Tag Archives: accountability

Should We Lock Up the Sane?

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A new study — the MacArthur Violence Risk Assessment Study — found that those living with classic mental illness — schizophrenia, bipolar disorder, and depression — alone are not likely to use guns when they commit acts of violence:

“For the small group of people with mental illness who are at risk of committing gun violence, improved collaborations with the criminal justice system are clearly indicated,” the researchers stated. “However, directly targeting mental illness as the major driver of gun violence is misguided. … Prior violence, substance use, and early trauma are more likely to contribute to subsequent violence than is mental illness per se. In this regard, the politically inspired haste to focus gun control efforts on people being treated for a mental illness, rather than on people with demonstrated indicators of violence risk, such as restraining orders related to domestic violence, seems particularly misdirected.”

This contradicts the latest psychophobic reign of error that comes upon the shooting in Charleston, South Carolina. It isn’t the mentally ill who shoot people, but those who have no psychiatric diagnosis. So what are we going to do about them?

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Charleston AME Shooting

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As I write this, I can only begin to imagine the number of people who have jumped to the conclusion that the shooter at the Charleston AME Church was mentally ill. By this time tomorrow, even if the shooter has not been caught, we will hear the pundits debating what kind of disability afflicted the shooter. Undoubtedly there will be more calls for Forced Outpatient Treatment.

There are a few things to keep in mind before we turn Charleston into our reason-to-support-Murphy’s-Law-of-the-day:

  • We have no idea who the shooter is at this point, except that he is white and in his twenties or thirties.
  • South Carolina has “Assisted” Outpatient Treatment. So even if he was mentally ill, the much ballyhooed program sure as hell didn’t prevent anything here.
  • The man had a gun that let him kill a lot of people including a state senator.
  • White supremacist activity has been on the rise.

Rest assured that the NRA — which backs the Helping Families in Mental Health Crisis Act — will blame this on mental illness at the earliest possible press conference. We’re the scapegoat for this kind of thing every time it happens.

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Buzzfeed Petition

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I am deeply disturbed by the recent quiz on Playbuzz that purports to inform its takers whether or not they are bipolar. For this reason I have composed the following petition on change.org which I ask you to sign and circulate among your friends:

Buzzfeed calls itself the largest humor site on Facebook. It reaches nearly 500,000 people, many of whom are impressionable teenagers and young adults.

Recently, it published quizzes purporting to identify whether the test taker was bipolar or OCD. There were many problems with these quizzes.

The first was that many of the questions — especially on the Bipolar quiz — had nothing to do with the disease itself. People with bipolar disorder who have taken the test have been told that they don’t have the disease. Others who don’t have it, have been told that they have.

Second, they make light of syndromes that wreck the lives of those who struggle with them.

Third, the results may give the people the illusion that they have the disease when they don’t or don’t have it when they do. This can lead people to unwisely abandon their treatment or eat up valuable time at the psychiatrist assuaging their fears that they have the illness when they do not.

Fourth, the test has no medical disclaimers to the effect that it is no substitute for accurate diagnosis by a medical professional.

Fifth, the staff at Buzzfeed has been disingenuous about these harms and refuses to remove the tests from their site on the grounds that they are “just entertainment”.

We who live with mental illness live with the hardship of stigma. We are treated like children. We are told that we are faking our symptoms or that they “really aren’t that bad”. Buzzfeed’s arrant insensitivity must end.

Please sign the petition at the site.

On Refusing to Take Medication

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I avoided medications of all varieties for much of my adult life. When I was 36, I had had too much of my depression and opted to start taking Prozac under the care of a psychiatrist at Redwood City Kaiser. I stayed on anti-depressants alone until I was 47 when I finally acknowledged my bipolar disorder after a suicide attempt and added mood stabilizers to the list of drugs that I was taking. Why did I go so long before I sought relief? Mostly because of a prejudice that had been drummed into my head by my mother, a registered nurse, who believed that medications should be avoided at all costs and that my depression and manic swings were character flaws. When I stopped listening to her, the quality of my life improved and I was able to be the person who I always knew that I was.

Many people feel that people who refuse to take medications should be forced to take them. They cite incidents such as a New York City man who went off his meds and started hitting people with a hammer or a schizophrenic woman who killed her baby in a fast food restaurant’s bathroom. The recitation of such litanies by certain advocates who favor forced medication is stigmatizing because the vast majority of people who go unmedicated don’t commit such crimes. Their struggles are worse than those of us who don’t take them, but it is important to understand their reasons for refusing.

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Review: Rethinking Positive Thinking

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Rethinking Positive Thinking: Inside the New Science of Motivation by Gabriele Oettingen

I don’t know how many times I have listened to people in support groups declare that they have decided to apply positive thinking to their lives and then watched them crash and burn. People declare all kinds of objectives for their affirmations. They will lose weight. They will master their drug problem. They will control their anger. They will grow rich. Money will come to them without effort. They will find a millionaire and marry him. They will find a fabulous new job and leave all the cares of the old one behind them. Some goals are realistic. Others are simply fantastic.

Studies show that plain old positive thinking drags people into a depressive rut. Oettingen cites the example of her work examining the attitudes of East Germans versus West Germans. East Germans spend a lot of time thinking positively. They see themselves as rich, as coming into opportunities of a lifetime which change their life situation for the better. But they still end up at bars trying to drink their melancholy away, and they never get anywhere with these plans. West Germans set reasonable objectives, put in the work, and succeed. Even though their goals are less grandiose, they are happier than their former Communist counterparts.

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11 Commandments for People Living with Bipolar Disorder

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Recovery from bipolar disorder is almost like a religion or an ethical system. Certain devotions must be part of our lives if we are to recover our balance.

  1. I shall hold myself accountable for all works of my body and my mind including those which I wreak when I am in episode.
    It is important, I feel, not to separate the illness from ourselves. We did the things that happened while we were in episode. There was no second soul seizing control of our bodies. Our mind is a stream that flows continuously, sometimes over rough ground, sometimes in placid stretches, and sometimes over cliffs. We own all these states of our being.

  2. I shall never use my illness as an excuse.
    Our episodes explain what we did. The difference between an explanation and an excuse is this: An explanation asks only for forgiveness. An excuse entitles us to both trust and forgiveness. We do not deserve the former until we have earned it.

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