In a new article published online in advance in Psychological Services, Lisa Whitten, Associate Professor of Psychology at State University of New York/Old Westbury, describes her experiences as an African American psychology professor experiencing bipolar disorder. She highlights how her experiences as an African American and the stigma associated with ‘mental illness’ negatively affected her colleagues’ ability to intervene when she was in crisis. She outlines steps that administrators, staff, and faculty can take to better support their colleagues who are experiencing acute symptoms of mental health crises.
Describing a mental health crisis she experienced at a department meeting, Whitten writes:
“My highly atypical emotional outburst was the mental illness equivalent of a heart attack, a seizure, or a stroke. In any of those instances, everyone would have launched into action, calling 911 and the Student Health Center. That’s the type of response I urgently needed. Three experienced, licensed, practicing clinical psychologists were present in the room with whom I had worked for 10 to 15 years, yet none of them was moved to respond to my distress.”
Whitten narrates her lifelong struggle with mental health issues, highlighting the pain and self-consciousness she experienced as a child, which continued into her adolescent and adult years. She describes her experiences with psychiatric medication and how an experience with a mood stabilizer propelled her into a manic episode and mental health crisis.
Sadly, although in the midst of a psychiatric emergency, and despite being surrounded by colleagues who were licensed clinical psychologists, Whitten did not receive the interventions that she so desperately needed during this time. Fortunately, she received support from her psychiatrist and was removed from the problematic medication, and ultimately reached a place of healing and wellness.
Whitten highlights a number of insights that she has gained through her experiences and describes steps that can be taken to provide needed support to colleagues in the event of a mental health crisis. She highlights that considering how a medication may be impacting, an individual’s behavior is key to consider when encountering someone in crisis.
Whitten also describes how keeping a regular record of life events, mood, and medication changes can be beneficial in an emergency. She encourages individuals to have this information saved in multiple places, including online, so that it does not get misplaced.
Further, Whitten suggests that individuals with mental health issues have a list of trusted persons to call in the event of changes in their mental health status, including descriptions of what that change might look like. She emphasizes the need for intervention before a mental health crisis and how being able to intervene early, right as changes are noticed, is crucial to preventing a crisis. Along with this, it is recommended that the list be shared with colleagues and placed in one’s Human Resources file so that individuals can have access to it if the list is needed.
This is contrary to the standard protocol involving protected health information, and encourages individuals to include a signed and perhaps even notarized consent form along with the list so that no concerns of overstepping boundaries or breaking privacy laws prevent help from being sought.
Moreover, Whitten encourages individuals to share their crisis plans with friends and family, outlining steps they should take if they notice changes in behavior and/or problematic behavior. She promotes the resource Wellness Recovery Action Plan, which offers guidance on how to anticipate and manage mental health crises and work towards wellness.
Self-disclosing experiences of mental illness to colleagues working in mental health settings has been explored by others elsewhere, with such work highlighting how self-disclosure can help reduce mental health stigma. As Whitten explores through her own experiences, others have also examined how mental health stigma can impede recovery, which further emphasizes the need for active steps to reduce stigma – with one such step being promoting psychosocial explanations of mental illness.
Whitten describes how her experience as an African American woman “means that I am often stigmatized and subjected to a different level and type of scrutiny and evaluation by students, colleagues, and the larger society. This reality always informs my behavior.”
She discusses how she has found strength in Kwanzaa’s second principle, Kujichagulia, Swahili for “self-determination,” which reflects a sense of “defining, creating, naming, and speaking for oneself.” Elsewhere, others have written about steps that can be taken to practice anti-racist mental healthcare, which provides a path to alleviate the added stigma people of color face when struggling with mental health issues.
Whitten shares about how she has learned how to attend to and regulate her moods and behavior through the help of therapists and has found a supportive community in her family, friends, and colleagues. She emphasizes how, through their support, she avoided hospitalization, which may have led to further stigma and issues.
Whitten concludes:
“I believe that sometime soon, living with a mental illness will be seen as different—maybe even unusual—but not as a deficiency or as worthy of stigma. Shame, the efforts to mask one’s symptoms, and self-stigma drain valuable energy that could be better devoted to self-improvement and to building strong families, careers, and communities. One of the principles of Ntu psychotherapy, an African-centered model developed by a late past president of ABPsi, Dr. Fred Phillips, is authenticity. I hope that by reducing and ultimately eliminating stigma, we can provide space for more people with mental health issues to be their authentic selves.”
****
Whitten, L. (2020). Stigma matters: An African American psychology professor comes out of the mental illness closet. Psychological Services. Advance online publication. https://doi.org/10.1037/ser0000486 (Link)
“My highly atypical emotional outburst was the mental illness equivalent of a heart attack, a seizure, or a stroke. In any of those instances, everyone would have launched into action, calling 911 and the Student Health Center. That’s the type of response I urgently needed. Three experienced, licensed, practicing clinical psychologists were present in the room with whom I had worked for 10 to 15 years, yet none of them was moved to respond to my distress.”
Well of course she needed support, but then most likely, because emotions and response to stress is not science and perhaps she was surrounded by psychologists that lacked true empathy and ability to connect but rather were uncomfortable delivering the “trained material” to a colleague who was also trained.
The fact is, many people do not get moved. And one wonders if the “mental illness” resides in coldness disguised as “stability”? Your colleagues should have rallied or at least called someone that had an understanding of humanity.
“Sadly, although in the midst of a psychiatric emergency,”
NO, it was not a “psychiatric emergency”.
“She emphasizes how, through their support, she avoided hospitalization, which may have led to further stigma and issues.”
Amazing how psychiatrists might try to keep one of their own out of an ass-ylum. Sorry but the use of the word “hospital” is ridiculous. Nothing medical happens in an asylum. Indeed it would lead to further “issues”.
The word “stigma” is a selling and snowing job by psychiatry itself.
“Whitten also describes how keeping a regular record of life events, mood, and medication changes can be beneficial in an emergency. She encourages individuals to have this information saved in multiple places, including online, so that it does not get misplaced.”
They are NOT medications and NO, people should not put their “illness” metaphors out there. HOWEVER, they might indeed be wise to foster trustworthy relationships with people who are not tied to the industry or even belief in that industry….so that should they need support, it will be the kind that acknowledges the many parts of people and is not interested in suppression or oppression. One who will protect you from throwing yourself to the wolves.
Of course having a degree in psychology or psychiatry or a high ranking doc or politician does insulate quite a bit.
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“My highly atypical emotional outburst was the mental illness equivalent of a heart attack, a seizure, or a stroke. In any of those instances, everyone would have launched into action, calling 911”
This is everything psychiatric survivors are fighting against. I would NEVER call the police on a person in mental distress, most certainly not a Black person. The odds of her receiving help drop dramatically with that action. Secondly, this is a medicalization of environmental distress. An emotional outburst should be met with compassion and a time out for the person who needs help. It is NOT a medical event. Last, the fact that she was apparently having a medication reaction is buried deeply in this story. We do not live in a culture where drug effects are seen as adverse reactions. The likelihood is that she would have been taken in distress to a psychiatric unit and had more drugs added, not had the offending drug removed. Her colleagues appear to have done exactly what most of us survivors Would have wanted, which is to mind their own business if they couldn’t provide genuine assistance. She is very lucky that she was allowed to deal with her own problem with her own doctor and not had law enforcement and emergency medical personnel barge in and make a bad situation worse.
I can’t express enough how dismayed I am to see this published here. It’s like one step forward and two steps back with MIA.
For god’s sake, do not call 911 on a Black person in emotional distress unless you actually want the police to show up and shoot them! Have the messages from Black Lives Matter not gotten through to anyone here?
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Exactly.
She got lucky and doesn’t even know it.
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That too. What we need to also realize is that psychiatry IS the police and fight the equally odious notion that instead of (or in addition to) the “real” police we should send some sort of shrink or shrink surrogate armed with a syringe full of ketamine or whatever. If someone is armed and attacking people it seems they should be able to afford some martial arts experts trained in disarming people, or at least issue tasers to all cops (though that also makes me shudder).
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Incidentally my impression (nothing to document it with offhand) is that many “BLM” identified groupings tend to embrace the nurturing of “mental disorders” and tell people things like “mental health is real.” A great way to defuse resistance.
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I have noticed this as well and I’ve seen push back against it from educated folks. It seems to be coming from a place of wanting equity in healthcare from those who aren’t maybe as knowledgeable about the harms of the mental treatment system. But it’s why I always say that the Black community is not a monolith any more than any other grouping of people. Although I have been surprised at how much more educated some very poor Black communities are on systemic harm than white communities tend to be. Poor white people are much more likely to attribute their problems to being down on their luck than poor Black people are. So it’s a mixed bag.
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I had to walk out of a talk by Marc Lamont Hill where he was urging Black people to get therapy at their local CMH center, with the emphasis on the race and consciousness of the individual “practitioner” rather than the political context. A mutual acquaintance offered to hook us up sometime to discuss it all. But it’s not a lone case, the local Black talk station is also constantly encouraging community people to individualize and medicalize their oppression and get “treatment.”
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I think psychiatric practitioners who “treat” imprisoned “patients” are worse than the criminal justice system. At least alleged criminals have to be “Mirandized” and can have an attorney present during questioning, get a full trial and have to be convicted “beyond a reasonable doubt,” and have a specific and limited sentence. The “committed” have almost no rights, other than a “preponderance of evidence” trial in front of judges who are generally heavily biased against them. And they can be “held” indefinitely, or at least as long as their insurance holds out.
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I have long said that psychiatric interrogations (“interviews”) should be Mirandized, as anything you say may and will be used to restrict your freedom.
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And having an attorney present would keep the interrogators, oh, oops, I mean “interviewers” more honest.
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And to boot, once labeled, one is always at risk, in hundreds of ways, because any label at all is used to “discredit” people.
So the psych industry really would not be comfortable having “ill” people work for them, or learn from them, or have them therapy “ill” people. Because really, only the “normal” have the authority, and rational objective views.
It takes a lot of work to hide an “abnormalcy” and for some it’s the easiest thing in the world. Like for those It is scary that there are people that think they are “normal”.
Sure Lisa might be tolerated in the industry, and thinks she is doing something about “stigma” and thinks that being “tolerated” is her success in fighting this “stigma”. She does not realize that the label and treatment were the stigma. It scares me to think she sends people to shrinks for their “official” discrediting.
I can’t help but wonder what she saw or felt from the “diagnoser”. I mean she has the training to assess people, even if she does not have the official label giving approval. So she must have assessed her diagnoser as being valid and correct in his observations. Completely putting her trust in him, that he somehow knows more about her than she does. That he has the ability to know what the thing is called, the thing that she has.
What does a shrink do when he falls apart? I think going to a shrink if you’re a shrink, might be super uncomfortable, because now the lie is right there, on the table, like a huge elephant, with the suffering shrink and the diagnoser both just staring at this massive roadblock.
Must be why one shrink tells much to one of my massage therapists. Which is commendable, but really, as a practicing shrink, he should suggest to his subjects to see a massage therapist. Many shrinks just cleverly hold it in or are not insightful. Those would be the “normals”, as in not “sick” or “disordered” to distinguish from the abnormals.
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Actual all psychoanalysts are supposed to have their own analyst, don’t know about standard-grade therapists.
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Yeah Steve,
The percentage of wrong convictions is also waaaaay lower. >95% of alleged suicidals who get hospitalized involuntarily would not have killed themselves anyway. If a judge would have a rate of >95% of his convicted being not guilty, I’d expect him to quit his job on the spot.
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Good point! And that’s not even counting the ones who would NOT have killed themselves if they HADN’T been psychiatrically detained.
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It’s really the ultimate trap in an extremely punitive criminal justice system. When the choice is between going into “treatment” for your “illness” or doing hard time behind bars, it would be tough for anyone to choose to do time or to choose a harsher sentence when they could divert to a mental health court.
I would say it’s also a very hard choice for the severely traumatized to take ownership and culpability for poor behavior or affective states that have obviously been influenced and driven by outside factors. I certainly used the mentally ill excuse for many years, and many of us have. It seems hard enough for the average person to say “I was wrong” or “I behaved poorly, I’m sorry”. But even more so for those who have been out of control emotionally to move beyond the resultant shame.
There’s also the conflicting messaging. We hear from some quarters that it’s ok to not be ok. But it can be dangerous to admit you’re not ok. When not being ok gets the police called or gets you committed against your will. And then there is the push to screen people at every opportunity and it’s impossible to know beforehand whether what you say will be used against you. What a terrible catch-22. No wonder some people want to blame their illnesses and others want nothing to do with the system even if they really aren’t ok!
There is no logical rhyme or reason to any of it either. You learn cause and effect and to not do certain things because there is a natural reaction. Don’t touch fire because it burns. We all learn this as humans sooner or later. But there’s no consistency within our cultural response to distress.
But as for the mental health courts, this is definitely one of those progressive ideas that has backfired terribly as more and more folks get swept up into mental treatment for issues that are largely environmental and cultural.
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It’s not a good idea to do that to anyone, regardless of ethnicity.
Here in NSW emergency dispatchers *always* involve the police in emotional crisis calls, even when the caller pleads for them not to. I’ve got personal experience of that problem and it’s something we’re trying to change at Justice Action.
https://neurodrooling.wordpress.com/2017/04/12/jennifers-sky/
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“She highlights that considering how a medication may be impacting, an individual’s behavior is key to consider when encountering someone in crisis.”
Absolutely true, and this is likely one of the biggest problems with psychiatry. They have an army of non-medically trained psychologists, therapists, social workers, et al – all of whom have been misinformed by the psychiatrists and/or big Pharma about the common adverse and withdrawal effects of the psychiatric drugs. Which has resulted in millions of people having the common adverse and withdrawal effects of the psych drugs misdiagnosed, by these non-medically trained DSM “bible” believers.
For goodness sakes, Robert Whitaker pointed out a decade ago that the ADHD drugs and antidepressants can make people manic, in other words, they create the symptoms of “bipolar.”
And the neuroleptics / antipsychotics can create the negative symptoms of “schizophrenia,” via neuroleptic induced deficit syndrome. Plus the antipsychotics and antidepressants can make a person ‘psychotic’ and hallucinate, positive symptoms of “schizophrenia,” via anticholinergic intoxication syndrome poisoning. Yet neither of these medically known syndrome are even listed in the DSM. Thus they are ALWAYS misdiagnosed by the “mental health” workers.
Non-medically trained people should NOT be “diagnosing” (stigmatizing, in the case of the “mental health” workers) people with anything.
“I hope that by reducing and ultimately eliminating stigma, we can provide space for more people with mental health issues to be their authentic selves.”
The only real way to eliminate stigma is to get rid of the “invalid” and “unreliable” DSM.
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Keep in mind they had plenty of bogus “illnesses” long before the DSM.
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If I were addressing Ms. Whitten directly I would suggest that what she calls “stigma” is a synonym for “bigotry,” and that it is not something someone “has” but something that is done to them.
Further, that by accepting psychiatric “mental illness” labels such as “bipolar” one is guaranteeing that they will will be met with such bigotry, as they have defined themselves as damaged goods, which are never valued much in capitalist culture.
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Incisive yet again oldhead.
But the alternative path is to seize the labels from the quacks and wear them with pride, as other communities suffering bigotry have done with words like ‘queer’ and ‘nigger’. Of course you’ve got to start by owning them. As in “I am not a person afflicted with bipolar disorder. I’m bipolar. It’s part of me.”
And the fact is, no serious deviance from the accepted consumerist mean is ever accepted in production line capitalist culture. Unless you toe the line and drink the Kool Aid they’ll just find a new label to beat you about with. That’s why you should always gush over reality TV shows that promote consumerism as mental health therapy.
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Mental illness labels are hate speech. And many Black people would kick your ass if you called them that.
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Well I am a black person with mental illness labels, so I figure I’m allowed to call myself that. Though as an Australian black person I’m more likely to call myself (and my Aboriginal friends and family members) ‘boong’ than ‘nigger’.
And I have no problems at all with people calling me ‘autie’ or ‘bipolar’ – which I also call myself. I get far more pissed off with real haters who thinly veil their contempt with PC euphemisms than with normal people applying the words they’ve been taught to use but which have been deemed inappropriate by some.
A lot of today’s ‘hate speech’ was yesterday’s ‘correct’ terminology and frankly I can’t be bothered keeping up with the fashions.
If someone is trying to beat me about the head with a word I just take it off them and use it as I see fit.
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No need to be sorry, Caroline..We are all allowed to express ourselves as we see fit.
If she wants to identify as MI, it is up to her, after all, she is in the business.
I’m rather curious if she would have chosen those words before those words became a “medical specialty” No she would not have.
And really, it all depends where we are at, what set of circumstances can change our views. Perhaps in another 20 years, she won’t have the same view she does now.
It seems that right around retirement age a lot of psychiatrists tend to soften their stance or come right out.
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@Cabrogal — Well that DOES change things of course, still I don’t think it’s particularly strategic thinking. It’s beyond me (though I understand the rationale) why people refer to adopting an abusive term rather than objecting to it — usually one they never used previously — as “reclaiming” it. It’s not like Black people originally called themselves “niggers,” then the term was stolen by racist whites, then “reclaimed”; same with “queer,” etc.; it seems like a coping mechanism arising out of powerlessness, not an expression of empowerment. But in general, from what i can see, it’s no longer Black people “reclaiming” abusive language as much as people immersed in various forms of identity politics (which includes those who wear their “disorders” with pride and use terms like “pill-shaming”).
I’m not a “hate speech” obsessive, but consistency is important. Branding someone with a label that will be used to destroy their life is about as hateful as you can get. And why calling someone (or yourself) “bipolar” is especially self-deprecating is that, unlike “loony-tunes” or “wack job” it gives the offensive term the facade of “science” rather than trash talk
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PS On a social level constant casual use of ugly trauma-charged terms to the point of neutralizing them or softening their impact can be positive. But this is an intimate process, even when collective, and making it part of “mainstream” consumer culture promulgates and incentivizes the mentality people need to reject. At least at this stage of our collective maturity.
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I dunno if I consider myself reclaiming rather than just claiming it, so the question of prior usage doesn’t come up.
But it seems personally empowering to me and it’s hard to see how it wouldn’t be to strategic advantage to have a lot more people not feeling disabled by the names people call them, no matter how quickly they adapt them to acceptable euphemisms. (There’s a scene in The Curious Incident of the Dog in the Night-time in which the ‘autistic’ child protagonist is followed down the street by bullies chanting “Special needs! Special needs!” It works because kids know what insults are and don’t need to pretend.)
If you want to call me bipolar, fine. I’ll accept that. You’ve just made me the expert. You theorise about bipolar. I live it. Now I’m going to tell you a fucking thing or two about it.
Why accept their authority to define the labels you wear with pride?
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That said, I kind of do have a problem with psychiatric labels, truth be told.
https://neurodrooling.wordpress.com/2015/02/10/its-just-nerves/
But so do shrinks. They need to keep changing their meanings, making up new ones and ditching the old ones they’ve worn out.
It’s not hard to reclaim a term like ‘nerves’ (neurasthenia) from them and give it to the community to use to reconnect with us crazies instead of leaving it to ‘experts’ to sew psychobabble straight jackets for us.
And let’s face it oldhead, if consumer culture is allowed to control our language it’s gonna be inherently abusive no matter what words are being used. Same if we let it control our social interactions or eco-systems. But those are separate (huge) battles. I don’t see why we shouldn’t go for tactical victories while we gird ourselves for the strategic ones. Good for community building and morale I reckon.
If I’m gonna get abused I’d rather get it straight from my neighbours than by proxy via a pseudo-scientific ‘objectification’ of someone’s subjective judgement.
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[continuing after a bit]
Why accept their authority to define the labels you wear with pride?
In this case it’s THEIR label you’re wearing with “pride,” so it sounds more like “I’m going to bed because I want to, not because you told me to!” Or people demanding their “right” to ingest neurotoxins specifically designed to control them.
I don’t theorize about “bipolar” btw, I discount the possibility of such a purported “disease” existing, by definition.
Which wends me back to a curiosity I alluded to previously, which I will post in its entirety (hope you appreciate the segue) (spoiler alert/promo — yes the is the letter to Szasz from Timothy Leary):
July 17, 1961
Dr. Thomas S. Szasz
c/o Upstate Medical School
Irving Avenue
Syracuse 10, New York
Dear Dr. Szasz:
Your book arrived several days ago. I’ve spent eight hours on it and realize the task (and joy) of reading it has just begun.
The Myth of Mental Illness is the most important book in the history of psychiatry.
I know it is rash and premature to make this earlier judgment. I reserve the right later to revise and perhaps suggest it is the most important book published in the twentieth century.
It is great in so many ways–scholarship, clinical insight, political savvy, common sense, historical sweep, human concern– and most of all for its compassionate, shattering honesty.
I have already contacted several of my colleagues and intend that everyone I meet will be exposed to your work. I am in charge of the first year graduate training at this Center and while I don’t believe in “required” reading I shall certainly “suggest” with enthusiasm that this book be read and re-read.
Your text states most eloquently, convincingly, systematically what a group of us here have been attempting to communicate. I have in the past published extensively on diagnosis and have come to understand the rituals and rules of that game. In the last two years we have been attempting to apply the “game” conception to behavior change (“treatment” or “rehabilitation”). We have developed a philosophy, many rules and a new language for _real-education_–i.e., helping people understand their games, planning new games, working out explicitly the rules, rituals, goals, roles of the games they select.
I wonder if there is any chance that you could pay us a visit. I’ll be in Cambridge until July 25th.–and after August 23rd. If you are in New England this month I hope we can expect a visit. I should also like to invite you to come to Harvard on a consultant-lecturer basis for a couple of days in October. A day of consulting plus a department-wide lecture. Travel expenses and a consultant fee will be available if you could arrange this trip.
I’ll write again in more detail about your book but in the meantime please accept my admiration and gratitude for what you have done for your profession and your times.
[signed]
Timothy Leary
(Note — Pretty sure but not totally sure Leary hadn’t experienced LSD yet, though his mention of “game theory” seems to presage some of his later psychedelic-era writing.
http://www.szasz.com/leary.html
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Why is it their label?
Because they coined it?
Why would I accept their authority as language enforcers when I don’t accept it as scientists or medical practitioners?
English doesn’t have an Academy. It’s defined by its usage. If enough people use ‘bipolar’ outside any pretensions of medical diagnosis it will cease to be seen as such a term.
It’s not a disease or disorder. It’s arguably not an impairment; at least for some. But it is a disability because of society’s (particularly the medical profession’s) insistence that it should be. And by leaving the label with professionals who’ll pretend it’s objective and scientific you’re denying everyone else the right to engage with it on their own terms.
I’m not disabled with bipolar because of mood swings or psychotic breaks or any of the other symptoms on the checklist. I’m disabled because our society no longer tolerates how I present as being within acceptable variation. In the 80s and 90s I was enabled by my bipolar and Asperger’s because the IT industry thought some of my ‘symptoms’ valuable enough to put up with the others and hand me big pay cheques for them.
It’s not labels like ‘bipolar’ or ‘autistic’ or ‘hysterical’ that are the problem. It’s the attitude people have towards what they think they represent. By leaving the labels as professional jargon you’re not only denying people with lived experience under the label the right to define it as they see it, you’re giving everyone else an out when it comes to their own attitudes towards it.
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I have to say, although an interesting discussion, I am with Oldhead on the idea of embracing (or not) the labels that have been imposed upon us. The reason I believe this is a poor tactic is that unlike “nigger” which is used exclusively toward the Black community, and “queer” which was originally a slur toward gays though has become a somewhat ambiguous term now that can either refer to sexual orientation or gender identity, the labels used against those deemed “mentally ill” have no common unifying qualities to them other than being one of the many, many different labels currently used as diagnoses. Because of their lack of validity, the people being called “bipolar” often have little in common with each other except for having had the label applied to them. There is no homogeneity to be the glue in the group. I don’t see how this lends in any way toward reclaiming the label when I have little in common with most of the other people who have had that label applied. The same could be said for those who have been labeled with “schizophrenia” or any of the other psychiatric labels in which 5 of 9 symptoms are required. The people in the groups are not similar across the group. (There is a great article just published that I read this morning in Psychology Today about the false history of schizophrenia and how it applies to COVID.)
The idea of embracing a label also does not take into account those who have matured, learned better ways of coping, are experiencing less adversity, have improved circumstances, etc who no longer have the cluster of distressing emotional/behavioral phenomena that originally got them labeled. Why on earth would THOSE people then claim some pride in that label?
The only group for whom this strategy of reclaiming a label in some kind of positive sense are those who are still struggling with the issues that got them labeled to begin with and for whom want to avoid the social stigma, shame and blame, that are commonly experienced by the labeled population. I can certainly understand the desire to reclaim harmful terminology but surely there must be some unifying features within the group to provide cohesiveness. For me, the only label that comes with that unifying cohesiveness is Psychiatric Survivor – that label expresses very succinctly what was harmful (psychiatry) and that I have survived it. I know what someone means when they use that term, but I honestly haven’t got any way of knowing what someone means when they claim to be bipolar or autistic or any of the other slurs applied to those who’ve felt the sting of western psychiatry.
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This is very well spoken! I would add that what people have in common is more likely to be the stresses that CONTRIBUTED to their “symptoms” rather than the label. For instance, survivors of domestic abuse have a lot in common with each other, even though they might qualify for “PTSD,” “Major Depression,” “Bipolar Disorder,” “Borderline Personality Disorder,” “Anxiety Disorder” or many other possible labels. It would be more functional AND politically powerful to organize around experiences, rather than “reclaiming” a label that was never even relevant to most of the people who had it applied to them.
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Yes, my point was that you can’t “reclaim” what was never yours to begin with.
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I’d like to know more about her story before I believe she’s “mentally ill.” Maybe she’s experienced hardship and reward and so has “mood swings.” Maybe she just has emotions and that hasn’t been considered acceptable in her social circles. And psychiatric drugs can definitely make people “mentally ill.”
I can appreciate why she might want to take on a label of mental illness, as I fell for it myself. Maybe she’s made mistakes in her life and has been heavily socially punished for them. Maybe her life didn’t turn out in a way that was pleasing to her. Maybe she needs a good excuse as to why she isn’t and hasn’t been literally perfect in every moment of her life. Trying to appeal to people for mercy on the basis of being mentally ill may seem like a winning strategy, but it’s dis-empowering and reduces people’s humanity to a label that does nothing to heal people from genuine distress. It also, ultimately, puts all of the blame for whatever society-wide problems that catapulted someone into “mental illness” on the “mentally ill” person, while absolving everyone else. It’s like labeling rape victims and veterans with PTSD. I would like to know what is the mentally health response to rape or war? Should people fight for more psychiatric “care,” or against rape and war? Rapists have parental rights in 31 states, but people sometimes lose custody of their children for being “mentally ill.” I guess you wouldn’t want to deprive a good father of his rights to his child.
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I’d like to know more about her story before I believe she’s “mentally ill.”
And therein lie many problems. “Mental illness” is a logical absurdity. This is independent of any individual or their situation.
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Scary.
The only time you have nothing is if you hide out in the bush.
“she won’t open up, so I can’t diagnose her” 🙂 “oh wait, I think I will make
up a diagnosis based on her refusal to talk”
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I’m sorry, sam. I miscommunicated. What I was trying to say is that when people willingly accept these labels of “mental illness,” as I once did, it is usually for one reason or another. I don’t feel anyone has an obligation to open up to anyone. But if the specifics of her story had been made known, it might be easier to say, “Oh, that’s why she accepted this label. She was trying to express this aspect of herself and couldn’t find any better way to express it.”
Accepting a label of mental illness can sometimes seem empowering until you know all of the BS that goes along with it. It can seem akin to accepting a label of “assertive woman,” which is another label that is frowned upon by society. No label can adequately express the totality of a person. But I don’t exactly blame people who accept labels of “mental illness” if it for some reason feels useful to them at some point in their lives.
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“Accepting” implies making a consensual choice based on studying the pros & cons, which rarely happens. What you describe seems more akin to “not resisting.”
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Acquiescing. Giving in.
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I know. I guess I was just poorly expressing the idea that behind every “mental illness” is an actual person with actual humanity and reasons for their distress. I no longer believe in the concept of “mental illness,” but I feel that people can still be attracted to the concept for various reasons. It’s sometimes a way of saying to the world, “I’m not literally perfect. Can that be okay??” Uncomfortable emotions, difficult life situations, etc. don’t sit well with a lot of people. So, this label of mental illness can sometimes be used by the “mentally ill” to assert their own right to their own humanity, full and flawed as humanity is. People who have never suffered much of anything don’t usually want to be bothered with people who have. The mental health industry wouldn’t have become so prevalent and powerful if there weren’t also aspects of it that appeal to some of the people who have been given these labels.
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‘Kwanzaa’s second principle, Kujichagulia, Swahili for “self-determination,” which reflects a sense of “defining, creating, naming, and speaking for oneself.” ‘
If this second principle were put into place, the DSM and the standard of “care” in the “mental health” system would be immediately put to rest. The DSM’s purpose is to “define, create, name, and speak” for the “patient” and prevent the patient’s voice or viewpoint from being taken seriously.
The author may actually have been fortunate that her colleagues didn’t immediately call the authorities and allowed the author to exercise her own self-determinism in deciding how to proceed with the assistance of her psychiatrist. I was a bit disturbed to hear her talking about the “stigma” of “mental illness” and even moreso being “stigmatized” for being black. I think the proper word here is “discrimination”, not “stigma!”
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This article projects all the stigma and myths associated with dsm diagnoses, only perpetuating the negative projections and media stereotypes which begin as programming in psych education and training (as per the content of this article).
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Exactly. Sort of odd and strangely absent of professional self-awareness.
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Making it a point to “figure out other people” is most often at the expense of one’s own self-awareness.
At the time of my training, which was over 20 years ago, I was buying into this stuff hook, line, and sinker before going through my own experience and discovering it as a huge fail to humanity. It was a rough awakening because of the dual role I was playing. I was suddenly questioning everything I thought I knew and finding my way through these paradoxes to clarity took many years of learning a variety of different perspectives of healing and personal growth, spiritual issues and evolving consciousness, how energy works, etc., and applying these to my own life situation and experience to make shifts in consciousness I needed to make in order to once and for all heal and get back to creating my life with a sense of ownership and self-agency, and being in the flow of it freely, as I desire to be.
But looking back, my graduate psych program may as well have been “Stigma 101, Advanced Stigmatizing, How to Scapegoat Others” (as in, “othering”), etc. That was about the extent of it, to what it always boils down. I discovered first from the education, and then from my personal experience on the receiving end, that this is exactly what this entire field is based on, inherently creating this social division more and more by “assigning” (projecting) labels, false traits, powerlessness, whatever, onto clients. Lots of ways to create a scapegoating dynamic, and this is a perfect set up for it. It is the nature of the beast, it cannot be helped. The self-protecting denial factor is over the top, as this article perfectly illustrates.
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Well said Alex.
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This article (although here it is being covered by a researcher who read it) is typical of what I have been seeing coming from people who are involved in these professions but are also trying to take them in new directions.
It is confused. On the one hand, they want to believe that the basic assumptions of the subject they have devoted their lives to are sound. And on the other hand, they see that when confronted with a real life challenge, professionals in the field (at least academic professionals) act like helpless children.
Their awareness has come up to the point where they realize something is wrong, but not up to the point where they really know what it is or what to do about it.
Amazingly, it has been my experience with academics from all manner of disciplines, that most of them choose to live in an information bubble. I wish this topic were more explored on this website. I can’t really speak for them. I can’t explain why a being supposedly attracted to the academic world by the lure of expanded awareness of life and thought would end up putting self-imposed limits on that awareness.
I make a point to seek out those rare ones who are less inclined to limit themselves, and I find them very rare indeed.
Kwanzaa is mentioned. I had to look it up, thinking it was some sort of ancient African tradition that I had overlooked, like Vodun. It isn’t. Kwanzaa is a modern (1966) American re-interpretation of African tradition. It is a secularized version, tinged throughout by the nuances of Critical Theory, a cognitive construct created (ironically?) by mostly white European psychologists and sociologists who sought to somehow bring the ideas of political thinkers like Marx into other areas of the humanities. The whole construct has proven to be highly problematic. I would not take it seriously, but many academics take it very seriously.
I suppose there is a kind of arrogance in thinking I know better than these people. “We each have to find our own way,” right? I am concerned, though, that our time to accomplish that is running out.
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Oldhead, Very well stated, eloquent response to cabrogal.
I don’t think there is anything empowering in accepting bogus names,
endowed upon the person by outsiders.
It is empowering for psychiatry, to go onto naming a bunch of other
unsuspecting victims.
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Thanks, just saw this — check my additional post:
https://www.madinamerica.com/2020/11/black-psychology-professor-discusses-mental-health-stigma-faces/?unapproved=181054&moderation-hash=32ab2ede808a78fb1091ce4b4d29af27#comment-181051
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Kindredspirit,
very well spoken, thanks.
I don’t see any benefit to dancing with a label. “I am bi-polar” or “I have bi-polar” is a false statement to begin with. And using it does not weaken it’s meaning or reduce the power of psychiatry to keep applying it to women.
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