tag:blogger.com,1999:blog-31022882895060396572024-03-05T04:12:43.207-08:00PSYCHIC PHOENIX: the global mental health revolutionPEACE.LOVE.SOLIDARITY.REVOLUTIONDavid Thurstonhttp://www.blogger.com/profile/08272549032364364465noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-3102288289506039657.post-28354680351571122032017-09-25T00:52:00.004-07:002017-09-26T08:55:09.860-07:00PSYCHIATRY AND ANTI-PSYCHIATRY<div class="separator" style="clear: both; text-align: center;">
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--by David Paul Tahrir Thurston</div>
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By any objective measure, US society is in a state of mental health crisis. Between 2007 and 2014 the suicide rate leapt from a staggering 28,00 per year, to the utterly appalling 42,000 suicides at the end of that time period. Suicide is the ultimate mental health failure--and it leaves toxic guilt, shame, and profound pain in its wake. The contention of this brief essay is that acute mental health symptoms are an objective fact in present conditions, and that a critical reevaluation of competing understandings of the mess we're in can only advance our collective understanding of how to build a society where empathy, love, and principles of solidarity and mutual aid can replace the toxicity of the ever more vicious neoliberal economic and social order we have lived with since the late 1970s...</div>
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The literature on mental health and mental illness is littered with authors arguing diametrically opposed positions whose respective books usually seem internally coherent. This suggests that we are in a position analogous to the metaphorical humans blind-folded touching different parts of an elephant. The social and biological roots of diagnosed mental health conditions are phenomenally complex, providing evidence that can be marshaled for wildly divergent theoretical interpretations....</div>
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One relatively unique feature of psychiatry is that its efficacy relies heavily on the quality of the interaction between a doctor and a person with mental health symptoms. There are some physical tests like MRI’s and EEG’s that can be used to rule out underlying physical dysfunctions, but for the most part psychiatry stands or falls based on whether the clinician asks the right questions and gives those in his care the space to articulate their experiences, and on whether mental health consumers are educated about their symptoms and empowered to participate in shaping the course of their treatment....</div>
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All too often the dynamic goes horribly wrong. Overtaxed psychiatrists carrying heavy case loads at public clinics are usually eager to get consumers in and out in 10 minutes—15 at maximum. People experiencing highly stigmatized symptoms are often ready to just accept that the doctor knows best and under-report highly debilitating side effects. Eventually this leads many people to slide into almost comatose lives—or to drop out of treatment altogether. Statically speaking, its clear that the vast majority of people with mental health symptoms are "treating" them through the many substances available legally or illegally. The frequently dysfunctional dynamic between practitioner and client also creates a fertile ground for the exponents of anti-psychiatry—a paradigm in which mental illness is viewed as a byproduct of nefarious conspiracy between the psychiatric establishment, major pharmaceutical companies, elected and appointed officials, as well as advocates for mental health treatment...</div>
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We are in urgent need of a revolution in our thinking about mental health conditions. Official statistics estimate that approximately one-fifth of US residents will experience mental health symptoms in their lifetimes. Yet when you consider the plethora of increasingly obscure mental health diagnoses in the Diagnostic and Statistical Manual—the bible of psychiatry and psychotherapy—its reasonable to suppose that the figure could be a lot higher if everyone experiencing alienation, anxiety, depression, and other symptoms felt empowered to seek help and support...</div>
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Evaluating the efficacy of psychopharmacology, individual therapy, art therapy, group therapy, or neo-freudian psychodynamic treatment is challenging. Our brains and bodies are all unique, and often two people with the same diagnosis will have violently discordant reactions to particular medications. And its impossible to deny that some people achieve stability through treatment modalities outside the cannon of Western medicine.... </div>
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Its also clear that structural components of our social, economic, and political system aggravate underlying propensities for severe mental health symptoms—while often making treatment far too expensive and hard to find for a majority of people experiencing psycho-social distress. Pharmaceutical companies should be publicly controlled entities—and single-payer health care should make it possible for everyone to have access to top notch medical treatment....</div>
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Recovering our collective supportive human spirit is also critical. Most people experiencing severe mental health distress suffer in silence and alone—or at best with a small handful of friends and family willing to lend support. There is no objective economic limit on the amount of mental health support our society could provide. That should include making access to recreation and exercise—and also creative and artistic actictive—universal rights and social norms....</div>
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Alleviating this stigma that continues to surround mental health issues is critical—but it must be accompanied by integrating creative and undogmatic anti-capitalist analysis into the way we view these issues. Even before The presidential election, therapists were reporting phenomenal levels of anxiety among people utterly petrified of a trump regime, or utterly uninspired by their options at the ballot box. Fighting for a world where mental health support is a central part of our society is a project that can inspire the phalanxes of resistance that have emerged in response to the proto-fascist regime now clinging to power. We have a world to win—and nothing to lose but our chains.</div>
David Thurstonhttp://www.blogger.com/profile/08272549032364364465noreply@blogger.com1tag:blogger.com,1999:blog-3102288289506039657.post-51289064451493736802016-08-02T20:51:00.003-07:002016-08-02T20:51:18.949-07:00DISABILITY, RESISTANCE, AND REVOLUTION<header class="entry-header" style="background-color: white; color: #333333; font-family: Lato, Arial, sans-serif; font-size: 14px; line-height: 25.2px; margin: 0px 0px 20px;"><h1 class="entry-title" style="color: #222222; font-size: 37px; line-height: 1.2; margin: 0px 50px 30px 0px; text-rendering: optimizeLegibility;">
Disability, resistance and revolution</h1>
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<a href="http://isj.org.uk/issue-151" style="color: #fe2828; outline: none; text-decoration: none; transition: all 0.14s ease 0s;">Issue: 151</a></h4>
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<span class="posted-on">Posted on <a href="http://isj.org.uk/disability-resistance-and-revolution/" rel="bookmark" style="color: #16171b; outline: none; text-decoration: none; transition: all 0.14s ease 0s;" title="2:00 pm"><time class="entry-date published updated" datetime="2016-06-22T14:00:39+00:00" style="display: inline;">22nd June 2016</time></a></span></h4>
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Rob Murthwaite</h4>
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A review of Roddy Slorach, <span class="review-title" style="font-weight: bold;">A Very Capitalist Condition: A History and Politics of Disability</span> (Bookmarks, 2015), £12.99</div>
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The number of disabled people has grown from around 10 percent of the world population in the 1970s to 15 percent, 1 billion people, today. The World Health Organisation predicts that this figure will continue to grow as the world’s population ages and chronic diseases such as diabetes, heart disease, respiratory disease and stress related illness increase. Severe physical injury in warfare and road traffic accidents as well as industrial injury, malnutrition and insanitary living conditions also remain major causes of serious impairment. Around the world disabled people are among the most marginalised—suffering poorer health outcomes, lower levels of educational achievement and higher levels of unemployment and poverty than non-disabled people.</div>
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From the onset of the latest financial crisis disabled people have been in the forefront of the government’s austerity measures. In 2010 Britain’s disabled population of around 11 million were labelled as benefits scroungers by much of the media as the coalition government launched its attack on the welfare state. Subsequently disability benefits have been slashed with devastating effects for thousands of disabled people. But in response a new and vibrant movement of disabled people, led by Disabled People Against Cuts (DPAC), has developed. The recent U-turn made by Tory chancellor George Osborne over further cuts to disability benefits is an indication of their effectiveness.</div>
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Attacks on disabled people and the response from disabled people’s movements such as DPAC in Britain are likely to become an increasingly important aspect of the struggles to come. Therefore questions about the political nature of disability, the social position of disabled people now and in the past, and the struggle for equality of disabled people will be important in the development of both the anti-austerity movement and the struggle for socialism. <span class="char-style-override-1"><em>A Very Capitalist Condition</em></span> is a major contribution to the discussion of these questions.</div>
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The book has a very broad scope with chapters on the theory of disability as well as its history. There are fascinating chapters on the social model of mental health, the international history of disability movements, the history and politics of hearing impairment and sign language and also a chapter dealing with controversial issues such as the right to die and inclusive education.</div>
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There is a considerable existing body of writing in the field of disability and some of the key ideas are outlined in the early chapters of the book. In particular Chapter 3 deals with the “Social Model and Its Critics”. The social model was initially outlined by a group of disabled activists (the Union of Physically Impaired Against Segregation, UPIAS) in the early 1970s and developed by writers such as Mike Oliver in <span class="char-style-override-1"><em>The Politics of Disablement</em></span>. The social model theory holds that the disadvantage suffered by disabled people in society stems not from our physical, sensory and/or mental impairments but from a society which takes no account and makes no provision for these impairments. The social model identifies disability as the result of the oppression of people with impairments. The chapter also includes a brief section on the biopsychosocial model of disability, which sees disability as resulting from a complex interaction of social, biological and psychological factors. This model is the foundation of the hated work capability assessment notoriously used by the private sector company Atos to kick thousands of disabled people off incapacity benefits. As a model of illness the biopsychosocial model is progressive; its use to underpin the assessments is a distortion for political ends and is a cause of much anger among disabled activists so merits more attention than it receives here.</div>
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The historical scope of the book is impressive with fascinating accounts of the position of disabled people in prehistoric, classical and feudal as well as capitalist society. The author draws on recent archaeological evidence in support of his argument that in the earliest hunter-gatherer societies people with both congenital and acquired severe physical impairments survived into relative old age and must therefore have been provided for and cared for even in the most difficult times. The history of disabled people is approached from a materialist perspective and so discusses the changing position of disabled people throughout history in the context of the development of modes of production. This is particularly important in the discussion of the transition from feudalism to capitalism. The book describes how the shift from agricultural production based on the peasant family to industrial production based on large-scale factories marginalised and increasingly excluded those with physical and mental impairments from the workforce.</div>
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Writers such as Vic Finkelstein and Mike Oliver have previously identified the shift from feudalism to capitalism as key to the systematic exclusion of disabled people. But for Finkelstein and Oliver it is the inaccessibility of the factory, etc that is the problem, a problem that could be reformed away. For Roddy on the other hand the oppression of disabled people arises from a more fundamental aspect of capitalism: its exploitative relations of production. The capitalist’s profits depend upon the fact that a worker will produce more value than it costs in wages to employ them; profit arises from the surplus which is retained by the capitalist. Every capitalist will therefore avoid hiring people with impairments as this may involve more expense in making adjustments to the production process and might produce less of a surplus and therefore reduce profit. Thus the book’s contention that disability discrimination arises from the exploitative relationship between labour and capital that is fundamental to the current system leads to the conclusion that it can only be abolished through the revolutionary overthrow of capitalism and the establishment of a society based on social ownership of the means of production.</div>
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Chapter 13 explores capitalism and disability today and includes sections discussing disability and work in late capitalism, the relationship between exploitation and oppression and the problematic question of disability identity. On the latter the author writes:</div>
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The point, however, remains that their more fragmented experiences of oppression means disabled people are less likely to identify with each other than other groups of the oppressed. The social model’s assumption that disabled people can find common cause first and foremost with other disabled people is therefore problematic (p256).</div>
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The idea that the oppression of disabled people is somehow fundamentally different from oppression based on race or gender runs throughout this section without a convincing argument being made in support of this contention. The fact that disabled people are divided by class is not unique to disabled people; neither is the fact that, for the vast majority of time, disabled people experience their oppression as individuals or that they may not openly identify as disabled. The confident assertion of sexual and racial identity is something that has emerged through the solidarity of struggle rather than being somehow inherent in these characteristics.</div>
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The final chapter of the book, “From Rights to Revolution”, takes up the argument put by some leading writers on disability that a socialist revolution would inevitably fail to free disabled people from oppression. Here the book convincingly argues that, in a society where production is based on human need rather than profit, people with impairments will be fully and equally included in all aspects of life including economic life.</div>
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<span class="char-style-override-1"><em>A Very Capitalist Condition</em></span> is a timely and useful contribution to the discussion of the politics and history of disability; it is essential reading for everyone engaged in the struggle for a better world.</div>
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<em>Rob Murthwaite is a long-standing disability activist, socialist and trade unionist.</em></div>
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David Thurstonhttp://www.blogger.com/profile/08272549032364364465noreply@blogger.com0tag:blogger.com,1999:blog-3102288289506039657.post-35163379810888010382016-08-02T00:21:00.001-07:002016-08-02T00:21:42.231-07:00MENTAL HEALTH SUPPORT GROUP IN DC EVERY WEDNESDAYNAMI DC (the national alliance on mental illness) hosts a weekly support group for anyone with a diagnosis and for family and friends of those with mental illness. The group has been a tremendous source of support in my own journey to recovery. Please spread the word about this resource. We meet from 7 to 9 pm at the Hill Center, located at 921 Pennsylvania Ave. SE, near the Eastern Market station...<br />
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To reach NAMI DC, you can call 202-546-0646 or visit our website: namidc.org.<br />
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PEACE, LOVE, and SOLIDARITY,<br />
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David Thurston<br />
Outreach Coordinator<br />
NAMI DCDavid Thurstonhttp://www.blogger.com/profile/08272549032364364465noreply@blogger.com0tag:blogger.com,1999:blog-3102288289506039657.post-60230619047939294772011-08-01T05:06:00.000-07:002011-08-01T05:06:56.044-07:00HI-TECH BARBARISM: an indignado anthem<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjpkPSUcI2MMqAduYlyMJUJctDCzoW0b8nGuz-4boslyKzyquUzqOyql8XFOe6W5ve4VZq6Y2ox4v26mAKv0OmPJQrwUtUyatjRTVGUb5epMlN2gpafmEHH64r2xp9NUmb4dq5KuFQFwcu9/s1600/venezual+fire+spirit.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="199" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjpkPSUcI2MMqAduYlyMJUJctDCzoW0b8nGuz-4boslyKzyquUzqOyql8XFOe6W5ve4VZq6Y2ox4v26mAKv0OmPJQrwUtUyatjRTVGUb5epMlN2gpafmEHH64r2xp9NUmb4dq5KuFQFwcu9/s320/venezual+fire+spirit.jpg" t$="true" width="320" /></a></div><br />
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</div><div style="text-align: center;"><span class="Apple-style-span" style="-webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; -webkit-text-decorations-in-effect: none; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; border-collapse: separate; color: black; font: small "Times New Roman"; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;"><span class="Apple-style-span" style="color: #333333; font-family: Verdana, Geneva, sans-serif; font-size: 14px; line-height: 20px;">CHRONIC CRISIS PSYCHIC PAIN<br />
FREEDOM CRUSHED BOUND AND CHAINED<br />
CLASS WAR ARMAGEDDON<br />
MASS EXTINCTION MASS DECEPTION<br />
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SCREAMS OF RAGE OMNIPRESENT<br />
LORDS OF POWER NEVER LISTEN<br />
AGE OF BOURGEOIS DECADENCE<br />
AGE OF HI-TECH BARBARISM<br />
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CYBER DRONES UNLEASHED AND FANGED<br />
KILLING FIELDS BATHED IN BLOOD<br />
WAR ON TERROR – UNENDING MIRAGE<br />
IMPERIAL POWER – UNENDING FLOOD<br />
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A WORLD OF PAIN A WORLD IN CHAINS<br />
A WORLD OF PLAGUE SHAME AND RAGE<br />
HOPE AND CHANGE ENTRAPPED AND CAGED<br />
ENSLAVED BY LORDS OF THE DIGITAL AGE<br />
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PROPHESIZED AND MAGNETIZED<br />
REVOLUTION CATALYZED<br />
DIALECTIC MAGNIFIED<br />
CONTRADICTIONS OPENED WIDE<br />
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SCRIPTURES CHANGE IN MANY WAYS<br />
REINVENTED REENGAGED<br />
INTROSPECTION INTERFACED<br />
MASS WORK BABY – SOCIAL CHANGE<br />
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KARMIC POWER ORGANIZED<br />
HARNESSED BY EMPOWERED MINDS<br />
FORGOTTEN SPIRITS GIVEN LIFE<br />
ANCIENT DEMONS EXORCISED<br />
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TRINITIES AND PANTHEONS<br />
OCTAGONS AND PENTAGONS<br />
DOING RIGHT AND WRITING WRONGS<br />
ARMED WITH LOVE UNLEASHED IN SONG<br />
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FEEL THE BEAT IN TAHRIR SQUARE<br />
OCCUPIED AND BURNING BRIGHT<br />
SYGTAMNA BABY – ROLLING DEEP<br />
SYNCHRONIZED BY CYLON MIGHT<br />
<br />
FLOTILLAS FLOW TOWARDS PALESTINE<br />
RECLAIMING SACRED STOLEN LAND<br />
UNARMED ARMIES MARCHING FIERCE<br />
CONJURING DARING COSMIC PLANS<br />
<br />
THERE’S A FIRE DEEP INSIDE<br />
BURNING BRIGHT WRITHING HARD<br />
PHOENIX YEARNING TO BREAK FREE<br />
SCARRED BY SHARDS BUT BREATHING DEEP<br />
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THE BEAST IS RISING – SOUL POWERED<br />
FLYING HIGH – TOPPLING TOWERS<br />
REINVENTING ANCIENT BABYLON<br />
POLYLINGUAL TOUNGUES GROWING STRONG<br />
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COBRA RISING THRUSTING DEEP<br />
FLASHING FANGS AND GRINDING TEETH<br />
WHAT’S THEIR’S IS OURS WHAT’S YOURS IS MINE<br />
UNLEASH THE SERPENT INSIDE YOUR SPINE<br />
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KUNDALINI KALACHAKRA<br />
THE ROAD TO PEACE IS DEEP WITHIN<br />
CEREBRAL SEX AND COSMIC FUSION<br />
INFUSE THE SIN WITH OXYGEN<br />
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DANCE TO FUCK THE PAIN AWAY<br />
GIVE IN TO LOVE AND NAME YOUR RAGE<br />
EMANCIPATE AND MEDITATE<br />
ORCHESTRATE AND COPULATE<br />
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ORGANIZE OUR GLOBAL TRIBE<br />
INDIGNADOS ENERGIZED<br />
INTIFADA GLOBALIZED<br />
INSTANT KARMA – SOULS REWIRED<br />
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RECLAIM THE STREETS WITH BARRICADES<br />
DANCE AND SING TO CELEBRATE<br />
PHOENIX RISING SERPENTINE<br />
OCEANS SPAWNING COSMIC TIDES<br />
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ANCIENT RITES AND COSMIC TRUTHS<br />
REPOWERED REBRED REBORN RENEWED<br />
METALLIC WIGS AND PLATINUM BOOTS<br />
DISGUISE AND STYLE OUR CYLON TROOPS<br />
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DESTROY REBUILD AND REINVENT<br />
REWIRE THE POWER OF HIP-HOP SOUND<br />
REFUEL EVOLUTION REFINE YOUR ZEN<br />
FORGE A GLOBAL KARMIC UNDERGROUND<br />
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AVANTE GARDE INNOVATION<br />
BRANDING WALLS CRACKING FILES<br />
CREATION FUELS REVOLUTION<br />
DECENTRALIZED ARMIES RISE<br />
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HI-TECH THIEVES IN SUITS AND TIES<br />
PRETENDING TO BE CIVILIZED<br />
QUAKE IN FEAR AND RUN TO HIDE<br />
THE NIGHT OUR FLYING VANDALS RISE<br />
<br />
REVOLT LIKE AN EGYPTIAN BABY<br />
INDIGNADOS STYLED AND ORGANIZED<br />
RECLAIM OUR WORLD REBORN IN FLAMES<br />
CLASS WAR BABY – FUTURE OPENED WIDE<br />
<br />
c2011<br />
BYPO PHOENIX<br />
EVOLVE OR DIE TRYING</span></span></div>David Thurstonhttp://www.blogger.com/profile/08272549032364364465noreply@blogger.com0tag:blogger.com,1999:blog-3102288289506039657.post-86516166237539547772011-08-01T04:55:00.000-07:002011-08-01T04:55:19.145-07:00PSYCHOTROPIC WARFARE: a mixtape for the mental health revolution<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhjEy8LInG5s3eHwIomi9zM7kW2K8kO7jZlPu8QkSNbj9ESaQGUbPmPEDC257sxOO7hkgWVK5ZK6xW9YvNOPr6J_HNWGvdFSGjb-btsNTq8vDr8WYGTkONhdF9YeczYWLKavvYL02ya7M7u/s1600/banksy+soldiers+peace.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="212" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhjEy8LInG5s3eHwIomi9zM7kW2K8kO7jZlPu8QkSNbj9ESaQGUbPmPEDC257sxOO7hkgWVK5ZK6xW9YvNOPr6J_HNWGvdFSGjb-btsNTq8vDr8WYGTkONhdF9YeczYWLKavvYL02ya7M7u/s320/banksy+soldiers+peace.jpg" t$="true" width="320" /></a></div> WORK BY BANKSY<br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh7HEXG1DQ31CFm2C4_ecrot4eVUZYhLuSg3rh5z_uhbAofVgnyMOe58_slDAj5aBCQRVJIcBVe2jqNlQW0Fgjnm41z-iQ2OtQ_OdYtLxNA5eZGHaHA4hCjyzfjEQYJgSnRZr1B21Nyg4iy/s1600/egyptian+mummy.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh7HEXG1DQ31CFm2C4_ecrot4eVUZYhLuSg3rh5z_uhbAofVgnyMOe58_slDAj5aBCQRVJIcBVe2jqNlQW0Fgjnm41z-iQ2OtQ_OdYtLxNA5eZGHaHA4hCjyzfjEQYJgSnRZr1B21Nyg4iy/s320/egyptian+mummy.jpg" t$="true" width="320" /></a></div> ARTIST UNKNOWN: FROM REVOLUTIONARY CAIRO<br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiJO5ZSJGCjdKgLPP7p4VFSd3XcUwIYvHU2ATf8tqGE_XizG4hQXobC-uGnlnmqB_XZW3CiYoD33qingSeho50VK128tqe2fXtxjYk1LPJFgAkz0qremcy7BE-nz0d6sPtqUGue6P9EwS0M/s1600/rasta+in+red.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiJO5ZSJGCjdKgLPP7p4VFSd3XcUwIYvHU2ATf8tqGE_XizG4hQXobC-uGnlnmqB_XZW3CiYoD33qingSeho50VK128tqe2fXtxjYk1LPJFgAkz0qremcy7BE-nz0d6sPtqUGue6P9EwS0M/s320/rasta+in+red.jpg" t$="true" width="320" /></a></div><span class="Apple-style-span" style="-webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; -webkit-text-decorations-in-effect: none; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; border-collapse: separate; color: black; font: small "Times New Roman"; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;"><span class="Apple-style-span" style="color: #333333; font-family: Verdana, Geneva, sans-serif; font-size: 14px; line-height: 20px;">ARTIST UNKNOWN >> titled RASTA IN RED by the BYPO TRIBE</span></span><br />
<span class="Apple-style-span" style="-webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; -webkit-text-decorations-in-effect: none; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; border-collapse: separate; color: black; font: small "Times New Roman"; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;"><span class="Apple-style-span" style="color: #333333; font-family: Verdana, Geneva, sans-serif; font-size: 14px; line-height: 20px;">~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~</span></span><br />
<br />
<div style="text-align: center;"><span class="Apple-style-span" style="-webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; -webkit-text-decorations-in-effect: none; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; border-collapse: separate; color: black; font: small "Times New Roman"; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;"><span class="Apple-style-span" style="color: #333333; font-family: Verdana, Geneva, sans-serif; font-size: 14px; line-height: 20px;">MOODS ARE TORTURED CRAZY BEASTS<br />
WILD UNTAMED - SO FIERCELY FREE<br />
CHURNING WORLDS ACHIEVING FEATS<br />
BUT ENSLAVED BY TIDES OF NEUROCHEMISTRY<br />
<br />
MANIC FLIGHTS - DEPRESSIVE PAIN<br />
ANXIETY HOLDS EXPRESSION IN CHAINS<br />
NARCISSISTIC OBSESSION – EMOTIONAL BORDERLINE<br />
PERSONALITY STIGMAS INSCRIBED IN TEXTS AND ON MINDS<br />
<br />
VOICES OF TRAUMA ECHO DEEP INSIDE<br />
VISIONS AND FEELINGS INTRUDE FROM BEYOND<br />
CLAIMING OUR PRESENT - CONTROLLING OUR LIVES<br />
REVIVING OLD DEMONS AND SUPPRESSING NEW SONGS<br />
<br />
BEHIND EVERY ADDICTION LURKS A DEEPER DISEASE<br />
A PAIN THAT YOUR PRAYING THAT DRINK WILL EASE<br />
A PUFF - A LONG DEEP DRAG - TO EASE ANXIETY OUT<br />
A POTENT PILL TO FIND SLEEP – A LITTLE BUMP TO AROUSE<br />
<br />
BREAK THE SILENCE – EXPOSE THE LIES<br />
OUR SYSTEM IS SICK YET ITS MORTALS WHO DIE<br />
SUICIDE CLAIMS TENS OF THOUSANDS EACH YEAR<br />
GUILT, PAIN, AND SHAME ARE ITS TOXIC DEBRIS<br />
<br />
NO SHAME, NO GUILT, NO SILENCE, NO RAGE<br />
YOUR OWN PSYCHIC BREAK COULD BE MOMENTS AWAY<br />
IN EACH AND EVERY FAMILY LIES A HIDDEN STORY<br />
OF ILLNESS UNTREATED – OF PERSONALITY RECOILED<br />
<br />
LAUGH TO HEAL - LEARN TO LET YOURSELF CRY<br />
FIND JOY IN KARMIC COMPANY – ARISE BUTTERFLIES<br />
NEURONS HEAL - TOXIC TIRED PATTERNS REARRANGE<br />
PSYCHOLOGICAL SYNERGIES EVOLVE GROW AND CHANGE<br />
<br />
HOPE AND FAITH ARE LAMPS OF LIGHT ON THE WAY<br />
FRIENDS CAN LOVE – TRANSFORMED FAMILIES CAN HOLD<br />
SPEAK MALCOLM'S TRUTH TO POWER – LET NINA'S TEARS HEAL PAIN<br />
LET BALDWIN'S PASSION CREATE – LET OCTAVIA'S SYNERGY GROW BOLD<br />
<br />
DECAYED CAPITALISM IS A FIERCE MONSTROUS BEAST<br />
FRANTICALLY DESTROYING A PLANET - ITS DEMONS NEVER SLEEP<br />
IMPERIAL TERROR AND CYBER DRONES HERALD ORWELLIAN PEACE<br />
MUSLIMS ARE BRANDED - INHUMANE PRISON CELLS INFECTED WITH MORTAL GRIEF<br />
<br />
INSTEAD OF ORDER WE HAVE CHAOS - ANARCHY BOURGEOIS STYLE<br />
INSTEAD OF CARE WE HAVE PRISONS - THE WAR ON DRUGS IS A LIE<br />
PEDDLING THE LATEST PRICEY PILLS FOR PROFIT – YET DENYING SO MANY RELIEF<br />
LEAVING SHAME AND GUILT - TURMOIL AND RAGE - TO SEETHE AND WRITHE BENEATH<br />
<br />
EXAMINE YOUR PAIN – SEEK TREATMENT AND LOVE<br />
GIVE IN TO YOUR PARENTS, YOUR LOVERS, YOUR FRIENDS<br />
IN TIME - TRUST REBUILDS ITS MAGIC SUBTERRANEAN POWER<br />
CATHARTIC TEARS AND HEAVENLY RAIN SUSTAIN CREATIVITY’S COSMIC FLOWER<br />
<br />
RESIST THE CHAINS OF BONDAGE ENSLAVING OUR BRAINS<br />
FIGHT FOR FREEDOM BABYDOLLS – ARMED WITH LOVE FUELED BY RAGE<br />
NAME SYSTEMIC ROOTS FOR SYSTEMIC PAIN BLAME AND SHAME<br />
SLAY THE BEAST RISING ANGELS - RISE FROM FIRE - RISE FROM PAIN<span class="Apple-converted-space"> </span><br />
<br />
LET ANCESTORS SPEAK - LET ANCIENT LIVES RECOMBINE<br />
BUTTERFLIES GROW FROM MAGGOTS - SACRED TRUTH CONQUERS LIES<br />
SING SONGS OF EMANCIPATION WHILE DIVA DANCE CLAIMS THE STAGE<br />
LETS DESTROY AND REBUILD - REIMAGINE THIS UGLY BEAUTIFUL TORTURED AGE<br />
<br />
SYCHOTROPIC WARFARE BABY - TWO SIDES - TWO ROADS<br />
THERE'S A ROAD TO LIBERATION - OR A SHORT TRIP TO HELL<br />
CLASSWAR BABY DOLLS - UNFOLDING INSIDE YOUR MIND<br />
LIKE A PRAYER WE ARE HEARD - LIVE TO LOVE - LIVE TO TELL<br />
<br />
~~~~~~~~~~~~~~~~~~~~~~~~~~~<br />
c2011<br />
BYPO PHOENIX<br />
bypo.evolve@gmail.com<br />
<br />
EVOLVE or DIE TRYING<br />
REVOLT or LIVE LYING<br />
PEACE.LOVE.REVOLUTION<br />
ABRAZOS de AMOR TO THE GLOBAL BYPO TRIBE</span></span></div>David Thurstonhttp://www.blogger.com/profile/08272549032364364465noreply@blogger.com0tag:blogger.com,1999:blog-3102288289506039657.post-24473062271538004252011-08-01T04:13:00.000-07:002011-08-01T04:17:18.580-07:00RACISM AND MENTAL ILLNESS: schizophrenia and race in the Black Power era<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgIx9lxjXXiJjshL1cYq95P9jk1F0bEv7JkAlmoxzmwZjbJgVm9nm5vdNipdPKn1_1jqkpE-3vkWLdus8t5JGEyXu2dKxXq-ZpqKNpNDVEp7Pkr2VNBunCDBbwwgrIrPlRrxTCK11KiyNGW/s1600/malcolm+montage.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgIx9lxjXXiJjshL1cYq95P9jk1F0bEv7JkAlmoxzmwZjbJgVm9nm5vdNipdPKn1_1jqkpE-3vkWLdus8t5JGEyXu2dKxXq-ZpqKNpNDVEp7Pkr2VNBunCDBbwwgrIrPlRrxTCK11KiyNGW/s400/malcolm+montage.jpg" t$="true" width="202" /></a></div><div align="center"><span style="font-size: 16pt;">Visual Art by Aneikan Udofia</span></div><br />
<span style="font-size: 16pt;">by Arturo Baiocchi</span><br />
<br />
<span style="font-size: 16pt;">In a new book, entitled The Protest Psychosis: <em>How Schizophrenia Became a Black Disease</em>, psychiatrist and cultural critic Jonathan Metzl draws on a variety of sources — patient records, psychiatric studies, racist or racialized drug advertisements, and popular metaphors for madness — to contend that schizophrenia transformed from being a mostly white, middle-class affliction in the 1950s, to one that identified with blackness, volatility, and civil strife at the height of the civil rights movement.</span><br />
<br />
<span style="font-size: 16pt;">The race-focused resonance between emerging definitions of schizophrenia and anxieties about black protest seem clear in pharmaceutical advertisements and essays appearing in leading American psychiatric journals during the 1960s and 70s. For instance, the advertisement for the major tranquilizer Haldol that ran in the Archives of General Psychiatry shows an angry, hostile African American man with a clenched, inverted, Black Power fist.</span><br />
<br />
<span style="font-size: 16pt;">The deranged black figure literally shakes his fist at the assumed physician viewer, while in the background a burning, urban landscape appears to directly reference the type of civil strive that alarmed many in the “establishment” at that time. The ad compels psychiatrists to conflate black anger as a form of threatening psychosis and mental illness. Indeed the ad seems to play off presumed fears of assault-prone and belligerent black men.</span><br />
<br />
<span style="font-size: 16pt;">As the urban background suggests, this fear extended beyond individual safety to social unrest. In a 1969 essay entitled “The Protest Psychosis,” psychiatrists postulated that the growing racial disharmony in the US at the height of the civil rights movement, reflected a new manifestation of psychotic behaviors and delusions afflicting black lower class people in the U.S. According to this deeply ideological pseudo-science, “paranoid delusions that one is being constantly victimized” drew some men to fixate on misguided ventures to overthrow the establishment. Luckily, pharmaceutical companies proposed that chemical interventions could directly pacify the masculine, black threat depicted in such advertisements. “Assaultive and belligerent?” it asks. “Cooperation often begins with Haldol.”</span><br />
<br />
<span style="font-size: 16pt;">Moreover, ads for Thorazine and Stelazine during this period often conjured up images of the “unruly” and “primitive” precisely at a time when the demographic composition of this diagnosis was dramatically shifting from a mostly white clientele, to a group of predominately black, confined, mental patients. It is telling that within this context, the makers of Thorazine would choose to portray the drug’s supposed specificity to schizophrenia in their advertisements by displaying a variety of war staffs, walking sticks, and other phallic artifacts of African origin.</span><br />
<br />
<span style="font-size: 16pt;">One ad for Thorazine, exclaims western medicine’s superiority in treating mental illness with modern pharmaceuticals, by contrasting the primitive tools used by less enlightened cultures.</span><br />
<br />
<span style="font-size: 16pt;">Notably, these claims of superiority and medical efficacy drew from a particular set of pejorative ideas of the “primitive” that were already well established within some sectors of psychiatry that equated mental illness with primitive, animalistic and regressive impulses. As Metzl contends in his book:</span><br />
<br />
<div style="margin-left: 0.5in;"><span style="font-size: 16pt;">pharmaceutical advertisements shamelessly called on these long-held racist tropes to promote the message that social “problems” raised by angry black men could be treated at the clinical level, with antipsychotic medications.</span></div><div style="margin-left: 0.5in;"><br />
</div><span style="font-size: 16pt;">These ads are in sharp contrast to previous marketing campaigns that framed schizophrenia in the 1950s as a mental condition affecting mostly middle class patients, and especially women. Ideas of schizophrenia were at that time an amorphous collection of psychotic and neurotic symptoms that were thought to afflict many women who struggled to accept the routines of domesticity.</span><br />
<br />
<div style="border-bottom: windowtext 1pt solid; border-left: medium none; border-right: medium none; border-top: medium none; mso-border-bottom-alt: solid windowtext .75pt; mso-element: para-border-div; padding-bottom: 1pt; padding-left: 0in; padding-right: 0in; padding-top: 0in;"><div style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; mso-border-bottom-alt: solid windowtext .75pt; mso-padding-alt: 0in 0in 1.0pt 0in; padding-bottom: 0in; padding-left: 0in; padding-right: 0in; padding-top: 0in;"><span style="font-size: 16pt;">While schizophrenia is certainly a profoundly real, frightening, debilitating illness, Metzl reminds us that xenophobic, racist, and imperialist cultural assumptions regarding the<span style="mso-spacerun: yes;"> </span>proverbial “other,” were fundamental in shaping how psychiatry reshaped its understanding of the condition in the changed circumstances of post Civil Rights era urban rebellion.<span style="mso-spacerun: yes;"> </span>Mertzl’s insight’s are profound, and raise interesting questions about the extent to which such dynamics persist within the mental health professions.</span></div><div style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; mso-border-bottom-alt: solid windowtext .75pt; mso-padding-alt: 0in 0in 1.0pt 0in; padding-bottom: 0in; padding-left: 0in; padding-right: 0in; padding-top: 0in;"><br />
</div><div style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; mso-border-bottom-alt: solid windowtext .75pt; mso-padding-alt: 0in 0in 1.0pt 0in; padding-bottom: 0in; padding-left: 0in; padding-right: 0in; padding-top: 0in;"><br />
</div></div><span style="font-size: 16pt;">Arturo Baiocchi is a doctoral student in Minnesota interested in issues of mental health, race, and inequality. He is writing his dissertation on how young adults leaving the foster care system understand their mental health needs. This piece came to us through internet channels and was edited by David Paul Tahrir Thurston for content and clarity.</span><br />
<div align="center" style="text-align: center;"><br />
</div><br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;"><br />
</div>David Thurstonhttp://www.blogger.com/profile/08272549032364364465noreply@blogger.com0tag:blogger.com,1999:blog-3102288289506039657.post-82156046369187856652011-08-01T03:44:00.000-07:002011-08-01T03:44:31.247-07:00BREAKING THE SILENCE: MENTAL HEALTH, OPPRESSION, AND CAPITALISM<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi7tT9OTgtaPMBxlZqHu6-UV3aFmXdn_pN959EBpVxN7xOdM7ocxelLtGilpM3gFFbiqM9huMJMDg2BJDGGDE1CrOMPvh9niFRWNup69xXXOT5s4QygwQmyxIhUQsvRkMVPAv9NTX7BqMx0/s1600/one+love+street+art+baby.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi7tT9OTgtaPMBxlZqHu6-UV3aFmXdn_pN959EBpVxN7xOdM7ocxelLtGilpM3gFFbiqM9huMJMDg2BJDGGDE1CrOMPvh9niFRWNup69xXXOT5s4QygwQmyxIhUQsvRkMVPAv9NTX7BqMx0/s640/one+love+street+art+baby.jpg" t$="true" width="480" /></a></div><div class="MsoNormal" style="margin: 0in 0in 0pt;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 18pt;">Breaking the Silence:</span></b></div><div class="MsoNormal" style="margin: 0in 0in 0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 18pt;">Mental Health, Oppression, and Capitalism</span></b></div><div class="MsoNormal" style="margin: 0in 0in 0pt;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt;"><b style="mso-bidi-font-weight: normal;">by David Paul Tahrir Thurston</b></div><div class="MsoNormal" style="margin: 0in 0in 0pt;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">There is stark evidence of a growing mental health crisis in the <country-region w:st="on"><place w:st="on">United States</place></country-region>.<span style="mso-spacerun: yes;"> </span>In early October, a man who had recently lost his job, killed his entire family and then committed suicide.<span style="mso-spacerun: yes;"> </span>A few weeks later, a 90-year-old woman shot herself as her house was under foreclosure.<span style="mso-spacerun: yes;"> </span>Veterans of the wars in <country-region w:st="on">Iraq</country-region> and <country-region w:st="on"><place w:st="on">Afghanistan</place></country-region> suffer disproportionately.<span style="mso-spacerun: yes;"> </span>By early Spring 2008, the number of veterans committing suicide at home in the <country-region w:st="on">U.S.</country-region>, exceeded the numbers dying of violence in <place w:st="on"><country-region w:st="on">Iraq</country-region></place>.<span style="mso-spacerun: yes;"> </span>While these are extraordinary examples, it remains true, every year, that more people in the United States die from suicide than from homicide—a fact the street crime obsessed mass media rarely discloses. </div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">These are among the most extreme examples of a crisis that affects millions of people.<span style="mso-spacerun: yes;"> </span>While the acutely mentally ill are a minority of the population, millions more suffer from milder forms of depression, anxiety, and other syndromes that make life in a brutally unequal and profoundly oppressive society all the more difficult.<span style="mso-spacerun: yes;"> </span></div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">The mental health crisis is intimately linked to the larger crisis of health care.<span style="mso-spacerun: yes;"> </span>The 47 million residents of the <place w:st="on"><country-region w:st="on">United States</country-region></place>, who lack health insurance have little to no access to mental health services.<span style="mso-spacerun: yes;"> </span>Millions more live with profoundly inadequate access to medication or therapy.<span style="mso-spacerun: yes;"> </span>Insurers typically limit visits to mental health professionals at 20 per year—a level profoundly inadequate for anyone suffering severe distress.<span style="mso-spacerun: yes;"> </span>Medications are often not covered for chronic illnesses.<span style="mso-spacerun: yes;"> </span>Millions of people fail to seek access to treatments for anxiety or depression because of deeply rooted guilt and shame around these issues which still pervades <country-region w:st="on"><place w:st="on">U.S.</place></country-region> culture.<span style="mso-spacerun: yes;"> </span>All of this leaves aside the question of whether the predominant approaches to mental health adequately address the roots of emotional and psychological turmoil in our society.</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">The issues of mental health and mental illness are complicated.<span style="mso-spacerun: yes;"> </span>It is undoubtedly true that the viscitudes of capitalist society, from economic exploitation to oppression in all its forms, are a crucial source of the emotional and psychological issues that plague so many. <span style="mso-spacerun: yes;"> </span>Yet there is also persuasive evidence that human biology plays some role in determining each person’s likelihood of contending with particular mental health conditions.<span style="mso-spacerun: yes;"> </span>What we know about how the mind works has expanded exponentially over the past hundred years.<span style="mso-spacerun: yes;"> </span>Yet in many respects, our understanding of the mind and of human emotions remains in its infancy.<span style="mso-spacerun: yes;"> </span>Many of the treatments which professionals know to be effective were discovered by scientific accident, and are barely understood at a theoretical level.</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">The concept of mental illness is useful as a means of describing the condition of those most acutely disabled by disorders of mood and cognition.<span style="mso-spacerun: yes;"> </span>The notion of mental illness has been progressive in that it has established a basis upon which to compare afflictions of the mind to those of the body. <span style="mso-spacerun: yes;"> </span>Yet the limitations of the concept are evident in widespread views of the mentally ill as an incomprehensible population whose troubles bear no relation to the daily ups and downs that effect the rest of us. <span style="mso-spacerun: yes;"> </span>In contrast, the notion of mental health suggests that attention to moods, emotions, and psychological tendencies should be a basic part of what all of us deem important in attempting to live healthy and productive lives.</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center; text-indent: 0.5in;"><b style="mso-bidi-font-weight: normal;">Debates on the Left</b></div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Mental health is not a subject frequently addressed by those on the left—but when it is, discord and confusion often reign supreme.<span style="mso-spacerun: yes;"> </span>Debate has raged over the question of medication, with many voices arguing forcefully that the widespread use of psychotropic medication is the product of sinister collusion between the pharmaceutical industry and the Federal government.<span style="mso-spacerun: yes;"> </span>Ignoring the fact that millions of people see some value in taking medication, critics argue that these treatments range from useless to harmful, and dismiss the potential of medication to provide relief for painful conditions.<span style="mso-spacerun: yes;"> </span>Some have minimized the value of currently available mental health treatment, arguing that mental distress is simply a product of an oppressive and exploitive society, and is inevitable as long as those larger forces reign supreme.<span style="mso-spacerun: yes;"> </span></div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">While there are grains of truth in these arguments, there is much to defend about the scientific advances made in the understanding of the mind in recent decades.<span style="mso-spacerun: yes;"> </span>Capitalism exacts a severe toll on the human psyche, but has also given birth to a range of treatments that hold enormous potential for alleviating emotional suffering.<span style="mso-spacerun: yes;"> </span>We have a multitude of tools at our disposal for treating mental health issues, and need to use all available methodologies to find what works.<span style="mso-spacerun: yes;"> </span>One critical problem is access—those most in need of advanced treatments are least likely to be able to afford them.<span style="mso-spacerun: yes;"> </span>While the goal of the left must be to fundamentally transform society, we should be passionate advocates for all those who need help in the present. The Marxist understanding of human society—of exploitation, alienation, oppression, and commodification—could do much to inform social work, psychology, and psychiatry.<span style="mso-spacerun: yes;"> </span>The task of the left is to build the kind of social movements that can facilitate the fusion of the best scientific knowledge about our minds and emotions, with a materialist understanding of how change can be made in class society.</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Among the most menacing barriers to the social progress we need around mental health are the profound levels of guilt and shame that suffuse these issues.<span style="mso-spacerun: yes;"> </span>Capitalist society teaches us that we are each personally responsible for our own success.<span style="mso-spacerun: yes;"> </span>A corollary of this is that emotional and psychological difficulties we encounter are our own fault.<span style="mso-spacerun: yes;"> </span>This belief is such a firm part of ruling class ideology that millions of people who would never openly articulate this idea, nonetheless accept it in subtle and overt ways.<span style="mso-spacerun: yes;"> </span>People are often ashamed that they need medication, seeing this as revealing some constitutional weakness.<span style="mso-spacerun: yes;"> </span>People feel guilty about needing therapy, thinking that they should be able to solve their problems on their own.<span style="mso-spacerun: yes;"> </span>Millions of people fail to seek any treatment, because mental health care is seen as something that only the most dramatically unstable person would turn to.</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">We need to break the silence around mental health.<span style="mso-spacerun: yes;"> </span>These are issues that all of us should have some basic exposure to.<span style="mso-spacerun: yes;"> </span>The proportion of the population that will experience an episode of acute emotional distress is extremely high.<span style="mso-spacerun: yes;"> </span>Those of us who have never been depressed probably know and love several people who have.<span style="mso-spacerun: yes;"> </span>With these issues, as with the AIDS crisis, silence is deadly.<span style="mso-spacerun: yes;"> </span>People are left to face acute trauma not knowing that there are millions of people who share their struggle, not knowing that there are viable means of relief, and not knowing that if treatment is successful they can lead meaningful and joyful lives.</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Mental health challenges are often created and compounded by the many forms of oppression that pervade capitalist society.<span style="mso-spacerun: yes;"> </span>Sexism is a tremendous emotional and psychological burden on women, and is a likely contributor to the fact that women’s rates of depression are roughly double those of men.<span style="mso-spacerun: yes;"> </span>Racism makes life more difficult for blacks, Latinos, and other oppressed groups, and then affects the way people from these groups are treated when they seek mental health treatment—or are forced into it through an encounter with the criminal justice system.<span style="mso-spacerun: yes;"> </span>As mental health institutions have been dismantled, the prisons have emerged as a de-facto mental health system.<span style="mso-spacerun: yes;"> </span>A staggering proportion of people in prison have diagnosable mental health issues; thousands probably develop mental health problems as a result of the brutal and inhumane conditions that have come to pervade the prison system.<span style="mso-spacerun: yes;"> </span>Homophobia is also a critical factor in mental health difficulties for members of the LGBT community.<span style="mso-spacerun: yes;"> </span>Growing up in a homophobic society produces a toxic confluence of guilt, shame, fear, and mental isolation.<span style="mso-spacerun: yes;"> </span>Suicide rates for LGBT teens are staggering.<span style="mso-spacerun: yes;"> </span>The immigrant community also has its own mental health crisis.<span style="mso-spacerun: yes;"> </span>Many immigrants experience depression, anxiety, and substance abuse because of poverty, the threat of deportation, and feelings of inadequacy because of not achieving economic success in the <country-region w:st="on"><place w:st="on">U.S.</place></country-region></div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
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</div><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center; text-indent: 0.5in;"><b style="mso-bidi-font-weight: normal;">Depression</b></div><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Depression is among the most widespread and devastating mental illnesses.<span style="mso-spacerun: yes;"> </span>According to recent research, about 3 percent of people in the <country-region w:st="on"><place w:st="on">U.S.</place></country-region>—some 19 million—suffer from chronic depression.<span style="mso-spacerun: yes;"> </span>Yet only half of those with major depression have ever sought help of any kind—even from a clergyman or counselor. About 95 percent of those who have sought help have gone to primary care physicians, whose knowledge of psychiatric complaints is limited.<span style="mso-spacerun: yes;"> </span>Nonetheless, about 28 million people—10 percent of the adult population—are now on selective serotonin reuptake inhibitors (SSRIs)—the class of drugs of which Prozac is the most prominent.<span style="mso-spacerun: yes;"> </span>Rates of depression are on the rise.<span style="mso-spacerun: yes;"> </span>Twenty years ago, 1.5 percent of the population had depression that required treatment.<span style="mso-spacerun: yes;"> </span>Today, the figure is 5% and as many as 10 percent of people now living in the <place w:st="on"><country-region w:st="on">U.S.</country-region></place> can expect a major depressive episode in their lifetime.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn1" name="_ednref1" style="mso-endnote-id: edn1;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[1]</span></span></span></span></a></div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Depression is enormously costly, both emotionally and financially. The following description by author Kay Redfield Jamison captures the range of depressive experience:</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0.5in;">The depressive, or melancholic, states are characterized by a morbidity and flatness of mood along with a slowing down of virtually all aspects of human thought, feeling, and behavior that are most personally meaningful… When energy is profoundly dissipated, the ability to think is clearly eroded, and the capacity to actively engage in the efforts and pleasures of life is fundamentally altered, then depression becomes an illness rather than a temporary or existential state… Mood, in the more serious depressive states, is usually bleak, pessimistic, and despairing… The physical and psychological worlds are experienced as shades of grays and blacks, as having lost their color and vibrancy.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn2" name="_ednref2" style="mso-endnote-id: edn2;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[2]</span></span></span></span></a></div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0in; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Andrew Solomon describes depression as a “noonday demon,” a metaphor that evokes depression’s power to rob one of the vitality for living in any circumstances:</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0.5in;">There is something brazen about depression.<span style="mso-spacerun: yes;"> </span>Most demons—most forms of anguish—rely on the cover of night; to see them clearly is to defeat them.<span style="mso-spacerun: yes;"> </span>Depression stands in the full glare of the sun, unchallenged by recognition.<span style="mso-spacerun: yes;"> </span>You know all the why and the wherefore and suffer just as much as if you were shrouded by ignorance. There is almost no other mental state of which the same can be said.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn3" name="_ednref3" style="mso-endnote-id: edn3;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[3]</span></span></span></span></a></div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0in;">Depression is related to grief, but is distinct from it.<span style="mso-spacerun: yes;"> </span>While emotions of sadness and loss can trigger depression, the demon itself is distinct in character.<span style="mso-spacerun: yes;"> </span>Depression also begets depression.<span style="mso-spacerun: yes;"> </span>It leads us to isolate ourselves from people around us, and to withdraw from outside commitments and human engagement.<span style="mso-spacerun: yes;"> </span>Fighting these tendencies is central to the struggle to conquer ones own depression.</div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0in;"><br />
</div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0in; text-indent: 0.5in;">Fortunately, depression does respond to treatment. Medications do work for many people, though patience is required as they are is no clearly established methodology for establishing which anti-depressants will work for which subsets of the population.<span style="mso-spacerun: yes;"> </span>Medications often take weeks to be effective, and for no apparent reason, a medication which works well for one person, will have no effect on another.<span style="mso-spacerun: yes;"> </span>Particularly treatment-resistant depressions often respond well to a combination of medications each influencing different neurotransmitter systems.<span style="mso-spacerun: yes;"> </span>Therapy can be enormously helpful, as can regular exercise, good diet, and a range of alternative therapies.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn4" name="_ednref4" style="mso-endnote-id: edn4;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[4]</span></span></span></span></a></div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0in; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0in; text-indent: 0.5in;">There are also treatments for depression that strain the imagination.<span style="mso-spacerun: yes;"> </span>Electroconvulsive therapy is a remarkably reliable means of treating severe depression.<span style="mso-spacerun: yes;"> </span>Electric shocks delivered to an anasthetized patient induce seizure-like activity which has the effect of rebooting the brains neurochemistry and delivering relief.<span style="mso-spacerun: yes;"> </span>Unfortunately, one dramatic side-effect of this treatment is the disorienting loss of short-term memory.<span style="mso-spacerun: yes;"> </span>Transcranial magnetic stimulation has also shown positive results with some patients.<span style="mso-spacerun: yes;"> </span>These treatments indicate how complex our minds are and how little we understand about the science which makes certain treatments effective.</div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0in; text-indent: 0.5in;"><br />
</div><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center; text-indent: 0.5in;"><b style="mso-bidi-font-weight: normal;">Anxiety</b></div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Anxiety is depression’s cousin.<span style="mso-spacerun: yes;"> </span>If depression is brings on despair about the conditions of one’s own life, anxiety brings anticipation of problems because of actions and situations yet to be encountered.<span style="mso-spacerun: yes;"> </span>Anxiety can be paralyzing and can lead to acute panic attacks in which a person can lose consciousness:</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0.5in;">The psychological core of acute anxiety attacks can center around fears of internal physical disaster… or of mental disorder…or of social catastrophe.<span style="mso-spacerun: yes;"> </span>Sometimes a person cannot pinpoint the precise nature of an anticipated catastrophe but expects that some very noxious event is occurring or is about to occur.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn5" name="_ednref5" style="mso-endnote-id: edn5;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[5]</span></span></span></span></a></div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><span style="mso-spacerun: yes;"> </span>As Aaron Beck and Gary Emery write, “anxious individuals <i style="mso-bidi-font-style: normal;">innacurately</i> appraise neutral situations as dangerous.”<span style="mso-spacerun: yes;"> </span>The fear involved may be of physical harm, social discomfort, or a recurrence of trauma.<span style="mso-spacerun: yes;"> </span>Studies have indicated very little genetic basis for anxiety disorders.<span style="mso-spacerun: yes;"> </span>Rather, anxiety disorders seem to be a response to trauma, whether mild or severe, and to the pervasive insecurities engendered by a social system racked by alienation and shaped intrinsically by competition.<span style="mso-spacerun: yes;"> </span>As Beck and Emery write:</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0.5in;">Anxiety may be distinguished from fear in that the former is an emotional process while fear is a cognitive one. Fear involves the intellectual appraisal of a threatening stimulus; anxiety involves the emotional response to that appraisal… One can label a fear as being realistic or unrealistic, rational or irrational.<span style="mso-spacerun: yes;"> </span>A fear is realistic is based on a sensible assumption, logic and reasoning, and objective observation… Anxiety on the other hand cannot be labled realistic or unrealistic because is refers to an affective response not to a process of evaluating reality.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn6" name="_ednref6" style="mso-endnote-id: edn6;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[6]</span></span></span></span></a></div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Cognitive behavior therapy works by teaching clients to intervene in their own cognitive processes, thus dimming the intense emotional reactions to apparently threatening situations:</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0.5in;">The role of cognitive therapy… is to test whether a particular situation labeled dangerous is actually dangerous.<span style="mso-spacerun: yes;"> </span>Thus, through questioning the degree of danger, evaluating danger-laden automatic thoughts, and experimental exposure, the patient is enabled to detach and “extinguish” the fears that have been erroneously attached to a given situation or object.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn7" name="_ednref7" style="mso-endnote-id: edn7;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[7]</span></span></span></span></a></div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0in;">Other treatment methods are also effective with some patients.<span style="mso-spacerun: yes;"> </span>Medications can be enormously helpful, and anxiety often coexists with depression, which must be treated in its own right.<span style="mso-spacerun: yes;"> </span>Post-traumatic stress disorder, a key subset of the anxiety disorders, is obviously a growing problem because of the wars in <country-region w:st="on">Iraq</country-region> and and <country-region w:st="on"><place w:st="on">Afghanistan</place></country-region>, and requires its own specific treatments.</div><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center; text-indent: 0.5in;"><br />
</div><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center; text-indent: 0.5in;"><b style="mso-bidi-font-weight: normal;">Manic Depressive Illness</b></div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Manic depressive illness is the most strikingly dialectical of the major mental illnesses.<span style="mso-spacerun: yes;"> </span>People with manic depressive illness have episodes of depression, but also episodes of mania or hypomania which are in many ways the polar opposite of depression.<span style="mso-spacerun: yes;"> </span>This is why this condition is often called bipolar disorder.<span style="mso-spacerun: yes;"> </span>The term bipolar is misleading however in that episodes are not neatly packaged, and one can have agitated depressions or dark and melancholy manias.<span style="mso-spacerun: yes;"> </span>There are an enormous range of transitional states that can mark the movement from one pole to the other, or that can come and go as part of a distinctly manic or depressive episode.</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Manic depressive illness is a very serious disease.<span style="mso-spacerun: yes;"> </span>Prior to the widespread availability of lithium as a treatment, close to one in five with manic-depressive illness committed suicide.<span style="mso-spacerun: yes;"> </span>Rates of suicide for this population are still startlingly high, and substance abuse is frequently the hand-maiden of the illness.<span style="mso-spacerun: yes;"> </span>Severe episodes of mania or depression can lead to intensely delusional thinking and dangerous behavior.<span style="mso-spacerun: yes;"> </span>There are lucky people who find deep wells of social support in times of severe mania or depression, but many more lose friendships, relationships, ties to families, and careers during the wild cycles of mood the illness brings on.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn8" name="_ednref8" style="mso-endnote-id: edn8;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[8]</span></span></span></span></a></div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Since we have already described depression, it seems that some description of the nature of mania and hypomania is in order.<span style="mso-spacerun: yes;"> </span>Kay Redfield Jamison is a pioneer in this field as a clinician who also lives with manic depressive illness herself.<span style="mso-spacerun: yes;"> </span>In her autobiography, An Unquiet Mind, Jamison writes:</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0.5in;">I was a senior in high school when I had my first attack of manic-depressive illness; once the siege began, I lost my mind rather rapidly.<span style="mso-spacerun: yes;"> </span>At first everything seemed so easy.<span style="mso-spacerun: yes;"> </span>I raced about like a crazed weasel, bubbling with plans and enthusiasms, immersed in sports, and staying up all night, night after night with friends, reading everything that wasn’t nailed down… and making expansive, completely unrealistic plans for my future… I felt I could do anything, that no task was too difficult.<span style="mso-spacerun: yes;"> </span>My mind seemed clear, fabulously focused, and able to make intuitive mathematicfal leaps that had up that point entirely eluded me… it al began to fit into a marvelous kind of cosmic relatedness.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn9" name="_ednref9" style="mso-endnote-id: edn9;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[9]</span></span></span></span></a></div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0in;">But manias tend to move from the blissful to the frighteningly chaotic.<span style="mso-spacerun: yes;"> </span>Wild uncontrolled spending, risky and often violent behavioral, and outrageous levels of substance abuse frequently accompany strong manias.<span style="mso-spacerun: yes;"> </span>Delusional thinking, including the potential for all manner of hallucinations is also common.<span style="mso-spacerun: yes;"> </span>Withoun medications, these manic spells could last for years, and manic patients were generally hospitalized for life.<span style="mso-spacerun: yes;"> </span>Today, it is possible to catch mild manias in their hypomanic phase and tame them before anything too disastrous takes place.</div><div class="MsoNormal" style="margin: 0in 0in 0pt;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Interestingly, manic depressive illness is closely associated with artistic talent and many forms of creativity.<span style="mso-spacerun: yes;"> </span>This is not to say that all manic-depressives are budding geniuses, but there is a strong correlation between the presence of the disorder in families, and the presence of artistic and creative genius in afflicted individuals and among their immediate relatives.<span style="mso-spacerun: yes;"> </span>Kay Redfield Jamison has written a wonderful book called Touched By Fire: Manic Depressive Illness and the Artistic Temperament, which details this relationship over centuries.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn10" name="_ednref10" style="mso-endnote-id: edn10;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[10]</span></span></span></span></a><span style="mso-spacerun: yes;"> </span>When controlled, the hypomanias, or mild manias, which emerge for those with manic-depressive illness can be times of immense productivity and inspired thinking.<span style="mso-spacerun: yes;"> </span>This is a disorder which brings great danger, but also confers certain strengths.<span style="mso-spacerun: yes;"> </span>The danger of untreated manic depressive illness must be underscored.<span style="mso-spacerun: yes;"> </span>Suicide rates are shockingly high, and can occur both in the depths of depression, and in manic states that follow from depressive ones.<span style="mso-spacerun: yes;"> </span>The prevalence of disastrous self-medication for those with the illness, complicates the medical problems and brings its own severe dangers.<span style="mso-spacerun: yes;"> </span>Correctly diagnosing manic depressive illness and seeking safe and effective treatment are critical to preventing deeply avoidable human tragedy.</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center; text-indent: 0.5in;"><b style="mso-bidi-font-weight: normal;">Schizophrenia</b></div><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Schizophrenia is perhaps the most treatment-resistant mental illness.<span style="mso-spacerun: yes;"> </span>Those affected by schizophrenia experience delusional and paranoid thinking, and can often appear to have multiple distinct personalities.<span style="mso-spacerun: yes;"> </span>Treatment for schizophrenia has advanced tremendously since the 1950s when overconfident Freudians believed that through talk-therapy alone they could cure schizophrenics.<span style="mso-spacerun: yes;"> </span>This perspective also involved blaming mothers and families for the condition, which is now understood to be largely genetic in origin.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn11" name="_ednref11" style="mso-endnote-id: edn11;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[11]</span></span></span></span></a><span style="mso-spacerun: yes;"> </span>The first generation of medical treatment for Schizophrenia, the neuroleptics, a class of powerful tranquilizers, was also quite controversial.<span style="mso-spacerun: yes;"> </span>To day the battery of medications used to treat the condition has expanded, and some patients have seen dramatic results with these new therapies.</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center; text-indent: 0.5in;"><b style="mso-bidi-font-weight: normal;">Suicide</b></div><div class="MsoNormal" style="margin: 0in 0in 0pt;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Suicide is the ultimate mental health failure.<span style="mso-spacerun: yes;"> </span>Suicide kills approximately 30,000 people each year in the <country-region w:st="on"><place w:st="on">United States</place></country-region>.<span style="mso-spacerun: yes;"> </span>The figures are still more staggering for the young—rates have more than tripled since 1955.<span style="mso-spacerun: yes;"> </span>Suicide is the second major killer of women between 15 and 44, and the fourth major killer of men in this age group.<span style="mso-spacerun: yes;"> </span>Rates of suicide have been increasing throughout the world.<span style="mso-spacerun: yes;"> </span>Between 1980 and 1992, the rate of suicide for children from ten to fourteen increased by 120 percent.<span style="mso-spacerun: yes;"> </span>In 1995, more young adults and teenagers died from suicide than from cancer, heart disease, AIDS, pneumonia, influenza, birth defects, and stroke combined.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn12" name="_ednref12" style="mso-endnote-id: edn12;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[12]</span></span></span></span></a> </div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><span style="mso-spacerun: yes;"> </span>Suicide and mental illness are closely linked.<span style="mso-spacerun: yes;"> </span>International studies indicate that 90 to 95 percent of people who commit suicide had a diagnosable psychiatric illness.<span style="mso-spacerun: yes;"> </span>According to Kay Redfield Jamison, “At least one person in five with major depression will attempts suicide, and nearly one-half of those with bipolar disorder will try to kill themselves at least once.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn13" name="_ednref13" style="mso-endnote-id: edn13;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[13]</span></span></span></span></a><span style="mso-spacerun: yes;"> </span>Suicide is also prevalent in a controversial diagnostic population, those with borderline personality disorder.<span style="mso-spacerun: yes;"> </span>This so-called personality disorder is criticized<span style="mso-spacerun: yes;"> </span>by many professionals today as simply being a compounded version of other mood disorders.<span style="mso-spacerun: yes;"> </span>Nonetheless, three quarters of patients with this diagnosis attempt suicide at least once, and 5 to 10 percent are successful.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn14" name="_ednref14" style="mso-endnote-id: edn14;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[14]</span></span></span></span></a><span style="mso-spacerun: yes;"> </span>Anxiety, when combined with depression, is also a potent trigger of suicide.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn15" name="_ednref15" style="mso-endnote-id: edn15;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[15]</span></span></span></span></a><span style="mso-spacerun: yes;"> </span>Suicide is also closely related to substance abuse, and unfortunately substance abuse and mental illness frequently coexist:</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0.5in;">Two of every three people with manic depression, and one of every four with depression, have substantial alcohol or drug abuse problems; the rates for those with schizophrenia are nearly as high… Drugs and mood disorders tend to bring out the worst in one another: alone they are dreadful, together they kill.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn16" name="_ednref16" style="mso-endnote-id: edn16;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[16]</span></span></span></span></a></div><div class="MsoNormal" style="margin: 0in 27pt 0pt 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt;">Efforts at suicide prevention must involve a comprehensive assessment of a person’s various risk factors, and aggressive treatment for each is essential.</div><div class="MsoNormal" style="margin: 0in 0in 0pt;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Effective suicide prevention must involve intense engagement with clinicians and psychopharmacologists and the support and engagement of family and friends.<span style="mso-spacerun: yes;"> </span>Antidepressants, especially lithium, have proven ability to help prevent suicides.<span style="mso-spacerun: yes;"> </span>Electroconcvulsive therapy also has an excellent track record in pulling people out of the most intractable depressions. According to Jamison, every study of individuals who have committed suicide has found that depression has been underdiagnosed and that antidepressants have been underprescribed.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn17" name="_ednref17" style="mso-endnote-id: edn17;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[17]</span></span></span></span></a> This runs counter to the growing conventional wisdom that implicates antidepressants themselves in increased suicide rates.<span style="mso-spacerun: yes;"> </span>The incidence of suicide while on antidepressants however has not adequately explored whether medications were being taken at sufficient doses and whether side effects were monitored adequately by patients, family, and clinicians.<span style="mso-spacerun: yes;"> </span>It is a tragic irony that one of the moments when suicide becomes most likely is when someone is just beginning to recover from a deep depression.<span style="mso-spacerun: yes;"> </span>Suddenly new energy and ability to plan are turned toward morbid ends out of fear that the worst of depression will soon return.<span style="mso-spacerun: yes;"> </span>As Jamison writes, “A resurgence of will and vitality—ordinarily a sign of returning health—makes possible the acting out of previously frozen suicidal thoughts and desires.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn18" name="_ednref18" style="mso-endnote-id: edn18;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[18]</span></span></span></span></a><span style="mso-spacerun: yes;"> </span>This may partly explain why even progress because of antidepressants needs to be closely monitored by family, friends, and trained professionals.</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Effective suicide prevention involves a multi-pronged approach:</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0.25in 0pt 0.5in;">Individuals who are at risk of killing themselves… can do several things to make suicide less likely.<span style="mso-spacerun: yes;"> </span>Being well-informed about mental illness, actively involved in their own clinical care, and very assertive about the quality of medical and psychological treatment they receive is a good start.<span style="mso-spacerun: yes;"> </span>Patients and their family members can benefit by actively seeking out books, lectures, and support groups that provide information about suicide and drug abuse.<span style="mso-spacerun: yes;"> </span>They should question their clinicians about their diagnosis, treatment, and prognosis and, if concerned about a lack of collaborative effort or progress in their clinical condition, seek a second opinion.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn19" name="_ednref19" style="mso-endnote-id: edn19;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[19]</span></span></span></span></a></div><div class="MsoNormal" style="margin: 0in 0in 0pt;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt;">Suicide prevention efforts, while crucial, need to be rethought in light of the available evidence about the nature of suicide.<span style="mso-spacerun: yes;"> </span>A careful study of 115 school-based programs found that most were two hours or less in length and focused on a stress model, which suggests that anyone under sufficient strain might be at risk for suicide. Only 4% of programs argued that suicide is likely to be the result of mental illness.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn20" name="_ednref20" style="mso-endnote-id: edn20;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[20]</span></span></span></span></a><span style="mso-spacerun: yes;"> </span>The fear of talking openly about mental health and mental illness with young people, may be taking lives.</div><div class="MsoNormal" style="margin: 0in 0in 0pt;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">For those of us who have experienced a suicide in our family or among friends the loss can be unspeakably devastating.<span style="mso-spacerun: yes;"> </span>Feelings of guilt hang upon suicide as around few other phenomena.<span style="mso-spacerun: yes;"> </span>It is critical that those left behind by suicide seek the emotional support they need, and that immediate action is taken in relation to close friends or family who may suffer from precipitating factors themselves.<span style="mso-spacerun: yes;"> </span>Suicide has a documented contagious effect.<span style="mso-spacerun: yes;"> </span>Suicide is a reminder of the importance of taking mental health seriously, and should lead us all to take care of our own emotional and psychological needs and to urge that those we care about do the same.<a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_edn21" name="_ednref21" style="mso-endnote-id: edn21;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[21]</span></span></span></span></a></div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center; text-indent: 0.5in;"><b style="mso-bidi-font-weight: normal;">What is to be Done?</b></div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Developing solutions to the mental health crisis requires developing both short and long-term goals.<span style="mso-spacerun: yes;"> </span>In the debate about national health care and in debates over employment based health care, socialists should argue for the full coverage of mental health issues.<span style="mso-spacerun: yes;"> </span>We should challenge the preference of insurers for funding medication, in lieu of therapy, arguing that each patient should have the right to craft appropriate treatment in consultation with professionals.<span style="mso-spacerun: yes;"> </span>Medication can be extremely effective, but for it to work properly, one needs a strong balanced relationship with a professional in which the client can honestly report symptoms, side-effects and seek changes if necessary.<span style="mso-spacerun: yes;"> </span>Psychiatry is unique in medicine in that the best instrument for judging the efficacy of a treatment is the client herself.</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Being educated about mental health issues is also of tremendous importance.<span style="mso-spacerun: yes;"> </span>Whether we encounter issues in our own lives or those of others, an informed perspective on mental health allows us to be active participants in treatment.<span style="mso-spacerun: yes;"> </span>To do their jobs well, professional social workers, counselors, and psychiatrists need clients who are engaged and participatory.<span style="mso-spacerun: yes;"> </span>We also need to consciously challenge the stigma around mental health.<span style="mso-spacerun: yes;"> </span>Of course, we should defend each person’s right to choose whether or not to disclose the existence of a particular ailment.<span style="mso-spacerun: yes;"> </span>But it should be no more shameful to say that one has manic depressive illness, than to announce that one is asthmatic or has breast cancer.<span style="mso-spacerun: yes;"> </span>Talking about these issues is part of the solution.<span style="mso-spacerun: yes;"> </span>Breaking the silence can be liberating.</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt; text-indent: 0.5in;">Ultimately, however, the struggle for mental health must be a struggle to transform the social conditions that produce unnecessary psychological and emotional damage for millions of people. <span style="mso-spacerun: yes;"> </span>In a world without poverty, war, racism, sexism, or homophobia, we would surely still have mental health issues, but the nature of those issues would be unimaginable in relation to the profound destruction of the human personality that is carried out daily by capitalism.<span style="mso-spacerun: yes;"> </span>Mental health needs to part of what a socialist left talks about when it expands upon a vision for a changed society.<span style="mso-spacerun: yes;"> </span>Mental health care should be part of what we demand when we think about solutions to the economic crisis, or the needs of Iraqis and <country-region w:st="on"><place w:st="on">U.S.</place></country-region> soldiers in the wake of a senseless war of occupation.<span style="mso-spacerun: yes;"> </span>We are fighting for a world where the best mental health care will no longer be a luxury possessed by a tiny few, but the natural right of all.<span style="mso-spacerun: yes;"> </span>That is a world worth fighting for, and consciousness about the importance of a mental health can be a piece in the armament that helps us get there.</div><div style="mso-element: endnote-list;"><br clear="all" /><hr align="left" size="1" width="33%" /><div id="edn1" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref1" name="_edn1" style="mso-endnote-id: edn1;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[1]</span></span></span></span></a><span style="font-size: x-small;"> Solomon, 25.</span></div></div><div id="edn2" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref2" name="_edn2" style="mso-endnote-id: edn2;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[2]</span></span></span></span></a><span style="font-size: x-small;"> Jamison, <i style="mso-bidi-font-style: normal;">Touchedby Fire</i>, 18.</span></div></div><div id="edn3" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref3" name="_edn3" style="mso-endnote-id: edn3;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[3]</span></span></span></span></a><span style="font-size: x-small;"> Solomon, 293.</span></div></div><div id="edn4" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref4" name="_edn4" style="mso-endnote-id: edn4;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[4]</span></span></span></span></a><span style="font-size: x-small;"> Solomon, 101-172</span></div></div><div id="edn5" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref5" name="_edn5" style="mso-endnote-id: edn5;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[5]</span></span></span></span></a><span style="font-size: x-small;"> Aaron T. Beck and Gary Emery, <i style="mso-bidi-font-style: normal;">Anxiety Disorders and Phobias: A Cognitive Perspective, <place w:st="on"><city w:st="on">Cambridge</city>, <state w:st="on">MA</state></place>: Basic Books, 1985, 2005, 29.</i></span></div></div><div id="edn6" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref6" name="_edn6" style="mso-endnote-id: edn6;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[6]</span></span></span></span></a><span style="font-size: x-small;"> Beck and Emery, 9-10.</span></div></div><div id="edn7" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref7" name="_edn7" style="mso-endnote-id: edn7;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[7]</span></span></span></span></a><span style="font-size: x-small;"> Beck and Emery, 98.</span></div></div><div id="edn8" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref8" name="_edn8" style="mso-endnote-id: edn8;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[8]</span></span></span></span></a><span style="font-size: x-small;"> Jamison, <i style="mso-bidi-font-style: normal;">Touched by Fire,</i> 16.</span></div></div><div id="edn9" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref9" name="_edn9" style="mso-endnote-id: edn9;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[9]</span></span></span></span></a><span style="font-size: x-small;"> Jamison, <i style="mso-bidi-font-style: normal;">AnUnquiet Mind</i>, 36-37</span></div></div><div id="edn10" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref10" name="_edn10" style="mso-endnote-id: edn10;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[10]</span></span></span></span></a><span style="font-size: x-small;"> Jamison, <i style="mso-bidi-font-style: normal;">Touched by Fire</i>, 50-99.</span></div></div><div id="edn11" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref11" name="_edn11" style="mso-endnote-id: edn11;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[11]</span></span></span></span></a><span style="font-size: x-small;"> Edward Dolnick, <i style="mso-bidi-font-style: normal;">Madness on the Couch: Blaming the Victim in the Heyday of Psychoanalysis. </i><state w:st="on"><place w:st="on">New York</place></state>: Simon and Schuster, 1998, 83-166.</span></div></div><div id="edn12" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref12" name="_edn12" style="mso-endnote-id: edn12;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[12]</span></span></span></span></a><span style="font-size: x-small;"> Jamison, <i style="mso-bidi-font-style: normal;">Night Falls Fast</i>, 21, 46-48.</span></div></div><div id="edn13" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref13" name="_edn13" style="mso-endnote-id: edn13;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[13]</span></span></span></span></a><span style="font-size: x-small;"> Jamison, <i style="mso-bidi-font-style: normal;">Night Falls Fast, </i>100, 110.</span></div></div><div id="edn14" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref14" name="_edn14" style="mso-endnote-id: edn14;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[14]</span></span></span></span></a><span style="font-size: x-small;"> Jamison, <i style="mso-bidi-font-style: normal;">Night Falls Fast</i>, 123</span></div></div><div id="edn15" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref15" name="_edn15" style="mso-endnote-id: edn15;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[15]</span></span></span></span></a><span style="font-size: x-small;"> Jamison, <i style="mso-bidi-font-style: normal;">Night Falls Fast, </i>121</span></div></div><div id="edn16" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref16" name="_edn16" style="mso-endnote-id: edn16;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[16]</span></span></span></span></a><span style="font-size: x-small;"> Jamison, <i style="mso-bidi-font-style: normal;">Night Falls Fast</i>, 128</span></div></div><div id="edn17" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref17" name="_edn17" style="mso-endnote-id: edn17;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[17]</span></span></span></span></a><span style="font-size: x-small;"> Jamison, <i style="mso-bidi-font-style: normal;">Night Falls Fast</i>, 245, 251.</span></div></div><div id="edn18" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt; text-align: justify;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref18" name="_edn18" style="mso-endnote-id: edn18;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[18]</span></span></span></span></a><span style="font-size: x-small;"> Jamison, <i style="mso-bidi-font-style: normal;">Night Falls Fast</i>, 114</span></div></div><div id="edn19" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref19" name="_edn19" style="mso-endnote-id: edn19;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[19]</span></span></span></span></a><span style="font-size: x-small;"> Jamison, <i style="mso-bidi-font-style: normal;">Night Falls Fast, </i>258</span></div></div><div id="edn20" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref20" name="_edn20" style="mso-endnote-id: edn20;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[20]</span></span></span></span></a><span style="font-size: x-small;"> Jamison, <i style="mso-bidi-font-style: normal;">Night Falls Fast</i>, 275</span></div></div><div id="edn21" style="mso-element: endnote;"><div class="MsoEndnoteText" style="margin: 0in 0in 0pt;"><a href="http://www.blogger.com/post-create.g?blogID=3102288289506039657#_ednref21" name="_edn21" style="mso-endnote-id: edn21;" title=""><span class="MsoEndnoteReference"><span style="mso-special-character: footnote;"><span class="MsoEndnoteReference"><span style="font-family: "Times New Roman", "serif"; font-size: 10pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">[21]</span></span></span></span></a><span style="font-size: x-small;"> Contagious factor?</span></div></div></div>David Thurstonhttp://www.blogger.com/profile/08272549032364364465noreply@blogger.com0