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There are so many points in this review that I absolutely despise because this is less of a review and more of a soapbox, but I'll sum it up with these two poin
by fzeroracer 4y ago
There are so many points in this review that I absolutely despise because this is less of a review and more of a soapbox, but I'll sum it up with these two points:
> Consider deinstitutionalization. Few things could be less popular or esteemed in the public imagination than long-term mental healthcare facilities. People with no personal experience with mental illness themselves often have a visceral reaction to the very idea of institutions, assuming them to universally be houses of horror. And so deinstitutionalization, in a crude sense, is quite popular.
This review ignores the incredibly sordid history of institutionalization in the US and why it's so strongly hated. Many crimes were committed on otherwise innocent people under the guise of curing their mental illnesses. Lobotomies were popular to 'cure' people. Cocktails of drugs, inhumane experiments. You can look at what was done at Willowbrook State School to understand why this rapidly took the case. And it was not that long ago that things like 'being gay' was considered a mental illness.
> As Rosen unsparingly documents, the efforts to “destigmatize” mental illness have created a perverse scenario in which mental health advocates - who will tell you that their goal is to make mental illness more visible - push the darkest parts of mental illness deeper and deeper into the closet. You see, the fact that mental illness indisputably increases the odds of committing certain acts of violence could be said to stigmatize the mentally ill, so it must not be mentioned; that some mentally ill people commit sexual offenses could be said to stigmatize the mentally ill, so that must not be mentioned; that some people with mental illness commit hideously brutal acts of self-injury could be said to stigmatize the mentally ill, so it must not be mentioned; that some people with mental illness play with and eat their own excrement could be said to stigmatize the mentally ill, so it must not be mentioned.
I shouldn't need to mention how absolutely stupid this whole paragraph is. But the point is that not all mental illness is equal, someone with different problems is going to be more prone to certain issues than others. That should be obvious, but the problem is when you conflate everyone and assume that 'well XYZ has ABC, so its obvious why he did [Thing]". Not only that, but in this paragraph the author cites a study [1] which they say "You see, the fact that mental illness indisputably increases the odds of committing certain acts of violence could be said to stigmatize the mentally ill". But the study they quote says nothing of the sort! In fact it says the exact opposite: It says and I quote: "The popular belief is that people with mental illness are more prone to commit acts of violence and aggression. The public perception of psychiatric patients as dangerous individuals is often rooted in the portrayal of criminals in the media as “crazy” individuals. A large body of data suggests otherwise. People with mental illness are more likely to be a victim of violent crime than the perpetrator. This bias extends all the way to the criminal justice system, where persons with mental illness get treated as criminals, arrested, charged, and jailed for a longer time in jail compared to the general population." and "Currently, there is scant evidence to suggest that mental illness can independently predict criminal behavior. On the contrary, there is ample evidence that shows that persons with mental illness are far more likely to be the victim of violent crime rather than the perpetrator.". They manage to somehow completely misread the study they cited in favor of their soapbox points.
[1] https://www.ncbi.nlm.nih.gov/books/NBK537064/ https://www.ncbi.nlm.nih.gov/books/NBK537064/
- jhbadger 4y ago>This review ignores the incredibly sordid history of institutionalization in the US and why it's so strongly hated. Yes, the past of mental hospitals was bad. But that's true of the past of everything (nostalgia notwithstanding) The problem is that modern mental hospitals aren't like the hospital of "One Flew Over the Cuckoo's Nest" and yet that's what the public seem to think they are. Imagine if everyone's idea of a surgical hospital was that outdated -- nobody would be willing to get surgery. But people seem to understand that surgical science has advanced and yet seem to have a problem understanding that mental health treatments have advanced too.
- fzeroracer 4y agoNo, that's not true of the past of 'everything' and I highly recommend you actually looking into how the US used institutionalization to foster both inhumane experiments on people that had no say otherwise. Institutions supported only a fraction of the population dealing with mental illness and yet they frequently solved the problem by drugging people into a stupor, or turning them into a shell of who they were before. The people there knew what they were doing did not solve the problem or help the people.
- jhbadger 4y agoBelieve me, I'm well aware of that. But I'm also aware of the past of medical treatment in general which could also be presented as a horror show. Fortunately most people understand that they won't get their leg sawn off without anesthetic if they go to a hospital for treatment for a leg infection these days.
- haswell 4y agoI’m trying to understand the point you’re trying to make here. This seems like a non-sequitur, but I could be misreading/fundamentally missing something. Yes, people generally understand that medical treatments are typically not unnecessarily barbaric these days (this is not always the case, even if we at least know that when painful treatments are required, they are actually useful). What does this say about the long-standing stigmas around mental health, both about the people who experience trouble and about the process of getting treatment? It seems like a vague analogy about progress over time, but to what end? How does knowing that I won’t feel a saw cutting through my leg change my understanding of mental health, either as a potential patient or as a curious person?