
A week ago, I had to go visit a mental asylum, thanks to the great idea of a professor. If you didn’t know, I study Clinical Psychology and you will soon know my opinion about the state of affairs of in the field of modern psychology. I wasn’t really excited to visit an institution for the mentally ill without having slept the previous night. Feeling like a retard, I wondered what I could expect there, for it was to be a daylong trip, where we had to interact with the residents and write a report later. Sounded more like a school trip to me, only I realized, it was from a trip and closer to an experience that further changed my attitude towards the mental institutions, mental health professionals and also the caregivers.
The well maintained lawns and the gardens looked more like a rich man’s estate than an institution for the disturbed. Once in, a ‘resident’, lets call her Cindy, showed us around the campus. She looked quite pleased to see us all and described every little detail of the campus but however, she called the library a place where the mentally retarded children were bathed. Ok. That explained it. When asked how long she was there, she revealed the shocking truth. She had been in that beautiful place for 8 years. 8 years in an institution, far from home and family, away from a career, locked up within the walls of the ‘estate’, she forced a smile before bidding goodbye. Walking around the campus we interacted with a number of residents who told their stories, their personal stories of strength, disaster, abuse, fraud and exploitation.

By the end of the day, I could actually make friends with most of the residents there and they ‘bitched’ about the psychologists, counselors and psychiatric nurses like a bunch of school students would, about their teachers. However, behind this amusing facade lies the reality. Dark and untold. Shocking but true. And most of all, the reality tells the story of human suffering at it’s worst, a story that only Elizabeth Fritzl may understand. The mental institution that I’m talking about was started nearly 10 years ago for the rich and those who could afford to stay within the beautiful gardens surrounded by the desolate walls of the institution. None of the residents came on their own, but their families dumped them there.

Money comes in every month, every year and the Institution is happy. They are so happy with the money they wouldn’t want to send their precious residents away. When the buzzword in the mental health field has been deinstitutionalization, one can still see such atrocities committed on people who are disturbed. When questioned, the answer that all the counselors and the authorities had was that the families wouldn’t take them back and they have nowhere to go. These ‘residents’ are all educated, aware of their imprisonment and dying to get out of there. Where, I don’t know, will they receive treatment if they get away, I wouldn’t be able to answer that question as well. However, a mentally ill person can be institutionalized only when he/she proves to be violent and when he/she can be expected to carry out violent attacks on others or oneself. Nobody can be imprisoned for months and years.

If you remember, mentally ill people were tied up in an asylum and most burned to death in a fire that ravaged an institution, in Tamil Nadu, India. The insane have been sexually abused, denied their right to property, health, love, money and respect. It is common to hear news about a person assumed ‘insane’ (the word has no meaning whatsoever in the medical world today) locked up for months and years by families. The place I visited was slightly different because the ones that imprison are paid for their job. This probably could be the best example to show what a sick society we are and how this so-called society can turn a blind eye to it’s suffering members.

Psychologists themselves do not have any idea what they are doing, anywhere in the world. The inadequacy the subject poses is appalling. Probably Tom Cruise is right when he says psychiatrists are evil and psychologists are at best, useless. The pseudo-science that psychology is today, has allowed mentally ill people to suffer more and be used for ‘research’ in the most dehumanizing way that even the chimps in the labs would feel snug. The sad state of affairs is not limited to India. Mentally ill people everywhere are denied of their rights and left at the mercy of psychiatrists and psychologists who manipulate and keep the patients on harmful drugs, almost useless ‘therapy’ and institutionalization, the duration of which depends on the greed of the institution and the apathy of the family and the society.

Another visit to a government run hospital, well maintained but not beautiful, NIMHANS, revealed a different story. Residents would stay there for a few months and would be discharged as soon as possible. At least in this place, residents would get out, after a while, but not in the private Institution that I’m talking about. Institutionalization is the worst form of commercializing health care and also one of the worst crimes that isn’t recognized by anyone as a crime yet. While we write and comment continuously, there are people, men, women and children with dreams an hopes, with a desire to go back and live their lives the way they want to, even if its not considered ‘normal’ by the rest of the society. Any institutionalization beyond a certain number of weeks must be made unlawful. Psychology may be a noble subject aiming to improve the lives of the mentally ill, but today that is not how it is, in many places.

I was shocked to hear the psychologist say ‘If and when God wills, these residents will be able to get out’. These people are god’s forgotten children. God anyway never cared about His children, for He is too partial. I asked Him for answers, and as usual I heard nothing.
Do we have mentally ill people or is the entire world insane?
If insanity is an aberration to the normal, I say these are maddening times and the world is off-normal.
I would like to think that since times are not normal and the world is a little crazy, insane people are the ones who cannot distinguish that their situation is maddening.
your article makes me realize how foolish we were when we played such games...
reality is so different and stark.
my hear goes out to those who have suffered at the hands of the so called normal ppl.
strange is this society where cruel normal ppl are set free and simple mad ppl locked up!
I believe the the most oppressing situation and also the most maddening is not when one doesn’t have the freedom to get out of a maddening situation, but when one cannot even recognize that his state of being is insane.
I associate that with religious fundamentalism.
It’s so nice to be in the company of a sociopath like you!
Congratulations for coming up with this post...
Psychology I feel even now is like blind men defining an elephant. They do trial and error and treat the symptoms with set of drugs. But very rarely they go for more holistic approach involving family of the patient more proactively. Triggers of insanity bout most often lies within family, be it genetic or
abuse or anything else.
It is sad to see some very sensitive souls confined just because they react differently and are not ’smart’ kind in this world.
Recently I was shocked to know of one of my son’s classmate, a seven year old girl, was taken by parents to Ranchi for psychological treatment just because she was attention deficient in class. She is on mild drugs. I feel parents and family members are deficient sometimes and they don’t realise that sitting down and spending time with their children can help nip some of the psychological woes in budding stage itself.
But there is another side to this also. A mentally ill person needs an environment of unconditional positive regard to recover. Can our society that is so biased and cruel to them, give them that? Will he or she be able to earn for his livelihood? The institutions at least ensure that.
I think about people that I would love even if they stabbed me in the back and chnaged colours faster than a chameleon. But it was because of certain conditions that I first loved them, right? Or wrong?
Institutionalization is not only done to segregate but also to make money. Not everyone can afford to live in these prisons Leena, they end up on the streets and resort to begging and wandering around the streets.. Look at the irony, You either get institutionalized or you end up on the streets. Lucky are the ones that have a caring family to support them during their times of crisis.
During times of crisis, a person must be allowed to seek medical help but not imprisonment, he/she must be loved but not ignored, he/she must be active in life (hobbies, education, vocational training.. An idle mind is a devil’s workshop) and not locked up in an asylum or in the confines of a room in a house where all he/she can do is brood over and hate himself/herself.
The shocking part is, most of the mentally ill are aware of their mental condition and are already worried and desperate to come out of the situation themselves..
I’m glad you brought the Unconditional Positive Regard part. It won’t happen Leena. As Jayshree says, even a mother can’t provide that Unconditional Positive Regard and how can the therapists or the society? Unconditional removes the ’money’ part of it but mental health care is all about money.
Anyhow you all seem to take a more humane view of things, keeping practicality aside. I’m the least qualified person to comment on the what nots of the mental condition of people and would easily take Jaiyant at his words. I cannot for a moment doubt that there are institutions that are in pathetic state and where relations are dumped for being in need of help.
But here’s the question: What ought to be done? Do people have as much time on their hands as to take care of these ’insane’? Can they really be expected to fend for themselves in the ’normal’ world? Can they sustain themselves? If not, I’d say at least they are alive inside.
People tend to dump (Jaiyant used the perfect word) individuals at mental asylums not just because they become difficult to handle but because of the negative status given to someone who does not fall under the definiton of ’normal’. Parents don’t want their neighbours to know they have a ’crazy child’, so the person is secretly huddled off to an asylum, to live their forever, saving the family name from being tainted.
You would be surprised at how well these ’insane’ people do in the ’normal’ world. They are not sent there for their own protection, rather it is done as a means of wiping away a bad dream from our memory.
http://www.apa.org/
The problem with DSM IV (Current version.. It keeps changing) and ICD 10 (both classify the various mental disorders and ’set standards’ as you put it) are so fluid in nature and volatile. What was abnormal in DSN II would be considered normal today and he/she won’t be diagnosed with a mental disorder. Homosexuality was considered a disorder in the DSM II but in DSM IV, where it is considered normal and natural behaviour. Just an example. There also is no such word as ’psychoses’ or ’neuroses’ anymore..
Don’t take everything I say Gagan, Just visit the APA website and also a couple of other mental health based websites.. You would know certain things. However, the other side of psychology is really ugly.
What ought to be done is psychologists and psychiatrists must make their limitations public and also they must not feel embarrassed to reveal these limitations. The patients and their families must be made aware of what the treatment is going to be like and what they could actually expect. Since the success rate is so low, they must also reveal that. And Institutionalization must be avoided until necessary and must be institutionalized only for a very short period of time. The mentally ill must be rehabilitated and provided vocational training or must be helped to find jobs and make a living.
Yes they can be expected to live in the ’normal’ world because they are just as normal as you and I are. Why is a person with heart disease considered normal and a person with schizophrenia isn’t? Because society doesn’t know how to deal with schizophrenics. And mental illness is just like physical illness. Some are temporary and some chronic. You get ill and you must be treated. Treatment must not affect and come in the way of a happy life, which is possible even during treatment. They can definitely sustain themselves, all they need is a push in the right direction.. And the direction is towards lesser drugs, shorter periods of institutionalization is any at all, love, care, employment and boosting the self confidence of that person..
Still my contention remains. As morally right it seems for these people to be brought out and allowed to function in the real world, there are chances they may not actually be able to do it. (You’d say they would but then they may not.) Then is it right to risk it all? I’m rooting for deinstitutionalization, love, care, positive attitude and so on and so forth, but (and a big one at that) if you have no way to integrate them, sustain them and devote time to them then better not fidget with the kind of relative comforts (for want of a better word) that they are living in. Again they are alive, aren’t they?
Yeah I’m selfish and cynical, and incorrigible too.
Maybe a better way to start would be to have relatives visit on regular and send inmates out as often as possible. Let them assimilate, gauge the extent thereof and then possibly integrate them.
Mental Asylum, Old age homes, Orphanages, they all have their heart-wrenching stories that most of us are blissfully unaware of. Nice post.
The drugs, the therapy, and the constant herds of social workers and students, such as yourself, are definitely helping them. After all, any person would feel good when they are peered at and asked their symptoms, and you walk around with a notebook and jot down their symptoms for your important report that would teach you just the right ways of dealings with these undesirables the next time you are unfortunate enough to meet one. All this helps, Jaiyant, don’t you see?
I’m sure prior to your visit you must have been lectured for hours (by the same intelligent and all-knowing lecturer who proposed the idea) about the right way to interact with these abnormals. You must have been told not to whisper and not to make any sudden movements, because of course the slightest movement could set off one of the inmates and drive him to a killing frenzy. I am surprised you didn’t freeze and become catatonic yourself at the first sight of the institution. Did you follow the ethics that all psychologists preach today, and behave professionally, above all else? Some people may argue that the mentally ill should be treated humanely, not professionally, but then they don’t know anything about the noble science of psychology and treatment of the mad.
I wish they would lock up all the mad people of this world. And the names of famous people in history who were also mad should be mentioned in every psychology text book as requiring psychiatric help. I want to start with Freud. He was the maddest of them all..and someone else mentioned Foucault, they could give each other company.
And while we’re at it, let’s throw in Dumbledore, too (even though he’s dead). But then he’s gay, and that was considered mad, too.
The tragedy is colossal. The intrusion in the form of these ’visits’ are not only a violation of their privacy but also a very demeaning one at that. Unfortunately any new face is welcome in an institution and the residents welcome you with open arms and at the end of the day you become attached to them, it is a little personal but that is how I felt. You can’t but admire their strength and hope, in all the adversities they go on living.
Once Grace said hope is the most cruel word and is the most oppressive situation. She couldn’t have put it better. The inmates’ hope is oppressive and extremely difficult to handle.
Yeah and we really were told how to behave and how not to ’excite’ the residents. I hate to say it but the entire mental health science community are responsible for not removing the bias and prejudice towards the mentally ill. In fact I can imagine how the mentally ill must find everything around them weird, surreal and dreamy, because for the the society is unreal, society was a mechanism to drive them mad and for their miserable existence in the asylums.
Dumbledore would have been put behind the bars in India, because homosexuality is considered a crime here, and that is another story.
Well it all shows how sick our societies are and I can’t help but become a sociopath myself. However, becoming a sociopath and hating the society wouldn’t make things any better. We, as bloggers can make a difference by writing and writing more, and again writing more tirelessly and valiantly. The word must get out there and people must read. Only when people read do they think, and thinking leads to questioning and giving up old thoughts and belifs. This holds true for fundamentalism as well. We gotta change the way they think. Sp we all gotta write more and more and more without wasting a second to breathe.
Somehow, I find more mentally ill outside than inside. What do you say?
If you would just click on my name, it would take you to my instablog page. I hope you will find something different or interesting. I write few and far between because I have made it a point not to write anything which has not been published earlier and that requires a little research.
A fundamentalist, by definition, is a person whose fundamentals (or fundas, as we say it) are clear. The fundamentalist holds on to his belief. He is either simplistic or an idiot. It is easy to deal with him because any new idea makes him crazy as he is not accoustomed to it.
The next step of knowledge is the state of confusion. Here, all sorts of information is available and the person is strained to choose the right one for himself. He has to separate the wheat from the chaff. Most of the people are in this state. Some start enjoying it.
The third state of knowledge is when the confusion is over, garbage has been cleared and required inputs of information is available to facilitate in taking a decision. This situation is called expertise.
I wanted to do something good for all those begging-for-love eyes. But I realized that after every visit, I was more depressed and felt uber-helpless.
Manish has rightly pointed out - Mental Asylum, Old age homes, Orphanages, they all have their heart-wrenching stories that most of us are blissfully unaware of.
Call me a coward, but I don’t think i have the courage to go to these places and come face to such brutal realities of HIS creations.
And later I was so disturbed you can’t imagine. You feel so weak and helpless because you want to make them happy but you can’t. The reality hit me once I got out of the place. Visitors are not allowed inside unless they come on a ’study trip’. Which means I will never see my friends again.
How much can most of us do such noble acts regularly....especially when we have a whole set family and friends expecting so much from us?
It takes tremendous determination to follow up with such deeds.
Okie, Gagan, I know where you are coming from and I’m a great cynic myself. The reason I wrote the article is to highlight the helplessness of both the professionals (who are helpless but great business minds) and the mentally ill.
I agree, these people may not have a great future outside and may perish. But (again a big one) allowing them to perish within the confined walls isn’t a solution. And how many people can afford to get institutionalized? A minuscule percentage. You would be shocked to know that each person in that asylum spends 25,000 rupees per month to stay there. The families are obviously too rich and see them as an aberration and dump them there. The asylum is paid and kept happy for being a dumping place.
However, there are millions of mentally ill people in our society. Statistics reveal at least 5% of any population is mentally ill. Do the math. We can’t institutionalize them all. They suffer in the greater institution which is also called the society. Most turn to prostitution, begging, substance abuse and crime. And many just perish, without a livelihood.
Gagan the entire system has to change. The way mentally ill people are handled has to change. Deinstitutionalization is just one part of it. Most of the mentally ill would never have seen the face of a psychologist/psychiatrist. They would be locked up in their houses or thrown out in to the streets.
We need a massive awareness program and a government funding. We must also criminalize long periods of institutionalization because the same facilities could be used for the more deranged and not ’wasted’ on rich and less disturbed people. We must make mental health care affordable and subsidized. We need a governing body to license psychologists. The mental health profession in India and other developing countries is like the lawless wild west.
If the problem is as great as you describe it is then education is the surest way to go forward. It is us normals that need a lesson in psychology. You professionals have gotten so used to it that you can see clearly through it :P
But again I’d just revert and say if a person is able to take care of himself then by all means release him. But do not dump him back into a family that clearly has disowned him. That would be even more inhumane thing to do; even to those who were guilty in the first place. I hope I find resonance in at least this argument.
I can’t but agree with you.. Because that is my point too. Don’t send them back to those unloving homes and don’t keep them in the institution. Rehab must be all about readying them to face the world. So vocational training must be included as part of the therapy. So that they can live on their own once they are out. Regular sessions thereafter for an couple of hours every week is enough to manage the madness. Resonance in at least this argument? You gotta be kidding! I never disagreed with any thing that you have said! :P Just the way I said was different. Phew.. I feel like a typewriter.
It is tragically hilarious to note that this social stigma befalls the victim families, more than the victim themselves. So, if a family is rich enough to afford private mental asylums, it will have its insane member kept within the walls of an asylum.
So, any which way we look at it, it’s society that makes people mentally ill. And mental asylums are really prisons for the insane – prisons that have the license to administer insanity-pacifying drugs.
There’s something else, too, that can cause insanity and this one is of the chemical kind. Mind-altering drugs such as amphetamines, barbiturates, etc.
Over here, where the national mental asylum is always overloaded (understandably because this is maddening Third World), only the following are allowed to be admitted and confined: those who can be physically harmful to others and those who can be physically harmful to themselves (these ones are on 24/7 suicide watch and outfitted with straightjackets and/or injected with tranquilizers or sleep-inducing drugs). Drug addicts who have gone over the brink are sent home.
The drug addicts gone mad have better chances of mental illness recovery than the ones who are kept within the walls – primarily because they have the opportunity to intermingle with normal people more often.
The fundamentalist is delusional, and thus insane, because he or she is kept within the prison or asylum of ideology. In it, he or she, can only mingle with kindred souls. So, I think, what causes a fundamentalist to be such is the lack of exposure to the outside world. Breeders of fundamentalists know exactly the strategic tactic to use – alter the mind via brainwashing.
The social stigma of insanity can only be cured with social change.
But as we have already seen and experienced, society is but a lifeless body that runs on mass hysteria. Society can’t feel, can’t empathize, it can only isolate it and exploit it’s members. And only the rich can afford to be in the asylum which leaves me wondering if the insane left out in the open are lucky or the ones within who can afford to be imprisoned.
The insanity pacifying drugs you are talking about, are so dangerous, in fact worse than many substances that are used. The psychiatrists prescribe an Amphetamine called the ’Ritalin’ to hyperactive children. can you imagine? If you have a kid who is hyperactive you are going to feed him/her with amphetamines! They say it works on kids! The situation of pharmacotherapy for the mentally ill is so bad that traditional substance abuse drugs like cocaine and heroin pale in front of them. Feed the mentally ill with amphetamines at a pre pubscent age to get them alright! Wow!
http://www.healthscout.com/ency/416/639/main.html#TreatmentofAttentionDeficit/HyperactivityDisorder
Drug addiction is of course a mental illness but the society encourages it because the cool actors and actresses do coke, heroin etc. If you don’t smoke up, you are so not in the ’scene’. It is again the society that encourages drug addiction. And most mentally ill when left free and allowed to interact with mentally well adjusted people, they have a remarkably successful rate in recovering. Coming back to the good old fundamentalists, they are society bred delusional criminals. What do we do with the society?
The responsibility rests on opinion makers who can be loud and clamorous. More often than not, that’s civil society composed of several and varied cause oriented groups. They can be loud and clamorous to the point of swaying popular sentiment and popular thinking.
The general mindset is the biggest hurdle, as well as the biggest responsibility.
Unfortunately society is made of mindless masses who need a punching bag, someone to look down upon, someone to assert superiority against. Thus a ’lunatic’, butt of everyone’s ridicule is born. So I don’t think social stigma can be done away with so easily...
This true also of believers and fundamentalists tend to look at themselves and project themselves as normal and god fearing and thats why masses like to emulate these traits and leaders. While others, outside the circle of belief, become a punching bag and are held in suspicion...
I think only true scientific attitude can make society take a balanced stand.
I’m not sure if there is a scientific basis for the phenomenon they call ”charismatic?”
I don’t know much about how exactly dopamine gets triggered during mass hysteria or affects mob psychology...
:)
Madhuri, You brought in a completely new insight. I didnt think about the punching bag part. We all have our punching bags and the society’s punching bag happens to be the mentally ill and those who deviate from what the society considers normal. Isn’t this punching bag thing also a defense mechanism? Because the society can’t face it’s bitter impulses and because it can’t acknowledge the evil in it, it displaces societal anxiety on the punching bags that happen to be the mentally ill. I can also see a lot of reaction formation within the society. We have a mad society which terrorizes mad people. Great!
Innocence is the true essense of people who are often looked down upon as insane by society. They are not manipulative and cannot be manipulated as well, so they are shunned.
your post might just hit many peoples’ conscience and if they aren’t shallow enough to ignore this, they would probably recollect instances if they’ve displayed lack of respect towards the mentally ill..
i find that i can relate to this post because my own cousin is autistic and each day brings the same challenge of sailing through the difficulties of bring up such a child for my aunt.. my relatives, who has big degrees bangin aganist their names detest his presence in family gathering for they fear that my harmless cousin might just hurt thier children because of his out-of-the-blue violent behaviour... Respect for her child is the only riches my aunt seeks..
and to talk about visits to orphanage, NGOs and such other places, i know folks who dat under the pretext of shunnin to live a wasted life, bt i later learnt that was just to add some weight to their resumes to bag those fat-salaried jobs.. unbelievable, aint it?!
my single visit to an orphanage has made me hate myself for i have always cribbed about my set of problems ( for me, problems=break with boyfrend!) I couldnt be less thankful to God for having everything in place. there we go, another instance of selfish nature, where it first occured to me to thank God and not pray for the future of such kids.. :)
As you and Jaiyant opine unconditional positive regard is sadly made out to be a myth in the present world. But I still think it is possible. As Jaiyant said in some comments, awareness programs for people can help in developing a society free of all stigmas and developing the correct attitudes towards the mentally ill individuals. The change may be gradual but it can still happen.
It is rather sad that nowadays parents are rather ‘investing’ love but I am lucky to have parents who love me unconditionally.
I will definitely not love a guy who changes colors faster than a chameleon. In this case my love will definitely be CONDITIONAL because the guy is knowingly hurting me. There is a difference between him and a mentally ill person. If he is a mentally ill person and is not aware of the fact that he is hurting me and I had fallen in love with him due to some reason then I’ll definitely love him UNCONDITIONALLY and see what best I can do for him.
Like I said, I hope..
Thanks a lot for your compliment. Its nice to know that you are studying clinical psychology. Maybe that’s the reason you have come out with such a lot of empathy for the mentally ill in this wonderful post of yours.
You have very correctly pointed out that it is either the institutions or the streets for a mentally ill person. This is the reason I feel institutions are better off than the streets. Every psychotic person is not lucky to have a supporting family. If he would have had, he would not have become mentally ill in the first place because I believe nurture plays a greater part in developing mental illness in people in whom nature has sown the seeds of insanity.
In a world where there is an insane rat race for proving one’s superiority in terms of power, resources, intelligence, personality and any goddamned thing, the mentally ill people will only be proved miserable failures in all ways and that will again trigger their illness. A person will either become suicidal or murderous, both of which are labeled as psychotic traits, and pushed back to the institutions.
Of course the kinds of institutions that you have portrayed in your post are rather cruel and greedy for money. The actual problem is not with institutionalization of the mentally ill, but with the attitude of the staff out there. So they have to be educated on how to treat a mentally ill person and strict laws for ill treating the mentally ill should be enforced. Institutions should be instructed to provide a loving and caring environment to these individuals and tap the best of their intellectual faculties. It is not uncommon that quite a number of this so called psychotic lot is
It is not uncommon that quite a number of this so called psychotic lot is actually intellectually superior to many of the ‘normal’ people.
The role of Pshycholgists have become important in our times .However, not everything they say needs to be treated as gospel truth .According to them each of us is suffering from one ” chemical locha ” or the other. Going by the logic of Psychologists even a saint like Ramakrishna Paramhansa was victim of psychological disorders !
The problem is that we have become dependent on western way of living things .It does not offer any concrete solution . On the contrary , it leaves in the lurch . That’s what taking place in the world of pshychologists .
You might have no faith in existence of God but had there been no God ,the world would have only psychologists in it !!!
Lastly , it’s a harsh truth that society first gives birth to people in league with psychological disorders and then it proclaims to offer healing advices .Yeh duniya ek tamashe ke sive kuch nahi hai...
Its realy very shocking.
Local Opinions (98)
There is nobody who can be considered normal, we are all crazy. Of course there are variations, because everyone is different and our individuality is our personal identity, non.
Meanwhile, all the time there is someone forcing us not to accept us the way we are. According to ”them”, we should be always looking for something more all the time. Durkheim called this anomy. I call this market.
PS: On a scale of 0 to 10 I believe a crazy level 8 and the absolute majority of people I know even aware of how much are mad. Denial is something very powerful ...
The state of isolation and anxiety which from a lack of social control and regulation cannot be blamed on mental illness but the society that encourages mental illness. The reason most people become mentally ill is because of their families and the society. Biology plays a role, but it is aggravated by the society. I hold the society responsible for the misery of the mentally ill.
The normal people I know are crazier than the ones I met in the asylum. A normal person wouldn’t be able to smile a goodbye after being imprisoned in that hell. The normal people and the psychologists can continue to think they are normal and be in an eternal state of denial. While the mad ones rot in the institutions. Come to think of it, the societies we live in are just as bad as a mental institution.
And the worse part is that the psychologists can smell the ch*** in front of them, however, they don’t give a damn about it.
And you are right, we live in prisions, one inside other. Freedom is a dream, but, if we know that, we can find a window e try to imagine something better for ourselves.
Do we have mentally ill people or is the entire world insane?
If insanity is an aberration to the normal, I say these are maddening times and the world is off-normal.
I would like to think that since times are not normal and the world is a little crazy, insane people are the ones who cannot distinguish that their situation is maddening.
your article makes me realize how foolish we were when we played such games...
reality is so different and stark.
my hear goes out to those who have suffered at the hands of the so called normal ppl.
strange is this society where cruel normal ppl are set free and simple mad ppl locked up!
I believe the the most oppressing situation and also the most maddening is not when one doesn’t have the freedom to get out of a maddening situation, but when one cannot even recognize that his state of being is insane.
I associate that with religious fundamentalism.
It’s so nice to be in the company of a sociopath like you!
Congratulations for coming up with this post...
Psychology I feel even now is like blind men defining an elephant. They do trial and error and treat the symptoms with set of drugs. But very rarely they go for more holistic approach involving family of the patient more proactively. Triggers of insanity bout most often lies within family, be it genetic or
abuse or anything else.
It is sad to see some very sensitive souls confined just because they react differently and are not ’smart’ kind in this world.
Recently I was shocked to know of one of my son’s classmate, a seven year old girl, was taken by parents to Ranchi for psychological treatment just because she was attention deficient in class. She is on mild drugs. I feel parents and family members are deficient sometimes and they don’t realise that sitting down and spending time with their children can help nip some of the psychological woes in budding stage itself.
But there is another side to this also. A mentally ill person needs an environment of unconditional positive regard to recover. Can our society that is so biased and cruel to them, give them that? Will he or she be able to earn for his livelihood? The institutions at least ensure that.
I think about people that I would love even if they stabbed me in the back and chnaged colours faster than a chameleon. But it was because of certain conditions that I first loved them, right? Or wrong?
Institutionalization is not only done to segregate but also to make money. Not everyone can afford to live in these prisons Leena, they end up on the streets and resort to begging and wandering around the streets.. Look at the irony, You either get institutionalized or you end up on the streets. Lucky are the ones that have a caring family to support them during their times of crisis.
During times of crisis, a person must be allowed to seek medical help but not imprisonment, he/she must be loved but not ignored, he/she must be active in life (hobbies, education, vocational training.. An idle mind is a devil’s workshop) and not locked up in an asylum or in the confines of a room in a house where all he/she can do is brood over and hate himself/herself.
The shocking part is, most of the mentally ill are aware of their mental condition and are already worried and desperate to come out of the situation themselves..
I’m glad you brought the Unconditional Positive Regard part. It won’t happen Leena. As Jayshree says, even a mother can’t provide that Unconditional Positive Regard and how can the therapists or the society? Unconditional removes the ’money’ part of it but mental health care is all about money.
Anyhow you all seem to take a more humane view of things, keeping practicality aside. I’m the least qualified person to comment on the what nots of the mental condition of people and would easily take Jaiyant at his words. I cannot for a moment doubt that there are institutions that are in pathetic state and where relations are dumped for being in need of help.
But here’s the question: What ought to be done? Do people have as much time on their hands as to take care of these ’insane’? Can they really be expected to fend for themselves in the ’normal’ world? Can they sustain themselves? If not, I’d say at least they are alive inside.
People tend to dump (Jaiyant used the perfect word) individuals at mental asylums not just because they become difficult to handle but because of the negative status given to someone who does not fall under the definiton of ’normal’. Parents don’t want their neighbours to know they have a ’crazy child’, so the person is secretly huddled off to an asylum, to live their forever, saving the family name from being tainted.
You would be surprised at how well these ’insane’ people do in the ’normal’ world. They are not sent there for their own protection, rather it is done as a means of wiping away a bad dream from our memory.
http://www.apa.org/
The problem with DSM IV (Current version.. It keeps changing) and ICD 10 (both classify the various mental disorders and ’set standards’ as you put it) are so fluid in nature and volatile. What was abnormal in DSN II would be considered normal today and he/she won’t be diagnosed with a mental disorder. Homosexuality was considered a disorder in the DSM II but in DSM IV, where it is considered normal and natural behaviour. Just an example. There also is no such word as ’psychoses’ or ’neuroses’ anymore..
Don’t take everything I say Gagan, Just visit the APA website and also a couple of other mental health based websites.. You would know certain things. However, the other side of psychology is really ugly.
What ought to be done is psychologists and psychiatrists must make their limitations public and also they must not feel embarrassed to reveal these limitations. The patients and their families must be made aware of what the treatment is going to be like and what they could actually expect. Since the success rate is so low, they must also reveal that. And Institutionalization must be avoided until necessary and must be institutionalized only for a very short period of time. The mentally ill must be rehabilitated and provided vocational training or must be helped to find jobs and make a living.
Yes they can be expected to live in the ’normal’ world because they are just as normal as you and I are. Why is a person with heart disease considered normal and a person with schizophrenia isn’t? Because society doesn’t know how to deal with schizophrenics. And mental illness is just like physical illness. Some are temporary and some chronic. You get ill and you must be treated. Treatment must not affect and come in the way of a happy life, which is possible even during treatment. They can definitely sustain themselves, all they need is a push in the right direction.. And the direction is towards lesser drugs, shorter periods of institutionalization is any at all, love, care, employment and boosting the self confidence of that person..
Still my contention remains. As morally right it seems for these people to be brought out and allowed to function in the real world, there are chances they may not actually be able to do it. (You’d say they would but then they may not.) Then is it right to risk it all? I’m rooting for deinstitutionalization, love, care, positive attitude and so on and so forth, but (and a big one at that) if you have no way to integrate them, sustain them and devote time to them then better not fidget with the kind of relative comforts (for want of a better word) that they are living in. Again they are alive, aren’t they?
Yeah I’m selfish and cynical, and incorrigible too.
Maybe a better way to start would be to have relatives visit on regular and send inmates out as often as possible. Let them assimilate, gauge the extent thereof and then possibly integrate them.
Mental Asylum, Old age homes, Orphanages, they all have their heart-wrenching stories that most of us are blissfully unaware of. Nice post.
The drugs, the therapy, and the constant herds of social workers and students, such as yourself, are definitely helping them. After all, any person would feel good when they are peered at and asked their symptoms, and you walk around with a notebook and jot down their symptoms for your important report that would teach you just the right ways of dealings with these undesirables the next time you are unfortunate enough to meet one. All this helps, Jaiyant, don’t you see?
I’m sure prior to your visit you must have been lectured for hours (by the same intelligent and all-knowing lecturer who proposed the idea) about the right way to interact with these abnormals. You must have been told not to whisper and not to make any sudden movements, because of course the slightest movement could set off one of the inmates and drive him to a killing frenzy. I am surprised you didn’t freeze and become catatonic yourself at the first sight of the institution. Did you follow the ethics that all psychologists preach today, and behave professionally, above all else? Some people may argue that the mentally ill should be treated humanely, not professionally, but then they don’t know anything about the noble science of psychology and treatment of the mad.
I wish they would lock up all the mad people of this world. And the names of famous people in history who were also mad should be mentioned in every psychology text book as requiring psychiatric help. I want to start with Freud. He was the maddest of them all..and someone else mentioned Foucault, they could give each other company.
And while we’re at it, let’s throw in Dumbledore, too (even though he’s dead). But then he’s gay, and that was considered mad, too.
The tragedy is colossal. The intrusion in the form of these ’visits’ are not only a violation of their privacy but also a very demeaning one at that. Unfortunately any new face is welcome in an institution and the residents welcome you with open arms and at the end of the day you become attached to them, it is a little personal but that is how I felt. You can’t but admire their strength and hope, in all the adversities they go on living.
Once Grace said hope is the most cruel word and is the most oppressive situation. She couldn’t have put it better. The inmates’ hope is oppressive and extremely difficult to handle.
Yeah and we really were told how to behave and how not to ’excite’ the residents. I hate to say it but the entire mental health science community are responsible for not removing the bias and prejudice towards the mentally ill. In fact I can imagine how the mentally ill must find everything around them weird, surreal and dreamy, because for the the society is unreal, society was a mechanism to drive them mad and for their miserable existence in the asylums.
Dumbledore would have been put behind the bars in India, because homosexuality is considered a crime here, and that is another story.
Well it all shows how sick our societies are and I can’t help but become a sociopath myself. However, becoming a sociopath and hating the society wouldn’t make things any better. We, as bloggers can make a difference by writing and writing more, and again writing more tirelessly and valiantly. The word must get out there and people must read. Only when people read do they think, and thinking leads to questioning and giving up old thoughts and belifs. This holds true for fundamentalism as well. We gotta change the way they think. Sp we all gotta write more and more and more without wasting a second to breathe.
Somehow, I find more mentally ill outside than inside. What do you say?
If you would just click on my name, it would take you to my instablog page. I hope you will find something different or interesting. I write few and far between because I have made it a point not to write anything which has not been published earlier and that requires a little research.
A fundamentalist, by definition, is a person whose fundamentals (or fundas, as we say it) are clear. The fundamentalist holds on to his belief. He is either simplistic or an idiot. It is easy to deal with him because any new idea makes him crazy as he is not accoustomed to it.
The next step of knowledge is the state of confusion. Here, all sorts of information is available and the person is strained to choose the right one for himself. He has to separate the wheat from the chaff. Most of the people are in this state. Some start enjoying it.
The third state of knowledge is when the confusion is over, garbage has been cleared and required inputs of information is available to facilitate in taking a decision. This situation is called expertise.
I wanted to do something good for all those begging-for-love eyes. But I realized that after every visit, I was more depressed and felt uber-helpless.
Manish has rightly pointed out - Mental Asylum, Old age homes, Orphanages, they all have their heart-wrenching stories that most of us are blissfully unaware of.
Call me a coward, but I don’t think i have the courage to go to these places and come face to such brutal realities of HIS creations.
And later I was so disturbed you can’t imagine. You feel so weak and helpless because you want to make them happy but you can’t. The reality hit me once I got out of the place. Visitors are not allowed inside unless they come on a ’study trip’. Which means I will never see my friends again.
How much can most of us do such noble acts regularly....especially when we have a whole set family and friends expecting so much from us?
It takes tremendous determination to follow up with such deeds.
Okie, Gagan, I know where you are coming from and I’m a great cynic myself. The reason I wrote the article is to highlight the helplessness of both the professionals (who are helpless but great business minds) and the mentally ill.
I agree, these people may not have a great future outside and may perish. But (again a big one) allowing them to perish within the confined walls isn’t a solution. And how many people can afford to get institutionalized? A minuscule percentage. You would be shocked to know that each person in that asylum spends 25,000 rupees per month to stay there. The families are obviously too rich and see them as an aberration and dump them there. The asylum is paid and kept happy for being a dumping place.
However, there are millions of mentally ill people in our society. Statistics reveal at least 5% of any population is mentally ill. Do the math. We can’t institutionalize them all. They suffer in the greater institution which is also called the society. Most turn to prostitution, begging, substance abuse and crime. And many just perish, without a livelihood.
Gagan the entire system has to change. The way mentally ill people are handled has to change. Deinstitutionalization is just one part of it. Most of the mentally ill would never have seen the face of a psychologist/psychiatrist. They would be locked up in their houses or thrown out in to the streets.
We need a massive awareness program and a government funding. We must also criminalize long periods of institutionalization because the same facilities could be used for the more deranged and not ’wasted’ on rich and less disturbed people. We must make mental health care affordable and subsidized. We need a governing body to license psychologists. The mental health profession in India and other developing countries is like the lawless wild west.
If the problem is as great as you describe it is then education is the surest way to go forward. It is us normals that need a lesson in psychology. You professionals have gotten so used to it that you can see clearly through it :P
But again I’d just revert and say if a person is able to take care of himself then by all means release him. But do not dump him back into a family that clearly has disowned him. That would be even more inhumane thing to do; even to those who were guilty in the first place. I hope I find resonance in at least this argument.
I can’t but agree with you.. Because that is my point too. Don’t send them back to those unloving homes and don’t keep them in the institution. Rehab must be all about readying them to face the world. So vocational training must be included as part of the therapy. So that they can live on their own once they are out. Regular sessions thereafter for an couple of hours every week is enough to manage the madness. Resonance in at least this argument? You gotta be kidding! I never disagreed with any thing that you have said! :P Just the way I said was different. Phew.. I feel like a typewriter.
It is tragically hilarious to note that this social stigma befalls the victim families, more than the victim themselves. So, if a family is rich enough to afford private mental asylums, it will have its insane member kept within the walls of an asylum.
So, any which way we look at it, it’s society that makes people mentally ill. And mental asylums are really prisons for the insane – prisons that have the license to administer insanity-pacifying drugs.
There’s something else, too, that can cause insanity and this one is of the chemical kind. Mind-altering drugs such as amphetamines, barbiturates, etc.
Over here, where the national mental asylum is always overloaded (understandably because this is maddening Third World), only the following are allowed to be admitted and confined: those who can be physically harmful to others and those who can be physically harmful to themselves (these ones are on 24/7 suicide watch and outfitted with straightjackets and/or injected with tranquilizers or sleep-inducing drugs). Drug addicts who have gone over the brink are sent home.
The drug addicts gone mad have better chances of mental illness recovery than the ones who are kept within the walls – primarily because they have the opportunity to intermingle with normal people more often.
The fundamentalist is delusional, and thus insane, because he or she is kept within the prison or asylum of ideology. In it, he or she, can only mingle with kindred souls. So, I think, what causes a fundamentalist to be such is the lack of exposure to the outside world. Breeders of fundamentalists know exactly the strategic tactic to use – alter the mind via brainwashing.
The social stigma of insanity can only be cured with social change.
But as we have already seen and experienced, society is but a lifeless body that runs on mass hysteria. Society can’t feel, can’t empathize, it can only isolate it and exploit it’s members. And only the rich can afford to be in the asylum which leaves me wondering if the insane left out in the open are lucky or the ones within who can afford to be imprisoned.
The insanity pacifying drugs you are talking about, are so dangerous, in fact worse than many substances that are used. The psychiatrists prescribe an Amphetamine called the ’Ritalin’ to hyperactive children. can you imagine? If you have a kid who is hyperactive you are going to feed him/her with amphetamines! They say it works on kids! The situation of pharmacotherapy for the mentally ill is so bad that traditional substance abuse drugs like cocaine and heroin pale in front of them. Feed the mentally ill with amphetamines at a pre pubscent age to get them alright! Wow!
http://www.healthscout.com/ency/416/639/main.html#TreatmentofAttentionDeficit/HyperactivityDisorder
Drug addiction is of course a mental illness but the society encourages it because the cool actors and actresses do coke, heroin etc. If you don’t smoke up, you are so not in the ’scene’. It is again the society that encourages drug addiction. And most mentally ill when left free and allowed to interact with mentally well adjusted people, they have a remarkably successful rate in recovering. Coming back to the good old fundamentalists, they are society bred delusional criminals. What do we do with the society?
The responsibility rests on opinion makers who can be loud and clamorous. More often than not, that’s civil society composed of several and varied cause oriented groups. They can be loud and clamorous to the point of swaying popular sentiment and popular thinking.
The general mindset is the biggest hurdle, as well as the biggest responsibility.
Unfortunately society is made of mindless masses who need a punching bag, someone to look down upon, someone to assert superiority against. Thus a ’lunatic’, butt of everyone’s ridicule is born. So I don’t think social stigma can be done away with so easily...
This true also of believers and fundamentalists tend to look at themselves and project themselves as normal and god fearing and thats why masses like to emulate these traits and leaders. While others, outside the circle of belief, become a punching bag and are held in suspicion...
I think only true scientific attitude can make society take a balanced stand.
I’m not sure if there is a scientific basis for the phenomenon they call ”charismatic?”
I don’t know much about how exactly dopamine gets triggered during mass hysteria or affects mob psychology...
:)
Madhuri, You brought in a completely new insight. I didnt think about the punching bag part. We all have our punching bags and the society’s punching bag happens to be the mentally ill and those who deviate from what the society considers normal. Isn’t this punching bag thing also a defense mechanism? Because the society can’t face it’s bitter impulses and because it can’t acknowledge the evil in it, it displaces societal anxiety on the punching bags that happen to be the mentally ill. I can also see a lot of reaction formation within the society. We have a mad society which terrorizes mad people. Great!
Innocence is the true essense of people who are often looked down upon as insane by society. They are not manipulative and cannot be manipulated as well, so they are shunned.
your post might just hit many peoples’ conscience and if they aren’t shallow enough to ignore this, they would probably recollect instances if they’ve displayed lack of respect towards the mentally ill..
i find that i can relate to this post because my own cousin is autistic and each day brings the same challenge of sailing through the difficulties of bring up such a child for my aunt.. my relatives, who has big degrees bangin aganist their names detest his presence in family gathering for they fear that my harmless cousin might just hurt thier children because of his out-of-the-blue violent behaviour... Respect for her child is the only riches my aunt seeks..
and to talk about visits to orphanage, NGOs and such other places, i know folks who dat under the pretext of shunnin to live a wasted life, bt i later learnt that was just to add some weight to their resumes to bag those fat-salaried jobs.. unbelievable, aint it?!
my single visit to an orphanage has made me hate myself for i have always cribbed about my set of problems ( for me, problems=break with boyfrend!) I couldnt be less thankful to God for having everything in place. there we go, another instance of selfish nature, where it first occured to me to thank God and not pray for the future of such kids.. :)
As you and Jaiyant opine unconditional positive regard is sadly made out to be a myth in the present world. But I still think it is possible. As Jaiyant said in some comments, awareness programs for people can help in developing a society free of all stigmas and developing the correct attitudes towards the mentally ill individuals. The change may be gradual but it can still happen.
It is rather sad that nowadays parents are rather ‘investing’ love but I am lucky to have parents who love me unconditionally.
I will definitely not love a guy who changes colors faster than a chameleon. In this case my love will definitely be CONDITIONAL because the guy is knowingly hurting me. There is a difference between him and a mentally ill person. If he is a mentally ill person and is not aware of the fact that he is hurting me and I had fallen in love with him due to some reason then I’ll definitely love him UNCONDITIONALLY and see what best I can do for him.
Like I said, I hope..
Thanks a lot for your compliment. Its nice to know that you are studying clinical psychology. Maybe that’s the reason you have come out with such a lot of empathy for the mentally ill in this wonderful post of yours.
You have very correctly pointed out that it is either the institutions or the streets for a mentally ill person. This is the reason I feel institutions are better off than the streets. Every psychotic person is not lucky to have a supporting family. If he would have had, he would not have become mentally ill in the first place because I believe nurture plays a greater part in developing mental illness in people in whom nature has sown the seeds of insanity.
In a world where there is an insane rat race for proving one’s superiority in terms of power, resources, intelligence, personality and any goddamned thing, the mentally ill people will only be proved miserable failures in all ways and that will again trigger their illness. A person will either become suicidal or murderous, both of which are labeled as psychotic traits, and pushed back to the institutions.
Of course the kinds of institutions that you have portrayed in your post are rather cruel and greedy for money. The actual problem is not with institutionalization of the mentally ill, but with the attitude of the staff out there. So they have to be educated on how to treat a mentally ill person and strict laws for ill treating the mentally ill should be enforced. Institutions should be instructed to provide a loving and caring environment to these individuals and tap the best of their intellectual faculties. It is not uncommon that quite a number of this so called psychotic lot is
It is not uncommon that quite a number of this so called psychotic lot is actually intellectually superior to many of the ‘normal’ people.
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There is nobody who can be considered normal, we are all crazy. Of course there are variations, because everyone is different and our individuality is our personal identity, non.
Meanwhile, all the time there is someone forcing us not to accept us the way we are. According to ”them”, we should be always looking for something more all the time. Durkheim called this anomy. I call this market.
PS: On a scale of 0 to 10 I believe a crazy level 8 and the absolute majority of people I know even aware of how much are mad. Denial is something very powerful ...
The state of isolation and anxiety which from a lack of social control and regulation cannot be blamed on mental illness but the society that encourages mental illness. The reason most people become mentally ill is because of their families and the society. Biology plays a role, but it is aggravated by the society. I hold the society responsible for the misery of the mentally ill.
The normal people I know are crazier than the ones I met in the asylum. A normal person wouldn’t be able to smile a goodbye after being imprisoned in that hell. The normal people and the psychologists can continue to think they are normal and be in an eternal state of denial. While the mad ones rot in the institutions. Come to think of it, the societies we live in are just as bad as a mental institution.
And the worse part is that the psychologists can smell the ch*** in front of them, however, they don’t give a damn about it.
And you are right, we live in prisions, one inside other. Freedom is a dream, but, if we know that, we can find a window e try to imagine something better for ourselves.