"Remember how long you've been putting this off, how many extensions the gods gave you, and you didn't use them. At some point you have to recognize what world it is that you belong to; what power rules it and from what source you spring; that there is a limit to the time assigned you, and if you don't use it to free yourself it will be gone and will never return."
As neoliberalism has infected higher education, research on "mental health issues" in the academy has become increasingly conservative. My own subject area, sociology, is as guilty as any other. We have lost sight of what it means to think critically about the mental health system, to be able to challenge the work of the psy-professions, to interrogate meaningfully the production of knowledge claims on "mental disease," and to adequately contextualise the expansion of the psychiatric discourse with reference to theoretical sets of ideas which refer to labelling, power, and social control. We have effectively become pseudo-social psychologists whose research agenda is passed down to us by state agencies, requiring us to do little more than identify marginalised groups who can be labelled and policed by the psychiatric authorities and the criminal justice system. Having a once proud tradition of highlighting the systematic, oppressive practices of the mental health system, the sociology of mental health is now in severe danger of simply becoming another arm of the state. Far too much of what passes for "research" in the discipline is flawed from the beginning: it takes for granted that the mental health system is a fundamentally caring, scientifically sound discipline; it accepts mental illness diagnoses as valid and having a proved aetiology; and the empirical lens is focused outward on "undetected" pathologies in the general population rather than inward on the pathological behaviour of the institution of psychiatry and its allies. The result is that we end up with sociological research and scholarship which perpetuates the myths of psychiatric knowledge and aids the expansion of psychiatric hegemony (how many times have we read at the conclusion of such articles and books that there is a gap—an "unmet need"—in current mental health provision for which further resources and staffing is required?).
Thus, we need to resist the top-down state-run agenda and reject funding streams that tie us into conservative, surveillance-focused projects. We also need to be vocal in challenging the scholars who take on such projects and reproduce the same old nonsense on mental illness prevalence which reinforces the hegemonic view of black, female, young, LGBT, working class, and other marginalised populations as pathological. As always, sociological investigation needs to focus on the powerful rather than the powerless. This requires the revitalisation of a truly critical research agenda for the sociology of mental health in which the operations and practices of the psy-professions and their production of knowledge claims are prioritised. Research would then focus on the politics of diagnostic construction and professional power, on how psy-professionals turn subjective, personal understandings of human beings into categories of pathology, on the inner workings of the mental health system, on the conflicts and alliances made internally and externally to these professions, and on their constant need to justify mental health practice as medically and scientifically relevant.
Bruce M.Z. Cohen, Psychiatric Hegemony: A Marxist Theory of Mental Illness
“no matter how badly you think you’re doing it, someone else has done it a lot worse and been fine” is applicable to a wide, wide range of things and i say it to myself all the time
i need to cut my hair i need to evolve i need to see a good thing when it’s in front of me i need to be respectful i need to listen i need to respond i need to move on
