Stigma & Bigotry

Existential therapist and writer, Jason Dias, claims that there is something deeper and more pervasive than guns, drugs, or mental illness at the bottom of the United States’ mass shooting problem. On aNewDomain he writes: “We have to acknowledge that people who are despairing right now, they’re the sane ones, the normal ones. It makes sense to despair when you’re looked down on, tormented, bullied. When you feel different and you’re alienated. When your culture is alienated. When violence is glorified not by movies and games and television, but by the government, by the news. When violence is fetishized by political parties.”

Last Wednesday, Sesame Street added a new character, Julia, to its roster of characters. In an online story, Julia, who has autism, meets Elmo and Abby and Elmo explains why Julia might sometimes do things a little bit differently. The story was written by Leslie Kimmerman, who has a child with autism, and the entire series will be developed in collaboration with parents, advocates, and people with autism.

Over at CounterPunch, Carl Boggs takes on the knee-jerk mental illness response that pervades the airwaves after every mass shooting. He writes: “What the mental-health fixation lacks is any semblance of historical or social context. Given the persistence of U.S. imperialism and militarism — and mounting fascination with combat and guns in a society transfigured by its warfare state — Washington remains a thriving center of global violence: repeated armed interventions abroad have found their domestic parallel in the world’s largest prison system, a deepening gun culture, home-bred terrorism, police atrocities, and a media culture filled with spectacles of warfare and bloodshed.”

Statistics from the UK reveal that prescriptions for painkillers and antidepressants continue to rise despite concerns over dependence and debilitating withdrawal effects. The British Medical Association (BMA) Board of Science has released a report that acknowledges changes to medical practice, research and policy necessary for addressing the dependence and withdrawal effects of benzodiazepines, opioids, and antidepressants.

“Although there is no established connection between autism and murder, some eagerly leapt to causality and scapegoating,” Andrew Solomon writes in the New York Times. “Tarring the autistic community in this manner — like presuming that most black people are thieves or that most Muslims are terrorists — is an insidious form of profiling. It exacerbates the tendency for people with autism to be excluded, teased and assaulted in childhood and adulthood.”

One of psychiatry's most obvious vulnerabilities is the fact that various so-called antidepressant drugs induce homicidal and suicidal feelings and actions in some people, especially late adolescents and young adults. This fact is not in dispute, but psychiatry routinely downplays the risk, and insists that the benefits of these drugs outweigh any risks of actual violence that might exist.

Newly elected UK Labour leader, Jeremy Corbyn, has appointed Luciana Berger to his shadow cabinet as the “Minister for Mental Health,” a new position that has no counterpart in the Conservative government. The Independent reports that Corbyn has devoted considerable attention to mental health issues.

“In Gallup's annual measure of 25 major U.S. business sectors, the percentage of Americans with a positive view of the pharmaceutical industry dropped from 40% in 2014 to 35% this year, while the percentage with a negative view rose from 36% to 43%.”

In an opinion piece for care2, Katie Medlock discusses how “mental illness” awareness campaigns have shifted, dangerously, “and ended up insinuating that people with mental illness could turn on ‘us’ at any time and should be feared.”

New York State has investigated five large insurance companies for violating state and federal mental health parity laws by illegally denying to cover claims for behavioral health conditions and drug abuse treatment, according to a report by North County Public Radio (ncpr).

Antipsychotics are being prescribed to people who may have challenging behaviors but no mental disorder, according to new research published in this month’s issue of BMJ. “Excessive use of psychotropic drugs has individual and systemic implications,” the researchers write. “Antipsychotics, in particular, are associated with several adverse side effects that can impair quality of life and lead to deleterious health outcomes.”

Psych Central covers findings published in BMJ revealing that many people in the U.K. with intellectual disabilities are being prescribed antipsychotic drugs. The study’s lead author comments: “People who show problem behaviors, along with older people with intellectual disability or those with co-existing autism or dementia, are significantly more likely to be given an antipsychotic drug, despite this being against clinical guidelines and risking possible harm.”

In contemporary U.S. culture, people who intentionally hurt their bodies are called “insane.” We may starve ourselves or carve ourselves, taking to the extreme culturally-embedded norms like thinness in an effort to fight against marginalization or cope with internalized shame. But instead of obtaining the voice or place in society we yearn for, we are further ostracized.

An editorial in the Guardian discusses the fact that the number of people with intellectual or learning disabilities “who are being treated with psychotropic drugs far exceeds those with mental illness.” The authors of a new study examining the overuse of psychotropic drugs on people with learning disabilities, published this month in BMJ, argue: “If people without mental illness are given psychotropic drugs… it is probably to control their behavior.”

Tania Lombrozo for New Hampshire Public Radio (nhpr) asks, “could it be that some people believe psychiatric disorders can be contagious?” A new study in the Journal of Memory & Cognition says “yes,” and adds that this perception influences the way people interact with mental health category members.

What would happen if the mental health system fully recognized the pervasive and profound impacts of trauma on their clients? How might a deeper appreciation of the multi-faceted sequelae of childhood maltreatment and toxic stressors reshape mental health services? While the implementation of trauma-informed care in mental health programs has made significant inroads, the dominant bio-reductionist model continues to constrain and undermine progress.

-For indigenous peoples, the modern mental health system in North America often represents little more than a new form of colonialism and domination, writes David Walker.

Representative Murphy has released the second version of the Helping Families in Mental Health Crisis Act (H.R. 2646). Few can argue that the mental health system and the current approach towards helping individuals and families in crisis are abysmal. H.R. 2646 is an effort to create increased service provisions and to enhance interventions that many professionals, family members and service users alike believe to be effective. When people are desperate and suffering they do not wish to be told "Sorry, there's nothing we can do." And so, it is understandable and even laudable that so many support the proposals laid out in H.R. 2646. But the bill is based on distorted and faulty logic that misrepresents the research and evidence base. This is highly disconcerting. And so a collective of mental health professionals, mental health advocates, and persons with lived experience came together to produce the following documents in response to H.R. 2646.

-The 2014 New Zealand General Social Survey showed many New Zealanders feel more comfortable having neighbors with different sexual orientations or from minority groups than with mental illness.

-In a Canadian survey, 42% of psychiatrists said that if they developed a mental disorder, they would not disclose it to family or friends.

-Many New Zealand members of parliament believe that a majority of the people who contact them with "inappropriate" communications are mentally ill.

-An anonymous mental health nurse describes how struggling with her own depression has given her new insights into the state of mental health care.

The person living on the streets with whom no one will make eye contact, or who the police hassle for requesting spare change from passersby. The individual who has learned to cut themselves to manage emotional pain, and so is punished by emergency room staff who sew them up without anesthetic (both physical and emotional pain disregarded), or confuse their efforts for suicide and contain them against their will. The person of color who some might cross the street to avoid, or who is arrested for lashing out when another is murdered at the hands of those employed to ‘serve and protect.’ Each is only looking for a way to survive, but instead finds themselves ignored or blamed.

-Psychiatrist Allen Frances discusses his mixed feelings about many commonly used but misleading psychiatric terms.

I have written this story, a story of Exodus to Freedom, a thousand times. I retell it to myself late at night while I lie on my air mattress. In the mornings I may recall these amazing events while running along the beach straight into the sunrise. I walk my dog and tell the story again, hoping passers-by don’t think I’m talking to myself, lest I be called “loco.” But that has never happened. The one aim I had when coming to Uruguay has come true: Not one person here considers me crazy.