, dotted with clouds. A figure sits in the sand by the waves. In the foreground, a wheelchair sits on the sand.
An image of a beach with blue sky, dotted with clouds. A figure sits in the sand by the waves. In the foreground, a wheelchair sits on the sand.

“….” by mataikan, seen at binary canvas.

Ghana News Agency – Mental Health System on the verge of collapse

Dr Akwasi Osei, Chief Psychiatrist of the Ghana Health Service, on Monday said the mental health system would soon collapse if the Mental Health Bill was not passed to correct the abuses and injustices in mental care. He said it was unfortunate that the Bill, drafted in 2004 and completed 2006, was still lingering at the Ministry of Health. Speaking at a workshop on the State of the Mental Health Bill and the United Nations Convention on the Rights of Persons with Disabilities, (UNCRP) for media practitioners, in Accra, he stressed that there was the need for the law to protect the rights and interest of patients and to overhaul the entire mental health system.

Guernica – Jonathan M. Metzl: In Medical Records, a Story of the Racialization of Schizophrenia

Ionia held these men using little-known loopholes in deinstitutionalization amendments that stipulated that the hospital would continue to receive or contain patients deemed too violent for state correctional institutions, or who posed “dangerousness to the community” even after most other patients were set free. The word negro appeared on the upper right corner of the face page in eight out of every ten of these charts. And schizophrenia, paranoid type was overwhelmingly the most common diagnosis applied to these men, these institutionalized black bodies that deinstitutionalization left behind.

the personal hurricanes of kirsty mitchell – quote from siri hustvedt, the shaking woman

the DSM does not tell stories. It contains no cases of actual patients or even fictional ones. Etiology, the study of the cause of illness, isn’t part of the volume. Its mission is to be purely descriptive, to collect symptoms under headings that will help a physician diagnose patients. there is a companion DM-IV casebook, but notably, these narratives about real doctors and patients are gathered in their own volume, seperate from the diagnostic tome.The fact is that all patients have stories, and those stories are necessarily part of the meaning of their illnesses. This may be even more true for psychiatric patients, whose stories are often so enmeshed with the sickness that one can’t be untangled without the other.

Toronto Sun – Family denied residency because of disability

A French family denied permanent residence in Canada because one of the kids has cerebral palsy may have to leave the country following a federal court decision Tuesday. David Barlagne has been working in Montreal since July, 2005. He applied for permanent residence status for his family but was turned down because of the extra costs of putting his daughter Rachel, who has cerebral palsy, through elementary and secondary school. Under Canadian law, immigration officials have no choice but to deny applicants whose health condition could cause excessive demand on social services. Barlagne appealed but the federal court upheld the original decision.

Caltics – Don’t Fall For Arnold’s Wedge [California governor Arnold Schwarzenegger recently issued a proposed state budged with drastic cuts to essential programs for low income Californians and Californians with disabilities.]

Now it must be said that it’s not just the poor who will suffer under this budget. But the budget cuts are quite obviously calculated to hit those Californians without a voice, who are seen as marginal, whose funding can be cut with the least public outcry. The elderly who will lose some or all of their IHSS benefits and the children who will lose health care services are not necessarily “poor”; those cuts will hit the middle-class as well. We can’t fall for Arnold’s wedge. Arnold is shifting tactics because he’s scared of us – scared of the public reaction against three years of austerity. Now is the time to ramp up the attack on that austerity, to move beyond tired old Reaganite claims that there’s some difference between the needs of the middle-class and the needs of the poor. Many middle-class families have benefited from the very safety net programs Arnold now proposes to cut or eliminate, and many more middle-class families benefit – at their jobs and businesses – from less fortunate families having at least some state assistance.

Guest Post from RMJ: Ableist Word Profile: Crazy

RMJ is a twentysomething with OCD who grew up in Kansas and currently lives in Virginia. She works in education and loves cooking, cats, and television. She blogs about feminism and stuff at Deeply Problematic. RMJ’s previous guest post: Athletes with Disabilities: Arm-Wrestlers as Exceptions and Inspirations.

  • Ableist Word Profile is an ongoing FWD/Forward series in which we explore ableism and the way it manifests in language usage.
  • Here’s what this series is about: Examining word origins, the way in which ableism is unconsciously reinforced, the power that language has.
  • Here’s what this series is not about: Telling people which words they can use to define their own experiences, rejecting reclamatory word usage, telling people which words they can and cannot use.
  • You don’t necessarily have to agree that a particular profiled word or phrase is ableist; we ask you to think about the way in which the language that we use is influenced, both historically and currently, by ableist thought.
  • Please note that this post contains ableist language used for the purpose of discussion and criticism; you can get an idea from the title of the kind of ableist language which is going to be included in the discussion, and if that type of language is upsetting or triggering for you, you may want to skip this post

Like every ism, ableism is absorbed through the culture on a more subconscious level, embedding itself in our language like a guerrilla force. Crazy is one of the most versatile and frequently used slurs, a word used sometimes directly against persons with mental disabilities (PWMD), sometimes indirectly against persons with able privilege, sometimes descriptive and value-neutral, and sometimes in a superficially positive light.

As a direct slur against PWMD:

Crazy as a word is directly and strongly tied to mental disability. It’s used as a slur directly against PWMD both to discredit and to marginalize. If a person with a history of mental illness wants to do something, for good or bad, that challenges something, that person’s thoughts, arguments, and rhetoric are dismissed because that person is “crazy”. If a PWMD is going through pain because of something unrelated to their mental state, culpability for the pain is placed solely on their being crazy. Even if their suffering is related to their disability, it is, in a catch-22, dismissed due to their “craziness”; the PWMD is expected to pull themselves up by their bootstraps if they want to be viewed as a valid human being.

Examples:
“I can’t believe Britney shaved her head. Crazy bitch.”
“Not only is Dworkin cissexist, she’s fucking crazy!”

As a way to discredit neurotypical people:

Crazy is also often used to describe a neurotypical person that the speaker disagrees with. It’s used to discredit able-privileged persons by saying that they are actually mentally disabled – and what could be worse than that?

Examples:
“Tom Cruise is fucking crazy. Seriously, he’s batshit insane about Prozac, yelling at Matt Lauer and shit.”
“Did you hear that Shirley broke up with Jim? She thought he was cheating on her.” “Yeah, she’s crazy, Jim’s a great guy.”

As an all-purpose negative adjective:

Crazy is often used – even, still, by me and other feminists – to negatively describe ideas, writing, or other nouns that the speaker finds disagreeable. Conservatives are “crazy”, acts of oppression are “crazy making” , this winter’s snow is “craziness”. This usage makes a direct connection between mental disability and bad qualities of all stripes, turning disability itself into a negative descriptor. Whether it means “bad” or “evil” or “outlandish” or “illogical” or “unthinkable”, it’s turning the condition of having a disability into an all-purpose negative descriptor. When using crazy as a synonym for violent, disturbing, or wrong, it’s saying that PWMD are violent, disturbing, wrong. It’s using disability as a rhetorical weapon.

Examples:

“They took the public option out of the health care plan? That’s fucking crazy!”
“Yeah, Loretta went crazy on Jeanie last night. Gave her a black eye and everything.”

Crazy as a positive amplifier:

On the flip side, crazy is often used as a positive amplifier. Folks say that they are “crazy” about something or someone they love or like. But just because it’s positive doesn’t mean it’s a good thing. Crazy as a positive adjective still mean “overly” or “too much”. It’s meant to admit a slight lack of foresight or sense on the part of the speaker. Furthermore, a slur is a slur is a slur, no matter the context. Crazy is mostly, and overtly, used to mean “bad”, “silly”, “not worth paying attention to”, “too much”. Persons with mental illnesses are none of these things as a group. The positive use is not that positive, and it doesn’t absolve the mountains of bad usage.

Examples:
“I’ve been crazy busy lately, sorry I haven’t been around much.”
“I’m just crazy about ice cream!”

Crazy a destructive word, used to hurt people with mental disabilities. It’s used to discredit, to marginalize, to make sure that we feel shame for our disability and discourage self-care, to make sure that those of us brave enough to publicly identify as having mental disabilities are continually discredited.

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Psychiatric Hospitals and Music Videos: Part 2

People seemed to like the first edition of this series! So here are some more music videos set in psychiatric hospitals! In the last post, all of the videos used the mental hospital setting as a visual demonstration of the depth and intensity of love, depicting institutionalization as a result of loving someone a whole lot. These videos do not do that.

One video that especially doesn’t do that is Green Day’s ‘Basket Case’

Visually, the video seems similar to the previous ones. The band plays in the common room of a mental hospital in which they are patients. There is no padded room, but several people are being wheeled around passively as if they are catatonic or sedated. Later in the video, both staff and patients appear wearing masks from Terry Gilliam’s Brazil. So what is different? The song itself (lyrics here), which is about lead singer Billie Joe Armstrong’s struggles with anxiety and panic attacks. So while in the same setting, instead of declaring his love for someone, he is saying:

Sometimes I give myself the creeps
Sometimes my mind plays tricks on me
It all keeps adding up
I think I’m cracking up
Am I just paranoid?
Am I just stoned?

On the opposite end of the spectrum, there’s Eminem with the video for “The Real Slim Shady.”

There’s a lot going on in this video and I really don’t want to describe or discuss very much of it at all, because it is offensive up and down and across and diagonally in 17 different ways. (Wikipedia has a very detailed description of the video and an explanation of all the references and insults in the lyrics and the video.) Let’s focus just on the portions set in the mental hospital, where Eminem and other patients, in scrubs or hospital gowns, fidget and wander in a waiting room while Kathy Griffin and another nurse try to control them and hand out their medications. It is just as cliched as the other videos’ portrayals of hospitals, but seems to be played for laughs. And the message of the song and the video are that Eminem is so much better than other celebrities and musicians, so much more clever and original and “real,” that he’s been institutionalized to control him for speaking truth to power. This message could be read as a good reminder of the use of institutions to control and punish people both with and without disabilities for being political and advocating for their rights! Like happened just recently! However, the whole rest of the song and the video is so puerile and hateful that the comparison itself is offensive.

Ugh. I dislike Eminem very much.

Let’s move on and look at a video that is utterly ridiculous and is a tie-in to a movie that is also utterly ridiculous – Limp Bizkit and ‘Behind Blue Eyes,’ from the Halle Berry movie Gothika:

I have a really hard time doing any kind of critical analysis of this video due to the aforementioned ridiculousness factor. The song (lyrics here), which was originally written and performed by The Who, can be read as expressing the lived experience of mental illness? Maybe? But the video – which starts with Limp Bizkit lead singer Fred Durst as a patient in a phsyciatric hospital and Halle Berry as a doctor, and then they kiss, and then they have magically switched bodies? souls? something? So now Berry is the patient and Durst is the doctor! Gothika the movie featured Berry as a doctor in a psychiatric institution who became possessed by a ghost and murdered her husband and then was a patient in the institution but only because of ghostly possession, not because she had a mental illness or anything. But even putting all of that ridiculousness aside – and that is a boatload of incomprehensible creative choices – Fred Durst’s efforts to engage in “acting” when he becomes the doctor and leaves Berry in her padded cell make me laugh so hard it’s impossible for me to focus on anything else in the video.

I have a few more videos for a part 3, but if you know of any I’ve missed, please let me know in comments!