It’s World Mental Health Day. But what is there to celebrate? Raising awareness…don’t make me laugh! With the smash and grab raging on welfare benefits by the ConDems along with upping the ante on stigmatisation and vilification of benefit claimants (let’s not forget NL’s hideous involvement) with a backdrop of unenlightened attitudes towards mental distress. Again, what is there to celebrate…? Promoting what exactly?
Translated this means bullying people into the job market based on supposedly “objective medical assessment” (changes to DLA) when really it is based on ideology, it means forcing vulnerable claimants onto Workfare by some contracted-out private sector company, it means further alienation and isolation. Mental distress hits around one in four adults. That’s a helluva number of people yet it’s still stigmatised and hidden. Marginalised and vilified (apparently we are “bad, mad and dangerous to know”). During the past two years, recession and unemployment has caused.
- 1 in 10 had visited their GP for support
- 7% had started a course of medical treatment for depression
- 5% had seen a counsellor
- Half said staff morale was low
- 28% were working longer hours
- A third said staff were having to compete against each other.
And with further vicious attacks planned on the public sector there will be more distress, misery and suffering.
Expect more pain courtesy of the Con/Dems by way of massive searing public sector cuts. This means changes in working practices and conditions, modernisation, restructuring, liberalisation, contracting-out, outsourcing and what other words used as a code for privatisation will have a massive emotional and psychological negative impact on people, which will affect their health as we have seen. Recession means depression, with a swirling mix of a potent cocktail of anxiety, fear, alienation, pressure, stress and atomisation. No wonder people are reaching for the meds. We live in a debt-ridden insecure world where the ideology defines human beings in terms of material consumption. A dog-eat-dog society that devalues and demeans human beings. The global working class suffer the consequences of neoliberal ideology, people driven to the edge some pushed over the edge. A society based fundamentally on exploitation (even more alienating in some job sectors with the implementation of the LEAN mean production scheme) with increased stress, anxiety, distress and misery coupled with the impact of the recession.
I have cracked up in two jobs, one because I was given no support (funny enough it was a job as a mental health user involvement worker… irony of ironies) and the other was due to feeling undermined and undervalued all the time, I didn’t capitulate to the stiff upper lip bullying voluntary sector kinda macho environment. And coupled with the fact that due to my dalliances with mental distress I have been hauled in front of occupational health departs who have interrogated me about my mental health (Ooo yes, really improved …not… when questioned about personal issues that I don’t particularly want to ‘share’ with a prospective employer). Plus I am sure prospective employers have made up their objective minds about me when they discover my mental health history. It beggars belief. Not one of these employers’ implemented any kind of mental health awareness and support in changing the office dynamics. It was all my fault…apparently…’cos I had a propensity to mental distress nowt about how the environment impacted on me and others. It was all seen in a vacuum. Even the TU rep said to me at the time that he was shocked at their response and that if I was ‘expecting mea culpa..’ then I will be wasting my time.. He was correct. I left. The shit is still happening there though they won’t admit to it as everyone else has the problem.
My own experience of mental distress did heighten my awareness and consciousness about the world (I was already political) but it gave a different complexion on life, a sensitivity to the human responses to the ebb and flow of life. It did galvanise me in political activity in campaigning around the rights of mental health users For me, it gets tedious and irritating the number of times I am hauled in front of some occupational health department and interrogated about my mental health past. It is not about the extra support or help they can give me, it is finding out whether I am ‘fit’ and a good bet for the labour market. And with all this stacked against you loneliness and isolation play a major part as well.
Psychiatry rarely treats people as human beings instead we are reduced to specific criterion, behaviour, eventual diagnoses and labels. And as psychologist Lucy Johnstone argues psychiatric diagnoses are social judgement lacking scientific objectivity. The psychiatric system is fraught with power relationships and is ingrained with institutional racism, sexism and homophobia. The system reflects the oppression that exists within this society. Mental distress is on the increase due to the fragile and precariousness of life that includes debt, misery, job insecurity, pressures, oppression, poverty and so on yet psychiatry sees this increase in a social vacuum.
I believe in asylums, but my interpretation is different to, say, Marjorie Wallace’s (Saneline) understanding of the term or other more bourgeois interpretation. I believe there should be safe places people can go to which isn’t based on social control but based on the needs of the mh user who is able to define his/her needs on their own terms and a equal relationship between staff and user not this imbalance of power that exists between staff and user. That leads to mistrust. RD Laing was right when he said psychiatrists observe as opposed to listen.
The society I want to see is one that treats people with respect and understanding as opposed to vilification, social control and stigmatisation. And to go beyond a bio-medical understanding of mental distress (I don’t totally rule out medication because I do think there is a dialectical relationship between the social and the biological). There is a hell of a number of people out there who will experience mental distress but it is still hidden. It is not something people feel able to be vocal about. And a system, contradictorily, that desperately tries to “normalise” vulnerable people yet only too happy to turn a blind eye to what the powerful in society get away with.
Yes, it’s establishment-friendly World Mental Health Day where globally we stop and see the impact of mental distress, a day where we put the spotlight on this social phenomenon. But we need more than this so-called significant day that challenges and radically re-defines mental health with users of the system at the forefront of change.
See as well this article from Black Mental Health UK.