infolepsia

fuck a tagline

Caring

with 21 comments

I know a lot of sad people. If you’re one of the leftist mutants, shambling and unsightly creatures roaming the capitalist wastelands, born of the constant background radiation of Vast Injustice, chances are you do too. Chances are if you think you don’t, you’ve just been lucky enough to never have to learn to recognize well-concealed sadness.

When I say sadness, what I actually mean is “depression”, sort of. “Depression” only comes into being when a certified professional, in the process of diagnosis, declares it to be present. This curious speech act, “I pronounce you depressed”, reminds me of “I pronounce you man and wife”, in how it legitimizes a previously existing state and announces it to the public sphere. Prior to that, well-meaning people will urge you to finally tie the knot and make it official, while assholes are completely free to deny and disregard your relationship or your mental state.

So when I say “sad”, I’m trying not to exclude those unwilling or unable to get a diagnosis, maybe because they can’t afford it, maybe because of the risk of social stigma, maybe because they’re not in line with the standard performance of a Depressed Person, or maybe because they dislike the way in which mental illness is usually constructed.

The Fool, from the Rider-Waite deckThis last point probably requires a bit of explanation. Since mediaeval times, mental illness in the West — madness, if you will, or insanity — has been intricately linked with a rather ambiguous sort of social exclusion — partly contempt, partly fetishization of “the beautiful mind”. Consider the Ship of Fools: a physical removal of the odd folks, the misfits, the strange and the queer from “normal” society, coupled with a peculiar half-mocking, half-reverent attitude. Or check out the dude on the right: the particular image is modern, but the Fool is a character probably older than the printing press. He hangs out with a dog; animals are lesser, soulless creatures, aren’t they? And is he stumbling into the chasm, or does he see something beyond it that we do not? What is that expression — fear, or rapturous awe?

(I really should write that Tarot post someday. In the meantime, consider this: what if we read the Fool as the subject of history?)

The Romantic poets did this a lot. The holy madman (always a man), the prophet, the visionary. Spurned by society, he receives in exchange miraculous insights into the Ultimate Reality, but the fire of his genius always threatens to consume him.

While this notion is, I would argue, dehumanizing and disrespectful to actual people with actual mental issues in how it glamorizes and elevates very base, simple, unspectacular, shitty suffering, it still manages to grasp, in a very inept and roundabout way, a certain truth about the relationship between them — us — and society. I should repeat at this point that I’m talking about “our” “community”, whatever the hell that is — the ragtag bunch of fringe leftists that I hang out with. I should not like any of this to be construed as sweeping pronouncements about mental illness in general (although I do suspect that some parts of it are more broadly applicable).

The Fool suggests that there is a link between mental illness, grasping the truth of the world and alienation. Without overspecifying this link, to avoid crude inaccuracies like “the present social conditions are solely responsible for driving everyone crazy”, I believe this is exactly right.

You wake up and smell the injustice, and get angry at yourself for not doing more about it. You get a little twinge of residual guilt for not living up to society’s expectations, closely followed by a raging torrent of shame for not being completely free of that guilt. You’re overcome by paralyzing fear at the thought of being a fake, a fraud, an uneducated idiot, nothing like those smart and amazing people who somehow tolerate your presence. You get into an argument, the fifth one this week, and end up pissed off and exhausted. For a few hours, you’re convinced that every sideways look and derisive laugh and whispered comment must be about you. You go to school, or to work, or try to look for work, or blame yourself for not being better at looking for work, even if there isn’t any to be found. You sleep too much, or too little, or not at all. You keep going, but every day is another needle, and every needle draws a drop of blood.

You care and you care and you care until you’re blue in the face, and at the end of the day, all you’re left with is a mug full of tea and a head full of suicidal ideation.

What is to be done?

Here’s an idea: care more.

What I mean is the things that we’ve already been doing for a while, kind of half-consciously, because if we hadn’t, well, we’d be dead. We sought each other out, and learned to recognize which people were toxic, and which you had to hold on to for dear life. We talked each other through tiny breakdowns and huge tragedies and the ongoing catastrophe of our continued existence. We gave each other shit for doing stupid and hurtful things.

Our survival depends on our ability to care for each other, and for ourselves. The latter I’ve found tremendously difficult at first — what the fuck do you mean I’m supposed to like myself, when I’ve done Horrible Things A through X, and am probably unwittingly working on Y as we speak? — but there’s just no way around it. If you don’t enjoy your own company, even somewhat grudgingly, you’re hurting not only yourself, but everyone who cares about you. We can’t fight your self-hating and self-destructive beliefs for you, but we can help. Just so long as you admit that maybe, possibly, ardently wishing for your own death is something you need help with.

I firmly believe we can do this; not tell each other, smugly, to “get help” from a “professional”, but give help right here and now, and receive it too. Growing up, I was horrified by what I perceived to be the erosion of the institution of “friendship”: I marvelled at how people in these old books could talk to each other about anything, and the people I knew in real life would only venture into certain subjects, especially emotional ones, with a sneer and a four-inch-thick armour of ironic distance. I don’t know if that’s just me or not; I do know, with a reasonable degree of certainty, that a psych degree ain’t shit compared to someone who wants you to get better, just so they can get drunk with you or humiliatingly beat you at videogames again.

So hang on. Hang on, to each other.

Written by unhaunting

September 15, 2011 at 8:54 pm

Posted in personal shit, politics

Tagged with , ,

21 Responses

Subscribe to comments with RSS.

  1. My grandfather, who died recently, was a professional psychiatrist. He would go out of his way to talk to his patients in settings that made them feel comfortable, whether it was his office (in his home) or their home or even walking beside the Charles river in Cambridge. He used to say that if you trusted at least one person in the world, then you were doing all right. And he strove to be that person with the people he treated. And I really liked that about him.

    Hazel

    September 15, 2011 at 9:48 pm

    • Excellent post Prz, and I have to agree with your late grandfather on that Hazel. This is a lot to think about, and pretty much nails a lot of stuff that’s been on my mind regarding madness and its relation to the rest of society.

      kariflack

      September 16, 2011 at 1:15 am

    • He seems like a dude I’d have liked to meet.

      hantavirus

      September 16, 2011 at 5:40 am

  2. It seems that you’re completely disregarding the expertise of any mental health professional for almost no reason here. Psychology and Psychiatry have both come leaps and bounds since Madness and Civilization was written in 1965 or whatever, and depression is a clinical condition with fairly strict diagnostic criteria, something that is certainly a lot more than a therapist saying “I pronounce you depressed.” I understand that this legitimizes certain feelings in a lot of people’s eyes, but consider whether or not you would be offended by someone saying “oh I have OCD so bad” or “I’m just a little bipolar right now.” These are diagnoses in the same way as depression, and many people (myself included) would be offended by someone tossing these serious terms out so casually. It seems like all this talk of legitimization is just a front for how you really feel about people in this profession, considering how you place “professional” in scare quotes later on. Let us take the example of a suicidal person: would you rather them just try to “talk it out” with one of their friends alone, or would you rather they also sought help with someone who is trained to deal with this sort of behavior? It really seems like you’re simply letting your own biases towards therapy get the best of you here, and because of this I think its fair to ask whether or not you have even tried therapy, or if you’ve just projected all of these things onto something that can (and does) help an awful lot of people.

    • I’m aware of those biases and make no secret of them.

      At the same time, I… don’t really think I’ve suggested anywhere that therapy is to be abandoned. The phrasing “unable or unwilling” seems crystal clear to me.

      I’ve anticipated this kind of response, because it’s the one I always got, internally, when I thought of these issues: you’re just projecting your internalized this or that, you will be understood as shitting on the practice of mental health care as a whole. I don’t think that’s what I’m doing, not at all.

      CBT, for instance, is demonstrably effective, I know. Believe it or not, I’ve read a lot about CBT, not just the wiki article, and I think that’s something people are able to do in other contexts than strictly therapeutic ones, and without five years’ training and dropping thousands of bucks on a diploma. If you can and want to go to a professional? Awesome. If you can’t? Well, there is such a thing as mutual aid.

      hantavirus

      September 16, 2011 at 5:38 am

      • My objection is that you seem wholly averse to the idea of mental disorders being disorders as a whole. If you thought you had cancer, would you trust a friend to talk it out with you? I would certainly hope not. I’m sure you know enough about me to know that I dislike strident empiricism but the idea that you can just talk all this stuff out makes me really uncomfortable. I recognize that there is plenty of stuff on that I am wholly unqualified to diagnose or help with as much as the professionals you so malign and I guess that’s really where my hangup is. Are your friends qualified to tell the difference between sadness and clinical depression (or do you think this doesn’t exist)? Clinical depression and bipolar disorder? Bipolar disorder and Borderline Personality? Borderline Personality and anything else? While I can feel for people who can’t afford care (and have often been one myself in terms of physical ailments), I really think it’s at best neglectful and at worst outright dangerous to think that anyone is qualified to deal with these things. It has next to nothing with how good a friend you are, which is not to say that friendship is a bad thing, just something completely different, unless you believe all mental health conditions are societally imposed, in which case I guess we have to agree to disagree.

        • Oh, but I’m fully aware they are disorders. But the thing is: you can’t do chemo/radiotherapy with a bunch of friends; you can do a reasonable approximation of many forms of “talk” psychotherapy. There is the issue of meds, of course; psychoactives are prescription-only in every case I’m aware of, so you’re going to have to go through a doctor or two anyway.

          The point is that for those people who don’t trust or don’t have access to psych care, I feel there are reasonable alternatives available. Maybe they’ll just be temporary, or maybe they won’t help, but can they do damage? I’m not seeing that, as long as everyone acknowledges that there is such a thing as depression and you can’t just rough it out and pretend it’s not there.

          My response to the broader objection would probably have to be: from my admittedly very limited experience of qualified mental health professionals, I don’t trust them to do these things properly either. Like you said, it’s a bias; I don’t think it’s all that unreasonable, though. I’m mostly going on second-hand accounts here, but the third time you hear about a therapist telling someone to “just go to Confession”, or to “get a boyfriend already”, well, you start having biases.

          hantavirus

          September 16, 2011 at 6:44 am

          • In this situation, “not helping” can actually do damage. Also, I may have been unclear but my hypothetical was about your friends diagnosing cancer, not actually treating it. Nobody is saying there aren’t bad therapists. My problem is that it seems to be your default assumption that therapists are bad.

            • I feel it’s a reasonable initial assumption to make towards someone you’re entrusting your well-being and identity with, especially when they belong to an institution with a long and abiding tradition of being shit to marginalized folks. Not that I’m all that marginalized, all things considered, but some of us definitely are.

              I don’t believe all therapists are bad. But I think that if someone believes that, they must have a very good reason, and I’d like to respect that. I’d still definitely encourage and help them to find professional help if they lived near me and explicitly chose to do so.

              hantavirus

              September 16, 2011 at 7:20 am

          • Also, if you accept that these are real disorders, it has nothing to do with a “speech act” on the part of a therapist. If you have say, MS, its not the case that you only have MS after a doctor tells you. Yes, there is a social stigma as regards mental health disorders, but as I see it an open disdain towards mental health professionals does nothing to rectify that and could often encourage it.

            • I don’t think it’s necessarily mutually exclusive. MS isn’t as tied up in weird-ass ideologies; in particular, nobody’s going to tell you you’re just “being lazy”, with all that entails. The individual experience of, say, depression, precedes the diagnosis, but only after the diagnosis does it become a social fact, instead of a wholly subjective one. The shrink acts here as the gatekeeper of what is “real” mental illness, and what is just “laziness”, or “malingering”, or “not fulfilling your biological duty” (actual quote).

              Which is fair enough if they’re a person absolutely free of preconceived social notions about what kinds of people are more likely to be “lazy”, which is… how likely?

              hantavirus

              September 16, 2011 at 7:30 am

        • One more thing.

          The most celebrated sexual health dude in Poland, the psychiatrist Zbigniew Lew-Starowicz, has openly admitted to prescribing electroconvulsive therapy to queer folks in the past (zap’em straight, I guess). This is a guy whose word is all but law in the profession, and he’s worked for the government as a sex ed expert.

          Just another thing on the bias pile, I suppose.

          hantavirus

          September 16, 2011 at 6:54 am

  3. I admire and agree with Hazel’s grandfather: I didn’t find successful therapy until I found a therapist who was willing to actually listen to me and treat me like a human, rather than an idiot with no conception of what’s good for me. The great thing is that she made an effort to understand the way I felt based on the circumstances of my life and my perception of the rest of the world, AND she didn’t consider any of it subversive or wrong. If you’ve got a person you can trust and tell anything to, it makes a considerable difference. All the therapists I had met before her made me feel like a complete asshole for being unhappy and criticized me for being so.

    Also, this reminds me of Request Concert a little bit.

    Nicole

    September 16, 2011 at 7:00 am

    • I should probably go see that sometime.

      The thing is: in theory, all psychology and psychiatry students are “trained” to do that, and I absolutely agree that having such a person in your life can help you get through most of anything. But… I guess the training doesn’t take sometimes? Add to that the still uneradicated structural paternalism of those professions, and an exciting array of social and cultural factors that aren’t really adressed in Basic Psych Training, and you don’t even need to stumble upon a particularily huge asshole to have a terrible time.

      hantavirus

      September 16, 2011 at 7:12 am

  4. It took me forever to find a therapist I could trust. The one I have now is very helpful, focusing on behavior that will lead to success, rather than focusing on whatever blah blah blah happened in the past to make me so unhappy. I really like her because she knows that rooting around in sordid details is much less helpful than helping me carve a path up out of the wreckage. In this case, a completely neutral 3rd party with expertise has been helpful.

    One thing is, prz, you can’t help people who don’t want to be helped. It is a rare instance and individual who is ready to accept any sort of input and actually use it to launch themselves in a healthier direction. This summer, I had fantastic ideas of how to make my circle of friends into a utopian collective, and every fucking one of them is strung out on drugs, or paralyzed by depression. I can’t help them. Yesterday I tried to help two people, and only succeeded in neglecting my family.

    I believe in friends, and friendship, and being there for friends. I also know that when you offer to be a post to lean on, you get a lot of bubble gum stuck on you. Or something.

    Big red (@Man0101oWar)

    September 16, 2011 at 12:19 pm

    • Good points right here. Glad you found one you can trust, too.

      Caring for yourself is pretty damn hard to learn and I have nothing of particular value to give to someone who can’t do that, except maybe for my own experience with it. And sometimes a community will just embrace self-destructive habits, and I have no idea how that can be reversed either; my choice in those cases was always to back the hell out, because you can’t help a bunch of folks against their will, and likely as not they’ll drag you down, even if they don’t want to.

      A “healthy” and supportive community would probably be one that is aware of those things as they happen, and takes collective action to prevent any Bad Shit that might come up. I haven’t been very good at that in the past, but hey, live and learn.

      hantavirus

      September 16, 2011 at 12:35 pm

  5. I found myself thinking of this post today in relation to my own “disorders.” I have had a diagnosis as a schizoid anorexic with bipolar II disorder for some time. I first started having auditory hallucinations as a young teen, but as people let me to myself about things such as religion (namely, my parents once my interest dropped off in any of their absurdity) and giving a shit about things in general (fortunately, I was a “very bright” high school student who had no issues with what was asked of me, and since I was an oddish female in the small town I attended school at, no one really took any interest in pushing me along to take higher-level classes when I could have). I yelled and fought and did a lot of drugs, and when I received an academic scholarship to pursue the career choice my parents just knew I was destined for, I self-medicated then, yelled and fought and fucked and drank to avoid thinking about what I actually wanted to do. Once I got into accounting for some time, only after I ruined my scholarship, that in itself was pretty satisfying for me — dealing with numbers all day was fun and much more tangible to me, but it was still at the behest of a larger, soul-crushing corporation, and that still had its consequences.

    I finally “got help” in my mid twenties for the endless conversations in my head I couldn’t ignore any more, because I couldn’t concentrate on anything. Again, I was in a situation where I didn’t feel like I could exercise any real autonomy, and the details of my relationship are relevant, but sordid and I’m pretty happy putting them behind me for now. I lost ten pounds rapidly within the first three days of a low episode, and they soon put me on a strong (newish, but I can’t remember the name) anti-psychotic that, yeah, helped me concentrate — I had to concentrate on simply standing up, and not to romanticize anything about the “creative power” of people with disorders such as mine, my imagination was zapped. What good is concentrating on a thing when you have nothing original to contribute?

    Through using some tools a therapist suggested, I really was able to work through a lot of the anxiety in addition to some toned-down medication, but I weaned myself off of it after plumping up considerably — how appropriate to prescribe such a pill to someone with body issues already anyway. While I found some of her methods helpful with my own tweaking, she started down this weird path of telling me how I needed to normalize myself to traditional, bullshit gendered expectations and I quit. I was incredibly pissed.

    Since that time, I have had a few episodes of hallucinations and inability to eat, even while fucking starving. (I wish people would take a little more time to consider this sort of “disorder.” Pisses me off when people assume that it’s some goddamn “choice” or that everyone who has it necessarily starves herself on purpose. Fucking christ.) The hallucinations have occurred when I have assumed complete helplessness in a situation and under times of extreme stress without being able to separate myself from various situations. When I feel comfortable exercising some amount of autonomy and not fucking holding back (not in the yelling, fucking, fighting way, mind you — I have learned to deal with it somewhat healthier ways since those times) about what is goddamn just about any given situation, without being silenced, I feel pretty much at peace with the world — still angry, but not as helpless or hopeless. Still, I battle with not bringing myself to eat normally for days at a time when I spiral downward. People caring for me in a way that isn’t diminishing to my being, that isn’t predicated on some belief that I am incapable of taking care of myself without a “protector” or “guardian” is what has helped me. One particular time earlier in the year did include seeing another therapist shortly, but that is in no way a long-term solution for me. I know I would be having more hallucinations if I kept on with our community’s fuckwitted Occupy group because I would again be marginalized in that situation, left to my thoughts with no one to turn to in it on how their action for action’s sake is wholly problematic.

    kariflack

    October 13, 2011 at 7:00 pm

    • That first sentence should finish as “but as I was left to myself [etc] and not pressured into more bullshit thought, I evened out with often detrimental self-medication.” However, to even claim that as my fault exclusively because I didn’t know how to cope isn’t correct.

      kariflack

      October 13, 2011 at 10:29 pm

  6. Rewelacyjny blog! Działasz w jakiejś polskiej organizacji?

    AT (@AAT1789)

    November 14, 2012 at 4:48 pm

    • Haha, dzięki. “Działam” wtedy, kiedy depresja itp itd mi pozwala (rzadko).

      unhaunting

      November 15, 2012 at 8:16 am

      • Ok :) Pytałam, bo widziałam zdjęcia z okupacji Warszawy bodajże w czerwcu

        AT (@AAT1789)

        November 15, 2012 at 4:14 pm


Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Connecting to %s

Follow

Get every new post delivered to your Inbox.

%d bloggers like this: