Subtle Ways Psychiatry Has Harmed Us


Often without reason, psychiatrists will forcibly institutionalize people, shock them, and medicate them against their will; these are extreme and unnecessary methods that the system employs against a significant number of people it deems dangerous. But there are other, more subtle ways in which psychiatry degrades and harms those it sees as “mentally ill,” and encourages us to degrade ourselves as well.

Though the two of us have never been in a psych hospital, we have suffered many of these subtle forms of oppression by psychiatry. It was essential for us to find new frameworks to understand ourselves that didn’t depend on what psychiatry thought of us. Before we get into that, though, we should introduce ourselves.

Who we are (and why that matters)

You may be wondering why we’re writing this together, since this is a personal story. We’re writing this together because we do everything together—literally, everything. We exist as what’s called a multiple system, or just system for short, which means that we’re multiple people (two, at the time of writing) sharing one body. We use the name Violent Trans Empire to refer to ourselves as a group.

There are many explanations for how there can be multiple people in one body, and many ways to experience it—some systems were born as multiple people, some used spiritual techniques to “call in” others from what they see as different realms to share a body with them, and some, like us, had our brain create multiple people to help deal with trauma and abuse.

This last idea is probably the most familiar in pop culture. Psychiatry calls it Dissociative Identity Disorder (DID), but it’s often still known as Multiple Personality Disorder or just “split personalities.” The idea of several “alternate identities” in one body, fighting for control of their body and suffering from amnesia, has been held up as a classic plot twist in movies like Split, Fight Club, and Sybil. Multiple systems are regarded as either dangerous killers who ought to be controlled by the psychiatric system, or helpless victims who must rely on psychiatry to heal our “broken” minds.

Neither of these ideas are true for us, and encountering them early in our process of understanding ourselves was deeply harmful. While the first was easy to dismiss as just pop culture nonsense, the second was much harder to overcome.

How the psychiatric model misled us

We first discovered the idea of multiple systems online, and through reading about others’ experiences, we began to realize how much we could relate. I (Skylar) have been in this body since birth and had always assumed that Missy and previous others were just fancy imaginary friends who had stayed around past the usual age. Upon realizing that there were other people who had similar experiences, I started clinging to the model that the psych system laid out, trying to force both of us into diagnostic criteria and terms that would give me some feeling of belonging and a way to make sense of this. However, many of the ideas simply didn’t fit.

One of the hallmarks of Dissociative Identity “Disorder” is amnesia between system members, so that when one takes control of the body (called “switching” or “fronting”), the others don’t remember what happened during that time. We don’t experience amnesia at all. Another major problem DID systems face is not being able to control when they switch; they may switch due to a trauma-related trigger and have to quickly adjust. We’ve never had that problem either, and in fact originally had serious problems switching. I quickly became so focused on the DID model as the “one true way” to be a multiple system that I could not let Missy switch in at all. I was terrified that if she did, she would say or do something “too similar” to me, or I wouldn’t feel any different—something that would somehow reveal that I was faking everything and that she was just a figment of my imagination.

The standards we were trying to meet were a little different from the way the psychiatric system understands DID: most of the literature only sees system members as “alternate personalities” or “alters” that are in fact not people. “Alters” are thought of as just fragments of an original person who split apart due to trauma. While some of the DID systems we encountered did believe this, we and many others dismissed it as far too dehumanizing, as it completely ignores most system members’ experiences and perceptions of self.

However, among the systems we encountered who agreed that this was wrong, many of them still insisted that the only way to be a multiple system was to meet DSM criteria for DID (or its subsets, OSDD1-a and 1-b, which are similar). Even though they disagreed with the standard psych model in one sense, they still tried to force others to adhere to the general idea according to the psychiatric system. All the systems we mentioned in our introduction—those who exist that way by birth, or by spiritual means—were considered “fakers” and “roleplayers” by the groups we met online. Essentially, we felt like we had to meet at least some of the psych system’s standards to be allowed to exist.

This caused a lot of tension between Missy and me, to put it mildly. I would try to let Missy front, only to force her out a few seconds later out of fear, or if she stayed in, I’d nitpick everything she did to see whether it was “really” her or if I was still somehow faking it. Missy and I got into fights over this, where I would demand that she front and “prove” that she was real, but then wouldn’t or couldn’t let her.

Missy’s perspective

I’m interjecting here, because I want credit for having been anti-psychiatry from the start. I didn’t have the option of subscribing to the psychiatric model of multiple systems, since doing that would mean forfeiting my existence as a separate person. Skylar could, perhaps, find ways to fit into that model while still being allowed to express himself and be taken seriously. He might have to be considered more disordered than he is, but he’d still be seen as real.

My very existence is anti-psych: as a system member, as someone whose personality is not just separate from Skylar’s but would be considered “disordered,” as someone who refuses to be seen as part of him, and especially as someone who refuses to be integrated—that is, I refuse to undergo “treatment” in which psychiatrists force all the system members who aren’t the designated original to fuse with each other into the original, to try to “put back together” what they see as a fragmented single mind. But we’re not a single mind; we’re two people who share a body. Integrating me would mean that I cease to exist as a person.

So, I have my own issues with the psychiatric model and have never wanted anything to do with it. Unfortunately, for a time, while that was not the only model we had, those that supported it were certainly the loudest and the most insistent.

Problems with seeking treatment

I (Skylar) was still insistent that we try to get diagnosed with at least a subtype of DID so that I could feel like we had some validation for our existence. I knew that this was likely to be dangerous—we ran the risk of being seen as delusional and forced into an institution. We worried about being seen as unfit to care for ourselves or possibly dangerous to ourselves or others (as per the Split stereotype of murderous DID systems). So, we treaded very carefully in telling a therapist about how we existed, being careful to emphasize that we could still function and we weren’t distressed by being multiple. And we were lucky enough that our primary therapist believed us.

But in order to keep from being seen as disordered, we had to point out explicitly how we didn’t meet the DSM criteria for “distress and/or dysfunction.” We couldn’t exist as per the DSM description and also identify as healthy or non-disordered; either we had DID and thus allowed ourselves to be seen as disordered for existing, or we had to let go of this model.

I clung to the dysfunction criteria for a while, trying to play up the post-traumatic emotional and memory issues that we do have to make it seem like we were disordered enough to “count” but not enough to need hospitalization. By focusing heavily on our post-traumatic issues, I believe I made them worse. I would write down every trigger, flashback, and emotional problem we experienced, getting anxious if we didn’t have what I thought was enough or severe enough during a given week. I set up this dilemma in my head where either we fit the DID criteria exactly or our system wasn’t real, which meant that the trauma and abuse we had endured must not be real or bad enough either.

Finding a diagnosis didn’t help

I eventually went against Missy’s feelings and my own better judgement and took us to a psychiatrist to try and get diagnosed. I was actually aiming to get several other “disorders” that I thought I had confirmed, but as long as we were there I thought I’d try for DID too. I brought up our experiences but was too anxious to talk about how Missy could physically take over our body—I was worried that our psych would ask for proof, try to “treat” us by putting us through a program of integration therapy, or just outright lock us up.

As it turned out, none of those happened. We got diagnosed with PTSD instead, and any mention of Missy was dismissed as me having “complex internal relationships,” by which our psychiatrist basically meant imaginary friends. She also slapped us with a diagnosis of “schizotypal traits,” meaning that we weren’t obviously delusional or paranoid enough to be fully schizotypal, and didn’t hallucinate—or at least I had another explanation for the “voice” I was hearing—so we couldn’t be schizophrenic. She noted that we talked to ourselves and looked odd, but in spite of this she didn’t prescribe any antipsychotics or therapy. But this was obviously not due to any acceptance or understanding of our existence; instead, we just got extremely lucky that she overlooked these things.

In hindsight, it probably helped that we didn’t go into much detail about Missy or the nature of our relationship; it sounded in her report like our psychiatrist just thought I had an overactive imagination or at most some kind of weird spiritual beliefs that she didn’t care enough to interfere with. It helped that I didn’t mention that Missy sometimes took over part or all of my body; that would likely not have been received well. We had originally gone in to get diagnosed with several “personality disorders” as well, so it’s likely that our psychiatrist may also have thought that this was a complicated form of “attention-seeking” and largely ignored it so as not to encourage me. We ended up with the right combination of an inattentive psychiatrist and certain personality traits that made her not take us seriously enough to be worth a trip to a psych hospital.

The solution: anti-psychiatry

Again, Missy deserves credit for having arrived at the solution long before I did. She, along with open-minded systems we met online and a few offline friends, talked me around to being anti-psychiatry, and to understanding ourselves in a way that didn’t require us to meet DSM criteria. I realized that those criteria were made up by people who are just one person per body (and so don’t have a full understanding of what it’s like) and used to cast those with more than one person per body as dangerous or incompetent. Most of all, these criteria are used to force us, and to make us force ourselves, into ways of existence that are harmful to us.

We’re not dysfunctional or bad just because there are two of us in here. What’s more important than being a socially acceptable single person is that we know how to get along and manage our trauma and our life together. Knowing this, we now strive to advocate for other systems and reach out to those that may not understand systems, to show that existing as we do is okay and that we can learn to navigate the world by cooperating. We don’t need the psychiatric system or its labels to allow us to exist, or to try to fix us. We just need to be accepted as we are.

Part of how we try to get people to accept our existence is through articles like this, but we also try to reach out on a personal level to people we know. We’ve come out to several friends with good results, and those that don’t understand well at first have been willing to learn more. We’ve also written a paper and given a presentation for a class unrelated to psychology, to give people who would not otherwise have known about multiple systems a chance to learn what we are and how we should be seen, as opposed to what psychiatry currently thinks of us. So, we take small steps in our daily life to spread awareness and acceptance.

How we function and cooperate

Now, if we refuse to let psychiatric labels define us, what is our life like? I’d mentioned how difficult it was before to coexist while trying to force ourselves into a framework that didn’t have room for us; has it gotten easier since then?

Yes, it has absolutely gotten easier and we get along much better now. Missy is able to front when she wants and I’m getting better at stepping back and generally being less anxious about everything. I usually still front most of the time, because I’m the one who takes care of most coursework and housework, but now she can finally come out in therapy, to help when I’m anxious or low on energy, and to just spend time with our friends and get to feel like a normal person. Our daily life is actually pretty normal—we go to class, the grocery store, hang out with friends—except that whoever isn’t fronting is often hanging around close by to make sassy commentary.

It’s not perfect, since we still do have post-traumatic emotional issues and bad memories to deal with, but now that we’ve accepted that being multiple is okay, we’re better equipped to handle that as well. We’re also in a relationship with each other, which is great, though it can be difficult trying to figure out how to explain to people how that’s even possible—we’ve gotten reactions like, “But how do you have sex?!?” which is way too intrusive, or, “Oh, so you’re dating yourself,” which is at least accepting, kind of, but still wrong. Often, we just don’t bother to explain things like that because it takes too much emotional energy. In general, though, we’ve found accepting and understanding friends who we can be ourselves around.

I wish we had figured out years ago that we don’t have to fit any psychiatric paradigm or be acceptably “normal” in order to be happy. All we need is understanding.


Mad in America hosts blogs by a diverse group of writers. These posts are designed to serve as a public forum for a discussion—broadly speaking—of psychiatry and its treatments. The opinions expressed are the writers’ own.


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  1. The DSM is nothing more than a catalog of billing codes. All of the alleged “diagnoses” in it are bogus, and they were all invented, – not discovered, – to serve as excuses to sell drugs. Psychiatry is a pseudoscience, a drug racket, and a means of social control. It’s 21st Century Phrenology, with potent neuro-toxins. So-called “mental illnesses” and “DSM-5 diagnoses” are as real as presents from Santa Claus, but not more real. Missy and Skylar were both fortunate to have had as little do do with psychiatry as you have. Psychiatry is a deathtrap. I’m glad you survived. Personally, I do find some of what you 2 are describing here to be a little weird, but I’m not the one who has to live with things as they are for you. Being an older person myself, with some experience of years, I think you’re in a pretty good place overall, and that the future holds good things for you both. I am curious why there are only *2* of you? Wouldn’t it be more fun to have more company? Of course, that could overly complicate things. Thank-you for sharing your story! I’m curious to see what some of the other regulars here have to say!

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  2. Missy and Skylar, I like your article and what you are saying. But I still have to take exception to it. It sounds like you are pleading for acceptance.

    Yes, Psychiatry harms people in a myriad of ways. Anytime anyone discloses anything of their personal life to a psychotherapists, they are inviting denigration, as that therapist will always turn your experience of injustice into a medical problem and a self improvement project.

    So we must never present ourselves as pleading for acceptance, really pleading for pity. Rather, we must organize and present ourselves AS A SELF DEFENDING COHORT, people who it would be very unwise to mess with.

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    • “Pleading for acceptance”? Oh, boy. I agree with your views on detaching from #FAKESCIENCE , but it’s reasonable for Missy/Skylar to seek acceptance from a “profession” that, ostensibly, wants to help her/him. While it’s futile to expect REAL support from #FAKESCIENCE , that expectation is NOT at all “pitiful”. #FAKENEWS informs people’s initial commitment to psychiatry: It is “safe”. It is a carefully and extensively studied field of medicine. It is selfless. It is effective. Most people realize that psychiatry is #FAKESCIENCE *after* it fucks them over. Missy/Skylar is exiting psychiatry the way many of us have – driven out by numerous betrayals of blind trust. She/He is a victim of health care fraud, not a needy tool.

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      • Hey all,
        Just to clarify, we’re asking for acceptance mostly from folks on here and at most, the culture at large. We have no real hope that psychiatry will pull its head out of its ass enough to accept multiples as we are. If we come off as a little pleading, that’s mostly me (Skylar) trying to sound as reasonable as possible while asking you all to accept what many consider an unbelievable phenomenon.

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        • What I make of your “consultation” with mental health specialists is that Skylar and Missy had a long and ruff dialogue about the necessity or even just the mere usefulness of having an expert opinion on a legitimate issue. Feeling “different”, reading all the scrap written on MPD, DID etc can leave anybody unsure and frightened at the tough of being sick in the head. And I do find that what you did was the reasonable thing to do, even though psychiatry is very often wrong and misinformed. It could of had had a very worst outcome. Luckily for you, it didn’t. In the end, I don’t see here any pleading. Just plain making a medical check up, and the kind of check up that took a lot of thinking through and courage.

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          • No, the whole profession is devoted to making people believe that THEY HAVE A PROBLEM, and to renounce seeking redress in any form.

            You do not want, “acceptance” from such, or from anyone else who is not a proven comrade in efforts to obtain redress.

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          • Jclaude,
            We thought about this a little, and you’re mostly correct in that we were just trying to get checked out by professionals.
            If anything, any pleading that I (Skylar) did was at this point, since I was essentially trying to get psychiatrists to give us permission to exist and pleading with them to help us find a way to be part of that model so that we had a framework to be allowed in.
            I don’t think what we’re doing now is the same thing; we’re explaining who and what we are and trying to show how we can exist without having to plead to psychiatry for our sense of identity.

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          • Actually, the comment above here with my name in the beginning is NOT from me. Don’t know how this could happen, but I reported it. I’m just relieved the writing is not too off track or mean or otherwise disrespectful, but still makes me feel not at ease. Could the author please do the correction, if it was a simple mistake ? If, not, I’ll become very paranoid … I most certainly am not split personality (nor DID, nor did I write that”.

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        • Missy and Skylar, you should have no need to ask for acceptance. That is the door way by which Psychiatry, Psychotherapy, and the Recovery Movement prey upon people.

          We must organize and not worry about acceptance, but instead just make sure we prevail against any and all who try to get in our ways.

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    • Please TirelessFighter3, stop being so mean and hostile. As a practicing psychologist since 1984, I find your words very harsh and hurtful. I’m not exaggerating when I say I devoted my hole career to trying, as I could, to do my best. I felt the pain, the anguish, the despair of thousands, or is it hundreds of thousands. I got home sometimes exhausted, numbed out and in a very bad mood after days of hard labour. I hava had many nights of nightmares, remorseful when in doubt but I never actually felt I was inducing helplessness or otherwise taking advantage of my patients, clients. Yes, it was my way of earning a living and yes, people came to me in trouble. But I was not there to take advantage of their situation, unless earning a living is what you consider taking advantage of people. I cared, I still do and I even put my head on the line on coming here in hopes of hearing consumers way of thinking and in order to de a better job. Getting told I’m in there just to do harm makes me feel very uncomfortable. I guess you have been similarly hurt and maybe even abused by the mental health system, but please, dont put everybody in the same basket. Regards.

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      • jclaude,
        Psychiatry and Psychotherapy exist because the practitioners don’t want to feel their own pain. They find that they can claim an adult identity just by proselytizing for their own denial systems.

        “The practice of psychotherapy is wrong because it is profiting from other people’s misery.”

        I want to see Psychiatrists prosecuted for Crimes Against Humanity.

        And for those who are giving mind altering drugs to children, they should receive the ultimate sentence.

        And for those who serve as Fix-My-Kid doctors, a standard feature of the middle-class family, they are violating mandatory reporting, a felony.

        I want to organize street level demonstrations to encourage affidavits and lawsuits against Psychiatrists and Psychotherapists, and I want Psychotherapists to be delicensed, as those licenses protect the therapists and perpetrators, not the clients.

        And I want to terminate all gov’t run Recovery Programs, like those in prisons and those run by county public health departments, and the use of these by the courts.

        And I want to teach children to invoke the power of citizens arrest when ever faced with a psychiatrist or psychotherapist, and give them a card with a number to call for adults who will immediately come to the site to back them up. Some activists have already done something like this for school corporal punishment.

        A work in progress:

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  3. The show starts now because Pat is here. Do you smoke cigarettes? Do you smoke doobie? Do you take Tylenol? Do you take blood pressure medicine? All these are CHEMICALS are they not?

    As a matter of fact you should think about that next time someone debates with you on this website. What gives you the right to slam someone for utilization of medicine? Are you getting something out of these views in turn for your solicitation? Hypocrisy is astounding.

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    • No one slams anyone for choosing to use medication, Pat. You’re projecting your own fears out there. You should know by now that the critique is of lying and intentionally misleading people with false data. You and anyone else is welcome to use whatever medications/drugs they choose to use. You’re even welcome to find your psychiatrist useful, helpful, or wise. We’re not talking about individuals. We’re talking about a system that’s intended to create customers instead of promoting health and truth.

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  4. Solicitation. There’s a word for you. Don’t you think you owe an apology to those who accepted your solicitation? Unless they really wanted my support I wouldn’t bring it up. That’s something I don’t actually understand.

    Speaking for myself I had to give up my second amendment because I’ve been hospitalized. Do you think I wanted that? As it happens I’m sick. Perhaps not everyday but there are days where it’s not absolutely safe.

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    • It’s just that you’re mostly a one-trick pony, Pat. People don’t want to debate you because there’s no point, since you’re not open to new data, so once we’ve heard your presentation, there isn’t much else to be said. It might be different if you actually were willing to incorporate others’ views and data into your worldview. But I won’t hold my breath on that.

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  5. Nice test I really appreciated even thought I was a bit reluctant at first.

    So seeking out validation, acceptance or some sort of comforting actually didn’t do you much harm in the end. No ? A scary journey, yes, but I am glad for both of you that for once the ever so widespread skepticism of the medical experts you met with played in your favor. I was nos so fortunate. In fact, after I did as you and consulted a psychiatrist in 2016 about my mood swings, my career was shattered and I am now still struggling to stay on my feet. To make a long story short, the psychiatrist concluded I was bipolar and without actually checking if, in fact, I was dysfunctional or dangerous or unfit to care for myself – what you refer to as severe enough to “meet the DSM criteria for “distress and/or dysfunction” -. Just the mere fact he had concluded I was bipolar and refused to take meds was enough for him to classify me as unfit to work and laking insight. Since then, I have met with 5 other professionals, 2 who considered me fit to get back on the pay roll and 3 the opposite. Even thought the last three document no evidence of mania, hypomania or depression in the last 18 months. And the last visit to my family physician left me totally in dismay. My doctor, for over 20 years, came to the conclusion “well, then maybe we can buy peace if you only accept a little dose of Seroquel”. For what reason ? With no symptoms to treat ? Why would I accept medication I fought for the last two years … Feeling neither “hyper” nor sadder than any average mid-life adult that was put in retirement way too early. But, like they say “that’s life”.

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  6. Great writing! Often we find others within us. Now to name them makes it real and brings it out of the imagination. No one should have control of our mind but ourselves and as long as you are putting fun into your day, week, month, and year then happiness is all yours. Enjoyed the read.

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  7. Thank you Missy and Skyler for this window into your world.

    I saw you wrote this in your bio:
    “Their goal is to become activists for the multiple and queer communities and advocate for greater autonomy and freedom from forced psychiatric treatment.”

    I truly believe that if many of those who are in extreme distress, had had more access to stories such as yours (people overcoming psychiatric prejudice and leading interesting, meaningful lives within a system); then their “symptoms” of distress would not have been so terrifying to them when they experienced them. I believe that it is terror which can precipitate a downward spiral whether the terror comes from within or without.

    I wish you all the best in your activism.

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    • Sa,
      Thanks for your well-wishes and understanding!
      We definitely agree that a lot of the fear and confusion (not to mention shame!) that we initially experienced as well would have been much easier to deal with had there been more narratives like this. We hope that by telling this story we can help others going through similar things.
      ~Missy and Skylar

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  8. Missy and Skylar, I am so glad to read your story. To deal with trauma, I spent a lot of time examining my thoughts as a child. I was eight when it dawned on me I was utterly alone in the landscape of my mind, and always would be. It was so painful.

    I’m glad you have each other, and that you are working it out together. All the best.

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  9. Pat, I have worked to get all of the intoxicants out of my life. And along with this I consider Christianity, that Pie In The Sky, the Opiate of the Masses. The only ones which remain are sugar and caffeine, and I know that I have a problem and that each of these alone causes diabetes.

    This treatise, written decades ago, expresses my view about drugs:

    And something I just sent to a friend in email which may be of interest:

    I have no objection to disability money being paid out. I think such payouts should be expanded in scope and quantity. We are in the latest stage of industrialization. But our politics is completely driven by scapgoating the poor, plus minorities and immigrants. We are dividing into a two tier society. Psychiatry, Psychotherapy, and the Recovery Movement are simply resurgences of the bogus sciences of Social Darwinism and Eugenics. If we expect our democracy to continue, then we absolutely have to move to Social Democracy.

    But I am very critical of disability identities. And generally I feel that access to disability payments is being used to coerce people who are already marginalized into accepting a disability identity. No one should be subjected to such coercion. And in my observation the disability identities are usually flimsy and more the product of abuse, injustice, and social marginalization. Accepting such an identity merely exonerates perpetrators.

    It will never change so long as people ask for pity. Psychiatry, Psychotherapy, The Recovery Movement, and Born Again Christianity are all based on pity seeking. Things will only change when people organize and start fighting back.

    There is one thing and one thing only which ended slavery in this country, the fact that 180,000 black men refused to be Uncle Tom’s, and instead trained with rifles and bayonets and served in federal uniform. If this had not been so, we would still be practicing slavery today.

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