ethos (ˈiːθɒs) — n the distinctive character, spirit, and attitudes of a people, culture, era, ect.
Wednesday, December 14, 2011
Reference for Shooting for Peace
Myers, Neely, “The Neuroanthropology of Embodiment, Absorption and Dissociation,” Somatosphere (blog), December 1, 2011, http://somatosphere.net/2011/12/the-neuroanthropology-of-embodiment-absorption-and-dissociation.html
The Human Connection
The researchers developed a working model for dehumanizing tendencies. They supported the claim that when a person is perceived as disgusting or less than favorable, our brains may not fire up the areas that allow us to see them as thinking,feeling creatures, thus resulting in classifying them as subhuman. Researchers performed a basic procedure of showing the test subjects images of varying types of people. Some of the images intended to arouse disgust were of drug addicts and homeless people. When shown these images, the test subjects' brain's failed to activate the areas that could allow a social connection and an imagined understanding of the person's experience. Dehumanizing tends to be the result of which.
The researchers relate this lack of perceived humanness as a lack of ability to see oneself in the subjects shoes and to connect with them on a social level. Susan Fiske of Princeton states,
"We need to think about other people's experience, It's what makes them fully human to us." It is clear here that, in general, the human brain holds the potential to dehumanize a subject, which can make sense of extreme violence. With this we come a little closer to understanding the minds of killers and tyrants.
The study, "Dehumanized Perception: A Psychological Means to Facilitate Atrocities, Torture, and Genocide?", is doing what I feel is a very important venture, that of trying to better understand those that do the most harm.
Researchers:
Lasana Harris-Duke University-(919) 684-1645 or lth4@duke.edu;
Susan Fiske-Princeton University-(609) 258 0655 or sfiske@princeton.edu.
For a copy of this study contact Steve Hartsoe of Duke University at steve.hartsoe@duke.edu
Hartsoe, Steve. “A Brain's Failure to Appreciate Others May Permit Human Atrocities.” Duke Today. December 14, 2011. http://today.duke.edu/2011/12/dehumanize.
The article appeared in the Journal of Psychology, vol. 219, no. 3. pp 175-181
DOI 10.1027/2151-2604/a000065.
Friday, December 9, 2011
Shooting for Peace
Colorado State's Jeffrey Snodgrass has investigated the addictive tendencies of heavy gamers and discovered an enhancement in the area of the brain that deals with addiction, the left striatal grey matter. Snodgrass used two scales, those of absorption and immersion, that were said to be in connection with the players' experience of "getting into the game". Getting into the game is something often mentioned by gamers in their discourse on experience levels and game enjoyment. These instances of being "sucked into" the game may have stress reducing effects. This way of disassociating from the real world may be justified, at least biologically, by our needs to reduce the constant stress of daily living. Teenagers transitioning into adulthood feel that stress too only are less equipped to handle it as fully fledged adults are.
Video game addiction is something of a real fear in our nation, to the extent that it was considered, but ultimately rejected, for entry in the DSM as a legitimate psychological disorder, but we may be jumping the gun in saying gaming is unhealthy for kids. The typical life of a teenager is filled with not just the deluge of information their technocratic minds crave but also thousands of nano-calculations a day that take place, layers and layers under the conscious, that equate to the navigation of the real world and the social mastery we eventually come into. Looking back, high school was the busiest my brain had ever been. All lobes were fired, all nuclei engaged in the negotiations and challenges of maturation. This is all a lot of noise our brains like to detract from; a much needed break to reset of the these systems and allow for better functioning.
Snodgrass's peer, University of Alabama's Christopher Lynn, studied similar phenomenons with christian Pentacostals who talk in "tongues" and people watching simulated fires. In both cases, these activities we are known to get lost in, much like video games, measures of stress went down as the absorption in the activity went up.
Despite numerous campaigns to incorporate more activity and face to face socializing into the teenage life, our nation's youth, and some grown ups as well, spent $650 million in less than a week on the much anticipated Call of Duty: Black Ops game last fall. Game production companies have been sued over supposed deaths from exhaustion after prolonged gaming. The games themselves self promote heavy usage from within, giving gamers experience points to purchase capital in the player's life, regardless of winning or losing the game; this is simply reward for playing more. There is even a sub-culture term of "catassing" which describes someone who plays games excessively, to the extent of shucking real life responsibilities however this can be seen as good or bad among gamers, dependent upon the demographic any particular game produces.
Basically, excessive gaming is quite persistent despite media defamation and it is clear that this experience is here to stay, and possibly always existed. In the past it may have been staring into the fire telling stories, carving wood or beating drums however culture to culture, the need to get sucked in is ubiquitous.
Disassociating into the World of War Craft until 3 am can help teenage brains cope with the noise of this transitioning period in our lives. The hypnosis of the first person shooter game could be a way of turning off the noise of transitioning into adulthood in a culturally mediated way.
Sunday, November 20, 2011
the spirit of the people
Through ongoing and in-depth media coverage, a phenomenon has been revealed; socio-economic division is a natural condition in a large-scale, agricultural society. While this won’t be novel to some of you, the 99% is protesting for a undivided, egalitarian nation. Well 99%, your equality defined society just won’t work if you want your grains and corn withal. In any large "society", as they have christened themselves, division occurs. To support a society like ours, class divisions exist in a natural, almost symbiotic state. Similarly, the protest encampments have been severing off varying groups with distinct group identities, often economically bound. This is making the very inequality they are protesting a little too resemblant.
A possible antecedent for this is the charmingly patchwork groups coming together to protest, from the socio-economic layers that make up the 99%. Laughably, this is one of the most inspiring things about the protest, the myriad types of people speaking up from all sides of the country and from all classes, not just the Wall Street (or L.A. or Silicon Valley) 1%. Can we even say there is a 99%? Perhaps without criticism. Even through the strength of their argument, natural divisions exist in both the outlook and expectations of the protest as well as the background of the protesters. In actuality, 99% of the population is still going to have financial inequality even without all that wealth. There are the legitimately disadvantaged that are protesting for that visceral feeling of struggle, hardship and joblessness. There are the so-called yuppie faction who are protesting for a variety of reasons; to support the other percentage of the 99%, to make a personal statement or a public one, to appease expectations (Berkeley anyone?) or to be part of something meaningful, exciting and legendary. Keep in mind what class these are in. There are the peacekeepers that see money as the enemy and there are the politicos who are often well educated, empowered and have had more luck than the truly disadvantaged. Clearly the groups further divide past that but for brevity, this paints a pretty clear picture.
This stratigraphy of sorts is the very environment that cultured the 99/1% divide of wealth. Now I can't say with any validity that the encampments in New York, Berkeley and Los Angeles are divided so severely as to mimic our nation’s hyperbolic material culture, however it would surely take the foggiest participant to overlook the irony that is screamingly apparent. They ask for a classless society. They see equality and egalitarianism as realistic goals for our nation. What they don't see is the lessening equality within their own group and the disconnects between the attitudes of the group in the drum circle and the group in the iPad circle. This microcosmic formation is uncanny in its ability to undermine the argument argued for, to weaken the solidarity, and therefore power, of the group and to take meaning away from the 99%.
Wednesday, September 7, 2011
The Level Headed Crazy
What is most problematic, and most telling, is the usage of the word crazy as a noun to the adjective level headed. Our understanding of “crazy” already takes form here. Crazy is not only something one can be, but can also be someone. You can be a crazy (such as a genius or a pessimist) or be crazy (thinking and behaving in a crazy state). The above examined term, assigning it LHC as an acronym, can be read using both these utilities of “crazy”.
My identification with these is of the roll I’ve defined as someone who is, in all technicality according to our society, crazy however lives with the consequences of being level headed. For me, this has meant getting an education, marrying my husband and having reasonable goals for my future. I trust all the above require some percent of level headedness. What conflicts here is the very definition, even the very defining factor, our society has for the term crazy. Level headedness, and in some interpretations logic and groundedness, is the crucial factor in determination of crazies. Simply put, crazy people do not make level headed decisions and often make no sense.
So to term someone a LHC is to say there is a cultural loophole. This is the oxymoron effect. Irony even. Someone can be both given the context. Traits of either identity, if not in full conflict, can coalesce in a simbioticy. Making good decisions can be an effect of the acute mental clarity those in a state of mania have. Abstaining from drugs and alcohol, while certainly not the overwhelming majority among those who are mentally ill, can be a result of being on a cocktail of psychopharmaceuticals that all increase the potency of alcohol. Having a strong, healthy marriage, when those with bipolar have a 90% divorce rate, can be the result of years of therapy and self-exploration that those with chronic mental illness sometimes go through to deal with the disorder itself.
A calm and poised demeanor under stress can be from the imbalance of neurotransmitters that can result in both depressed mood as well as composure.
This concept tarnishes the strong held idea of crazy people that are not understood and therefore one-dimensional. With this idea of LHC expanding and eventually being integrated into the re-education of the public, those one-dimensional people are more likely to be accepted, understood and approachable. This could be of huge challenge to the persistent stigma that, although lessening, continues to surround mental illness as a whole.
Friday, July 8, 2011
The Owned Body
Bodily Responsibility
When thinking of the act of consuming medication to treat an abnormality of the biochemical processes of the body we may immediately gloss over the experience; take for granted the hastily performed act of swallowing, applying, injecting or inhaling a drug. So commonplace is taking a prescription drug in the U.S., we think nothing of taking daily supplements, complicated and calculated vitamin regimens, diet pills, caffeine pills, Tylenol and aspirin, sleeping pills, anti-depressants, anxiolytics and any other number of pills that are aggressively marketed with a primary, if not subtle message than "make your life better". The complication here is that so many supplements and medications are solely for enhancement rather than correcting an abnormality, be it on or off the label. This realm of treatment holds on to the notion of bodily responsibility, which suggests the maintenance of our bodies through responsible living can be tied to moral worth. This includes healthful diets, exercise, fluid intakes and lifestyle actions that serve to make up for the abuse bodies in developed areas of the world often undergo. Pollution, undue stress, alcohol and processed foods are just some to mention.
This enhancement by medication, unique to such highly developed nations as the U.S., is both injurious and moral. Stemming from the hyper-awareness of the importance of proper and balanced nutrition that the modern era has produced paired with the demands of the modern lifestyle, which does not support a body’s optimal functioning, provides a breeding ground for not only bodily guilt but an industry to enhance and perfect all perceived shortcomings for the individual.
These enhancement drugs can act as replacements for responsible bodies in a convenient method of consumption. Our monstrous nutritional supplement industry can surely attest to our nation’s high regards of the body as well as the poor treatment these bodies receive. The pharmaceutical industry’s constant wave of new options to better one’s life, particularly by mood elevating and stabilizing, is almost drowning. This ideal of the responsible body is supported, I propose, by the ever expanding consumer market for not only remedies for such modern lifestyle nuisances as sleeplessness, anxiety, high BMIs or blood pressure, depression, body aches and pains and all things that involve or revolve around stress but also muscle building supplements, diet aides, sexual enhancement products and energy drinks that are there to make us almost superhuman in our abilities. This all seems to suggest that no matter what, we are never optimal and never as good as we could be.
In addition to the drugs and supplements themselves, research on these issues has become consumerized, with health books and magazines, websites and lifestyle products and TV shows focusing on what “recent studies show”. Health research acts as fuel for this phenomena and the consumerist market of lifestyle products and supplements stokes the fire. How biomedicalizing of mental illness has augmented this market and shifted the role of the patient is of intense interest to me, which will be explored in a separate paper at a later date.
It is hard to pinpoint exactly where the concern and sense of bodily responsibility came from. In Western biomedical discourse we’ve been told our bodies are objects we own, that they are finite and have to be diligently maintained and repaired. This objectification of our own bodies can cause responsible care-taking in addition to abuse. When the body is at once separated from the self and made into an object to maintain, treat and learn about, while also made into a thing of ownership, a choice in the way we treat this object naturally arises and develops separate moral pathways. We can see this when bodies are mistreated by substance abuse while some strive to live clean lifestyles of veganism and yoga, but it is this objectification that helps us better position our treatment trajectory while allowing for gross misuse as it is not us we are abusing, it is our distanced body. While “our body, our choice” may remind us of the birth control debate four decades prior, in this case it finds subtle justification of mistreatment and lack of responsible body care- taking. In the 21st. century developed world, our choice regarding our bodies can mean the choice to cut it, inject it, burn it, scar it and introduce it to any number of harmful, and beneficial, substances and environments. A strong trend in duality exists; high-stress jobs can lower moods and even prompt clinical mood abnormalities. While a great respect for biomedical science can send us to the psychiatrist for a relatively quick-fix, as not all psychopharmaceuticals can alleviate symptoms right away, coordinated life-style changes have also entered the ongoing discourse on mental health treatment. This shows a regard for the evidence based medicine that has bolstered the supplement and life-enhancing drug market but also recognition of bodily ownership and the responsibilities it entails. Whether a constant onslaught of energy drinks and Vitamin B12, an energizing anti-depressant or a return to a life-style that can restore and maintain energy, we are never at lost for choices. These choices can represent how we view the body, the mind and the ownership of the being we live in and the industry we’ve built speaks volumes on our treatment ideals and expectations. A better understanding of these views and experiences will undoubtedly bring forth some issues with the mental health care system and a wealth of both qualitative and quantitative data on the psychology of health in general.
Wednesday, April 27, 2011
The Social Cost of Cancer
To my surprise, the highest percentage of those who’d rather cancer care than cash, the blacks in the study, was 80%, Asians at 72%, Hispanics at 69% and, sadly, Caucasians were at 54%. Without seeing the data, I would’ve thought/hoped the percentage for all groups to be close to a hundred. Unfortunately, they weren’t and in reality, we are faced with these decisions often enough as health care advances while insurance rates surge. Even the oft seen 80/20 coverage some insurance companies offer, when considering aggressive cancer treatment, could bankrupt even an upper middle class American. Socio-cultural proof of this is the advent of specialty cancer insurance. With cancer rates as high as they are, life time prevalence, cancer insurance.
To interpret this evolutionarily, these benevolent family members place much more value in the cancer patient than superfluous financial resources, hence the giving up of resources that could easily be shunted to another member (use of term superfluous is a generalization; some of this money will come from cash assets, some from a HELOC or even selling one’s house). On this note, the study did find that those that were single or unattached in other means were generous as well. Apparently the Caucasians perceived better ways to allocate their resources; perhaps by taking preventative measures for oneself or one’s offspring. Cancer has one upped us though on that as it has been established that while preventative measures are helpful, extremely in some cases, they don’t make you immune and you could easily still get cancer after a lifetime of eating blueberries.
An interesting follow up study would be to assess the willingness to take out cancer insurance; again, looking at all four ethnic groups. I would add Native Americans to the study as they could surface important issues like the meaning of cancer to one’s culture, the degree to which it is respected, expected or dealt with. Native Americans continually show an altered view of illness and disease and given the amorphous concept that is cancer, I’m sure we’d find whole new dimensions of understanding which often influence financial decisions and the propensity to take out insurance.
I have a feeling the insurance companies would fund this study generously
If concerned:
Cancer.org has a lot of information on the financial strain of cancer
Study contact:
Contact: Jennifer Beal
healthnews@wiley.com
44-124-377-0633
Wiley-Blackwell
Friday, April 8, 2011
The Barriers of Boy Scouts
The researcher, Kathleen Denny (contact info below), used the Boy and Girl Scouts' manuals as literary texts to be analyzed for meaning. The lasting images we actively hold in our minds are of, on one hand, Boy Scouts in the woods, with manuals and magnifying glasses, father figure towering overhead. On the other hand, Girl Scouts are notorious for their cookie stands that crop up in front of grocery stores a few times a year, always with a panel of girls behind them and a few moms to "lead" the sale. Just by breaking these images down, boys outdoors with tools and girls with baked goods and peers, we can see the manifestations of what these manuals are espousing.
Denny found that the manuals disproportionately oriented Girl Scouts with communal activities and artistic endeavors while Boy Scouts were presented with scientific and "self-sufficient" tasks.
Of particular interest is the badges earned for these tasks, emblematic of these stereotypes. Let's look at a comparison of equivocal badges for Girl and Boy Scouts:
Boys: Geologist Badge Girls: Rocks Rock Badge
Boys: Astronomer's Badge Girls: Sky Search Badge
Boys: Mechanic's Badge Girls: Car Care Badge
The trend here is that 1. Boy Scouts have descriptive, explicit and career orientated badge names while Girl Scouts have amusing interpretations of the standard Boy Scout badge, playing on feminist ideology centered on imagination, care giving and, well, girly stuff.
To emphasize my point, Girl Scouts also have the opportunity to earn a "Looking Your Best" badge which requires (group) activities such as the "Color Party" where the Scouts experiment with makeup and clothes to see what colors they look best in or the "Accessory Party" which, I hope, is self-explanatory. Other Girl Scout badges can include "Caring for Children" and "Sew Simple". I see no need to dissect the brazenly obvious messages behind these but I will say Denny found only one similar equivelant for Boy Scouts which was a “Fitness Badge” though I argue this should be a mainstay in both gendered ideals.
To look further into the media messages these associations feed into, I opened up the Boy Scout website and the Girl Scout website side by side. Below I note the salient images and motifs each respective site displays:
BSA (Boy Scouts of America)
Graphic Novel
Outdoors Activities (Mountain biking, white water kyaking, rock climbing and so on)
Independent activities
Contests
Honor
Girl Scouts
Cookies (of course)
Logo depicting multiple profiles of women with long hair
iPhone App
"realizing dreams"
"who we are" (emphasis mine)
literary emphasis (blogs, books, telling "your story")
historical timeline
When purusing the Girl Scout website, I noticed the "Take Move" initiative, where the goal, in conjunction with Kraft Foods I must note, is to end childhood obesity within one generation. Aside from being unrealistic and suspisciously sponsored, it furthers the concept that girls (future care givers) are responsible for the health of children. Suggesting this responsibility to girls while they are themselves children is a perpetuation of gender conventions that can be harmful to women today that have so many more expectations than to just be good cooks and care givers.
On the BSA (Boy Scouts of America) site, busy images of boys participating in outdoor activities of the extreme variety dominate. Nothing of the language orientated ideas, such as blogging and the iPhone app, appeared like they did on the Girl Scout site and while the BSA site boasted of a contest where the Scouts would be competing against one another (a very self-centered action), the Girl Scout site mentioned nothing but initiatives and campaigns to work together towards the greater good(s).
I’d advocate for a more egalitarian buffet of activities and tasks to earn badges, such as adding care giving roles to the Boy Scouts and more independent tasks to the Girl Scouts. Making child care into just care giving can open up opportunities for all Scouts to help our elderly, which far outnumber small children in need of care today, making it more likely either Scout would be in contact with the elderly on a day to day basis. In my perfect work, make up and accessories would have no place in such an extra-curricular but I hope you can recognize and appreciate the social depravity there.
Is this all bad? Not necessarily. Out of context, these initiatives and group activities foster important qualities as does healthy competition and independence. Equality between the two groups would be beneficial, however, in breaking down these gendered stereotypes we, apparently, fight to maintain despite the spacio-temporal women's rights movement that has extended across the globe and dates strongly back to the mid-twentieth century. Despite the idealized career women of the 80's and even Mattel's attempts to market "career" Barbies like the flight attendant and the librarian, the Girl Scout organization still encourages our young women to care about things like cookies, child care and makeup while the BSA encourages our young men to forge ahead along and conquer the wilderness, becoming the astronomers and geologists of tomorrow, notably important fields.
Meaning lies deep within everything we encounter including Girl Scout badges and manuals. Yes, the adult infrastructure along with the group leaders play a huge role in upholding these stereotypes (who do you think provides the makeup?) but in a maladaptive symbiotic relationship, the long standing cultural artifacts like the manuals and badge activities seem to have weathered the storm of women's rights and somehow came out a stable source of direction and influence among young girls (and by exclusion, boys by proxy).
Contact for Study: Kathleen Denny
University of Maryland, College Park
kdenny@socy.umd.edu
Sociologists for Women in Society
Wednesday, March 23, 2011
The Zolofty aspirations of pharmaceutical companies
My inspiration for this exploratory essay is the emergence of commercials advertising psychopharmaceuticals not completely unlike advertisements for lifestyle products such as housing developments, vitamins and supplements and clothing. These medications are indeed “lifestyle” supporting, in every sense of the word and may be the only legitimate lifestyle pitch of them all, however the advertisements do not address much of the subjective experience of the patient/consumer.
Some things of note that need to be deconstructed are the vagueness of the diagnosis portrayed that one would need or have to be prescribed said medications. We can parse out the symptoms and judge from the visuals what life would be before and after them and sometimes the disclaimer will mention, briefly, the diagnosis or diagnoses that warrant such a treatment.
Next, the objective of these advertisements seems to be convincing us, the consumer, regardless of whether or not we need the medication, life would be somehow better, again, regardless of the current occurrence of symptoms at present, if we consumed the medication. This may or may not be applicable and can certainly be seen as deceptive given the exaggeration of the outcomes of treatment, the generalization of the typical patient and the idealism of illness/recover narratives being displayed.
Last, I want to address the suggested paucity for the information these commercials present. It seems the industry proposes that certain psychopharmaceutical knowledge is being withheld, hidden or otherwise out of reach of the patient/consumer and in doing so may imply they are a resource to the patient community, however small and unvoiced. The presence of advertisements for medications that sometimes only apply to very small percentages of the population in mainstream media is concerning. Take bipolar disorder. The antipsychotics often prescribed for said condition are not always appropriate for 100% of the patients. The very existence of diagnosed individuals is generally near 2.5% of the population. Does it seem a good use of money to advertise for a product only 2.5% of the population needs during primetime TV? I argue not. What other products are advertised that would only speak to that small sect? (Seriously, let me know some examples you come up with as I wish my argument to address all instances of flaw). There exists a disconnect between money invested by pharmaceutical companies and the amount of people that need the given product however the concept of the discovered patient makes this connection a little stronger.
The discovered patient allowed the advertisements to suggest their diagnosis. It is the company that helped them identify with their illnesses and going to the doctor to get the diagnosis and prescription is just a formality. This puts a lot of weight and responsibility on the practitioners of already one of the most inexact science there is.
One would think a company would lose massive amounts of money investing so casually. That is, of course, if motive was missing. The catch here is patients are aimed to be created, thus turning into consumers. As unethical as that sounds, the ways in which these companies make money, and they do, a lot of it, is the hopes that those 2.5% will be reached (although I have a serious of arguments addressing the access both patient/consumers and companies have to each other, which may be dissected at a later date), in addition to some that will think they are part of that 2.5%. Logic suggests that these non-patients then go to their doctor, address whatever symptoms that may match up with the commercials and mention the “new miracle pill” that they heard about. Since it’s new, it must be good right? The people and/or lives portrayed in the commercials are examples, so we are told, of happy, healthy and normal lives, lives we should be and deserve to be living. Who wouldn’t want to watch your kids frolic in the back yard and shower loving affection towards your loved ones while drinking lemonade on the porch? True, those suffering from mental illness can’t always achieve the happiness the healthy take for granted and for those, the commercials taunt more than inspire. For these people, the commercials speak volumes even if the abstract is “ideally, this is what this medication would do for you, but you know it won’t, it will do something like this, but not enough for you to really feel healthy again”. And this is not bitterness or distrust I am emitting. Psychopharmaceuticals are helpful, at best, often can stop working or start working with no other life style changes, are burdensome in their own and take weeks, months or even years to fine tune and become fully efficacious. Those who are part of that 2.5% know this and often display distrust to new medications, waiting for their doctor to recommend them before jumping on the hopeful bandwagon.
These advertisements portray a life of happiness, of strength, of energy and of engagement with life. Though they might not provide all these aspects to all patient/consumers, these are the things often lacking in their lives. As industry perpetuates, money makes these companies global powerhouses, allowing for high production advertisements, office supplies emblazoned with their logo and gifted with generosity to prescribers, beguiling executives who convince psychiatrists of the medication’s efficacious trials and even fancy shapes and colors of pills. It is undeniable that as we progress into full and complete modernity, where we are all self-actualized and there is complete and rational transparency in the health care field, those who may have been in denial about their illness are taking on the patient/consumer role, doctors are becoming liberal about their recommendations for medications since the markets are becoming flooded with choice and as more and more is known about all mental illnesses, more targeted advertising campaigns can be launched. Though I don’t see the pharmaceutical industry being brought down any time soon, I do see a more educated patient/consumer evolving from the current state of psychopharmaceutical capitalism. This educated patient/consumer will hold power over flagrantly exaggerated advertisements’ hypocrisy and in doing so, reduce the stigma associated with all those “crazy pills” that somehow have over taken prime time in the American household.
Tuesday, February 15, 2011
the demedicalization of divorcees
It is this dis-engagement from the medical community, despite the exhaustive medical histories and expert testimony that are involved in such court proceedings, that make mental health records something to hide and medical histories something to “clean up”. The line between personality flaw, as something in one’s control and psychiatric episodes that are biochemically grounded and fully involuntary is blurred. For some reason, the diagnosis itself is just support for the argument that the patient in question has irrational and destructive behaviors, even though empirical medical evidence could, in a less litigious society, form compelling narratives in attempts to remove harmful behaviors from the client proper.
Monday, January 17, 2011
The pursuit of happiness...
Resilience means the personal and community qualities that enable us to rebound from adversity, trauma, tragedy, threats, or other stresses — and to go on with life with a sense of mastery, competence, and hope. We now understand from research that resilience is fostered by a positive childhood and includes positive individual traits, such as optimism, good problem- solving skills, and treatments. Closely-knit communities and neighborhoods are also resilient, providing supports for their members.
-This taken from President’s New Freedom Commission on Mental Health-2003
The mental health system in America is like a band aide on a levy wall that has sprung a leak. In good faith, and with responsibility to heal in mind, the system applies itself hastily and manages to only make the impression of repair before it is whipped back out into the rapids. For all its efforts, our mental health care system here in America, to say nothing of the flawed systems around the world, tends to remain impenetrable to the marginalized and those who are most likely to be in need of community based resources. When I say community resources, I don’t mean posh resorts where one can retreat to morning yoga classes and “group” after brunch. I mean community health clinics that catch the population not severe enough to be in “in-patient” care (think One Flies Over the Cuckoos Nest) and past the general inquiry to primary care physicians you see in those advertisements for Prozac meant to “grow the market” to produce more consumers of their product.
This system is expensive. A routine psychiatric visit ever 8 weeks to check on medication regimes, something that is required to maintain that treatment, can cost upwards of $300. Counseling or visits to a psychologist, someone who doesn’t work with your medications but rather covers the non-physiological treatment, will run a couple hundred an hour at a once a week recommendation. Community mental health clinics can sometimes offer services at sliding scales, based on income, or even free access to basic visits to keep you stable but not only is awareness lacking but the care given is at times hasty and not at all comprehensive. While the administration intended these clinics to be the great alternative to psychiatric hospitals (again, One Flew Over…), they leave those unable to pay for more formal care waiting weeks for appointments, little patience or help when dealing with medication assistance programs through the pharmaceutical companies and not always the best treatment experience overall. There is a palpable distress and frustration among the caregivers that only the repetitive clinic patient can pick up on. Something the administration can never know to address.
You would think mental health reform would be of much more pertinence to those who are in power. It certainly keeps coming back to shoot them in the foot. School shootings point to the failed school system and weak parental involvement; military base massacres point to the ravages of war and even the past, and recent, political assassinations can be attributed to an ailing state of mental health. While war may kill publicly, suicide claims more souls than war and general violence combined (the WHO’s last comprehensive statistical estimate on global mortality), while little is done to prevent it and there remains a huge public effort invested in both the more somaticized issues.
There is an awareness, in the back of the mind sort of way, of the linkages of “mental health” to physical health” has on “physical health”; in terms both of preventative care (i.e. financial investment) and the long term toll mental diseases and disorders can take on the body. The World Health Organization touts that there is “No Health without Mental Health”. While a commendable statement, this implies, however so correctly or incorrectly, that mental health is not a part of physical health, rather a way of gathering all the psychopathologies that exist into a neat nomenclature, devoid of negativity, stigma and inclusion. Broken into its logical form, this statement separates mental health from the truer form of health, assumed to be everything somatic, but at the same time recognizes, weakly at that, the connectedness of the two.
Meanwhile, the National Institute for Mental Health pushes for a more inclusive view of mental health that makes no distinction between neurology and mental health, i.e. a historically supported and much more somatic collection of chemical imbalances and structural abnormalities and a slightly less somatic collection of chemical imbalances and structural abnormalities that mental health comprises.
We know enough about the causes of mental health ailments to attribute psychological pathologies to brain structure abnormalities, chemical imbalances and at times just damaged tissue. The only thing that separates mental health from a truer form of health is the internalizing of psychological distress, the effect of which is a hush among the public as a response to the externalization of something so little understood, seldom publicized and all around stigmatized as mental health.