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@fuckpsychiatry
Seems like some people are not reading my bio, so I'll repeat it here. NO TERFS. I will block you if you are a terf.
I am begging Mental Health Culture to stop broadening the definition of "self-harm." If you want a term to convey the concept you're trying to express, may I suggest bringing back the term "bad habit"? "Self-harm" is grounds for involuntary commitment. Do you want people to get involuntarily committed for spending too much time on the internet before bed or volunteering for too many projects? No? Then don't give coercive psychiatry ammunition by broadening the usage of their coercive terminology! When I first started out in the Mad liberation advocacy movement, one of the arguments we made against involuntary commitment and coercive intervention for "self-harm" was that neurotypical people do things that are "bad for them" all the time, like playing football, smoking tobacco, or eating candy, and they still have the bodily autonomy right to make those "unhealthy" choices. The point was to highlight the double standard that some people were denied rights because of doing things that were allegedly "bad for them," while other people were allowed the dignity of risk and freedom to choose. Our point was "The neurodivergent/Mad person picking her skin should have the same right to bodily autonomy as the neurotypical person dancing ballet, even though both are doing things to their bodies that could be described as 'bad for them.'" The argument was that neither should be pathologized. Current discourse would pathologize both, as well as even more variations on human behavior. That's a big step backwards. "But it's only self-harm if it has certain emotional motivations" -- let me stop you right there. Coercive psychiatry does not ask us what our emotional motivations are. It dictates to us what our emotional motivations are, and increases the coercion if we disagree with it (because disagreeing with their assessments of our emotional state is also A Symptom). Do you think the Parental Surveillance Industrial Complex is going to listen to their children before following through on moral panic articles about how parents should take away their children's hobbies because they're "self-harm"? Don't ascribe good faith to coercive psychiatry, because coercive psychiatry doesn't ascribe good faith to you.
Honestly, mabye self harm just isn't a good term to have. Like, it only exists to lump in behaviors that people get abused for. It might make sense to just drop it, and describe things like skin picking or cutting with the specific terms we have for them.
I absolutely would abolish the term "self-harm." Inherently "harm" is a value judgment -- maybe I don't think what I'm doing to my body is "Harmful," because it's what I want.
"Oh, but if you're objectively causing injury--" it's objectively causing injury if I let someone stab a needle through my earlobe so I can hang jewelry from it, but that's perfectly socially acceptable.
Is it really right to not try to stop someone from killing themselves because of autonomy?
yup
this genre of question is always heavily euphemised ("try to stop someone") because it's the only way to couch the fact that what you're actually proposing is the use of force to impose your own will and values over someone else's basic self-determination. biopolitics ass
& all the handwringing about hurting yourself and coping mechanisms and blah blah at the end of the day does come back to the basic conviction that you can in fact determine what's in someone else's best interest and, having done so, are not only justified in forcing them to live that way, but in fact obligated to do so. well unfortunately 1 you might be wrong and 2 i don't want to live in a world where my every action is mandated to produce Wellness. sometimes something is harmful to a person in one way and helpful in another. sometimes it's the less harmful of available shitty options. sometimes it's fun. the logic that attempts to eliminate these actions through the use of psychiatric institutions & force is the same logic that attempts to eliminate abortions and hrt and casual sex by declaring them unhealthy and self harming. you can't half ass this š
not that people who've been to the ward are immune from being pro-psych, but if you've never been to a psych ward*, i sincerely don't want to hear about how psychiatry/psychology is good because you've had such a good experience with X provider, or X medication saved your life. *i also don't want to hear about how the forced treatment was what you needed or how the ward you went to let you have your cellphone etc. etc. i genuinely do not want to hear it.
like. the first hospitalization traumatized me so bad, i became dangerously delusional, was re-hospitalized, and sent to state. when they transferred me, i was strapped down into a gurney at all points on my body, *head and neck included*, and loaded onto an ambulance. my parents lost most of their parental rights; i was a ward of the state and had near zero rights. when i got there, they made me choose if, "if necessary," if i wanted to be wrangled down and forcibly injected with a sedative... or wrangled down and locked in a padded room all by myself (but at least i had a choice, right?). i signed consents and paperwork that i did not fucking understand. then i was told i'd be locked inside for 2 straight weeks (which yes, they followed through with). the psych ward was remote, nothing but barbed fences and trees around us. cant even see the sun through the heavily tinted windows. that was the *start* of the stay. i'm sure you can imagine nothing good came after.
so like. if you walk out of a place like that thinking it was good for you, then i can only imagine how traumatized you are and i hope you heal someday. but if you've never faced the destruction of your autonomy like that and go around being like "oh this is good actually" then shut the ever living fuck up.
Imagine if you had a lung problem but you didn't know that, so you go to the heart doctor by mistake.
Instead of recognizing that you don't have a heart problem and helping you figure out which doctor you should see, the heart doctor just keeps putting you on heart medications with increasingly harsh side effects.
Every time they decide a pill isn't working they just put you on a new one. If you question this process they accuse you of not wanting to get better and shame you into continuing.
When you ask if they can do some kind of actual medical testing to see what's wrong with you you're told that there are no tests. The pills are meant to treat a chemical imbalance that is supposedly causing your condition but that it's conveniently impossible to actually test your body for these chemicals.
If you decide that you don't have a heart condition, they lock you up and refuse to let you go until you smile and say "Yes doctor, I have a heart condition and I need this medication. Thank you so much doctor." several days in a row until they're convinced that you mean it it.
When a more responsible doctor does the testing they said didn't exist and diagnoses you with a lung condition, the heart doctors say "Well I don't study lung conditions so how was I supposed to help you?"
This is how psychiatry works.
i'm just thinking abt how many providers i've had who heard my story abt psychiatric abuse + immediately individualized it. "oh, you're so smart + kind+ obviously sane! you didn't deserve that! i can't believe they gave you that diagnosis when you're obviously not like that! they shouldn't have treated u like that when all you did was xyz! they shouldn't have assumed you were crazy like that!"
there is always a third person haunting this interaction- the patient who does deserve that, who is "actually" that evilscary diagnosis, who did Have To be treated like that. if i want to soak up the affirmations of these providers, i must be careful to never become this third person. i must affirm myself by setting myself apart from her- i did not deserve to be treated like that because i am not like that.
i reject this. not only was i like that, she + everyone else like that deserve everything i deserve. they are my siblings + my friends + my lovers. i do not need to cut them out of me to believe i deserved better. i refuse to comfort myself through the lens of someone else's dehumanization. the tragedy is not that psychiatric violence was applied to someone who not insane enough to warrant it. the tragedy is the violence.
"seek therapy" "get help" "this person is unwell" why is it that you are still of the belief that rendering a moral judgment is more tasteful when expressed obliquely via the language of health and the psychiatric normalising project. "it's not that deep" why is it that you are still of the belief that the rhetorical slippage between health and morality is funny and not coercive or violent. why has this particular style of witty retort maintained such a hold on people who consider themselves leftist and do you perceive yourself as making fun of genuinely ill people or are you simply enjoying larping the medicalisation and pathologisation of anyone you can argue deserves it. quickly now
prefacing this by saying that swapping "my therapist from hell" stories amongst other psychiatrised and formerly psychiatrised people is cathartic, solidarity-building, and sometimes a great starting point for a politics of mad liberation & i don't resent it at all. however the fact that any criticism of therapy will be met by its defenders with responses that boil down to "find a different therapist :)" is deeply infuriating and missing the point. i am familiar with how wrong-headed and openly prejudiced individual therapists can be, but the bigger & more fundamental issue is that a 'well-trained' therapist, practicing according to best & most current professional norms, is explicitly a person whose job is to convert distressed people into 'functioning', 'productive' (read: profit-generating) members of 'society' (read: hegemonic cultural norms & forms) & to shunt any 'patients' who fail at this task of 'getting better' into traumatising institutions where more authoritarian and coercive measures can be implemented. it does not actually matter if you, personally, had a super nice therapist who did not do this or believe these things. like, i'm happy for you but this is a structural critique of a profession & its relationship to state power.
hm.
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Tiktok video description:
First part of video, an Ask reads: Please show me ur lobotomy tool tattoo please the person on screen shows a tattoo on their arm of an outline of 2 tools that look like an icepick and a small hammer in the clip they are saying "These are my lobotomy tools. I had --" and then the video cuts out
Response video captions read: holy white feminism, Batman! there's this cultural picture of lobotomies that revolves around white housewives this bell jar Stepford Wives picture of mental illness it's completely true that lobotomies were disproportionately performed on women even though in the early 19 hundreds the majority of institutionalized people were men up to 75% of lobotomies were performed on women the quote unquote heyday of lobotomies when the majority of lobotomies that took place on white women were performed uh lasted only a few years it was a very brief period roughly 1949 to 1952 but Black people and gay people were lobotomized as early as the 30s and all the way through to the 1970s for absolutely sickening reasons Black children as young as 5 years old were lobotomized without consent and without knowledge for behavior that white doctors perceived as aggressive this is not ancient history these are people who would be in their 50s and 60s today lobotomies were billed as a crime reduction tool in the 70s it was encouraged to lobotomize Black people to reduce crime and gay people were lobotomized in an attempt to cure (the person speaking makes air quotes with their fingers) their deviancy Walter Freeman was one of the most prominent American lobotomists you cannot read about lobotomies in America without seeing the name Walter Freeman he specifically actively sought out African American women as patients in order to experiment on them he tried to run an experiment at a VA hospital in Tuskegee Alabama on Black patients and was rightly barred from doing so they banned him doing the procedure he tried to make his entire career on experimenting on Black people throughout medical history and absolutely still today there's a common theme of white doctors assuming that Black patients don't feel pain not to the same degree that white patients do Black women especially have been involuntarily used as test subjects for as long as white men have dreamed of being doctors by the way lobotomies are still legal in the US with the way things are politically progressing today I would not be surprised to see a resurgence of involuntary psychosurgery we cannot pretend that lobotomies are isolated to a brief period of American history and we cannot pretend that the biases that lead to forced lobotomies on Black people and gay people do not still exist in the medical field today]
āThis year is the first time I have made a choice to back away from the mental health system. I never felt I had a choice before. I felt compelled to seek help from a system that had bullied me for years. I was conditioned to run back to them to protect me from the monster I carried on my back. When I turned to face this monster, I learned that it isnāt a monster at all. In fact, some of the most creative and authentic pieces of me are housed in this so-called monster that they have named Bipolar. I was first hospitalized at age sixteen after the death of my grandmother. She was a genius with a photographic memory and she understood me. When I sat with her I didnāt feel like a freak or a misfit. I was just me, and she made space for all my quirks. Once she was gone, my safe space was gone and I never fully recovered. Looking back now I believe I was hospitalized for grief, but labeled with disorder. My stay in hospital at age sixteen included being told that they had tested my IQ and I was smart, therefore making it all up. I was given ECT as a treatment for making it all up, and then was discharged with ten words laced heavily with contempt. These words still echo in my head: āGet her out of here, she will never get well.ā I was discharged without the meds I had been on in the hospital, and I went through withdrawal at home with no idea what withdrawal was. I now understand that the nightmare I went through was from the sudden discontinuation of medications such as Ativan and Prozac. Twenty years later, I finally realized that death was better than here, but I didnāt want to die. āHereā was medication-induced Lupus. āHereā was a medication-induced tic. āHereā was my life unraveling despite following all the orders and taking all the medications. I still had regular hospital stays, and when I did I would be blamed outright. āWe all know this is what you do. You mess with your meds!ā my therapist told me after my last hospital stay. In her mind the answer was clear and simple, but she was building a puzzle without having all the pieces. The doctor told me that the rash I had all over my body was from anxiety or the sun, not the new medication. The fact that I was concerned about it was a sign of my obsessions. I couldnāt win. They were fighting dirty. A Bipolar 1 diagnosis made me an easy target to blame. I couldnāt convince them that I was compliant even by being compliant, and this compliance almost killed me. I couldnāt prove that I had insight because they had already made their minds up. I was in a very dangerous position. The most dangerous weapon that has been used against me is this idea that I am incapable of insight because of my diagnosis. There will be occasions when my insight is faulty, like there is with any person, but this is the exception and not an everyday occurrence. Iām tired of rules being written for me based on exceptions to the rule. Learning over a lifetime in the system that I couldnāt trust my own insight did more damage to my intellect and ability than this illness ever has. I stopped trying. I was terrified of me, but I was even more afraid of what the doctors could do to me. Even portions of my experience that are very human were scrutinized and then pathologized. I was no longer allowed to just grieve or vent. I felt envious of the people around me who did not have a diagnosis. I watched them scream at traffic or stomp their feet or cry, all without fear of lock up. I imposed on myself an emotional prison. I thought that if I kept myself locked up mentally, they wouldnāt lock me up physically. When I asked for a referral to a new psychiatrist, my doctor was offended and I was blamed again. When did my ability to decide if a relationship is working or not shut down? I stayed with the same doctor for fifteen years. The sicker my medication made me, the harder the doctors pushed back. They could only see my psychiatric diagnosis despite me having a very visible physical reaction to the medications I had been taking. I believe now that fifteen years is more than a fair try. Fifteen years of getting treatment without returning to function is actually insanity. I should have given up after year two. Instead of trusting my intuition and insight, I pushed it down and down⦠until it finally fought its way back to the surface. I could no longer ignore the obvious. My body was screaming the truth at me and finally I had no choice but to listen. What scared me the most in my quest to gain distance from psychiatry was the anger and resistance I encountered from my team. [ā¦] If I am afraid of what the imbalance of power can do to me it is because I have lived it, only I was on the side without any power. [ā¦] I had believed that I would have to do this alone, and was even considering going into hiding, but there are supports and advocates out there. I just wasnāt looking in the right places. I donāt want to hide because if I hide, then my experience canāt help others. If someone had told me this story when I was sixteen, things might have been different. Now I am working on becoming friends with my quirks again. Self-compassion has been a more effective treatment than the medication straitjacket ever accomplished. I am as guilty as the medical system, though, because when they told me how dangerous these parts of me were, I jumped on board and began a twenty-year fight against myself. After all, that āmonsterā was me. I will never be able to make up for the abuse I inflicted upon myself in the name of mental health. But this year I realized how cruel I have been. This year I apologized to myself and began grieving everything I have lost. Now my life is reconfigured to include helpers, advocates and friends who have my best interests at heart and who see potential in me. Best of all, I am now relearning to trust my insight and become one of my own supports. I am still backing away from the psychiatric system. I am not yet at the safety of the hill I saw in my dream, but Iām getting closer, and with each step I feel happier and more secure. Iām sure that when I get to the hill and look around, I will see that Iām not outside in the dark and all alone. There is a crowd of us, and the sun is coming up.ā
ā
Ronda Richardson,
Backing Away from Psychiatry
(via
madness-narrative
)
People loooove to talk about body autonomy until it's about suicide. Every fucking time I see a tumblr post about psych abolition there's some dumbass in the notes thinking that suicidal people are a gotcha and that incarceration is apparently the only way to help them. "Yes body autonomy but but š„ŗš„ŗ suicidal people deserve to have their rights and freedom and body autonomy violated š„ŗš„ŗ it's for theirāØown goodāØuwu !! What else could we do there's no other choice š„ŗ" Literally go fuck yourself !!!!!!!! Suicidal people are not stupid dangerous animals needing to be restrained and controlled. You think you're really smart and that psychiatry is the only solution to everything and that locking up suicidal people is helpful ? Maybe shut the fuck up instead ?
As Stefan (2016) notes, the question of liability for those professionals is central for harboring this attitudeāhence, for instance, the "life contract" that suicidal people are asked to sign, to name but one example. In other words, their thoughts on suicide are elicited only in order to more effectively prevent and eradicate them as unilateraly negative, invalid and illegitimate.
As a result, suicidal people must live and die in secrecy; revealing their intent to die by suicide, whether to relatives, friends, or healthcare professionals, will almost certainly thwart their plans due to a plethora of security measures intended to prevent suicide, including forced institutionalization (see, for example, Joiner, 2005 or Cholbi, 2011 as proponents of institutionalization). Furthermore, whatever explanations they may provide to justify their wish to die are deemed irrational or illegitimate and cast as wishes that must be eradicated through medical, psychological or sociopolitical remedies. As Graeme Bayliss expressed, suicidal people are always in a lose-lose situation regarding their self-determination and competence to make decisions regarding their life and death: "I don't want to live, but the very fact that I don't want to live means I can't possibly consent to die" (Bayliss, 2016).
ā Suicidism: A new theoretical framework to conceptualize suicide from an anti-oppressive perspective by Alexandre Baril
Statistics confirm this reality: suicidal people hide in order to end their lives (Beattie and Devitt, 2015; WHO, 2014; Peck, 2003). My argument is that they do not speak because they fear the negative consequences of doing so in a suicidist environment. Indeed, as empirical research shows, suicidal people, as is often the case for those considered "mad" and "crazy," are institutionalized and drugged against their will, are excluded from insurance programs, are either not hired for new jobs or fired from their current jobs, are expelled from university campuses, have their parenting rights revoked, are seen as incapable of sound judgment and of consenting or not to healthcare, and are subjected to other unfair treatments (Beattie and Devitt, 2015; Hewitt, 2010; 2013; Joiner, 2005; Stefan, 2016; Szasz, 1999; Webb, 2011).
ā Suicidism: A new theoretical framework to conceptualize suicide from an anti-oppressive perspective by Alexandre Baril
so much of the language around suicide & suicide prevention involves talking about suicidal people like injured feral cats instead of. you know. people
What surprises me, however, is why suicidal people don't seem to be perceived as reliable experts, contrary to all other marginalized groups who are regarded, from an anti-oppressive perspective, as having an expertise due to their situated viewpoint and their lived experience. Even in critical suicidology in which "insider perspectives" are valorized, we hear from experts, family, friends or ex-suicidal people (Bering, 2018; Rowe, 2016), but the voices of current suicidal people remain erased, as is the case in White et al.'s (2016) edited volume. It would seem beneficial to take into consideration these voices and to try to understand them while they are still alive, not only once they are dead. In order to do that, we need to create safer spaces for suicidal people to express themselves, and one of the most important features of a safer space is an acknowledgment of the systemic oppression experienced by a specific group and of the microaggressions they face (Baines, 2017). Without the recognition of an oppression, a safer space is moot. Just as "safer spaces" for disabled people that do not recognize the existence of ableism cannot be considered "safer spaces," "safer spaces" for suicidal people that do not recognize suicidism are not spaces that invite suicidal people to openly and safely discuss their experiences.
ā Suicidism: A new theoretical framework to conceptualize suicide from an anti-oppressive perspective by Alexandre Baril
i think "therapist" as an occupation that exists is a useful social technology but also it would have a lot less potential for harm if the pseudo-medical elements were dropped. therapists are good to have as an option because sometimes people dont have anyone unrelated to their problems/feelings with whom they can talk about those problems/feelings, and talking about your problems/feelings can often help with them, but 1) according institutional power to the therapist over the "patient" makes them actually *less* able to fulfill this role, because you have to lie to them sometimes to keep them from using that power in ways you dont want 2) therapists are just like, people, they havent solved the philosophy of the best way to live your life, or even the science of the best way to achieve certain material outcomes with your life, and it can lead to obvious problems if you pretend that they have
it would be cool if we had psyche doctors the same way we have body doctors but the science isnt there yet.