He was fucking sad. That's it. That's the point. He knows life is never going to get any different for him. That there's no fixing him. It's always going to be the same monotonous depressing bullshit. Boring, sad, boring, sad. He just wants it to be over.
I see things in windows and I say to myself that I want them. I want them because I want to belong. I want to be liked by more people, I want to be held in higher regard than others. I want to feel valued, so I say to myself to watch certain shows. I watch certain shows on the television so I can participate in dialogues and conversations and debates with people who want the same things I want. I want to dress a certain way so certain groups of people are forced to be attracted to me. I want to do my hair a certain way with certain styling products and particular combs and methods so that I can fit in with the In-Crowd. I want to spend hours upon hours at the gym, stuffing my body with what scientists are calling 'superfoods', so that I can be loved and envied by everyone around me. I want to become an icon on someone's mantle. I want to work meaningless jobs so that I can fill my wallet and parentally-advised bank accounts with monetary potential. I want to believe what's on the news so that I can feel normal along with the rest of forever. I want to listen to the Top Ten on Q102, and roll my windows down so others can hear it and see that I am listening to it, and enjoying it. I want to go to church every Sunday, and pray every other day. I want to believe that what I do is for the promise of a peaceful afterlife. I want rewards for my 'good' deeds. I want acknowledgment and praise. And I want people to know that I put out that fire. I want people to know that I support the war effort. I want people to know that I volunteer to save lives. I want to be seen and heard and pointed at with love. I want to read my name in the history books during a future full of clones exactly like me. The mirror, I've noticed, is almost always positioned above the sink. Though the sink offers more depth than a mirror, and mirror is only able to reflect, the sink is held in lower regard. Lower still is the toilet, and thought it offers even more depth than the sink, we piss and shit in it. I want these kind of architectural details to be paralleled in my every day life. I want to care more about my reflection, and less about my cleanliness. I want to be seen as someone who lives externally, and never internally, unless I am able to lock the door behind me. I want these things, because if I didn't, I would be dead in the mirrors of those around me. I would be nothing. I would be an example. Sunken, and easily washed away.
They will hate you if you are beautiful. They will hate you if you are successful. They will hate you if you are right. They will hate you if you are popular. They will hate you when you get attention. They will hate you when people in their life like you. They will hate you if you worship a different version of their God. They will hate you if you are spiritual. They will hate you if you have courage. They will hate you if you have an opinion. They will hate you when people support you. They will hate you when they see you happy. Heck, they will hate you while they post prayers and religious quotes on Pinterest and Facebook. They just hate. However, remember this: They hate you because you represent something they feel they don’t have. It really isn’t about you. It is about the hatred they have for themselves. So smile today because there is something you are doing right that has a lot of people thinking about you.
Soon, when all is well, you're going to look back on this period of your life and be so glad that you never gave up.
I like living in my head because in there, everyone is kind and innocent. Once you start integrating yourself into the world, you realize that people are nasty, mean creatures. They're worse than zombies. People try to crush your soul and destroy your happiness, but zombies just want to have a little nibble of your brain.
Greed is a contagious mental illness without which civilization as we know it would not have been possible.
They say the distance between insanity and genius is measured only by success, I believe you can say the same thing about the distance between good and evil.
He was lovable the way a child is lovable, and he was capable of returning love with a childlike purity. If love is nevertheless excluded from his work, it's because he never quite felt that he deserved to receive it. He was a lifelong prisoner on the island of himself. What looked like gentle contours from a distance were in fact sheer cliffs. Sometimes only a little of him was crazy, sometimes nearly all of him, but, as an adult, he was never entirely not crazy. What he'd seen of his id while trying to escape his island prison by way of drugs and alcohol, only to find himself even more imprisoned by addiction, seems never to have ceased to be corrosive of his belief in his lovability. Even after he got clean, even decades after his late-adolescent suicide attempt, even after his slow and heroic construction of a life for himself, he felt undeserving. And this feeling was intertwined, ultimately to the point of indistinguishability, with the thought of suicide, which was the one sure way out of his imprisonment; surer than addiction, surer than fiction, and surer, finally, than love.
Just as I’m about to continue walking along the shoreline, the left third of the iceberg breaks off suddenly and crashes violently, like a high-rise apartment building imploding in the heart of the city. Tears roll down my face uncontrollably as I watch the two distinct halves of the iceberg drift further and further apart from each other. It’s devastating to watch something that seems so strong and unbreakable crumble in an instant. Even more devastating is the feeling that there’s nothing I can do about it.
And when I realized you had secrets too, I was glad. I thought we could be honest with each other. That we could finally rid ourselves of all the clutter from our past. Not our possessions, but the stuff we carry around inside our heads. Because that's what I've realized, living in One Folgate Street. You can make your surroundings as polished and empty as you like. But it doesn't really matter if you're still messed up inside. And that's all anyone's looking for really, isn't it? Someone to take care of the mess inside our heads?
Dropping in and out of your own life (for psychotic breaks, or treatment in a hospital) isn’t like getting off a train at one stop and later getting back on at another. Even if you can get back on (and the odds are not in your favor), you’re lonely there. The people you boarded with originally are far, far ahead of you, and now you’re stuck playing catch-up.
Being the people we are, and feeling the way that we do, getting excited about going somewhere new can be terrifying. Of course it is, I get it! But if you don’t travel, you’ll regret it. Your soul will forever be empty.
When you come out of the grips of a depression there is an incredible relief, but not one you feel allowed to celebrate. Instead, the feeling of victory is replaced with anxiety that it will happen again, and with shame and vulnerability when you see how your illness affected your family, your work, everything left untouched while you struggled to survive. We come back to life thinner, paler, weaker … but as survivors. Survivors who don’t get pats on the back from coworkers who congratulate them on making it. Survivors who wake to more work than before because their friends and family are exhausted from helping them fight a battle they may not even understand. I hope to one day see a sea of people all wearing silver ribbons as a sign that they understand the secret battle, and as a celebration of the victories made each day as we individually pull ourselves up out of our foxholes to see our scars heal, and to remember what the sun looks like.
As she fell, Esther wasn’t worried about being blown off course and plummeting into the rocks below. She wasn’t worried about hitting the shallows and pin diving to the ocean floor and shattering her spine. She wasn’t even worried about Cthulhu. (Okay, maybe a little.) What she worried about was Eugene’s willingness to jump. The way he glanced down at the water far below and looked at it like it was home. The way he stepped lightly from the cliff’s edge, and the way he fell through the air faster than she did, dragged down by earth’s magnetic field. The way he flickered in the sunlight as he hit the water, the same way Tyler Durden flashed on-screen four times before you saw him solidly. Foreshadowing the twist to come. Eugene was afraid of demons, and monsters, and above all the dark, but he was not afraid of death. That scared her more than anything.
Geraldine keeps her eyes trained on him as she slowly reaches into her purse, wrapping her fingers around her gun. “…Callo, I’m so sorry that your life ended up this way,” she sighs as she gets out of her side of the car, her feet burning from the cold as her high heels sink into the fallen snow. “Aren’t you scared?”“I’m you, Geraldine… I fell into the same trap as you, anyway,” Callo answers. His large eyes are shining with tears, but he doesn’t seem afraid in the least. “…The dead don’t feel anything, you know… not even guilt or regret. So, what is there to be afraid of?
She said once that time is nothing to me but a series of bookmarks that I use to jump back and forth through the text of my life, returning again and again to the events that mark me in the eyes of my more astute colleagues, as bearing all the characteristics of the classic melancholic.
We are Craiglockhart's success stories. Look at us. We don't remember, we don't feel, we don't think - at least beyond the confines of what's needed to do the job. By any proper civilized standard (but what does that mean now?) we are objects of horror. But our nerves are completely steady. And we are still alive.
All I have is me, myself and I and we are all getting really tired of each other.
I have never seen battles quite as terrifyingly beautiful as the ones I fight when my mind splinters and races, to swallow me into my own madness, again.
Adam returned his gaze to the cross. The Jesus was hurting. Guilt simmered and then boiled in him. Jesus had a whole world of suffering and horror to worry about and here Adam was in all his punk puniness. He didn't want to add to Jesus's burdens, but...'Sorry about that. Look, I know you're busy and I don't want to get greedy with your time, but still, if you could just help me... If you could find a minute, please, please, please, dear sweet Jesus, fix me.
I know the empathy borne of despair; I know the fluidity of thought, the expansive, even beautiful, mind that hypomania brings, and I know this is quicksilver and precious and often it's poison. There has always existed a sort of psychic butcher who works the scales of transcendence, who weighs out the bloody cost of true art.
I AM come of a race noted for vigor of fancy and ardor of passion. Men have called me mad; but the question is not yet settled, whether madness is or is not the loftiest intelligence--whether much that is glorious--whether all that is profound--does not spring from disease of thought--from moods of mind exalted at the expense of the general intellect. They who dream by day are cognizant of many things which escape those who dream only by night. In their gray visions they obtain glimpses of eternity, and thrill, in waking, to find that they have been upon the verge of the great secret. In snatches, they learn something of the wisdom which is of good, and more of the mere knowledge which is of evil. They penetrate, however, rudderless or compassless into the vast ocean of the "light ineffable", and again, like the adventures of the Nubian geographer, "agressi sunt mare tenebrarum, quid in eo esset exploraturi".We will say then, that I am mad.
Mental illness is not a fraternity or a social club for like minds. It is its own religion to each person that has it. Their mind is their pastor, their feelings are their scriptures and their delusions are their own bible story. To break them free, is to break their faith in signs. That is why so many feel lost.
People who fell in love at first sight, rushed home to their parents to tell them the good news and subsequently married were, [Patricia Highsmith] thought, retarded. Rather, a more honest appraisal of the nature of love positions it nearer to the horrors of mental illness. How else could you explain the fact that so many people were prepared to sacrifice the safety and cosiness of their lives for the thrill of a new romance?
The pain of severe depression is quite unimaginable to those who have not suffered it, and it kills in many instances because its anguish can no longer be borne. The prevention of many suicides will continue to be hindered until there is a general awareness of the nature of this pain.
Mental illness People assume you aren’t sick unless they see the sickness on your skin like scars forming a map of all the ways you’re hurting. My heart is a prison of Have you tried?s Have you tried exercising? Have you tried eating better? Have you tried not being sad, not being sick? Have you tried being more like me? Have you tried shutting up? Yes, I have tried. Yes, I am still trying, and yes, I am still sick. Sometimes monsters are invisible, and sometimes demons attack you from the inside. Just because you cannot see the claws and the teeth does not mean they aren’t ripping through me. Pain does not need to be seen to be felt. Telling me there is no problem won’t solve the problem. This is not how miracles are born. This is not how sickness works.
Illness is always an interaction between [mind and body]. It can begin in the mind and affect the body, or it can begin in the body and affect the mind, both of which are served by the same bloodstream. Attempts to treat most mental diseases as though they were completely free of physical causes and attempts to treat most bodily diseases as though the mind were in no way involved must be considered archaic in the light of new evidence about the way the human body functions.
You’ve got to reach bedrock to become depressed enough before you are forced to accept the reality and enormity of the problem.
I dial her mum's number, then sit down cross-legged, facing the wall. When she comes on the line, she sounds uncertain, hesitant. 'Hey! Guess where I am?' I ask, my voice loud with false cheer. 'Rami told me. The Wellesly Hospital in Worthing. What's it like?' 'For a loony-bin it's actually quite decent,' I reply. 'I don't have Sky or an en-suite, and the menu isn't exactly à la carte, but you know...' I tail off. There is a silence. 'Do you have your own room?' Jenna asks, 'Oh yeah, yeah. I have a lovely view of the sea between the bars of my window.' She doesn't laugh. 'Have you started' -there is a pause as she searches for the right word -'threatment?''Yeah, yeah. We had group therapy today. Tomorrow we'll probably have art therapy - maybe I'll draw you a hourse and a garden. I know, perhaps they'll teach us to make baskets! Isn't that why they call us basket cases?''Flynn, stop,' Jennah softly implores.'And we'll probably have music therapy the day after. Maybe I'll get to play the tambourine. Or the triangle. I've always wanted to play the triangle!''Flynn-''No, I'm serious! I'll ask for some manuscript paper and see if I can write a composition for tambourine and triangle. Then I can post if off to you to hand in for my next composition assignment.''Flynn, listen-''Hold on, hold on! I'm making a note to myself now: Find fellow insane musician and start composing the Flynn Laukonen Sonata for Tambourine and Triangle.''Flynn-''And then, when they let me out, if they ever let me out, perhaps you could pull a few strigns and organize for me and my tambourine buddy to give a recital. I'm not sure where though -how about the subway at Marble Arch tube? Nice and central, good acoustics-''What are the other people like?' Jennah cuts in, an edge to her voice. I notice she doesn't use the word patients. Clever Jennah. For a moment there you almost made me forget I was locked up in a mental institution.'Round the bend, just like me,' I reply. 'I'm in excellent company. We'll be swapping suicide tips in no time at all!' I give a harsh laugh.
Alcohol ruined me financially and morally, broke my heart and the hearts of too many others. Even though it did this to me and it almost killed me and I haven't touched a drop of it in seventeen years, sometimes I wonder if I could get away with drinking some now. I totally subscribe to the notion that alcoholism is a mental illness because thinking like that is clearly insane.
Lingering, bottled-up anger never reveals the 'true colors' of an individual. It, on the contrary, becomes all mixed up, rotten, confused, forms a highly combustible, chemical compound then explodes as something foreign, something very different than one's natural self.
The fault in our stars is the inability to see that the world falls in love with fantasy, fairytales and magic in movies. Even religion asks us to believe in the most unlikely of situations. However, despite all the great movies we love, we choose to see so many real life spiritual experiences as delusion, mania, psychosis or wishful thinking. Our society gives great devotion to the arts. However, they solve so many problems with realism, rather than giving into the possibilty of God's plan for a person, that doesn't involve their theological views about how God helps write his children's stories.
No, that's where you are wrong. Your mind was full of sadness and darkness. That is a very different thing entirely. On earth it's nearly impossible to know it, but our minds are not at all who we are. Our brains are just an organ. When we died, our minds died too. All of this, all of what is to come, it's your soul. Our souls never die. They are the very root of who we are, not what we are, but who we are.
Billy covered his head with his blanket again. He always covered his head when his mother came to see him in the mental ward - always got much sicker until she went away...She upset Billy simply by being his mother. She made him feel embarrassed and ungrateful and weak because she had gone to so much trouble to give him life, and to keep that life going, and Billy didn't really like life at all.
Some of the most evil human beings in the world are psychiatrists. Not all psychiatrists. Some psychiatrists are selfless, caring people who really want to help. But the sad truth is that in today's society, mental health isn't a science. It's an industry. Ritalin, Zoloft, Prozac, Lexapro, Resperidone, happy pills that are supposed to "normalize" the behavior of our families, our colleagues, our friends - tell me that doesn't sound the least bit creepy! Mental health is subjective. To us, a little girl talking to her pretend friends instead of other children might just be harmless playing around. To a psychiatrist, it's a financial opportunity. Automatically, the kid could be swept up in a sea of labels. "not talking to other kids? Okay, she's asocial!" or "imaginary friends? Bingo, she has schizophrenia!" I'm not saying in any way that schizophrenia and social disorders aren't real. But the alarming number of people, especially children, who seem to have these "illnesses" and need to be medicated or locked up... it's horrifying. The psychiatrists get their prestigious reputation and their money to burn. The drug companies get fast cash and a chance to claim that they've discovered a wonder-drug, capable of "curing" anyone who might be a burden on society... that's what it's all about. It's not about really talking to these troubled people and finding out what they need. It's about giving them a pill that fits a pattern, a weapon to normalize people who might make society uncomfortable. The psychiatrists get their weapon. Today's generations get cheated out of their childhoods. The mental health industry takes the world's most vulnerable people and messes with their heads, giving them controlled substances just because they don't fit the normal puzzle. And sadly, it's more or less going to get worse in this rapidly advancing century.
Kaysen elaborates through parts of the book on her thoughts about how mental illness is treated. She explains that families who are willing to pay the rather high costs of hospitalization do so to prove their own sanity. Once one member of the family is hospitalized, it becomes easier for the rest of the family to distance themselves from the problem and to create a clear boundary between the sane and the insane. Recognizing a family member or friend as insane makes others around them, says Kaysen, compare themselves to that individual. Hospitalization allows for distance from this questioning of self that makes us so uncomfortable. Her view that mental illness often includes the entire family means the hospitalized family member becomes an excuse for other family members not to look at their own problems. This explains the willingness to pay the high financial costs of hospitalization.
Between 10 and 20 percent of people with anorexia die from heart attacks, other complications and suicide; the disease has the highest mortality rate of any mental illness. Or Kitty could have lost her life in a different way, lost it to the roller coaster of relapse and recovery, inpatient and outpatient, that eats up, on average, five to seven years. Or a lifetime: only half of all anorexics recovery in the end. The other half endure lives of dysfunction and despair. Friends and families give up on them. Doctors dread treating them. They’re left to stand in the bakery with the voice ringing in their ears, alone in every way that matters.
I’ve never had anorexia, but I know it well. I see it on the street, in the gaunt and sunken face, the boney chest, the spindly arms of an emaciated woman. I’ve come to recognize the flat look of despair, the hopelessness that follows, inevitably, from years of starvation. I think: That could have been [me]. It wasn’t. It’s not.
The Bad-Moon Girls appear on days when Dad doesn't know what he is thinking, or even if he is thinking. Those days can weigh less than air or more than an ocean. He has blank thoughts without feelings, followed by heavy feelings without thoughts. Time means nothing. A minute ticks by in the same rhythm as an entire day. He can look at one thing for an hour without moving. He can see me or Victor without knowing we are in the room, peering at us as if we are underwater, moving in warped slow motion.After the nothingness, he wades through a stagnant lake with the moon reflected in it, waiting for the daylight to rinse it away. He almost drowns while time ticks on. The sky is filled with black milk. No stars. Two days can pass before he surfaces.Dad's brain-switch, the focusing thing the rest of us switch on to make things look better, is a bit buggered. Those are his words, not mine.The Bad-Moon Girls whisper evil in Dad's ear, the sort of women who would set their own mother on fire if there were no other way to light their cigarettes. The trouble is, they can follow. Just as we were setting off to Clacton last autumn, they hunted him down.
It’s easy to put the links between the increases in mental illness, depression, ADHD, and the like, with the speed of the modern world. People never get the chance to do nothing, or when they do, they lack the control to prevent their mind from racing off in a thousand different directions. So much so that their doing nothing becomes a thousand different things and the thousand different things becomes stress, anxiety, worry and fear. Left untreated these simple everyday things become well entrenched in our psyches and start to dominate our lives. We have a chronic addiction with doing and we love to use our busyness as a stamp of our hard work and hectic lives and we get stuck in this busy trap of always doing.
But the strange thing, the thing that you can never explain to anyone, except another nut, or, if you're lucky, a doctor who has an unusual amount of sense-stranger than the hallucinations, or the voices, or the anxiety-is the way you begin to experience the edges of the mind itself... in a way other people just can't.
What people don't understand about depression is how much it hurts. It's like your brain is convinced that it's dying and produces an acid that eats away at you from the inside, until all that's less is a scary hollowness. Your mind fills with dark thoughts; you become convinced that your friends secretly hate you, you're worthless, and then there's no hope. I never got so low as to consider ending it all, but I understand how that can happen to some people. Depression simply hurts too much.
For three days and three nights, Phædrus stares at the wall of the bedroom, his thoughts moving neither forward nor backward, staying only at the instant. His wife asks if he is sick, and he does not answer. His wife becomes angry, but Phædrus listens without responding. He is aware of what she says but is no longer able to feel any urgency about it. Not only are his thoughts slowing down, but his desires too. And they slow and slow, as if gaining an imponderable mass. So heavy, so tired, but no sleep comes. He feels like a giant, a million miles tall. He feels himself extending into the universe with no limit. He begins to discard things, encumbrances that he has carried with him all his life. He tells his wife to leave with the children, to consider themselves separated. Fear of loathsomeness and shame disappear when his urine flows not deliberately but naturally on the floor of the room. Fear of pain, the pain of the martyrs is overcome when cigarettes burn not deliberately but naturally down into his fingers until they are extinguished by blisters formed by their own heat. His wife sees his injured hands and the urine on the floor and calls for help. But before help comes, slowly, imperceptibly at first, the entire consciousness of Phædrus begins to come apart — to dissolve and fade away. Then gradually he no longer wonders what will happen next. He knows what will happen next, and tears flow for his family and for himself and for this world.
The distinction between diseases of "brain" and "mind," between "neurological" problems and "psychological" or "psychiatric" ones, is an unfortunate cultural inheritance that permeates society and medicine. It reflects a basic ignorance of the relation between brain and mind. Diseases of the brain are seen as tragedies visited on people who cannot be blamed for their condition, while diseases of the mind, especially those that affect conduct and emotion, are seen as social inconveniences for which sufferers have much to answer. Individuals are to be blamed for their character flaws, defective emotional modulation, and so on; lack of willpower is supposed to be the primary problem.
In response to threat and injury, animals, including humans, execute biologically based, non-conscious action patterns that prepare them to meet the threat and defend themselves. The very structure of trauma, including activation, dissociation and freezing are based on the evolution of survival behaviors. When threatened or injured, all animals draw from a "library" of possible responses. We orient, dodge, duck, stiffen, brace, retract, fight, flee, freeze, collapse, etc. All of these coordinated responses are somatically based- they are things that the body does to protect and defend itself. It is when these orienting and defending responses are overwhelmed that we see trauma.The bodies of traumatized people portray "snapshots" of their unsuccessful attempts to defend themselves in the face of threat and injury. Trauma is a highly activated incomplete biological response to threat, frozen in time. For example, when we prepare to fight or to flee, muscles throughout our entire body are tensed in specific patterns of high energy readiness. When we are unable to complete the appropriate actions, we fail to discharge the tremendous energy generated by our survival preparations. This energy becomes fixed in specific patterns of neuromuscular readiness. The person then stays in a state of acute and then chronic arousal and dysfunction in the central nervous system. Traumatized people are not suffering from a disease in the normal sense of the word- they have become stuck in an aroused state. It is difficult if not impossible to function normally under these circumstances.
So, what role does memory play in the understanding and treatment of trauma? There is a form of implicit memory that is profoundly unconscious and forms the basis for the imprint trauma leaves on the body/mind. The type of memory utilized in learning most physical activities (walking, riding a bike, skiing, etc.) is a form of implicit memory called procedural memory. Procedural or "body memories" are learned sequences of coordinated "motor acts" chained together into meaningful actions. You may not remember explicitly how and when you learned them, but, at the appropriate moment, they are (implicitly) "recalled" and mobilized (acted out) simultaneously. These memories (action patterns) are formed and orchestrated largely by involuntary structures in the cerebellum and basal ganglia.When a person is exposed to overwhelming stress, threat or injury, they develop a procedural memory. Trauma occurs when these implicit procedures are not neutralized. The failure to restore homeostasis is at the basis for the maladaptive and debilitating symptoms of trauma.
One of the paradoxical and transformative aspects of implicit traumatic memory is that once it is accessed in a resourced way (through the felt sense), it, by its very nature, changes. Out of the shattered fragments of her deeply injured psyche, Jody discovered and nurtured a nascent, emergent self. From the ashes of the frantically activated, hypervigilant, frozen, traumatized girl of twenty-five years ago, Jody began to reorient to a new, less threatening world. Gradually she shaped into a more fluid, resilient, woman, coming to terms with the felt capacity to fiercely defend herself when necessary, and to surrender in quiet ecstasy.
The worst feeling in the world is not losing your friend forever, but rather having patronizing people tell you that the love you have for your friend and the connection and emotion you have towards them is an illness to be cured, a problem to be covered up and hidden away by the power of mood-altering drugs. I used to trust doctors when I was younger... now I've lost my trust in all mental health professionals forever.
The maladies of the spirit alone, in abstracto, that is, error and sin, can be called diseases of the mind only per analogiam. They come not within the jurisdiction of the physician, but that of the teacher or clergyman, who again are called physicians of the mind only per analogiam.
Dr. Talbon was struck by another very important thing. It all hung together. The stories Cheryl told — even though it was upsetting to think people could do stuff like that — they were not disjointed They were not repetitive in terms of "I've heard this before". It was not just she'd someone trying consciously or unconsciously to get attention. really processed them out and was done with them. She didn't come up with them again [after telling the story once and dealing with it]. Once it was done, it was done. And I think that was probably the biggest factor for me in her believability. I got no sense that she was using these stories to make herself a really interesting person to me so I'd really want to work with her, or something. Or that she was just living in this stuff like it was her life. Once she dealt with it and processed it, it was gone. We just went on to other things. 'Throughout the whole thing, emotionally Cheryl was getting her life together. Parts of her were integrating where she could say,"I have a sense that some particular alter has folded in with some basic alter", and she didn't bring it up again. She didn't say that this alter has reappeared to cause more problems. That just didn't happen. The therapist had learned from training and experience that when real integration occurs, it is permanent and the patient moves on.
I have schizophrenia. I am not schizophrenia. I am not my mental illness. My illness is a part of me.
This system that has been created for us, stifles the mind, thus the profuse amount of mental illness among society. To hold back a fluid being from mental development is to ask for trouble. When society begins to exhibit the symptoms of this break down, the creators of this system decided to label the behavior mental illnesses, so as to ensure that blame is placed upon the individual. You cannot blame someone who might have developed into someone great, for the break down of their mental constitution; it's to be expected.
One of the things that baffles me (and there are quite a few) is how there can be so much lingering stigma with regards to mental illness, specifically bipolar disorder. In my opinion, living with manic depression takes a tremendous amount of balls. Not unlike a tour of Afghanistan (though the bombs and bullets, in this case, come from the inside). At times, being bipolar can be an all-consuming challenge, requiring a lot of stamina and even more courage, so if you're living with this illness and functioning at all, it's something to be proud of, not ashamed of.They should issue medals along with the steady stream of medication.
At cocktail parties, I played the part of a successful businessman's wife to perfection. I smiled, I made polite chit-chat, and I dressed the part. Denial and rationalization were two of my most effective tools in working my way through our social obligations. I believed that playing the roles of wife and mother were the least I could do to help support Tom's career.During the day, I was a puzzle with innumerable pieces. One piece made my family a nourishing breakfast. Another piece ferried the kids to school and to soccer practice. A third piece managed to trip to the grocery store. There was also a piece that wanted to sleep for eighteen hours a day and the piece that woke up shaking from yet another nightmare. And there was the piece that attended business functions and actually fooled people into thinking I might have something constructive to offer.I was a circus performer traversing the tightwire, and I could fall off into a vortex devoid of reality at any moment. There was, and had been for a very long time, an intense sense of despair. A self-deprecating voice inside told me I had no chance of getting better. I lived in an emotional black hole.p20-21, talking about dissociative identity disorder (formerly multiple personality disorder).
The exegesis Fat labored on month after month struck me as a Pyrrhic victory if there ever was one -- in this case an attempt by a beleaguered mind to make sense out of the inscrutable. Perhaps this is the bottom line to mental illness: incomprehensible events occur; your life becomes a bin for hoax-like fluctuations of what used to be reality. And not only that -- as if that weren't enough -- but you, like Fat, ponder forever over these fluctuations in an effort to order them into a coherency, when in fact the only sense they make is the sense you impose on them, out of necessity to restore everything into shapes and processes you can recognize. The first thing to depart in mental illness is the familiar. And what takes its place is bad news because not only can you not understand it, you also cannot communicate it to other people. The madman experiences something, but what it is or where it comes from he does not know.
I think maybe they come out into the grounds in nightwear. But no, in typical anorexic stype they have read the fashion magazines literally. This is their version of thin girls in strappy clothes.The girl in the petticoat talks to me, as Emma has done on occsasion, in a rather grand style, as if she is a 'lady' of some substance and I a visiting guest.Do they chat much about clothes? I ask Emma in the car.She shakes her head.So, does she, Emma, see the difference between underwear or nightwear and 'going out' clothes?'Yes,' she says, her voices strained again. 'But it's one of the things you don't know properly when you're ill and confused. You see these pictures and the people in the magazines are real for you.
You can’t be friends with someone you have feelings for. It’ll just be a constant reminder of what you can’t have. It’s like putting boiling water in an ice cold glass. It’s gonna bust and make a mess.
The words ‘I love you’ are worthless when you don’t know who the 'I' is in that statement.
I’d have to prove to everyone, including Ellia, that I was more than some guy she used to know, that what we shared had and still mattered. She may have forgotten the promise we made on the beach, but I hadn’t, and it was up to me to backup those words with action. Memories and ghosts were for the dead. Living things moved, and I was never one to stand still." ~Liam
She was my go-to person. I’d tell her everything. Now, all of those late-night phone calls, all the sleepovers at her house because I couldn’t deal with stuff at home, all the crying on her shoulder. It’s all gone. It’s like if she doesn’t know, then it didn’t happen, and if it didn’t happen then what exactly am I holding on to?” ~Stacey
Who cares about fault? As my dad would say, ‘Blame is like your rear-end and reflection. Seeing either always leaves you looking back.’ I’m more worried about what’s in front of me. And right now . . . the view is all messed up.” ~ Ellia
It’s like returning to a familiar room and noticing objects had been moved while you were gone—a chair here, a picture frame there. Items that were once brand new were suddenly broken in and worn from age. It was all very subtle, but enough to suspect paranormal activity or a cruel practical joke. When no one else saw what you saw, the freak factor really kicked in, because you were singled out and left questioning reality." ~Ellia
Hope can be foolish or misguided, but there was no such thing as false hope. Hope was always true even when there was no evidence to support its claim.” - Liam
Love is not for thrill-seekers, dreamers, or children with short attention spans. And you, son, fit into all three of those categories.
Oh God just look at me now... one night opens words and utters pain... I cannot begin to explain to you... this... I am not here. This is not happening. Oh wait, it is, isn't it?I am a ghost. I am not here, not really. You see skin and cuts and frailty...these are symptoms, you known, of a ghost. An unclear image with unclear thoughts whispering vague things...If I told you what was really in my head, you''d never let me leave this place. And I have no desire to spend time in hell while I'm still, in theory, alive.
When he first said my diagnosis, I couldn't believe it. There must be another PTSD than post-traumatic stress disorder, I thought. I have only heard of war veterans who have served on the front lines and seen the horrors of battle being diagnosed with PTSD. I am a Beverly Hills housewife, not a soldier. I can't have PTSD. Well, I was wrong. Housewives can get PTSD, too, and yours, truly did.
Now his work-mates pitied him, although they tried not to show it, and it was generally arranged that he was given jobs which allowed him to work alone. The smell of ink, and the steady rhythm of the press, then induced in him a kind of peace - it was the peace he felt when he arrived early, at a time when he might be the only one to see the morning light as it filtered through the works or to hear the sound of his footsteps echoing through the old stone building. At such moments he was forgetful of himself and thus of others until he heard their voices, raised in argument or in greeting, and he would shrink into himself again. At other times he would stand slightly to one side and try to laugh at their jokes, but when they talked about sex he became uneasy and fell silent for it seemed to him to be a fearful thing. He still remembered how the girls in the schoolyard used to chant,Kiss me, kiss me if you canI will put you in my pan,Kiss me, kiss me as you saidI will fry you till you're deadAnd when he thought of sex, it was as of a process which could tear him limb from limb. He knew from his childhood reading that, if he ran into the forest, there would be a creature lying in wait for him.
Not to pry, but would you say you sleep with a lot of people? More than you mean to? Some-times it feels like you don’t want to but can’t stop?” for as long as I can remember. I can’t being to count the beds, the nights when it felt easier just to close my eyes and take it, than to get myself home.
Half of the time, the Holy Ghost tries to warn us about certain people that come into our life. The other half of the time he tries to tell us that the sick feeling we get in a situation is not the other person’s fault, rather it is our own hang-ups. A life filled with bias, hatred, judgment, insecurity, fear, delusion and self-righteousness can cloud the soul of anyone you meet. Our job is never to assume,instead it is to listen, communicate, ask questions then ask more, until we know the true depth of someone’s spirit.
Even as a child, In-hye had possessed the innate strength of a character necessary to make one's own way in life. As a daughter, as an older sister, as a wife and as a mother, as the owner of a shop, even as an underground passenger on the briefest of journeys, she had always done her best. Through the sheer inertia pf a life lived in this way, she would have been able to conquer everything, even time. If only Yeong-hye hadn't suddenly disappeared last March. If only she hadn't been discovered in the forest that rainy night. If only all of her symptoms hadn't suddenly got worse.
Soon I find myself squatting on the floor. I am still striking my face; not with my fists this time, but with wide-open hands. I am slapping myself. The sounds I make when my palms meet my cheeks are like an unrelenting round of applause. I am clapping myself. Or clapping for myself. I start to giggle.All the voices are receding now. I am no longer filled with rage or disappointment. I clap and clap and simply cannot stop.
The confusion boys experience about their identity is heightened during adolescence. In many ways the fact that today's boy often has a wider range of emotional expression in early childhood, but if forced to suppress emotional awareness later on makes adolescence all the more stressful for boys. Tragically, were it not for the extreme violence that has erupted among teenage boys throughout our nation, the emotional life of boys would still be ignored. Although therapists tell us that mass media images of male violence and domination teach boys that violence is alluring and satisfying, when individual boys are violent, especially when they murder randomly, pundits tend to behave as though it were a mystery why boys are so violent.
Gingerbread I knew I had to get out of therebefore the icing cracked and they discoveredthat I'm burnt around the edges,doughy in the center,that what they thought was sugaris salt.If I was a good girl,if I could satisfy their cravings, if every dream in my misshapen headdidn't bite, I might have stayed at the table.Wouldn't you run, too,from such voracious love?
Our society tends to regard as a sickness any mode of thought or behavior that is inconvenient for the system and this is plausible because when an individual doesn't fit into the system it causes pain to the individual as well as problems for the system. Thus the manipulation of an individual to adjust him to the system is seen as a cure for a sickness and therefore as good.
We do not know how to just do nothing; this is a bigger problem than we care to think about. In the west we are taught to seek our answers in external things and, as a result, we never need to take the time to look within. We have a poor connection with ourselves because our whole lives we have been looking outward; we are a society bent on distraction, and the modern world is only amplifying this.
Mental illness is a bigger problem than obesity and cardiovascular diseases in the modern western world but still we pay no homage to the philosophy of watching what we watch. We only worry about what we put in the body in the form of food and care very little, if at all, with what we consume in our minds.
Its little wonder anxiety, depression and other mental illness is at such a high point at this time in the world; people have little control over the mental capacities, of their thoughts, perceptions, feelings and emotions. People never get a moments silence from the constant bombardment and when they do they don’t know how to manage their thoughts so the endless barrage of noise simply continues giving them no time or space for clarity.
This system that has been created for us, stifles the mind, thus why some suffer from mental illness; especially those who internalize their condition. To hold back a fluid being from mental development is asking for trouble. In anticipation of this, the creators of this chaotic system, thought to create a response to such a breakdown, and when society began to display such behaviors, they created mental illness diagnoses, so as to ensure that blame could be placed on the individual for their behavior. You cannot blame someone who might have developed into someone great, for the break down of their mental constitution; it's to be expected in such a system as we have.
The issue which faced the jury was this: was Sutcliffe a clever criminal, aware of what he was doing and determined to avoid capture? ... In a sense, it was the wrong question. The battle that was fought out in court - the mad/bad dichotomy - both substitutes for and obscures the real dilemma raised by the Yorkshire Ripper case: is Sutcliffe a one-off, su generis as I have heard one psychiatrist describe him, someone who stands outside our culture and has no relation to it? Those who assert that Sutcliffe is mad are in essence saying yes to this question; madness is a closed category, one over which we have no control and for which we bear no responsibility. The deranged stand apart from us; we cannot be blamed for their insanity. Thus the urge to characterize Sutcliffe as mad has powerful emotional origins; it has as much to do with how we see ourselves and the society in which we live... It is a distancing mechanism, a way of establishing a comforting gulf between ourselves and a particularly unacceptable criminal.
Our culture treats people with depression is as if there is something wrong with them; a biological imbalance best treated with medication. But if it’s impossible to understand biology outside the context of environment, and there is a frightening increase in male suicide and depression, perhaps we need to take a closer look at the other variable - our environment.
If the social stress is physical, sexual, or emotional abuse, the way to treat the depression is to stop the abuse. Unfortunately, advocates of the biochemical treatment of depression have gone along with the view of academic theory and popular culture that the problem is entirely within the skull of the victim. Enthusiasm for biochemical treatment and research is partly due to the fact that it helps perpetuate the myth that suicide and depression should be treated by changing the victim, not by changing ourselves. As long as we have a narrow view of the causes of biochemical imbalance, such as limiting it to innate genetic defects, we can practice denial on the social complicity in the causation of suicide. The narrow view does nothing to help reduce pain and increase resources for the millions of people whose problems do not respond to medications. It also deprives us of an opportunity for progress in a much broader area for social reform. The dynamics behind the oppression of the suicidal is similar to the dynamics of other forms of injustice; progress in one area can support progress in other areas.
There is a particular kind of pain, elation, loneliness, and terror involved in this kind of madness. When you're high it's tremendous. The ideas and feelings are fast and frequent like shooting stars, and you follow them until you find better and brighter ones. Shyness goes, the right words and gestures are suddenly there, the power to captivate others a felt certainty. There are interests found in uninteresting people. Sensuality is pervasive and the desire to seduce and be seduced irresistible. Feelings of ease, intensity, power, well-being, financial omnipotence, and euphoria pervade one's marrow. But, somewhere, this changes. The fast ideas are far too fast, and there are far too many; overwhelming confusion replaces clarity. Memory goes. Humor and absorption on friends' faces are replaced by fear and concern. Everything previously moving with the grain is now against-- you are irritable, angry, frightened, uncontrollable, and enmeshed totally in the blackest caves of the mind. You never knew those caves were there. It will never end, for madness carves its own reality.
I compare myself with my former self, not with others. Not only that, I tend to compare my current self with the best I have been, which is when I have been midly manic. When I am my present "normal" self, I am far removed from when I have been my liveliest, most productive, most intense, most outgoing and effervescent. In short, for myself, I am a hard act to follow.
The Goth boy stares at me, and I give him a what-are-you-looking-at stare right back. “I’m dead,” he says in a dull monotone. “Pardon me?” Adriana asks, but he keeps staring at me. “You’re dead, too. Look at your veins. They’re blue.” He points at my forearms where dark veins run their lengths. “You’re rotting like me.” I glance to Adriana, hands clasped and praying that she won’t leave me here. Adriana’s stopped crying now and squints at the boy before standing to pull closed the curtain that rings my cot. “Crazy,” she says with an uncertain smile. “You’re not rotting.” . . . ninety-nine, one hundred . “No,” I reply. “But I will if you leave me here.
There was nothing Mandy had wanted more than to give her full attention to the world of Personifications and ignore those who ignored her in society. She’d wanted to talk out loud to Alecto, to have conversations in front of other ordinary people. Unfortunately, to do that in front of ordinary people would only prove her insanity, and although Mandy was naïve at times, she wasn’t stupid.
Admitting the need for help may also compound the survivor's sense of defeat. The therapists Inger Agger and Soren Jensen, who work with political refugees, describe the case of K, a torture survivor with severe post-traumatic symptoms who adamantly insisted that he had no psychological problems: "K...did not understand why he was to talk with a therapist. His problems were medical: the reason why he did not sleep at night was due to the pain in his legs and feet. He was asked by the therapist...about his political background, and K told him that he was a Marxist and that he had read about Freud and he did not believe in any of that stuff: how could his pain go away by talking to a therapist?
Boundary construction is most evident in three-year-olds. Boundary construction is most evident in three-year-olds. By this time, they should have mastered the following tasks:1. The ability to be emotionally attached to others, yet without giving up a sense of self and one‘s freedom to be apart, 2. The ability to say appropriate no's to others without fear of loss of love, 3. The ability to take appropriate no's from others without withdrawing emotionally. Noting these tasks, a friend said half-joking, "They need to learn this by age three? How about by fourty-three?" Yes, these are tall orders but boundary development is essential in the early years of life.
My sadness is beautiful. It infuses everything I do. It is at the core of my identity and always has been, just as happiness is in some people. I refuse to be told that it's a flaw. I will not mute it with medications for the sake of society. I will hold it close to me and celebrate it rightfully while the rest of the world fails to see it for what it is and it will be their loss.
Rikki looked over at me.“Why now?" she asked, looking back at Arly. “Why is this happening now?""Hard to say." Arly [therapist] replied. "DID usually gets diagnosed in adulthood. Something happens that triggers the alters to come out. When Cam's father died and he came in to help his brother run the family business he was in close contact with his mother again. Maybe it was seeing Kyle around the same age when some of the abuse happened. Cam was sick for a long time and finally got better. Maybe he wasn't strong enough until now to handle this. It's probably a combination of things. But it sure looks like some of the abuse Cam experienced involved his mother. And sexual abuse by the mother is considered to he one of the most traumatic forms of abuse. In some ways it's the ultimate betrayal.
Owing to a poorly defined sense of self, people with BPD rely on others for their feelings of worth and emotional caretaking. So fearful are they of feeling alone that they may act in desperate ways that quite frequently bring about the very abandonment and rejection they're trying to avoid.
Certainly, it's important to acknowledge and identify the effects of BPD on your life. It's equally important to realize that it neither dictates who you are nor fixes your destiny.
As I grew into womanhood my confusion at the world became more apparent. I was taking comfort in behaviours that were familiar, not bathing, wearing multiple layers of clothes and, like my mother, I was bingeing on food. Of course I was still very much a lonely unsupported child myself when I got pregnant - one who had never been nurtured or mothered and as such I struggled with the responsibilities of parenthood.
What daily life is like for “a multiple” Imagine that you have periods of “lost time.” You may find writings or drawings which you must have done, but do not remember producing. Perhaps you find child-sized clothing or toys in your home but have no children. You might also hear voices or babies crying in your head. Imagine that you can never predict when you will be able to have certain knowledge or social skills, and your emotions and your energy level seem to change at the drop of a hat, and for no apparent reason. You cannot understand why you feel what you feel, and, if you are in therapy, you cannot explore those feelings when asked. Your life feels disjointed and often confusing. It is a frightening experience. It feels out of control, and you probably think you are going crazy. That is what it is like to be multiple, and all of it is experienced by the ANPs. A multiple may also experience very concrete problems, even life-threatening ones.
A disruption of the circadian cycle—the metabolic and glandular rhythms that are central to our workaday life—seems to be involved in many, if not most, cases of depression; this is why brutal insomnia so often occurs and is most likely why each day’s pattern of distress exhibits fairly predictable alternating periods of intensity and relief.
Having DID is, for many people, a very lonely thing. If this book reaches some people whose experiences resonate with mine and gives them a sense that they aren't alone, that there is hope, then I will have achieved one of my goals. A sad fact is that people with DID spend an average of almost seven years in the mental health system before being properly diagnosed and receiving the specific help they need. During that repeatedly misdiagnosed and incorrectly treated, simply because clinicians fail to recognize the symptoms. If this book provides practicing and future clinicians certain insight into DID, then I will have accomplished another goal. Clinicians, and all others whose lives are touched by DID, need to grasp the fundamentally illusive nature of memory, because memory, or the lack of it, is an integral component of this condition. Our minds are stock pots which are continuously fed ingredients from many cooks: parents, siblings, relatives, neighbors, teachers, schoolmates, strangers, acquaintances, radio, television, movies, and books. These are the fixings of learning and memory, which are stirred with a spoon that changes form over time as it is shaped by our experiences. In this incredibly amorphous neurological stew, it is impossible for all memories to be exact.But even as we accept the complex of impressionistic nature of memory, it is equally essential to recognize that people who experience persistent and intrusive memories that disrupt their sense of well-being and ability to function, have some real basis distress, regardless of the degree of clarity or feasibility of their recollections. We must understand that those who experience abuse as children, and particularly those who experience incest, almost invariably suffer from a profound sense of guilt and shame that is not meliorated merely by unearthing memories or focusing on the content of traumatic material. It is not enough to just remember. Nor is achieving a sense of wholeness and peace necessarily accomplished by either placing blame on others or by forgiving those we perceive as having wronged us. It is achieved through understanding, acceptance, and reinvention of the self.
We must understand that those who experience abuse as children, and particularly those who experience incest, almost invariably suffer from a profound sense of guilt and shame that is not meliorated merely by unearthing memories or focusing on the content of traumatic material. It is not enough to just remember. Nor is achieving a sense of wholeness and peace necessarily accomplished by either placing blame on others or by forgiving those we perceive as having wronged us. It is achieved through understanding, acceptance, and reinvention of the self. At this point in time there are people who question the validity of the DID diagnosis. The fact is that DID has its own category in the Diagnostic and Statistical Manual of Mental Disorders because, as with all psychiatric conditions, a portion of society experiences a cluster of recognizable symptoms that are not better accounted for by any other diagnosis.
Janna knew - Rikki knew — and I knew, too — that becoming Dr Cameron West wouldn't make me feel a damn bit better about myself than I did about being Citizen West. Citizen West, Citizen Kane, Sugar Ray Robinson, Robinson Crusoe, Robinson miso, miso soup, black bean soup, black sticky soup, black sticky me. Yeah. Inside I was still a fetid and festering corpse covered in sticky blackness, still mired in putrid shame and scorching self-hatred. I could write an 86-page essay comparing the features of Borderline Personality Disorder with those of Dissociative Identity Disorder, but I barely knew what day it was, or even what month, never knew where the car was parked when Dusty would come out of the grocery store, couldn't look in the mirror for fear of what—or whom—I'd see. ~ Dr Cameron West describes living with DID whilst studying to be a psychologist.
Of course, I should have known the kids would pop out in the atmosphere of Roberta's office. That's what they do when Alice is under stress. They see a gap in the space-time continuum and slip through like beams of light through a prism changing form and direction. We had got into the habit in recent weeks of starting our sessions with that marble and stick game called Ker-Plunk, which Billy liked. There were times when I caught myself entering the office with a teddy that Samuel had taken from the toy cupboard outside. Roberta told me that on a couple of occasions I had shot her with the plastic gun and once, as Samuel, I had climbed down from the high-tech chairs, rolled into a ball in the corner and just cried. 'This is embarrassing,' I admitted. 'It doesn't have to be.''It doesn't have to be, but it is,' I said.The thing is. I never knew when the 'others' were going to come out. I only discovered that one had been out when I lost time or found myself in the midst of some wacky occupation — finger-painting like a five-year-old, cutting my arms, wandering from shops with unwanted, unpaid-for clutter.In her reserved way, Roberta described the kids as an elaborate defence mechanism. As a child, I had blocked out my memories in order not to dwell on anything painful or uncertain. Even as a teenager, I had allowed the bizarre and terrifying to seem normal because the alternative would have upset the fiction of my loving little nuclear family.I made a mental note to look up defence mechanisms, something we had touched on in psychology.
It is necessary to make this point in answer to the `iatrogenic' theory that the unveiling of repressed memories in MPD sufferers, paranoids and schizophrenics can be created in analysis; a fabrication of the doctor—patient relationship. According to Dr Ross, this theory, a sort of psychiatric ping-pong 'has never been stated in print in a complete and clearly argued way'. My case endorses Dr Ross's assertions. My memories were coming back to me in fragments and flashbacks long before I began therapy. Indications of that abuse, ritual or otherwise, can be found in my medical records and in notebooks and poems dating back before Adele Armstrong and Jo Lewin entered my life. There have been a number of cases in recent years where the police have charged groups of people with subjecting children to so-called satanic or ritual abuse in paedophile rings. Few cases result in a conviction. But that is not proof that the abuse didn't take place, and the police must have been very certain of the evidence to have brought the cases to court in the first place. The abuse happens. I know it happens. Girls in psychiatric units don't always talk to the shrinks, but they need to talk and they talk to each other. As a child I had been taken to see Dr Bradshaw on countless occasions; it was in his surgery that Billy had first discovered Lego. As I was growing up, I also saw Dr Robinson, the marathon runner. Now that I was living back at home, he was again my GP. When Mother bravely told him I was undergoing treatment for MPD/DID as a result of childhood sexual abuse, he buried his head in hands and wept.(Alice refers to her constant infections as a child, which were never recognised as caused by sexual abuse)
Her parents, she said, has put a pinball machine inside her head when she was five years old. The red balls told her when she should laugh, the blue ones when she should be silent and keep away from other people; the green balls told her that she should start multiplying by three. Every few days a silver ball would make its way through the pins of the machine. At this point her head turned and she stared at me; I assumed she was checking to see if I was still listening. I was, of course. How could one not? The whole thing was bizarre but riveting. I asked her, What does the silver ball mean? She looked at me intently, and then everything went dead in her eyes. She stared off into space, caught up in some internal world. I never found out what the silver ball meant.
My grandfather often felt frustrated or baffled by my grandmother's illness, but when it came to the origins of the Skinless Horse he thought he understood. The Skinless Horse was a creature sworn to pursue my grandmother no matter where she went on the face of the globe, whispering to her in the foulest terms of her crimes and the blackness of her soul. There was a voice like that in everyone's head, he figured; in my grandmother's case it was just a matter of degree. You could almost see the Skinless Horse as a clever adapation, a strategy for survival evolved by a proven survivor. If you kept the voice inside your head, the way most people did, there could really be only one way to silence it. He admired the defiance, the refusal to surrender, involuntary but implicit in the act of moving that reproachful whisperer to a shadowy corner of a room, an iron furnace in a cellar, the branches of a grand old tree.
As an undergraduate student in psychology, I was taught that multiple personalities were a very rare and bizarre disorder. That is all that I was taught on ... It soon became apparent that what I had been taught was simply not true. Not only was I meeting people with multiplicity; these individuals entering my life were normal human beings with much to offer. They were simply people who had endured more than their share of pain in this life and were struggling to make sense of it.
As a therapist, I have many avenues in which to learn about DID, but I hear exactly the opposite from clients and others who are struggling to understand their own existence. When I talk to them about the need to let supportive people into their lives, I always get a variation of the same answer. "It is not safe. They won't understand." My goal here is to provide a small piece of that gigantic puzzle of understanding. If this book helps someone with DID start a conversation with a supportive friend or family member, understanding will be increased.
I resolved to come right to the point. "Hello," I said as coldly as possible, "we've got to talk.""Yes, Bob," he said quietly, "what's on your mind?" I shut my eyes for a moment, letting the raging frustration well up inside, then stared angrily at the psychiatrist."Look, I've been religious about this recovery business. I go to AA meetings daily and to your sessions twice a week. I know it's good that I've stopped drinking. But every other aspect of my life feels the same as it did before. No, it's worse. I hate my life. I hate myself."Suddenly I felt a slight warmth in my face, blinked my eyes a bit, and then stared at him."Bob, I'm afraid our time's up," Smith said in a matter-of-fact style."Time's up?" I exclaimed. "I just got here.""No." He shook his head, glancing at his clock. "It's been fifty minutes. You don't remember anything?""I remember everything. I was just telling you that these sessions don't seem to be working for me."Smith paused to choose his words very carefully. "Do you know a very angry boy named 'Tommy'?""No," I said in bewilderment, "except for my cousin Tommy whom I haven't seen in twenty years...""No." He stopped me short. "This Tommy's not your cousin. I spent this last fifty minutes talking with another Tommy. He's full of anger. And he's inside of you.""You're kidding?""No, I'm not. Look. I want to take a little time to think over what happened today. And don't worry about this. I'll set up an emergency session with you tomorrow. We'll deal with it then."RobertThis is Robert speaking. Today I'm the only personality who is strongly visible inside and outside. My own term for such an MPD role is dominant personality. Fifteen years ago, I rarely appeared on the outside, though I had considerable influence on the inside; back then, I was what one might call a "recessive personality." My passage from "recessive" to "dominant" is a key part of our story; be patient, you'll learn lots more about me later on. Indeed, since you will meet all eleven personalities who once roamed about, it gets a bit complex in the first half of this book; but don't worry, you don't have to remember them all, and it gets sorted out in the last half of the book. You may be wondering -- if not "Robert," who, then, was the dominant MPD personality back in the 1980s and earlier? His name was "Bob," and his dominance amounted to a long reign, from the early 1960s to the early 1990s. Since "Robert B. Oxnam" was born in 1942, you can see that "Bob" was in command from early to middle adulthood.Although he was the dominant MPD personality for thirty years, Bob did not have a clue that he was afflicted by multiple personality disorder until 1990, the very last year of his dominance. That was the fateful moment when Bob first heard that he had an "angry boy named Tommy" inside of him. How, you might ask, can someone have MPD for half a lifetime without knowing it? And even if he didn't know it, didn't others around him spot it?To outsiders, this is one of the most perplexing aspects of MPD. Multiple personality is an extreme disorder, and yet it can go undetected for decades, by the patient, by family and close friends, even by trained therapists. Part of the explanation is the very nature of the disorder itself: MPD thrives on secrecy because the dissociative individual is repressing a terrible inner secret. The MPD individual becomes so skilled in hiding from himself that he becomes a specialist, often unknowingly, in hiding from others. Part of the explanation is rooted in outside observers: MPD often manifests itself in other behaviors, frequently addiction and emotional outbursts, which are wrongly seen as the "real problem."The fact of the matter is that Bob did not see himself as the dominant personality inside Robert B. Oxnam. Instead, he saw himself as a whole person. In his mind, Bob was merely a nickname for Bob Oxnam, Robert Oxnam, Dr. Robert B. Oxnam, PhD.
Pierre Janet, a French professor of psychology who became prominent in the early twentieth century, attempted to fully chronicle late- Victorian hysteria in his landmark work The Major Symptoms of Hysteria. His catalogue of symptoms was staggering, and included somnambulism (not sleepwalking as we think of it today, but a sort of amnesiac condition in which the patient functioned in a trance state, or "second state," and later remembered nothing); trances or fits of sleep that could last for days, and in which the patient sometimes appeared to be dead; contractures or other disturbances in the motor functions of the limbs; paralysis of various parts of the body; unexplained loss of the use of a sense such as sight or hearing; loss of speech; and disruptions in eating that could entail eventual refusal of food altogether. Janet's profile was sufficiently descriptive of Mollie Fancher that he mentioned her by name as someone who "seems to have had all possible hysterical accidents and attacks." In the face of such strange and often intractable "attacks," many doctors who treated cases of hysteria in the 1800s developed an ill-concealed exasperation.
The physical shape of Mollies paralyses and contortions fit the pattern of late-nineteenth-century hysteria as well — in particular the phases of "grand hysteria" described by Jean-Martin Charcot, a French physician who became world-famous in the 1870s and 1880s for his studies of hysterics...""The hooplike spasm Mollie experienced sounds uncannily like what Charcot considered the ultimate grand movement, the arc de de cercle (also called arc-en-ciel), in which the patient arched her back, balancing on her heels and the top of her head...""One of his star patients, known to her audiences only as Louise, was a specialist in the arc de cercle — and had a background and hysterical manifestations quite similar to Mollie's. A small-town girl who made her way to Paris in her teens, Louise had had a disrupted childhood, replete with abandonment and sexual abuse.She entered Salpetriere in 1875, where while under Charcot's care she experienced partial paralysis and complete loss of sensation over the right side of her body, as well as a decrease in hearing, smell, taste, and vision. She had frequent violent, dramatic hysterical fits, alternating with hallucinations and trancelike phases during which she would "see" her mother and other people she knew standing before her (this symptom would manifest itself in Mollie). Although critics, at the time and since, have decried the sometime circus atmosphere of Charcot's lectures, and claimed that he, inadvertently or not, trained his patients how to be hysterical, he remains a key figure in understanding nineteenth-century hysteria.
Just to let you know I don't post my books and things on the net in hopes of being rich. The reason is. "I am a person with Bipolar Disorder" and they're are a lot of great minds on the "Famous Bipolar" list that died penniless. If I do the same it's no big deal but having a form of mental Illness I would love to get my name on the Bipolar list also one day. Preferably while I'm still living so I can make sure they spelled it right
If the whole world seems like it's against you, it helps to know that you've still got home. A safe place. It just takes one person—a teacher, a friend, a parent. If I didn't have you and Dad, if you hadn't made it so clear you loved me as much as you did, or if you'd said, 'yeah, why don't you do it, and put yourself out of our misery, just shut up,' I would have killed myself. I really would have. I spent most of those days wishing I were dead anyway, and what always stopped me was the fact that doing so would destroy the lives of the only people who ever cared about me.
You can’t be beaten by something you laugh at.
Rather than being medicalized or romanticized, mental disorders, or mental dis-eases, should be understood as nothing less or more than what they are, an expression of our deepest human nature. By recognizing their traits in ourselves and reflecting upon them, we may be able both to contain them and to put them to good use. This is, no doubt, the highest form of genius.
They slow your brain down," he said, clutching an orange bottle of pills. "They iron out all the wrinkles...Maybe all the bad stuff happens in the wrinkles, but all the good stuff does, too..."They break your brain like a horse, so it takes all your orders. I need a brain that can break away, you know? I need to think. If I can't think, who am I?
My life isn't good or bad. It's an incredible series of emotional and mental extremes, with beautiful thunderstorms and stunning sunrises.Some would say this is my artistic temperament. Others would say i am mentally ill or bipolar. I SAY... it's a bit of both and i make the most of them, CREATIVELY.
Someday, i dream we will medically address mental illness in a way that helps people WITHOUT completely crippling them, creatively or robbing them of their precious sensitivity. No one wants to live life feeling like they underwent a chemical lobotomy, that is not living. And, "Normal" needs a much broader definition... perhaps we could just replace that word with, "harmonious living.
In 1949, neurologist Egas Moniz (1874-1955) received a Nobel Prize for his discovery of ‘the therapeutic value of leucotomy in certain psychoses’. Today, prefrontal leucotomy is derided as a barbaric treatment from a much darker age, and it is to be hoped that, one day, so too might antipsychotic drugs.
It is merely an accident of history that it is considered normal in our society to believe that the Creator of the universe can hear your thoughts while it is demonstrative of mental illness to believe that he is communicating with you by having the rain tap in Morse code on your bedroom window.
I'm the girl who is lost in space, the girl who is disappearing always, forever fading away and receding farther and farther into the background. Just like the Cheshire cat, someday I will suddenly leave, but the artificial warmth of my smile, that phony, clownish curve, the kind you see on miserably sad people and villains in Disney movies, will remain behind as an ironic remnant. I am the girl you see in the photograph from some party someplace or some picnic in the park, the one who is in fact soon to be gone. When you look at the picture again, I want to assure you, I will no longer be there. I will be erased from history, like a traitor in the Soviet Union. Because with every day that goes by, I feel myself becoming more and more invisible...
And I know, knew for sure, with an absolute certainty, that this is rock bottom, this what the worst possible thing feels like. It is not some grand, wretched emotional breakdown. It is, in fact, so very mundane:…Rock Bottom is an inability to cope with the commonplace that is so extreme it makes even the grandest and loveliest things unbearable…Rock bottom is feeling that the only thing that matters in all of life is the one bad moment…Rock bottom is everything out of focus. It’s a failure of vision, a failure to see the world how it is, to see the good in what it is, and only to wonder why the hell things look the way they do and not—and not some other way.
Some people think mental illness is a matter of mood, a matter of personality. They think depression is simply a form of being sad, that OCD is a form of being uptight. They think the soul is sick, not the body. It is, they believe, something that you have some choice over.I know how wrong this is.When I was a child, I didn't understand. I would wake up in a new body and wouldn't comprehend why things felt muted, dimmer. Or the opposite--I'd be supercharged, unfocused, like a radio at top volume flipping quickly from station to station. Since I didn't have access to the body's emotions, I assumed the ones I was feeling were my own. Eventually, though, I realized these inclinations, these compulsions, were as much a part of the body as its eye color or its voice. Yes, the feelings themselves were intangible, amorphous, but the cause of the feelings was a matter of chemistry, biology.It is a hard cycle to conquer. The body is working against you. And because of this, you feel even more despair. Which only amplifies the imbalance. It takes uncommon strength to live with these things. But I have seen that strength over and over again.
Don’t ask me those questions! Don’t ask me what life means or how we know reality or why we have to suffer so much. Don’t talk about how nothing feels real, how everything is coated with gelatin and shining like oil in the sun. I don’t want to hear about the tiger in the corner or the Angel of Death or the phone calls from John the Baptist.
It wasn't that she was sad—sadness had very little to do with it, really, considering that most of the time, she felt close to nothing at all. Feeling required nerves, connections, sensory input. The only thing she felt was numb. And tired. Yes, she very frequently felt tired.
You see, people in the depressive position are often stigmatised as ‘failures' or ‘losers'. Of course, nothing could be further from the truth. If these people are in the depressive position, it is most probably because they have tried too hard or taken on too much, so hard and so much that they have made themselves ‘ill with depression'. In other words, if these people are in the depressive position, it is because their world was simply not good enough for them. They wanted more, they wanted better, and they wanted different, not just for themselves, but for all those around them. So if they are failures or losers, this is only because they set the bar far too high. They could have swept everything under the carpet and pretended, as many people do, that all is for the best in the best of possible worlds. But unlike many people, they had the honesty and the strength to admit that something was amiss, that something was not quite right. So rather than being failures or losers, they are just the opposite: they are ambitious, they are truthful, and they are courageous. And that is precisely why they got ‘ill'. To make them believe that they are suffering from some chemical imbalance in the brain and that their recovery depends solely or even mostly on popping pills is to do them a great disfavour: it is to deny them the precious opportunity not only to identify and address important life problems, but also to develop a deeper and more refined appreciation of themselves and of the world around them—and therefore to deny them the opportunity to fulfil their highest potential as human beings.
When you come out of the grips of a depression there is an incredible relief, but not one you feel allowed to celebrate. Instead, the feeling of victory is replaced with anxiety that it will happen again, and with shame and vulnerability when you see how your illness affected your family, your work, everything left untouched while you struggled to survive.
In our family "whim-wham" is code, a defanged reference to any number of moods and psychological disorders, be they depressive, manic, or schizoaffective. Back in the 1970s and '80s - when they were all straight depression - we called them "dark nights of the soul." St. John of the Cross's phrase ennobled our sickness, spiritualized it. We cut God out of it after the manic breaks started in 1986, the year my dad, brother, and I were all committed. Call it manic depression or by its new, polite name, bipolr disorder. Whichever you wish. We stick to our folklore and call it the whim-whams.
So ask me if I am alright.'I’m fine; I’m always fine.'You see this look in my eyes.'No, I’m fine. I am always fine.'There is a corpse behind my smile.'Listen, I am fine. Always, always fine as fine can be.''Are you okay?''I am more than okay. I am more than fine. I am wonderful!
There is stability in self-destruction, in prolonging sadness as a means of escaping abstractions like happiness. Rock bottom is a surprisingly comfortable place to lay your head. Looking up from the depths of another low often seems a lot safer than wondering when you'll fall again. Falling feels awful.I'd rather fucking fly.
It’s a little-known secret, and it should probably stay that way: attempting suicide usually jump-starts your brain chemistry. There must be something about taking all those pills that either floods the brain sufficiently or depletes it so completely that balance is restored. Whatever the mechanism, the result is that you emerge on the other side of the attempt with an awareness of what it means to be alive. Simple acts seem miraculous: you can stand transfixed for hours just watching the wind ruffle the tiny hairs along the top of your arm. And always, with every sensation, is the knowledge that you must have survived for a reason. You just can’t doubt it anymore. You must have a purpose, or you would have died. You have the rest of your life to discover what that purpose is. And you can’t wait to start looking.
Sleeping is much safer than the nightmare I’m living. When I sleep I feel nothing and I do nothing and I see nothing and nothing matters and no one cares. There’s no one to hurt or disappoint or notice when I’m low and I don’t need to face anyone not anyone in the world or not even myself.
It is not the darkness of shadows: one that follows you, haunts you, terrifies you. Instead, it consumes you, becomes you, weighs you down. It IS you. It is comforting. Familiar. I have walked with it. Eaten with it. Loved with it. Smiled with it. Yet I feel it destroying me.Like cancer.But I can’t remove it. It stays inside of me, taunting me to kill it, myself, but it does not realize that this seduction keeps me alive.
I’m not flailing now, as my muscles are rigid with the tension of holding myself together. The pain over my heart returns, and from it I imagine tiny fissures spreading out into my body. Through my torso, down my arms and legs, over my face, leaving it crisscrossed with cracks. One good jolt … and I could shatter into strange, razor-sharp shards.
[If there was] certainty that an acute episode [of depression] will last only a week, a month, even a year, it would change everything. It would still be a ghastly ordeal, but the worst thing about it — the incessant yearning for death, the compulsion toward suicide — would drop away. But no, a limited depression, a depression with hope, is a contradiction. The experience of convulsive pain, along with the conviction that it will never end except in death — that is the definition of a severe depression.
Our “increasing mental sickness” may find expression in neurotic symptoms. These symptoms are conspicuous and extremely distressing. But “let us beware,” says Dr. Fromm, “of defining mental hygiene as the prevention of symptoms. Symptoms as such are not our enemy, but our friend; where there are symptoms there is conflict, and conflict always indicates that the forces of life which strive for integration and happiness are still fighting.” The really hopeless victims of mental illness are to be found among those who appear to be most normal. “Many of them are normal because they are so well adjusted to our mode of existence, because their human voice has been silenced so early in their lives, that they do not even struggle or suffer or develop symptoms as the neurotic does.” They are normal not in what may be called the absolute sense of the word; they are normal only in relation to a profoundly abnormal society. Their perfect adjustment to that abnormal society is a measure of their mental sickness. These millions of abnormally normal people, living without fuss in a society to which, if they were fully human beings, they ought not to be adjusted, still cherish “the illusion of individuality,” but in fact they have been to a great extent deindividualized. Their conformity is developing into something like uniformity. But “uniformity and freedom are incompatible. Uniformity and mental health are incompatible too. . . . Man is not made to be an automaton, and if he becomes one, the basis for mental health is destroyed.
There’s nothing worse than bottling something up inside and letting it eat at you. It’s like being shot, and leaving the bullet inside our bodies. The wound would never heal. Instead, we need to let it out.
I look back on my life the way one watches a badly scripted action flick, sitting at the edge of the seat, bursting out, "No, no, don't open that door! The bad guy is in there and he'll grab you and put his hand over your mouth and tie you up and then you'll miss the train and everything will fall apart!" Except there is no bad guy in this tale. The person who jumped through the door and grabbed me and tied me up was, unfortunately, me. My double image, the evil skinny chick who hisses, Don't eat. I'm not going to let you eat. I'll let you go as soon as you're thin, I swear I will. Everything will be okay when you're thin.
One in two recently evicted mothers reports multiple symptoms of clinical depression, double the rate of similar mothers who were not forced from their homes. Even after years pass, evicted mothers are less happy, energetic, and optimistic than their peers. When several patients committed suicide in the days leading up to their eviction, a group of psychiatrists published a letter in Psychiatric Services, identifying eviction as a “significant precursor of suicide.” The letter emphasized that none of the patients were facing homelessness, leading the psychiatrists to attribute the suicides to eviction itself. “Eviction must be considered a traumatic rejection,” they wrote, “a denial of one’s most basic human needs, and an exquisitely shameful experience.” Suicides attributed to evictions and foreclosures doubled between 2005 and 2010, years when housing costs soared.
Sometimes the darkness beyond is not glorious at all, it truly is an absolute absence of light. A clawing, needy tar that pulls you down. You drown but you don't. It turns you to lead so you sink faster in its viscous embrace. It robs you of hope and even the memory of hope. It makes you think you've always felt like this, and there's no place to go but down, where it slowly, ravenously digests your will, distilling it into the ebony crude of nightmares. And you know the darkness beyond despair, just as intimately as you know the soaring heights. Because in this and all universes, there is balance. You can't have the one without facing the other. And sometimes you think you can take it because the joy is worth the despair, and sometimes you know you can't take it and how did you ever think you could? And there is the dance; strength and weakness, confidence and desolation.
I didn't totally fit in. I kind of disintegrated around people and became what they wanted me to be. But paradoxically, I felt an intensity inside me all the time. I didn't know what it was, but it kept building, like water behind a dam. Later, when I was properly depressed and anxious, I saw the illness as an accumulation of all that thwarted intensity. A kind of breaking through. As though, if you find it hard enough to let your self be free, your self breaks in, flooding your mind in an attempt to drown all those failed half-versions of you.
I wake up scared and I'm scared all day. I'm scared of being scared. Scared of "losing it". Scared of not being able to function. Scared of being hospitalized. Scared that I am not okay. Scared of what life is and if I am wasting mine. Scared that I have no home - that even the place I call home has no bottom to it and I will just keep falling under and under and under.
I’ve found that it’s of some help to think of one’s moods and feelings about the world as being similar to weather. Here are some obvious things about the weather:It's real. You can't change it by wishing it away.If it's dark and rainy, it really is dark and rainy, and you can't alter it.It might be dark and rainy for two weeks in a row.BUTit will be sunny one day.It isn't under one's control when the sun comes out, but come out it will.One day.It really is the same with one's moods, I think. The wrong approach is to believe that they are illusions. Depression, anxiety, listlessness - these are all are real as the weather - AND EQUALLY NOT UNDER ONE'S CONTROL. Not one's fault.BUTThey will pass: really they will.In the same way that one really has to accept the weather, one has to accept how one feels about life sometimes, "Today is a really crap day," is a perfectly realistic approach. It's all about finding a kind of mental umbrella. "Hey-ho, it's raining inside; it isn't my fault and there's nothing I can do about it, but sit it out. But the sun may well come out tomorrow, and when it does I shall take full advantage.
This was an adequate enough performance, as improvisations go. The only problem was that my entire education, everything I had ever been told or had told myself, insisted that the production was never meant to be improvised: I was supposed to have a script, and had mislaid it. I was supposed to hear cues, and no longer did. I was mean to know the plot, but all I knew was what I saw: flash pictures in variable sequence, images with no "meaning" beyond their temporary arrangement, not a movie but a cutting-room experience. In what would probably be the middle of my life I wanted still to believe in the narrative and in the narrative’s intelligibility, but to know that one could change the sense with every cut was to begin to perceive the experience as more electrical than ethical.
When both she and I had to deal with our respective demons, my sister saw the darkness as being within and part of herself, the family and the world. I, instead, saw it as a stranger; however lodged within my mind and soul the darkness became, it almost always seemed an outside force that was at war with my natural self.
As it stands, the diagnostic criteria for depression are so loose that two people with absolutely no symptoms in common can both end up with the same unitary diagnosis of depression. For this reason especially, the concept of depression as a mental disorder has been charged with being little more than a socially constructed dustbin for all manner of human suffering.
In the deep, wet tangled, wild jungle where even natives won't go is a mystical, dangerous river. The river's got no name because naming it would make it real, and no one wanted to believe that river be real. They say you get there only inside a dream-but don't you think of it at bedtime, now, 'cause not everyone who goes there be able to leave! That jungle canopy, it so leafy true daylight can never break in the riverbank, it be wet muck thick with creatures that eat you alive if you stay still too long. To miss that fate, you gots to go into the black water. But the water be heavy as hot tar; once you in, it bind you and pull you along, bit by bit, 'til you come to the end of the land, and then over the water goes in a dark, slow cascade, the highest falls in the history of the world ever. There be demons in that cascading water, and snakes, and wraiths that whisper in your ears. They love you, they say. You should give yourself to them, stay with them, become one of them, they say. 'Isn't it good here?' they say. 'No pain, no trouble.' But also no light and no love and no joy and no ground. You tumble and tumble as you fall, and you try and choose, but your mind be topsy-turvy and maybe you can't think so well, and maybe you can't choose right, and maybe you never wake up. "It felt like that," I tell Tootsie, "even after you got me out and Scott moved me to Highland. I couldn't choose. I couldn't shut out the wraiths...But you would say, 'Hang on, sweetie,' and Scottie would say, 'I miss you, Mama,' and Scott would hold me, just hold me and say nothing at all." Tootsie snorts. "Scott was useless the whole while." "Scott was in the river, too.
You can talk about depression as a "chemical imbalance" all you want, but it presents itself as an external antagonist - a "demon," a "beast," or a "black dog," as Samuel Johnson called it. It could pounce at any time, even in the most innocuous setting.
The depression was not incapacitating. It made it hard to take a lot of my suburban life seriously, but that was inextricably mingled with a growing consciousness of the larger brutalities of the world. Ethiopian children were starving on the evening news and genocide was mushrooming in Cambodia. Was I truly depressed or just awakening to the First Noble Truth of Buddhism, the insight that samsaric life is misery? My melancholy seemed like simple realism; if you weren't depressed, you obviously didn't know what was going on.
I'll say it again - mental illness is a physical illness. You wouldn't consider going up to someone suffering from Alzheimers to yell, "Come on, get with it, you remember where you left your keys?" Let us shout it from the rooftops until everyone gets the message; depression has and nothing to do with having a bad day or being sad, it's a killer if not taken seriously.
It's an unfortunate word, 'depression', because the illness has nothing to do with feeling sad, sadness is on the human palette. Depression is a whole other beast. It's when your old personality has left town and been replaced by a block of cement with black tar oozing through your veins and mind. This is when you can't decide whether to get a manicure or jump off a cliff. It's all the same. When I was institutionalised I sat on a chair unable to move for three months, frozen in fear. To take a shower was inconceivable. What made it tolerable was while I was inside, I found my tribe - my people. They understood and unlike those who don't suffer, never get bored of you asking if it will ever go away? They can talk medication all hours, day and night; heaven to my ears.
If I was lonely, if I was afraid of being alone, then why abandon myself? Why run to someone else looking to give myself the thing that only I could give? I wanted to escape myself because I felt empty, and the emptiness frightened me. But obviously, I was empty because I was always running out, running away. The only way to fill the emptiness was to remain, to take up residence in myself.
I was always asking myself why. Why am I feeling this? Thinking that if I knew the cause I could find the cure. But of course there was no reasonable why, at least not in the present. I was awash in an accumulation of past feelings and future dreads, all similar, at least as far as my brain was concerned, and so, lumped together as one. But nobody can handle a lifetime of experience in one moment. That's why depression crushes you.
Despair was strength. Despair was the scab and the scar. The walled city in a time of plague. A closed fortification. A sure thing, because it was always safer, less painful to stop trying than it was to repeatedly try and fail. Failure-disappointment-was a poison in my blood. Despair was the antidote.
Slowly, inch by inch, I felt myself recovering. After a few weeks, the darkness began to recede; my appetite for life returned. Haven was wonderful; she understood and nursed me through these weeks until I felt strong enough to go out in public, to get on my bike again.
We got through it. Haven made excuses for me to friends, and made an appointment with a terrific doctor, who put me on Effexor, 150 milligrams a day, enough to get my brain straightened out.
Being depressed and suicidal doesn't mean wanting to kill yourself every moment of every day. It may be a fixed obsession, but sometimes it gets relegated to the back of your head. Rather, it means the world takes on the very cut and dry, black and white, unilateral aspect of a flowchart.
it has to be emphasized that if the pain were readily describable most of the countless sufferers from this ancient affliction would have been able to confidently depict for their friends and loved ones (even their physicians) some of the actual dimensions of their torment, and perhaps elicit a comprehension that has been generally lacking; such incomprehension has usually been due not to a failure of sympathy but to the basic inability of healthy people to imagine a form of torment so alien to everyday experience.
depression in its major stages possesses no quickly available remedy: failure of alleviation is one of the most distressing factors of the disorder as it reveals itself to the victim, and one that helps situate it squarely in the category of grave diseases.
Capitalist realism insists on treating mental health as if it were a natural fact, like weather (but, then again, weather is no longer a natural fact so much as a political-economic effect). In the 1960s and 1970s, radical theory and politics (Laing, Foucault, Deleuze and Guattari, etc.) coalesced around extreme mental conditions such as schizophrenia, arguing, for instance, that madness was not a natural, but a political, category. But what is needed now is a politicization of much more common disorders. Indeed, it is their very commonness which is the issue: in Britain, depression is now the condition that is most treated by the NHS. In his book The Selfish Capitalist, Oliver James has convincingly posited a correlation between rising rates of mental distress and the neoliberal mode of capitalism practiced in countries like Britain, the USA and Australia. In line with James’s claims, I want to argue that it is necessary to reframe the growing problem of stress (and distress) in capitalist societies. Instead of treating it as incumbent on individuals to resolve their own psychological distress, instead, that is, of accepting the vast privatization of stress that has taken place over the last thirty years, we need to ask: how has it become acceptable that so many people, and especially so many young people, are ill?
Any time I let it, the weight of living creeps in and starts to drag her down. It would be too easy to say that I feel invisible. Instead, I feel painfully visible, and entirely ignored. People talk to her, but it feels like they are outside a house, talking through the walls. There are friends, but they are people to spend time with, not people to share time with. There's a false beast that takes the form of instinct and harps on the pointlessness of everything that happens.
Every lineament of the girl's wasted body is a testament to her inner turmoil. Willow can only imagine what kind of pain she must be in to destroy herself that way. She knows there's something ironic in her compassion for the other girl, but she can't help feeling that this utter mortification of the flesh is far worse than anything that she herself has done.
Bipolar robs you of that which is you. It can take from you the very core of your being and replace it with something that is completely opposite of who and what you truly are. Because my bipolar went untreated for so long, I spent many years looking in the mirror and seeing a person I did not recognize or understand. Not only did bipolar rob me of my sanity, but it robbed me of my ability to see beyond the space it dictated me to look. I no longer could tell reality from fantasy, and I walked in a world no longer my own.
You aren’t falling apart. You’re well beyond that. You’re just rattling along now. Elven dolls doing what little you can to gather the pieces as they fall away. But you don’t know how to properly reattach them—a doll does not repair itself. So you hug those brittle fragments to your chest until you simply cannot hug anymore. Until you’ve had to leave so many behind that you no longer remember what it is you’re missing.
The doctor’s words made me understand what happened to me was a dark, evil, and shameful secret, and by association I too was dark, evil, and shameful. While it may not have been their intention, this was the message my clouded mind received. To escape the confines of the hospital, I once again disassociated myself from my emotions and numbed myself to the pain ravaging my body and mind. I acted as if nothing was wrong and went back to performing the necessary motions to get me from one day to the next. I existed but I did not live.
ME/CFS is not synonymous with depression or other psychiatric ill- nesses. The belief by some that they are the same has caused much con- fusion in the past, and inappropriate treatment.Nonpsychotic depression (major depression and dysthymia), anxiety disorders and somatization disorders are not diagnostically exclusionary, but may cause significant symptom overlap. Careful attention to the timing and correlation of symptoms, and a search for those characteris- tics of the symptoms that help to differentiate between diagnoses may be informative, e.g., exercise will tend to ameliorate depression whereas excessive exercise tends to have an adverse effect on ME/CFS patients.
I want to believe him. I know stuff happens to people and they can't always be who they were or who they think they're supposed to be. But knowing that doesn't mean I'm okay with it. It's more like what Mr. Krueger says about black holes: We can't wish them away, so we'd better learn as much as we can about where they are and how they work so we don't get sucked in.
Doctors kept stressing that mental disease was the same as physical disease. Telling someone who was clinically depressed, for example, to shake it off and get out of the house was tantamount to telling a man with two broken legs to sprint across the room. That was all well and good in theory, but in practice, the stigma continued. Maybe, to be more charitable, it was because you could hide a mental disease.
Why did things have to get so backwards in our house? Since she couldn’t be the adult, I knew that it had to be me. But that didn’t stop me from hating it--from wishing it was just over. I’d give anything to be a kid again and not to be the responsible one in the house. It was like I was trapped in a horrible virtual-reality game, except there was no way for me to quit.
My mother sat motionless at the kitchen table, her head cradled on one arm, the other extended toward her ever-present coffee mug. This was going to be another of her bad days. It was hard to pinpoint when I’d given up hope that she would pull herself together--that me being in charge would be a temporary thing. But too many months had passed with nothing changing, except somewhere along the way I’d stopped feeling sympathy for her. Or anger. It was easier to not feel anything where my mother was concerned because then I could never be let down.
All of us must do our best to live gracefully in the present moment. I now see depression as akin to being tied to a chair with restraints on my wrists. It took me a long time to realize that I only magnify my distress by struggling for freedom. My pain diminished when I gave up trying to escape completely from it. However, don't interpret my current approach to depression as utterly fatalistic. I do whatever I can to dull depression's pain, while premising my life on its continuing presence. The theologian and philosopher Thomas Moore puts it well with his distinction between cure and care. While cure implies the eradication of trouble, care "appreciates the mystery of human suffering and does not offer the illusion of a problem-free life.
There's memory clutter, which reminds you of an important person, achievement, or event from your past. I think memory clutter often gathers in the homes of people with some degree of depression. And then there's "I might need it one day clutter, in which people hang on to stuff in anticipation of an imagined future. Among these folks, I've noticed a recurring theme of anxiety...Maybe it's possible that the stuff we own and obsess over is the physical manifestation of the mental health issues that challenge our minds. --p29.
Take it from me, that kind of torment causes you to retreat to a place in your mind where you are so strong that nothing and no one can bother you. Or so you think! What you don't realize is that each time an incident occurs, you retreat inside of yourself a little bit at a time, until one day you might not recognize who YOU are.
It's amazing the things that the heart and mind can endure. No one ever told me that growing up, so I often spent my childhood thinking something was wrong with me.
My mom was sitting at the kitchen table. She’d set her coffee down, making a noise that made me look her way. I’d begun to notice her less and less often, like her colors were fading and blending in with walls. She was shrinking. Or maybe her sphere of influence in the family was shrinking. My dad glanced at her, too, and then wrote something on a napkin. He slid it across the counter to me—Don’t worry. Come home in one piece. Have fun and act like a sixteen-year-old for a change.
Although it is important to be able to recognise and disclose symptom of physical illnesses or injury, you need to be more careful about revealing psychiatric symptoms. Unless you know that your doctor understands trauma symptoms, including dissociation, you are wise not to reveal too much. Too many medical professionals, including psychiatrists, believe that hearing voices is a sign of schizophrenia, that mood swings mean bipolar disorder which has to be medicated, and that depression requires electro-convulsive therapy if medication does not relieve it sufficiently. The “medical model” simply does not work for dissociation, and many treatments can do more harm than good... You do not have to tell someone everything just because he is she is a doctor. However, if you have a therapist, even a psychiatrist, who does understand, you need to encourage your parts to be honest with that person. Then you can get appropriate help.
Some survivors can be wary of most people, yet blinded by compassion toward fellow survivors or others who suffer — or who pretend to suffer, or exaggerate their sufferings, in order to take advantage of the survivor. Some survivors overidentify with other survivors, not realizing that even if someone was traumatized or suffers in a similar way, it doesn’t necessarily mean that person is honest. Being either overly suspicious or overly trusting can create problems with a partner who is able to judge the sincerity of others more realistically.
You’re innocent until proven guilty,” Mandy exclaimed, unable to hide her gleeful smile. She missed the way people used to have normal conversations, used to be more caring for each other than themselves, back in the Seventies and Eighties. These days, she realized, neighbors kept to themselves, their kids kept to themselves, nobody talked to each other anymore. They went to work, went shopping and shut themselves up at home in front of glowing computer screens and cellphones… but maybe the nostalgic, better times in her life would stay buried, maybe the world would never be what it was. In the 21st century music was bad, movies were bad, society was failing and there were very few intelligent people left who missed the way things used to be… maybe though, Mandy could change things. Thinking back to the old home movies in her basement, she recalled what Alecto had told her. “We wanted more than anything else in the world to be normal, but we failed.” The 1960’s and 1970’s were very strange times, but Mandy missed it all, she missed the days when Super-8 was the popular film type, when music had lyrics that made you think, when movies had powerful meanings instead of bad comedy and when people would just walk to a friend’s house for the afternoon instead of texting in bed all day. She missed soda fountains and department stores and non-biodegradable plastic grocery bags, she wished cellphones, bad pop music and LED lights didn’t exist… she hated how everything had a diagnosis or pill now, how people who didn’t fit in with modern, lazy society were just prescribed medications without a second thought… she hated how old, reliable cars were replaced with cheap hybrid vehicles… she hated how everything could be done online, so that people could just ignore each other… the world was becoming much more convenient, but at the same time, less human, and her teenage life was considered nostalgic history now.Hanging her head low, avoiding the slightly confused stare of the cab driver through the rear view mirror, she started crying uncontrollably, her tears soaking the collar of her coat as the sun blared through the windows in a warm light.
It is psychotic to draw a line between two places.It is psychotic to go.It is psychotic to look.Psychotic to live in a different country forever.Psychotic to lose something forever.The compelling conviction that something has been lost is psychotic.Even the aeroplane's dotted line on the monitor as it descends to Heathrow is purely weird ambient energy.It is psychotic to submit to violence in a time of great violence and yet it is psychotic to leave that home or country, the place where you submitted again and again, forever. Indeed, it makes the subsequent involuntary arrival a stressor for psychosis.
Repression. Her therapist, Dr. Solomon, loved the word. He'd say it slowly, letting it roll off his tongue. Sometimes he'd add a chin stroke for good measure. He always looked pleased when he did this, like he'd discovered the Caramilk secret or something.
Haymitch isn't thinking of arenas, but something else. "Johanna's back in the hospital."I assumed Johanna was fine, had passed her exam, but simply wasn't assigned to a sharp shooters' unit. She's wicked with a throwing axe but about average with a gun. "Is she hurt? What happened?""It was while she was on the Block. They try to ferret out a soldier's potential weakness. So they flooded the street, " says Haymitch.This doesn't help. Johanna can swim. At least, I seem to remember her swimming around some in the Quarter Quell. Not like Finnick, of course, but none of us are like Finnick. "So?""That's how they tortured her in the Capitol. Soaked her then used electric shocks," says Haymitch. "In the Block, she had some kind of flashback. Panicked, didn't know where she was. She's back under sedation." Finnick and I just stand there as if we've lost the ability to respond.I think of the way Johanna never showers. How she forced herself into the rain like it was acid that day. I had attributed her misery to morphling withdrawal. "You two should go see her. You're as close to friends as she's got," says Haymitch.That makes the whole thing worse. I don't really know what's between Johanna and Finnick, but I hardly know her. No family. No friends.Not so much as a token from District 7 to set beside her regulation clothes in her anonymous drawer.Nothing.
There are cancers so insidious in their nature that their very pulsation is invisible. Such cancers leave the ivory whiteness of the skin untouched, and marble not the firm, fair flesh, with their blue tints; the physician who bends over the patient's chest hears not, through he listens, the insatiable teeth of the disease grinding its onward progress through the muscles, as the blood flows freely on; the knife has never been able to destroy, and rarely even, temporarily, to discern the rage of these mortal scourges; their home is in the mind, which they corrupt; they fill the whole heart until it breaks. Such, madame, are the cancers, fatal to queens; are you, too, free from their scourge?
A man who under the influence of mental pain or unbearably oppressive suffering sends a bullet through his own head is called a suicide; but for those who give freedom to their pitiful, soul-debasing passions in the holy days of spring and youth there is no name in man's vocabulary. After the bullet follows the peace of the grave: ruined youth is followed by years of grief and painful recollections. He who has profaned his spring will understand the present condition of my soul. I am not yet old, or grey, but I no longer live. Psychiaters tell us that a solider, who was wounded at Waterloo, went mad, and afterwards assured everybody - and believed it himself - that he had died at Waterloo, and that what was now considered to be him was only his shadow, a reflection of the past. I am now experiencing something resembling this semi-death..
I dream for an absentee and oft maligned device—the accident-maker, the soul-taker, my camera; its factory guaranteedthird eye, without which I am duly dimand memory denied. No picturesfor my contrived Arbus to declare, excepting some stitch of Sextonmanages these sentences of despair.
Every day it’s something worse being predicted. Mearth says that sooner or later copyright on books will be all in the past because they’ll all be available electronically. She says that electric cars will replace gasoline-powered cars. She says that something called drones will be used to watch the entire country, she talks a lot about something called nanotechnology, and 3-dimensional printing and cellular phones being implanted into peoples’ minds and all available careers being replaced by robots and human cloning and overpopulation and film becoming obsolete, cellular phones making regular telephones obsolete and LED lighting replacing everything and eventually she says that the planet will collapse and become an apathetic wreck,” Alecto replied rapidly, his run-on sentence sounding sinister and dangerous. “Mearth says that eventually people will be able to see inside the minds of everyone.
I remembered during puberty, through the anorexic mists of intermittent menstrual cycles, that man, my father, lifting Shirley's nightdress over her head and asking her in his mocking way to choose what colour condom she wanted. 'Red or yellow?' Which did she choose? I can't remember. Perhaps she alternated. Perhaps there were other colours. It didn't happen once. It happened again and again. I had no power to stop it. That man, my father, had some control over me. I was drugged by the black silence in that big house, the vile whiff of aftershave, the crushing torment of inevitability. My father fucked Shirley using red or yellow condoms and it was those condoms that brought it all to an end. It was my last realization of the day; any more would have been too much to contemplate. That time when my mother had found used condoms in bedroom, he had admitted, after a pointless burst my father's of denial, that he had been going to prostitutes. That was no doubt true but I can't imagine clients take used condoms away with them; prostitutes would surely get rid of the things. No. My father kept those used condoms as a prize. He was fucking his fourteen-year-old-daughter. He was proud of it. Rebecca welled up with tears. Poor thing, she kept saying. Poor thing.
You cannot make yourself have a flashback, nor will you have one unless you are emotionally ready to remember something. Once remembered, the memory can help you to face more of the truth. You can then express your pent-up feelings about the memory and continue on your path to recovery. Think of the flashback as a clue to the next piece of work. No matter how painful, try to view it as a positive indication that you are now ready and willing to remember.
In this chapter I restrict myself to exploring the nature of the amnesia which is reported between personality states in most people who are diagnosed with DID. Note that this is not an explicit diagnostic criterion, although such amnesia features strongly in the public view of DID, particularly in the form of the fugue-like conditions depicted in films of the condition, such as The Three Faces of Eve (1957). Typically, when one personality state, or ‘alter’, takes over from another, they have no idea what happened just before. They report having lost time, and often will have no idea where they are or how they got there. However, this is not a universal feature of DID. It happens that with certain individuals with DID, one personality state can retrieve what happened when another was in control. In other cases we have what is described as ‘co-consciousness’ where one personality state can apparently monitor what is happening when another personality state is in control and, in certain circumstances, can take over the conversation.
Sometimes, you will go through awful trials in your life and then a miracle happens--God heals you. Don’t be disheartened when the people you love don’t see things like you do. There will be Pharisees in your life that will laugh it off, deny that it happened, or will mock your experience based on righteousness they think you don't possess. God won't deny you a spiritual experience because you are not a spiritual leader. He loves everyone equal. The only people that really matter in life are the people that can “see” your heart and rejoice with you.
...Daisy doesn't even go to his funeral, Nick and Jordan part ways, and Daisy ends up sticking with racist Tom... you can tell Fitzgerald never took the time to look up at clouds during sunset, because there's no silver lining at the end of that book, let me tell you. I do see why Nikki likes the novel, as it's written so well. But her liking it makes me worry now that Nikki really doesn't believe in silver linings, because she says The Great Gatsby is the greatest novel ever written by an American, and yet it ends so sadly. One thing's for sure, Nikki is going to be very proud of me when I tell her I finally read her favorite book. -Silver Linings Playbook, p. 9
It was painful to contemplate the distance between the future of accomplishment I'd imagined for myself twenty years earlier, and the reality...it was painful to understand that the cushion of exceptionality invoked by the drug had made me oblivious to my inertia. And it was painful to have to define myself again, at an age when most people are happy in their own skins.
Persons Are Turned against Themselves Evil also turns a person against herself so that self is used against self. The case of the woman who received a dismissal letter from her pastor comes to mind again. The psychological decompensation she suffered was successfully used by her husband to intercede with a psychiatrist of his choosing to commit her to the mental unit of a hospital for an extended involuntary stay, which further worsened her condition. Additional examples abound. Some patients report cults using induced hypnotic states to encourage a subject's dissociated hands and arms to do something hurtful to someone else. In such cases, the subject is encouraged to watch the hand that is hers but not hers (because it is dissociated from her). The end result is often extreme guilt. self-loathing, and distrust of one's self and motives.An incestuous parent may use a child's own natural bodily responses to repeated sexual stimulation to make the point that the child really "wants and enjoys“ what is being forced upon her.
A more fundamental problem with labelling human distress and deviance as mental disorder is that it reduces a complex, important, and distinct part of human life to nothing more than a biological illness or defect, not to be processed or understood, or in some cases even embraced, but to be ‘treated’ and ‘cured’ by any means possible—often with drugs that may be doing much more harm than good. This biological reductiveness, along with the stigma that it attracts, shapes the person’s interpretation and experience of his distress or deviance, and, ultimately, his relation to himself, to others, and to the world. Moreover, to call out every difference and deviance as mental disorder is also to circumscribe normality and define sanity, not as tranquillity or possibility, which are the products of the wisdom that is being denied, but as conformity, placidity, and a kind of mediocrity.
We who were not so pathologically far out on the spectrum of self-involvement, we dwellers of the visible spectrum who could imagine how it felt to go beyond violet but were not ourselves beyond it, could see that David was wrong not to believe in his lovability and could imagine the pain of not believing in it. How easy and natural love is if you are well! And how gruesomely difficult--what a philosophically daunting contraption of self-interest and self-delusion love appears to be--if you are not! And yet ... the difference between well and not well is in more respects a difference of degree than of kind. Even though David laughed at my much milder addictions and liked to tell me that I couldn't even conceive of how moderate I was, I can still extrapolate from these addictions, and from the secretiveness and solipsism and radical isolation and raw animal craving that accompany them, to the extremity of his. I can imagine the sick mental pathways by which suicide comes to seem like the one consciousness-quenching substance that nobody can take away from you.
On the ward there was hurt and pain so big and so deep that speech could not express it. I had been interested in philosophy, and suddenly philosophy came alive for me, for here the basic questions of human existence were not abstractions: they were embodied in human suffering
As modern neurobiologists point out, the repetition of the traumatic experience in the flashbacks can be itself re-traumatizing; if not life-threatening, it is at least threatening to the chemical structure of the brain and can ultimately lead to deterioration. And this would also seem to explain the high suicide rate of survivor, for example, survivors of Vietnam.
With DID patients, if they feel hostility or aggression they take it out on themselves with self-harm... They’re self-destructive and repeatedly suicidal, more so than any other psychological disorder. So that's what's typical – not this wild aggression, or stalking women [or robbery].- Dr Bethany Brand, on Billy Milligan and Multiple Personality Disorder (DID)
Cheryl was aided in her search by the Internet. Each time she remembered a name that seemed to be important in her life, she tried to look up that person on the World Wide Web. The names and pictures Cheryl found were at once familiar and yet not part of her conscious memory: Dr. Sidney Gottlieb, Dr. Louis 'Jolly' West, Dr. Ewen Cameron, Dr. Martin Orne and others had information by and about them on the Web. Soon, she began looking up sites related to childhood incest and found that some of the survivor sites mentioned the same names, though in the context of experiments performed on small children. Again, some names were familiar. Then Cheryl began remembering what turned out to be triggers from old programmes. 'The song, "The Green, Green Grass of home" kept running through my mind. I remembered that my father sang it as well. It all made no sense until I remembered that the last line of the song tells of being buried six feet under that green, green grass. Suddenly, it came to me that this was a suicide programme of the government. 'I went crazy. I felt that my body would explode unless I released some of the pressure I felt within, so I grabbed a [pair ofl scissors and cut myself with the blade so I bled. In my distracted state, I was certain that the bleeding would let the pressure out. I didn't know Lynn had felt the same way years earlier. I just knew I had to do it Cheryl says. She had some barbiturates and other medicine in the house. 'One particularly despondent night, I took several pills. It wasn't exactly a suicide try, though the pills could have killed me. Instead, I kept thinking that I would give myself a fifty-fifty chance of waking up the next morning. Maybe the pills would kill me. Maybe the dose would not be lethal. It was all up to God. I began taking pills each night. Each-morning I kept awakening.
This is what happens to the brain of those living with mental illnesses (more accurately, "brain illnesses"). The brain does not function as it should; life is out of control. The brain alters our bodies; thoughts are distorted, emotions are unregulated, and behaviors we once thought could never occur happen. One of the most challenging, exhausting, and painful phenomena we do as humans is to live and survive with these changes in our minds. The toll it takes on an individual's body and the people in their lives is, tragically, often too much to bear.-Dr. Daniel J. Reidenberg
What I failed to see was that, by ending my life, I would cause interminable pain to my family and friends. I could not understand the heartbreak it would cause those around me. Nor did I consider that my brother, Joseph, might live the rest of his life in continual rage, or that my sister, Libby, might shut herself off from the world and fall into perpetual depression, silence, and sadness mistakenly blaming themselves for my death as many family members do when they lose someone they love to suicide. I certainly held no understanding of the enormous pain my mother and father would suffer because they lost their oldest son in such a terrifying and devastating way. They would not have a chance to watch me mature, marry, and perhaps have children. Instead, all of their hopes, aspirations, and dreams for me would be destroyed with my decision to end my life by jumping off the Golden Gate Bridge.
...some patients resist the diagnosis of a post-traumatic disorder. They may feel stigmatized by any psychiatric diagnosis or wish to deny their condition out of a sense of pride. Some people feel that acknowledging psychological harm grants a moral victory to the perpetrator, in a way that acknowledging physical harm does not.
It was painful to contemplate the distance between the future of accomplishment I'd imagined for myself twenty years earlier...it was painful to understand that the cushion of exceptionality invoked by the drug had made me oblivious to my inertia. And it was painful to have to define myself again, at an age when most people are happy in their own skins.
I've always told people that for each person there is a sentence--a series of words--which has the power to destroy him. When Fat told me about Leon Stone I realized (this came years after the first realization) that another sentence exists, another series of words, which will heal the person. If you're lucky you will get the second; but you can be certain of getting the first: that is the way it works.
Why do I take a blade and slash my arms? Why do I drink myself into a stupor? Why do I swallow bottles of pills and end up in A&E having my stomach pumped? Am I seeking attention? Showing off? The pain of the cuts releases the mental pain of the memories, but the pain of healing lasts weeks. After every self-harming or overdosing incident I run the risk of being sectioned and returned to a psychiatric institution, a harrowing prospect I would not recommend to anyone.So, why do I do it? I don't. If I had power over the alters, I'd stop them. I don't have that power. When they are out, they're out. I experience blank spells and lose time, consciousness, dignity. If I, Alice Jamieson, wanted attention, I would have completed my PhD and started to climb the academic career ladder. Flaunting the label 'doctor' is more attention-grabbing that lying drained of hope in hospital with steri-strips up your arms and the vile taste of liquid charcoal absorbing the chemicals in your stomach. In most things we do, we anticipate some reward or payment. We study for status and to get better jobs; we work for money; our children are little mirrors of our social standing; the charity donation and trip to Oxfam make us feel good. Every kindness carries the potential gift of a responding kindness: you reap what you sow. There is no advantage in my harming myself; no reason for me to invent delusional memories of incest and ritual abuse. There is nothing to be gained in an A&E department.
Carla's description was typical of survivors of chronic childhood abuse. Almost always, they deny or minimize the abusive memories. They have to: it's too painful to believe that their parents would do such a thing. So they fragment the memories into hundreds of shards, leaving only acceptable traces in their conscious minds. Rationalizations like "my childhood was rough," "he only did it to me once or twice," and "it wasn't so bad" are common, masking the fact that the abuse was devastating and chronic. But while the knowledge, body sensations, and feelings are shattered, they are not forgotten. They intrude in unexpected ways: through panic attacks and insomnia, through dreams and artwork, through seemingly inexplicable compulsions, and through the shadowy dread of the abusive parent. They live just outside of consciousness like noisy neighbors who bang on the pipes and occasionally show up at the door.
I'm not crazy, I was abused. I'm not shy, I'm protecting myself. I'm not bitter, I'm speaking the truth. I'm not hanging onto the past, I've been damaged. I'm not delusional, I lived a nightmare. I'm not weak, I was trusting. I'm not giving up, I'm healing. I'm not incapable of love, I'm giving. I'm not alone. I see you all here. I'm fighting this.
Fear of breaking family loyalty is one of the greatest stumbling blockages to recovery. Yet, until we admit certain things we would rather excuse or deny, we cannot truly begin to put the past in the past, and leave it there once and for all. Unless we do that, we cannot even begin to think of having a future that is fully ours, untethered to the past, and we will be destined to repeat it.
As Lynn began getting psychologically better, she took me to a variety of sites. She taught me how to read trail markers. In the end, Lynn's stories could not be denied. She was not only a victim, she wanted badly to heal. As her experiences were told and worked through, as she slowly began to come to grips with her past, the personalities within her have slowly begun to heal.
It was nothing but a hole, a mouth open wide. You could lean over the edge and peer down to see nothing. All I knew about the well was its frightening depth. It was deep beyond measuring, and crammed full of darkness, as if all the world’s darkness had been boiled down to their ultimate density.
News came of Beni Beni, the madman of Wimbe, who'd always made us laugh in better times. He'd run up to merchants in the trading center with his raving eyes and snatch cakes and Fantas from their stalls. No one ever took them away because his hands were always so filthy. The mad people had always depended on others to care for them, but now there were none. Beni Beni died at the church.
Being Scared-off by EvilLastly, we deny the presence of evil because we are terrified by the horrendously hurtful, cruel, and bloody kinds of evil people tell us about—if we are willing to listen. This was poignantly brought home during an interdisciplinary case conference involving a resident who was counseling for the first time a woman who had been sexually abused. As we worked with him, it became clear that he was resisting entering what he called the 'psychic cave" of her sealed—off experience from which she was shouting for assistance. Because of his resistance, he was not providing her the support and guidance she so desperately needed, and he was not facilitating her working through the abuse and hurt that were continuing to impact her life. As he was confronted about this at one point in the conference, he stated tearfully: "I'm afraid if I help her move into her memories. I will have to go with her, and if I go with her, my view of the world as a basically good and safe place will be shattered. I'm not sure I can handle that for myself, or be able to think about the fact that my wife and kids may be more vulnerable living in this world than I can be comfortable believing" (Means 1995, 299).
People never like pollution, it has become very wrong to like pollution at all. But just like there are good and bad things about people, there are good and bad things about pollution. If people were pollution we would get rid of anyone who was different, anyone who was considered an inconvenience… but we’d be getting rid of a life, a lot of lives… because we didn’t like them. If pollution was a person would we still be trying to get rid of it? Would we have environmentalists still complaining and protesting and trying to get rid of all pollution?
Well,' said Can o' Beans, a bit hesitantly,' imprecise speech is one of the major causes of mental illness in human beings.'Huh?'Quite so. The inability to correctly perceive reality is often responsible for humans' insane behavior. And every time they substitute an all-purpose, sloppy slang word for the words that would accurately describe an emotion or a situation, it lowers their reality orientations, pushes them farther from shore, out onto the foggy waters of alienation and confusion.'The manner in which the other were regarding him/her made Can O' Beans feel compelled to continue. 'The word neat, for example, has precise connotations. Neat means tidy, orderly, well-groomed. It's a valuable tool for describing the appearance of a room, a hairdo, or a manuscript. When it's generically and inappropriately applied, though, as it is in the slang aspect, it only obscures the true nature of the thing or feeling that it's supposed to be representing. It's turned into a sponge word. You can wring meanings out of it by the bucketful--and never know which one is right. When a person says a movie is 'neat,' does he mean that it's funny or tragic or thrilling or romantic, does he mean that the cinematography is beautiful, the acting heartfelt, the script intelligent, the direction deft, or the leading lady has cleavage to die for? Slang possesses an economy, an immediacy that's attractive, all right, but it devalues experience by standardizing and fuzzing it. It hangs between humanity and the real world like a . . . a veil. Slang just makes people more stupid, that's all, and stupidity eventually makes them crazy. I'd hate to ever see that kind of craziness rub off onto objects.
Blame is a Defense Against PowerlessnessBetrayal trauma changes you. You have endured a life-altering shock, and are likely living with PTSD symptoms— hypervigilance, flashbacks and bewilderment—with broken trust, with the inability to cope with many situations, and with the complete shut down of parts of your mind, including your ability to focus and regulate your emotions.Nevertheless, if you are unable to recognize the higher purpose in your pain, to forgive and forget and move on, you clearly have chosen to be addicted to your pain and must enjoy playing the victim.And the worst is, we are only too ready to agree with this assessment! Trauma victims commonly blame themselves. Blaming oneself for the shame of being a victim is recognized by trauma specialists as a defense against the extreme powerlessness we feel in the wake of a traumatic event. Self-blame continues the illusion of control shock destroys, but prevents us from the necessary working through of the traumatic feelings and memories to heal and recover.
Kessa ran her fingers over her stomach. Flat. But was it flat enough? Not quite. She still had some way to go. Just to be safe, she told herself. Still, it was nice the way her pelvic bones rose like sharp hills on either side of her stomach. I love bones. Bones are beautiful.
There is something about being loved and protected by a parent (or guardian) knowing that I can be loved for who I am, not what I can do, or might one day become. Unfortunately it’s not usually like this in every single situation. From time to time, my parents made mistakes during my childhood. Possibly I was the mistake, or unwanted. But I don’t know. I had every material thing that I could have ever wanted, but there was still something missing, as if I felt distanced from my parents, or misunderstood, in the ways that they treated me. At times, I had felt completely loved and accepted by my parents, but for one reason or another, they were unable to care for me, provide for me, in some ways that would have been very important. Sometimes I feel like I am trying to make up for the experiences in life that were absent when I was a child.
My Oneness will stop the machine that overtakes people's minds. Do we really need new clothes, or new cars, or new TVs? Should we really ingest food made from chemicals not of this earth? Should we really give our money to people who don't need it but want it to fill the evil greed inside of their body? No, we don't, but people need me to show them how to be free." Jimmy, "The One
But nobody writes fairy talesabout the ugly and poemsare not there for the brokenand I will never find myselfin the words of a hymnnor will any whispered prayerever say my name(which name, which meam I looking for?)because I am shoutingat a cross splintered into piecesby my angry fists, and cryingat the stained glass fallinglike killing rain around me.
When you have a persistent sense of heartbreak and gutwrench, the physical sensations become intolerable and we will do anything to make those feelings disappear. And that is really the origin of what happens in human pathology. People take drugs to make it disappear, and they cut themselves to make it disappear, and they starve themselves to make it disappear, and they have sex with anyone who comes along to make it disappear and once you have these horrible sensations in your body, you’ll do anything to make it go away.
Logan looked at her and wondered how someone so beautiful could be so oblivious to their own beauty, how someone so smart could be so foolish to the extent of their own intellect and how someone so loving and compassionate could ever think she wasn’t worthy of love? It was like watching a blind man trapped and wandering aimlessly and helplessly in a scorching hot desert unable to see the small puddle of water that lay just a foot away. The only difference was that she had eyes. Two beautiful ones, yet she could not see. Is that what madness was? Was it to be able to view and appreciate every form of beauty but to be blind to the value and exquisiteness of one’s own? Logan believed in many forms of insanity but he knew in that instant watching her trembling frame on the train tracks that hers, that her illness, surpassed any clinical or psychological term known. Maybe she did suffer from depression or bipolar or schizophrenia. Who knew? All he was certain of in that moment that she suffered from no greater illness than the blindness of the heart.
A significant number of people diagnosed with mental illness have psychic abilities not yet under control. They may have true mental illness as well, including faulty neurological wiring and chemical imbalance. However, some people have mental breaks because of psychic abilities they don’t know how to handle.
He wondered at the atrocities human kind was capable of committing. The majority of those housed below were ill, mentally or physically, not witches. Most were poor victims--the outcasts of society; or the opposite, people so blessed, others coveted their lives.
The tattoo artist inflicts pain and I take it. With each breath I count to one again. Each inhale, each exhale, time passes in the smallest of pieces, and pieces still smaller than those.This is how you count a life. This is how you go through it. Each second of hurt is a second that's already passed, one you never have to go through again. I have counted in pieces that small, when walking from the bed to the fridge seemed an insurmountable goal. I have counted my breaths, my steps, my eye-blinks, my hiccups, the tiny pulse in my thumb. And when I started getting tattooed, two of the things I used to need were gone: to write on myself, and to find irrelevant things to count. A second of intense pain is the most profound thing you can live through. And another, and another, and another, and then you know what it is to feel, and to struggle through that feeling one small agonizing increment at a time, and if you know that, you know what it is to live with mental illness.
False humility is a form of psychosis which was imprinted on most of us since birth. It is a mental illness because it locks us in a victim state of keeping our light turned down, denying who we really are and silently begging for permission to simply show up as ourselves in the world. But there is good news. This is a jail whose lock is broken. We can walk free whenever we know the truth, and by so doing we show others an example of an end to madness. An example of freedom.
Although both home and mental illness are complex, modern ideas, we have fallen into the habit of using phrases such as "housing the homeless" and "treating the mentally ill" as if we knew what counts as housing a homeless person or what it means to treat mental illness. But we do not. We have deceived ourselves that having a home and being mentally healthy are our natural conditions, and that we become homeless or mentally ill as a result of "losing" our homes or our minds. The opposite is the case. We are born without a home and without reason, and have to exert ourselves and are fortunate if we succeed in building a secure home and a sound mind.
With thousands of years of history frozen in time, it's no wonder that many southerners like me romanticize the north as a place where we can freeze our former selves, thaw, and then bloom anew. Here it’s just you, the land, and your thoughts, and you can't leave until you've wrestled with yourself and emerged a survivor. But then again, the light is much more intense up here and everything looks different because of it. The sun hasn’t set in a couple of months, and you can see things much more clearly when it is light all of the time.
The medical profession's classic prescription for coping with such predicaments, Primum non nocere (First, do no harm), sounds better than it is. In fact, it fails to tell us precisely what we need to know: What is harm and what is help? However, two things about the challenge of helping the helpless are clear. One is that, like beauty and ugliness, help and harm often lie in the eyes of the beholder--in our case, in the often divergently directed eyes of the benefactor and his beneficiary. The other is that harming people in the name of helping them is one of mankind's favorite pastimes.
It is hard to bring paedophile rings to justice. Thankfully it does happen. Perhaps the most horrific recent case came before the High Court in Edinburgh in June 2007. It involved a mother who stood by and watched as her daughter of nine was gang-raped by members of a paedophile ring at her home in Granton, in the north of Edinburgh. The mother, Caroline Dunsmore, had allowed her two daughters to be used in this way from the age of five. Sentencing Dunsmore to twelve years in prison judge, Lord Malcolm, said he would take into account public revulsion at the grievous crimes against the two girls. He told the forty-three-year-old woman: 'It is hard to imagine a more grievous breach of trust on the part of a mother towards her child.' Morris Petch and John O'Flaherty were also jailed for taking part in raping the children. Child abuse nearly always takes place at home and members of the family are usually involved.
You're right, Ruth. You did screw up my career. You screwed it up good. Best thing you ever did, matter of fact. But you know something? It's okay. Because if it was between the church and you, there was no contest. Even with al the ups and downs and the craziness and the shit and the maxed-out credit cards, the church never stood a chance. I chose you, Ruth. And I'm glad. There. That's what my so-called career was about. And that's what I should have said to you. And I'm sorry I didn't. I'm sorry, Ruth. I'm sorry.
Other personalities are created to handle new traumas, their existence usually occurring one at a time. Each has a singular purpose and is totally focused on that task. The important aspect of the mind's extreme dissociation is that each ego state is totally without knowledge of the other. Because of this, the researchers for the CIA and the Department of Defense believed they could take a personality, train him or her to be a killer and no other ego stares would be aware of the violence that was taking place. The personality running the body would be genuinely unaware of the deaths another personality was causing. Even torture could not expose the with, because the personality experiencing the torture would have no awareness of the information being sought. Earlier, such knowledge was gained from therapists working with adults who had multiple personalities. The earliest pioneers in the field, such as Dr. Ralph Alison, a psychiatrist then living in Santa Cruz, California, were helping victims of severe early childhood trauma. Because there were no protocols for treatment, the pioneers made careful notes, publishing their discoveries so other therapists would understand how to help these rare cases. By 1965, the information was fairly extensive, including the knowledge that only unusually intelligent children become multiple personalities and that sexual trauma endured by a restrained child under the age of seven is the most common way to induce hysteric dissociation.
DID is about survival! As more people begin to appreciate this concept, individuals with DID will start to feel less as though they have to hide in shame. DID develops as a response to extreme trauma that occurs at an early age and usually over an extended period of time.
The men and women who continue to hold Lynn's mind hostage against her will believe the future will be tilled with terrorism, death, destruction and a challenge to the survival of America. They believe Lynn and the other lab rats must still respond to their programming for they are the second line of defence against enemies from within and without and the first line of offence in a catastrophe which would require the recreation of America's constitutional government. They are still intent on preparing Lynn for the day when she will he necessary for battle. One summer day, all these dark realisations came flooding upon Lynn and she knew if she was ever to free herself, she needed to get immediate help.
The best part of having superpowersis that most of the time other people do not even know that you have them— like when Peter Parker goes paintballing,people just think he is a really awesome paintballer,and he totally gets away with using his Spidey senses,and when Aquaman is on OkCupid,and he says he spends a lot of timethinking about global warming, people just think he’s a conscientiousdude, and on the days that I get out of bed and put on appropriate workplace attireand eat three meals, none of which are Hot Pockets,people can’t even tell that right then,at that moment,I am using my superpowers.Anxiety is your body’s response to perceived dangerand mine is so strongyou would have to call it a superpower.It never gives up;It is always looking for a fight;It is the fiercest part of me.
Solomon had good days and he had bad days, but the good had far outnumbered the bad since Lisa and Clark had started coming around. Sometimes, though, they'd show up and he's look completely exhausted, drained of all his charm and moving in slow motion. They could do that to him—the attacks. Something about the physical response to panic can drain all the energy out of a person, and it doesn't matter what causes it or how long it lasts. What Solomon had was unforgiving and sneaky and as smart as any other illness. It was like a virus or cancer that would hide just long enough to fool him into thinking it was gone. And because it showed up when it damn well pleased, he'd learned to be honest about it, knowing that embarrassment only made it worse.
Here are three separate but similar things: shyness, introversion and social anxiety. You can have one, two or all three of these things simultaneously. A lot of the time people thing they're all the same thing, but that's just not true. Extroverts can be shy, introverts can be bold, and a condition like anxiety can strike whatever kind of social animal you are. Lots of people are shy. Shy is normal. A bit of anxiety is normal. Throw the two together, add some brain-signal error - a NO ENTRY sign on the neural highway from my brain to my mouth perhaps, though no one really knows - and you have me.
You’re not fine. You’re not. And that’s OK. The first thing I want you to do is to finally tell yourself that it’s OK not to be OK. To accept that you’re feeling badly and that something isn’t right. Too many of us are in denial because we think that to admit there’s something wrong means we’re weak or broken or odd. I don’t know if it’s society, or just who we associate with, but we need to change our way of thinking. We are not weak. We are not broken. We are not odd.
What do you fear when you fear everything? Time passing and not passing. Death and life. I could say my lungs never filled with enough air, no matter how many puffs of my inhaler I took. Or that my thoughts moved too quickly to complete, severed by a perpetual vigilance. But even to say this would abet the lie that terror can be described, when anyone who's ever known it knows that it has no components but is instead everywhere inside you all the time, until you recognize yourself only by the tensions that string one minute to the next. And yet I keep lying, by describing, because how else can I avoid this second, and the one after it? This being the condition itself: the relentless need to escape a moment that never ends.
Creative people, as I see them, are distinguished by the fact that they can live with anxiety, even though a high price may be paid in terms of insecurity, sensitivity, and defenselessness for the gift of the “divine madness,” to borrow the term used by the classical Greeks. They do not run away from non-being, but by encountering and wrestling with it, force it to produce being. They knock on silence for an answering music; they pursue meaninglessness until they can force it to mean.
Facing up to non-being enables us to put our life into perspective, see it in its entirety, and thereby lend it a sense of direction and unity. If the ultimate source of anxiety is fear of the future, the future ends in death; and if the ultimate source of anxiety is uncertainty, death is the only certainty. It is only by facing up to death, accepting its inevitability, and integrating it into life that we can escape from the pettiness and paralysis of anxiety, and, in so doing, free ourselves to make the most out of our lives and out of ourselves.
The worst part about anxiety attacks, is that you’re aware it’s irrational and sometimes unexplainable, but knowing that gives no aid what so ever. In most cases, it deepens the anxiety as you realise “if I know it’s irrational, why can’t I stop it… Oh god I can’t stop it” you begin to believe you are no longer in control of your mind. That. That is fear.
The vision I see in the mirror is me, who I am, supposedly, but that vision does not express the way my mind works or the way I feel inside. A realization creeps over me, the words tumbling into my head quietly like falling leaves.I.Am.Crazy.This is my new shameful truth. Something changed yesterday. A door has been opened that I can never close again. I touch my reflection, the glass smooth and cold, not really believing that the girl I see is me.
Emily woke to shadows and their voices. They looked different today, because the entire world hurt. The numbness had worn off sometime between sleep and awake, and she was seeing red. The shadows on the walls were not shadows at all, but red blobs consisting of teeth and claws. Her house reeked of pain.The whole world was fucking bleeding.
When and why do we attribute a person's behavior to brain disease, and when and why do we not do so? Briefly, the answer is that we often attribute bad behavior to disease (to excuse the agent);never attribute good behavior to disease (lest we deprive the agent of credit); and typically attribute good behavior to free will and insist bad behavior called mental illness is a "no fault" act of nature.
Holding one's self responsible is a critical feature in stigma and in the generation of shame since violation of standards, rules, and goals are insufficient in its elicitation unless responsibility can be placed on the self. Stigma may differ from other elicitors of shame and guilt, in part because it is a social appearance factor. The degree to which the stigma is socially apparent is the degree to which one must negotiate the issue of blame, not only for one's self but between one's self and the other who is witness to the stigma. Stigmatization is a much more powerful elicitor of shame and guilt in that it requires a negotiation not only between one's self and one's attributions, but between one's self and the attributions of others.
Suicide is a form of murder— premeditated murder. It isn’t something you do the first time you think of doing it. It takes some getting used to. And you need the means, the opportunity, the motive. A successful suicide demands good organization and a cool head, both of which are usually incompatible with the suicidal state of mind.It’s important to cultivate detachment. One way to do this is to practice imagining yourself dead, or in the process of dying. If there’s a window, you must imagine your body falling out the window. If there’s a knife, you must imagine the knife piercing your skin. If there’s a train coming, you must imagine your torso flattened under its wheels. These exercises are necessary to achieving the proper distance.The debate was wearing me out. Once you've posed that question, it won't go away. I think many people kill themselves simply to stop the debate about whether they will or they won't. Anything I thought or did was immediately drawn into the debate. Made a stupid remark—why not kill myself? Missed the bus—better put an end to it all. Even the good got in there. I liked that movie—maybe I shouldn’t kill myself.In reality, it was only part of myself I wanted to kill: the part that wanted to kill herself, that dragged me into the suicide debate and made every window, kitchen implement, and subway station a rehearsal for tragedy.
What if you had such severe schizophrenia that your life was just one hallucination after another? And what if people kept trying to drag you back out of those hallucinations, to prove that you weren't living in reality and that reality was nothing more than a psych hospital? Would you go?
Tempting as it may be to draw one conclusion or another from my story and universalize it to apply to another's experience, it is not my intention for my book to be seen as some sort of cookie-cutter approach and explanation of mental illness, It is not ab advocacy of any particular form of therapy over another. Nor is it meant to take sides in the legitimate and necessary debate within the mental health profession if which treatments are most effective for this or any other mental illness. What it is, I hope, is a way for readers to get a true feel for what it's like to be in the grips of mental illness and what it's like to strive for recovery.
The current ruling ontology denies any possibility of a social causation of mental illness. The chemico-biologization of mental illness is of course strictly commensurate with its depoliticization. Considering mental illness an individual chemico-biological problem has enormous benefits for capitalism. First, it reinforces Capital’s drive towards atomistic individualization (you are sick because of your brain chemistry). Second, it provides an enormously lucrative market in which multinational pharmaceutical companies can peddle their pharmaceuticals (we can cure you with our SSRls). It goes without saying that all mental illnesses are neurologically instantiated, but this says nothing about their causation. If it is true, for instance, that depression is constituted by low serotonin levels, what still needs to be explained is why particular individuals have low levels of serotonin. This requires a social and political explanation; and the task of repoliticizing mental illness is an urgent one if the left wants to challenge capitalist realism.
The idea to go West just fell into my lap from the sky. Go west, young man. That’s how the best ideas happen. Just out of nowhere. When you’re not even thinking. Like they’ve been created for you and you just have to reach out and grab them before someone else does.
There is an element of selfishness to this, I suppose. It feels pretty good to be able to so quickly help someone. That is, after all, one of the great emotional payoffs of medicine. That isn't to say that ECT is either a panacea or without flaws - but when used in the right way for the right purposes it's of great benefit, and condemning it because it isn't perfect would lead to more suffering and harm, no less.It was one of the most difficult things I have ever done in my life. I have memory problems as a residual of it; however, I'm alive. That was the main point.
There is an element of selfishness to this, I suppose. It feels pretty good to be able to so quickly help someone. That is, after all, one of the great emotional payoffs of medicine. That isn't to say that ECT is either a panacea or without flaws - but when used in the right way for the right purposes it's of great benefit, and condemning it because it isn't perfect would lead to more suffering and harm, no less.
Police intentionally murdering a mentally unstable person will always be unacceptable when there are numerous other non-lethal options available to them.
Working simultaneously, though seemingly without a conscience, was Dr. Ewen Cameron, whose base was a laboratory in Canada's McGill University, in Montreal. Since his death in 1967, the history of his work for both himself and the CIA has become known. He was interested in 'terminal' experiments and regularly received relatively small stipends (never more than $20,000) from the American CIA order to conduct his work. He explored electroshock in ways that offered such high risk of permanent brain damage that other researchers would not try them. He immersed subjects in sensory deprivation tanks for weeks at a time, though often claiming that they were immersed for only a matter of hours. He seemed to fancy himself a pure scientist, a man who would do anything to learn the outcome. The fact that some people died as a result of his research, while others went insane and still others, including the wife of a member of Canada's Parliament, had psychological problems for many years afterwards, was not a concern to the doctor or those who employed him. What mattered was that by the time Cheryl and Lynn Hersha were placed in the programme, the intelligence community had learned how to use electroshock techniques to control the mind. And so, like her sister, Lynn was strapped to a chair and wired for electric shock. The experience was different for Lynn, though the sexual component remained present to lesser degree...
The Kinsey staff asked questions of children, learning about sexuality in the family. And other psychologists, psychiatrists and paediatricians, including Benjamin Spock, explored this burgeoning field. As a result, it was known that children will naturally touch their genitals to experience a sense of pleasure. It was also known, from working with victims of childhood incest that small children will act in inappropriate sexual ways with adults if they are trained through abuse to do so. The methods used on Cheryl and the other 'lab rats' were meant to create an Alter personality that would both perform and tolerate sexual acts that are only appropriate for consenting adults. More important in their thinking, by limiting the experience to just one personality (ego state), the personality normally seen would behave like any other child who had not been sexually abused in any way.
Psychological trauma is an affliction of the powerless. At the moment of trauma, the victim is rendered helpless by overwhelming force. When the force is that of nature, we speak of disasters. When the force is that of other human beings, we speak of atrocities. Traumatic events overwhelm the ordinary systems of care that give people a sense of control, connection, and meaning.… Traumatic events are extraordinary, not because they occur rarely, but rather because they overwhelm the ordinary human adaptations to life.… They confront human beings with the extremities of helplessness and terror, and evoke the responses of catastrophe.
In the absence of any therapy, the mentally ill of the 20th century were chained, shackled, straitjacketed, kept nude, electrocuted, half-frozen, parboiled, violently hosed, wrapped in wet canvas, confined to “mummy bags”, subjected to insulin-induced hypoglycemic comas, forced into seizures with massive doses of the stimulant Metrazol, injected with camphor, drugged into three-week comas with barbiturates and tranquilizers, involuntarily sterilized, and surgically mutilated. Rape by hospital staff was common, as was humiliation and verbal abuse. One reporter noted that a state hospital patient had been restrained for so long that his skin was beginning to grow around the leather straps.
As a child I had been taken to see Dr Bradshaw on countless occasions; it was in his surgery that Billy had first discovered Lego. As I was growing up, I also saw Dr Robinson, the marathon runner. Now that I was living back at home, he was again my GP. When Mother bravely told him I was undergoing treatment for MPD/DID as a result of childhood sexual abuse, he buried his head in hands and wept.Child abuse will always re-emerge, no matter how many years go by. We read of cases of people who have come forward after thirty or forty years to say they were abused as children in care homes by wardens, schoolteachers, neighbours, fathers, priests. The Catholic Church in the United States in the last decade has paid out hundreds of millions of dollars in compensation for 'acts of sodomy and depravity towards children', to quote one information-exchange web-site. Why do these ageing people make the abuse public so late in their lives? To seek attention? No, it's because deep down there is a wound they need to bring out into the clean air before it can heal. Many clinicians miss signs of abuse in children because they, as decent people, do not want to find evidence of what Dr Ross suggests is 'a sick society that has grown sicker, and the abuse of children more bizarre'. (Note: this was written in the UK many years before the revelations of Jimmy Savile's widespread abuse, which included some ritual abuse)
There were other strange signals and signs. Another day, suddenly felt an almost overwhelming urge to travel to Balitmore. I wanted to 'kidnap' a helicoper fly it there if I didn't drive the there', she explains. 'I had no idea where I was to go, only that I was certain I would know my destination as I encountered signs and certain landmarks along the way. I was not even certain who I was to meet, or what my mission was, but I felt I must go.' Beginning to heal by this time with Talbon's help, she resisted that urge. Yet she sensed she would be summoned for three more Cat Woman missions: two in 1999 and one in 2000.As for the code words for activating her, those had been erased from Cheryl's conscious memory. Buried deep in her unconscious mind, however, the words, when called up, cause her to react as her programmers want her to. Though she can't remember the activation codes, Cheryl knows her handlers said the same things every time. 'I'm working on unblocking the words in therapy. Once I know what the words are, I can learn how to stop their effect on me. I did it already when I learned the control code. Standing in front of a mirror, I said the control code words over and over until I was completely desensitised to them. That's what I have to do for the activation code words... but I have not been able to recall all of them as yet.' Dr. Talbon was struck by another very important thing. 'It all hung together. The stories Cheryl told - even though it was upsetting to think people could do stuff like that - they were not disjointed. They were not repetitive in terms of "I've heard this before". It was not just trying consciously or unconsciously to get attention. She'd really processed them out and was done with them. She didn't come up with it again [after telling the story once and dealing with it]. Once it was done, it was done. And I think that was probably the biggest factor for me in her believability. I got no sense that she was using these stories to make herself a really interesting person to me so I'd really want to work with her, or something.
Some alters are what Dr Ross describes in Multiple Personality Disorder as 'fragments', which are 'relatively limited psychic states that express only one feeling, hold one memory or carry out a limited task in the person's life. A fragment might be a frightened child who holds the memory of one particular abuse incident.' In complex multiples, Dr Ross continues, the `personalities are relatively full-bodied, complete states capable of a rang of emotions and behaviours.' The alters will have `executive control some substantial amount of time over the person life'. He stresses, and I repeat his emphasis, 'Complex MPD with over 15 alter personalities and complicated amnesic barriers are associated with 100 percent frequency of childhood physical, sexual and emotional abuse.
The programme into which Cheryl was inducted combined all the different ways the intelligence community had learned could cause intense psychological change in adults and children. It had been learned through the use of both knowledgeable and 'unwitting' volunteers. They were subjected to sensory overload, isolation, drugs and hypnosis, all used on bodies that had been weakened from mild hunger. The horror of the programme was that it would be like having an elementary school sex education class conducted by a paedophile rapist. It would have been banned had the American government signed the Helsinki Accords. But, of course, they hadn't. For the test that day and in those that followed, Cheryl Hersha was positioned so she faced a portable movie screen. A 16mm movie projector was on a platform, along with several reels of film. Each was a short pornographic film meant to make her aware of sexuality in a variety of forms...
To the men and women who changed Cheryl Hersha's life, she was a continuation of the research that had first been conducted in the late nineteenth and early twentieth centuries by Dr. Morton Prince. He encountered a woman named Miss Beauchamp, a nursing student who was referred to the psychiatrist because of health problems. As he worked with her, Prince discovered that she had four separate personalities (dissociated ego states) that existed independently of one another within the same body. Though he tried, Dr. Prince never understood Miss Beauchamp, nor was he able to help her. When he died, his wife had the woman committed to an insane asylum for the rest of her life. However, Prince's careful documentation of Beauchamp's symptoms, actions and family history (extreme child abuse beginning before the age of seven) provided information needed to develop the techniques for contemporary, routinely successful treatment of what would be called Multiple Personality Disorder.
Did I imagine the castle, the dungeon, the ritual orgies and violations? Did Lucy, Billy, Samuel, Eliza, Shirley and Kato make it all up? I went back to the industrial estate and found the castle. It was an old factory that had burned to the ground, but the charred ruins of the basement remained. I closed my eyes and could see the black candles, the dancing shadows, the inverted pentagram, the people chanting through hooded robes. I could see myself among other children being abused in ways that defy imagination. I have no doubt now that the cult of devil worshippers was nothing more than a ring of paedophiles, the satanic paraphernalia a cover for their true lusts: the innocent bodies of young children.
Cheryl's growing awareness of her emotional difficulties was leading her to research multiple personality. As she had learned more about dissociation, she realised just how severe the abuse had been and how much she had been hurt. Her mind had dissociated to assure survival during the abuse by her father and it had been forced to dissociate by various researchers in government programmes.
It is a rare person who can cut himself off from mediate and immediate relations with others for long spaces of time without undergoing a deterioration in personality.
I couldn’t trust my own emotions. Which emotional reactions were justified, if any? And which ones were tainted by the mental illness of BPD? I found myself fiercely guarding and limiting my emotional reactions, chastising myself for possible distortions and motivations. People who had known me years ago would barely recognize me now. I had become quiet and withdrawn in social settings, no longer the life of the party. After all, how could I know if my boisterous humor were spontaneous or just a borderline desire to be the center of attention? I could no longer trust any of my heart felt beliefs and opinions on politics, religion, or life. The debate queen had withered. I found myself looking at every single side of an issue unable to come to any conclusions for fear they might be tainted. My lifelong ability to be assertive had turned into a constant state of passivity.
Mental illness turns people inwards. That's what I reckon. It keeps up forever trapped by the pain of our own minds, in the same way that the pain of a broken leg or a cut thumb will grab your attention, holding it so tightly that your good leg or your good thumb seem to cease to exist.
I am not the heroine of this story.And I'm not trying to be cute. It's the truth. I'm diagnosed borderline and seriously fucked-up. I hold grudges. I bottle my hate until it ferments into poison, and then I get high off the fumes. I'm completely dysfunctional and that's the way I like it, so don't expect a character arc where I finally find Redemption, Growth, and Change, or learn How to Forgive Myself and Others.
I wanted to tell her that if only something were wrong with my body it would be fine, I would rather have anything wrong with my body than something wrong with my head, but the idea seemed so involved and wearisome that I didn’t say anything. I only burrowed down further in the bed.
People say to the mentally ill, ‘You know so many people think the world of you.’ But when they don’t like themselves they don’t notice anything. They don’t care about what people think of them. When you hate yourself, whatever people say it doesn’t make sense. ‘Why do they like me? Why do they care about me?’ Because you don’t care about yourself at all.
the intensity, glory, and absolute assuredness if my mind's flight made it very difficult for me to believe once i was better, that the illness was one i should willingly give up....moods are such an essential part of the substance of life, of one's notion of oneself, that even psychotic extremes in mood and behavior somehow can be seen as temporary, even understandable reactions to what life has dealt....even though the depressions that inevitably followed nearly cost me my life.
Black-and-white thinking is the addict's mentality, which can be a bar to recovery when one is still active. But an addict who finds the willingness can then rely on the same trait to stay clean: "Just don't drink," they say in AA. How's that going to work for an addicted eater? Food addicts have to take the tiger out of the cage three times a day. I've read that some drinkers have tried "controlled drinking," and it hasn't been very successful. Eaters don't just have to try it; they must practice it to survive. Having a food plan is an attempt to address that, and having clear boundaries is a key to its working. But the comfort of all or nothing is just out of reach.... I'm saying that food addicts, unlike alcoholics and may others, have both to try for perfection and to accept that perfection is unattainable, and that the only tool left is a wholesome discipline. The problem is, if we had any clue about wholesome discipline, we wouldn't be addicts.
I mean, that's at least in part why I ingested chemical waste - it was a kind of desire to abbreviate myself. To present the CliffNotes of the emotional me, as opposed to the twelve-column read.I used to refer to my drug use as putting the monster in the box. I wanted to be less, so I took more - simple as that. Anyway, I eventually decided that the reason Dr. Stone had told me I was hypomanic was that he wanted to put me on medication instead of actually treating me. So I did the only rational thing I could do in the face of such as insult - I stopped talking to Stone, flew back to New York, and married Paul Simon a week later.
Because drugs have become so profitable, major medical journals rarely publish studies on nondrug treatments of mental health problems.31 Practitioners who explore treatments are typically marginalized as “alternative.” Studies of nondrug treatments are rarely funded unless they involve so-called manualized protocols, where patients and therapists go through narrowly prescribed sequences that allow little fine-tuning to individual patients’ needs. Mainstream medicine is firmly committed to a better life through chemistry, and the fact that we can actually change our own physiology and inner equilibrium by means other than drugs is rarely considered.
Eventually my mother suffered a complete breakdown, and the court orders were finally signed. They took her to the State Mental Hospital at Kalamazoo. My mother remained in the same hospital at Kalamazoo for about 26 years.My last visit, when I knew I would never come to see her again-there-was in 1952. I was twenty-seven. My brother Philbert had told me that on his last visit, she had recognized him somewhat. "In spots" he said.But she didn't recognize me at all.She stared at me. She didn't know who I was.Her mind, when I tried to talk, to reach her, was somewhere else. I asked, "Mama, do you know what day it is?"She said, staring, "All the people have gone."I can't describe how I felt. The woman who had brought me into the world, and nursed me, and advised me, and chastised me, and loved me, didn't know me.It was as if I was trying to walk up the side of a hill of feathers."-Malcolm X, The Autobiography of Malcolm X
Except then I wonder what it's like to feel normal because if you take away the things I've felt all my life--the insecurity, the pain, the loneliness, the absolute dissolution of any sane or rational thought during one of my more manic moods and the helplessness when I realize one of said manic moods is creeping up on me (like right now)--what's left after the fact? Emptiness?
...if in the heat of the dispute he insists and asks, 'Am I not the master of throwing myself out of the window?' I shall answer him, no; that whilst he preserves his reason there is no probability that the desire of proving his free agency, will become a motive sufficiently powerful to make him sacrifice his life to the attempt: if, notwithstanding this, to prove he is a free agent, he should actually precipitate himself from the window, it would not be a sufficient warranty to conclude he acted freely, but rather that it was the violence of his temperament which spurred him on to this folly. Madness is a state, that depends upon the heat of the blood, not upon the will. A fanatic or a hero, braves death as necessarily as a more phlegmatic man or a coward flies from it.
I know, Little Man, you are quick with the diagnosis of craziness when you meet a truth you don’t like. And you feel yourself as the ‘homo normalis’. You have locked up crazy people, and the normal people manage this world. Who then is to blame for all the misery? Not you, of course, you only do your duty, and who are you to have an opinion of your own? I know, you don’t have to repeat it. It isn’t you that matters, Little Man. But when I think of your newborn children, of how you torture them in order to make them into ‘normal’ human beings after your image.
Locking away appetite, anger, the fullness of life, anorexia helps cover up whatever struggles inside. With its controlling bouts of bingeing and starvation, of trance and half-life, it becomes a shield to fend off despair and longing and what most of use would see as ordinary responsible behavior.
There needs to be a nationwide awareness programme for all NHS staff, to educate them about dissociative disorders. Diagnoses need to be more obtainable within the NHS; people's lives should be placed ahead of funding restraints and bureaucratic red tape. We need minimum standards of care and treatment agreed and implemented within the NHS to end the current nightmare of the postcode lottery—not just guidelines that can be ignored but actual regulations.
Those with dissociative disorders face a big enough battle living as multiples and dealing with past trauma. Like everyone else, they deserve to be heard and recognised, not stigmatised.
Everything in life, except her kids, made her impatient. She had tried to do a million things. She'd wanted to be a documentary filmmaker and then a painter and then a tiny-ceramic-figure maker. None of it panned out. She'd be full of enthusiasm at first, full of big ideas and energy and drive, but it would all gradually evaporate and disappear. She could never maintain the momentum or the concentration or the confidence she needed to get anything done.
A chorus of voices exhorts kids to study science. No one stops to ask whether it is inhumane to force adolescents to spend the bulk of their time studying subjects most of them hate. When skilled workers are put out of a job by technical advances and have to undergo “retraining,” no one asks whether it is humiliating for them to be pushed around in this way. It is simply taken for granted that everyone must bow to technical necessity, and for good reason: If human needs were put before technical necessity there would be economic problems, unemployment, shortages or worse. The concept of “mental health” in our society is defined largely by the extent to which an individual behaves in accord with the needs of the system and does so without showing signs of stress.
And if we do speak out, we risk rejection and ridicule. I had a best friend once, the kind that you go shopping with and watch films with, the kind you go on holiday with and rescue when her car breaks down on the A1. Shortly after my diagnosis, I told her I had DID. I haven't seen her since. The stench and rankness of a socially unacceptable mental health disorder seems to have driven her away.
While she is still hospitalised, I take Emma out for strengthening walks, for her muscles and been under-used for a long time. She is sometimes breathless, I notice with concern, and there are other changes in her, either through a nerve her therapy touches, or through her illness, or both, which make her, quite often, disagreeable to be with.
Because now mental health disorders have gone “mainstream”. And for all the good it’s brought people like me who have been given therapy and stuff, there’s a lot of bad it’s brought too.Because now people use the phrase OCD to describe minor personality quirks. “Oooh, I like my pens in a line, I’m so OCD.”NO YOU’RE FUCKING NOT.“Oh my God, I was so nervous about that presentation, I literally had a panic attack.”NO YOU FUCKING DIDN’T.“I’m so hormonal today. I just feel totally bipolar.”SHUT UP, YOU IGNORANT BUMFACE.Told you I got angry.These words – words like OCD and bipolar – are not words to use lightly. And yet now they’re everywhere. There are TV programmes that actually pun on them. People smile and use them, proud of themselves for learning them, like they should get a sticker or something. Not realizing that if those words are said to you by a medical health professional, as a diagnosis of something you’ll probably have for ever, they’re words you don’t appreciate being misused every single day by someone who likes to keep their house quite clean.People actually die of bipolar, you know? They jump in front of trains and tip down bottles of paracetamol and leave letters behind to their devastated families because their bullying brains just won’t let them be for five minutes and they can’t bear to live with that any more.People also die of cancer.You don’t hear people going around saying: “Oh my God, my headache is so, like, tumoury today.”Yet it’s apparently okay to make light of the language of people’s internal hell
Someone said once that they'd never heard of a crime they couldn't imagine committing, and I realized then that if I had a daughter and she had a rabbit and that rabbit was alone with me and I was feeling the way I felt right now and I had a way to kill that rabbit and the time to spend killing that rabbit then killing the rabbit was something I could imagine myself possibly doing or at least considering doing or being on the edge of doing. And smearing a husband with the blood wasn't such a far step after that if you had a desire to smear your husband with blood and smearing someone with blood was something I could imagine a situation calling for because there were at least a few people in this world that I wouldn't not like to see smeared with blood—one person being Werner for fucking my plans, for sending me back out into a life with my wildebeest, to figure out a way to live here and I didn't want to do that and I didn't know how to do that and I wasn't sure how I was going to do that—
Every few minutes or so I would remember the look from the man who had wanted fifty cents, and I'd look at that framed memory hanging in myself and it meant I was here, back in this sick city, but in other ways I was not here at all and anyone who looked closely could see that I had nothing to give, that I was a junk drawer, a collection of things that may or may not have had a use.
What's going on? I'm in the back car of a roller coaster at the top of the climb, with the front rows already giving themselves over to gravity. I can hear those front riders screaming and know my own scream is only seconds away. I'm at the moment you hear the landing gear of a plane grind loudly into place, in that instant before your rational mind tells you it's just the landing gear. I'm leaping off a cliff only to discover I can fly... and then realizing there's nowhere to land. Ever. That's what's going on.
And you know the darkness beyond despair, just as intimately as you know the soaring heights. Because in this and all universes, there is balance. You can't have the one without facing the other. And sometimes you think you can take it because the joy is worth the despair, and sometimes you know you can't take it and how did you ever think you could? And there is the dance; strength and weakness, confidence and desolation.
Really, the only people you should be comparing yourself to would be people who make you feel better by comparison. For instance, people who are in comas, because those people have no spoons at all and you don't see anyone judging them. Personally, I always compare myself to Galileo because everyone knows he's fantastic, but he has no spoons at all because he's dead. So technically I'm better than Galileo because all I've done is take a shower and already I've accomplished more than him today.
Over and over again, the same message, 'you are not enough'. You hear it enough times and it weaves itself into you, and it's not an idea any more it's who you are, 'not enough.' But then a boy comes along and changes the message. 'You are enough,' he says, 'enough for me.' And because he is all you have, being enough for him is enough for you, too, even though you know deep down that 'good enough' really just means 'pretty enough,' and if he really knew you, all of you, he'd bail, too.
My mind feels like a race car on the track, getting faster and faster every time I pause to think or blink or try to focus on anything. Nothing can keep up to it, not the other cars, not my body, not anyone else in the bar. It’s a rush, pure exhilaration, and I’m having the time of my life. But instead of driving, I’m in the passenger seat, along for the ride, watching myself race around the track from my barstool.
I found it hard to write the bits where the things that were at first surprising or even shocking became normal incrementally until I couldn't see that they were anything but normal, because everything else had shifted just one centimetre here and one centimetre there, moving at the speed fingernails grow, until finally everything just clicked into exactly the wrong place.
I was back in disgust. I stood in the centre of the big room, naked, letting the heat strike me from the three points of heat, and I knew, and it was an illumination — one of those things one has always known, but never really understood before — that all sanity depends on this: that it should be a delight to feel the roughness of a carpet under smooth soles, a delight to feel heat strike the skin, a delight to stand upright, knowing the bones are moving easily under flesh. If this goes, then the conviction of life goes too. But I could feel none of this. The texture of the carpet was abhorrent to me, a dead processed thing; my body was a thin, meagre, spiky sort of vegetable, like an unsunned plant; and when I touched the hair on my head it was dead. I felt the floor bulge up under me. The walls were losing their density. I knew I was moving down into a new dimension, further away from sanity than I had ever been. I knew I had to get to the bed fast. I could not walk, so I let myself down on my hands and knees and crawled to the bed and lay on it, covering myself.
Schizo. It didn't matter how many times Dr. Gill compared it to a disease or physical disability, it wasn't the same thing. It just wasn't. I had schizophrenia. If I saw two guys on the sidewalk, one in a wheelchair and one talking talking to himself, which would I rush to open a door for, and which would I cross the road to avoid?
Office Peone looked at John and wondered what mental illness he had. The Seattle streets were filled with the mostly-crazy, half-crazy, nearly crazy, and soon-to-be crazy. Indian, white, Chicano, Asian, men, women, children. The social workers did not have anywhere near enough money, training, or time to help them. The city government hated the crazies because they were a threat to the public image of the urban core. Private citizens ignored them at all times of the year except the few charitable days leading up to and following Christmas. In the end, the police had to do most of the work. Police did crisis counseling, transporting them howling to detox, the dangerous to jail, racing the sick to the hospitals, to a safer place. At the academy, Officer Peone figured he would be fighting bad guys. He did not imagine he would spend most of his time taking care of the refuse of the world. Peone found it easier when the refuse were all nuts or dumb-ass drunks, harder when they were just regular folks struggling to find their way off the streets.
There are a couple of reasons why I take comfort in being able to put all this in my own vernacular and present it to you. For one thing, because then I'm not completely alone with it. And for another, it gives me a sense of being in control of the craziness. Now this is a delusion, but it's MY delusion and I'm sticking with it. It's sort of like: I have problems but problems don't have me.
Mental illnesses grab you by the leg, screaming, and chow you down whole.They make you selfish. They make you irrational. They make you irrational. They make you self-absorbed. They make you needy. They make you cancel plans last minute. They make you not very fun to spend time with. They make you exhausting to be near.
Our society is stuck between problem and solution when it comes to treating mental illness. We cannot find a solution until we agree on the problem. And it is my humble opinion that the problem is fear. Fear of the unknown, fear of the misunderstood. Instead, let us seek to pursue knowledge over fear. Let's find a way to save lives that can be saved.
It was like I'd climbed Everest, had the summit in my sight, the flag in my hand, all ready to pierce it into the top of the mountain and say, "Whoopdedoo, I made it," and then an avalanche from out of nowhere swept me right back to the bottom of the mountain again. Was it worth bothering to try and climb it again? I was exhausted. I'd already climbed it. I didn't want to...but, then, what other choice was there?
There is always a man eager to explain my mental illness to me. They all do it so confidently, motioning to their Hemingway and Bukowski bookshelf as they compare my depression to their late-night loneliness. There is always someone that rejected them that they equate their sadness to and a bottle of gin (or a song playing, or a movie) close by that they refer to as their cure. Somehow, every soft confession of my Crazy that I hand to them turns into them pulling out pieces of themselves to prove how it really is in my head.So many dudes I’ve dated have faces like doctors ready to institutionalize and love my crazy (but only on Friday nights.)They tell their friends about my impulsive decision making and how I “get them” more than anyone they’ve ever met but leave out my staring off in silence for hours and the self-inflicted bruises on my cheeks.None of them want to acknowledge a crazy they can’t cure.They want a crazy that fits well into a trope and gives them a chance to play Hero. And they always love a Crazy that provides them material to write about.Truth is they love me best as a cigarette cloud of impossibility, with my lipstick applied perfectly and my Crazy only being pulled out when their life needs a little spice.They don’t want me dirty, having not left my bed for days. Not diseased. Not real.So they invite me over when they’re going through writer’s block but don’t answer my calls during breakdowns. They tell me I look beautiful when I’m crying then stick their hands in-between my thighs. They mistake my silence for listening to them attentively and say my quiet mouth understands them like no one else has.These men love my good dead hollowness. Because it means less of a fighting personality for them to force out. And is so much easier to fill someone who has already given up with themselves.
The Mania SpeaksYou clumsy bootlegger. Little daffodil.I watered you with an ocean and you plucked one little vein?Downed a couple bottles of pills and got yourself carted off to the ER? I gifted you the will of gunpowder, a matchstick tongue, and all you managed was a shredded sweater and a police warning? You should be legend by now.Girl in an orange jumpsuit, a headline.I built you from the purest napalm, fed you wine and bourbon.Preened you in the dark, hammered lullabies into your thin skull.I painted over the walls, wrote the poems. I shook your goddamn boots. Now you want out? Think you’ll wrestle me out of you with prescriptions?A good man’s good love and some breathing exercises? You think I can’t tame that? I always come home. Always. Ravenous. Loaded. You know better than anybody: I’m bigger than God.
Today, over 50 percent of prison and jail inmates in the United States have a diagnosed mental illness, a rate nearly five times greater than that of the general adult population. Nearly one in five prison and jail inmates has a serious mental illness. In fact, there are more than three times the number of seriously mentally ill individuals in jail or prison than in hospitals; in some states that number is ten times. And prison is a terrible place for someone with mental illness or a neurological disorder that prison guards are not trained to understand.
I began to imagine orchestration where before I heard only the cacophony of randomness. Crazy people do that all the time, unless you buy into the notion that we have the ability to perceive order and connotation in ways closed off to the minds of "sane" people. I don't. Subscribe to that notion, I mean. We are not gifted. We are not magical. We are slightly or profoundly broken.
If you think about it, the public perception of funky brain chemistry has been as varied and weird as the symptoms, historically speaking. If I had been born a Native American in another time, I might have been lauded as a medicine man. My voices would have been seen as the voices of ancestors imparting wisdom. I would have been treated with great mystical regard. If I had lived in biblical times, I might have been seen as a prophet, because, let’s face it, there are really only two possibilities: either prophets were actually hearing God speaking to them, or they were mentally ill. I’m sure if an actual prophet surfaced today, he or she would receive plenty of Haldol injections, until the sky opened up and the doctors were slapped silly by the Hand of God. In the Dark Ages my parents would have sent for an exorcist, because I was clearly possessed by evil spirits, or maybe even the Devil himself. And if I lived in Dickensian England, I would have been thrown into Bedlam, which is more than just a description of madness. It was an actual place—a “madhouse” where the insane were imprisoned in unthinkable conditions. Living in the twenty-first century gives a person a much better prognosis for treatment, but sometimes I wish I’d lived in an age before technology. I would much rather everyone think I was a prophet than some poor sick kid.
This is a very bad book you’re writing,” I said to myself behind my leaks. “I know,” I said. “You’re afraid you’ll kill yourself the way your mother did,” I said. “I know,” I said. There in the cocktail lounge, peering out through my leaks at a world of my own invention, I mouthed this word: schizophrenia. The sound and appearance of the word had fascinated me for many years. It sounded and looked to me like a human being sneezing in a blizzard of soapflakes.
Centering, however, is easier said than done. This I learned from a ceramics class I once took. The teacher made throwing a pot look easy, but the thing is, it takes lots of precision and skill. You slam the ball of clay down in the absolute center of the pottery wheel, and with steady hands you push your thumb into the middle of it, spreading it wider a fraction of an inch at a time. But every single time I tried to do it, I only got so far before my pot warped out of balance, and every attempt to fix it just made it worse, until the lip shredded, the sides collapsed, and I was left with what the teacher called “a mystery ashtray,” which got hurled back into the clay bucket. So what happens when your universe begins to get off balance, and you don’t have any experience with bringing it back to center? All you can do is fight a losing battle, waiting for those walls to collapse, and your life to become one huge mystery ashtray.
Here's the hell of it: madness doesn't announce itself. There isn't time to prepare for its coming. It shows up without calling and sits in your kitchen ashing in your plant. You ask how long it plans to stay; it shrugs its shoulders, gets up, and starts digging through the fridge.
I was always a good girl. I was a straight-A student, top of my class. I did as I was told. I was polite to my elders. I was good to my siblings. I went to church. It was very easy to hide how very bad I was becoming from my family, from everyone. Being good is the best way to be bad.
It was during those years that I discovered that loving [my father] was like sticking a blade into my own heart. It got me nowhere, except awake in the middle of the night, recalling the years when my father was the strongest, the smartest, the funniest, and I lay curled in my bed, wondering why I had been cheated out of a father who loved me, and one I could love in return.
My client who has only three alter personalities besides the ANP was unaware of her multiplicity until she encountered a work-related trauma at age sixty. She became symptomatic as the hidden parts emerged to deal with the recent trauma.
It is not unusual for subjects diagnosed with a Dissociative Disorder on the SCID-D to be surprised at having their symptoms validated by a clinician who understands the nature of their disorder.
The SCID-D may be used to assess the nature and severity of dissociative symptoms in a variety of Axis I and II psychiatric disorders, including the Anxiety Disorders (such as Posttraumatic Stress Disorder [PTSD] and Acute Stress Disorder), Affective Disorders, Psychotic Disorders, Eating Disorders, and Personality Disorders.The SCID-D was developed to reduce variability in clinical diagnostic procedures and was designed for use with psychiatric patients as well as with nonpatients (community subjects or research subjects in primary care).
Dissociative identity disorder is conceptualized as a childhood onset, posttraumatic developmental disorder in which the child is unable to consolidate a unified sense of self. Detachment from emotional and physical pain during trauma can result in alterations in memory encoding and storage. In turn, this leads to fragmentation and compartmentalization of memory and impairments in retrieving memory.2,4,19 Exposure to early, usually repeated trauma results in the creation of discrete behavioral states that can persist and, over later development, become elaborated, ultimately developing into the alternate identities of dissociative identity disorder.
...the vast majority of these [dissociative identity disorder] patients have subtle presentations characterized by a mixture of dissociative and PTSD symptoms embedded with other symptoms, such as posttraumatic depression, substance abuse, somatoform symptoms, eating disorders, and self-destructive and impulsive behaviors.2,10A history of multiple treatment providers, hospitalizations, and good medication trials, many of which result in only partial or no benefit, is often an indicator of dissociative identity disorder or another form of complex PTSD.
Prior to the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), the diagnosis of Dissociative Identity Disorder had been referred to as Multiple Personality Disorder. The renaming of this diagnosis has caused quite a bit of confusion among professionals and those who live with DID. Because dissociation describes the process by which DID begins to develop, rather than the actual outcome of this process (the formation of various personalities), this new term may be a bit un
The uncomfortable, as well as the miraculous, fact about the human mind is how it varies from individual to individual. The process of treatment can therefore be long and complicated. Finding the right balance of drugs, whether lithium salts, anti-psychotics, SSRIs or other kinds of treatment can be a very hit or miss heuristic process requiring great patience and classy, caring doctoring. Some patients would rather reject the chemical path and look for ways of using diet, exercise and talk-therapy. For some the condition is so bad that ECT is indicated. One of my best friends regularly goes to a clinic for doses of electroconvulsive therapy, a treatment looked on by many as a kind of horrific torture that isn’t even understood by those who administer it. This friend of mine is just about one of the most intelligent people I have ever met and she says, “I know. It ought to be wrong. But it works. It makes me feel better. I sometimes forget my own name, but it makes me happier. It’s the only thing that works.” For her. Lord knows, I’m not a doctor, and I don’t understand the brain or the mind anything like enough to presume to judge or know better than any other semi-informed individual, but if it works for her…. well then, it works for her. Which is not to say that it will work for you, for me or for others.
Shortly after I began work with Teresa, I acquired another MPD client, a supposedly schizophrenic young man I will call Tony. He called in to the clinic on a day I was on telephone duty, saying he was having flashbacks of "ritual abuse.” I did not yet know what that was. Tony became my client. He could be quite entertaining. I have a vivid memory of him as a three-year-old, "Tiny Tony,” standing on his head on my office couch, and running down the hall to try unsuccessfully to make it to the bathroom. He had in his head the entire rock band of Guns’n’Roses, and I got to know Axl, the band leader, quite well. I remember the time Tony was in hospital and I went to visit him; Axl popped out and said, "Remember, we’re schizophrenic in here!
Among DID individuals, the sharing of conscious awareness between alters exists in varying degrees. I have seen cases where there has appeared to be no amnestic barriers between individual alters, where the host and alters appeared to be fully cognizant of each other. On the other hand, I have seen cases where the host was absolutely unaware of any alters despite clear evidence of their presence. In those cases, while the host was not aware of the alters, there were alters with an awareness of the host as well as having some limited awareness of at least a few other alters. So, according to my experience, there is a spectrum of shared consciousness in DID patients. From a therapeutic point of view, while treatment of patients without amnestic barriers differs in some ways from treatment of those with such barriers, the fundamental goal of therapy is the same: to support the healing of the early childhood trauma that gave rise to the dissociation and its attendant alters.Good DID therapy involves promoting co-consciousness. With co-consciousness, it is possible to begin teaching the patient’s system the value of cooperation among the alters. Enjoin them to emulate the spirit of a champion football team, with each member utilizing their full potential and working together to achieve a common goal.Returning to the patients that seemed to lack amnestic barriers, it is important to understand that such co-consciousness did not mean that the host and alters were well-coordinated or living in harmony. If they were all in harmony, there would be no “disease.” There would be little likelihood of a need or even desire for psychiatric intervention. It is when there is conflict between the host and/or among alters that treatment is needed.
DelusionsDissociative disorders, even those created by mind controllers, are not psychosis, but this program will create the most common symptom used to diagnose schizophrenia. The child is hurt while on a turntable, with people and television sets and cartoons and photographs all around the turntable. New alters created by the torture are instructed that they must obey their instructions and become the people around them, people on television, or other alters when they are told to. When this program is triggered, the survivor will hear “voices” of the people whom the "copy alters” are imitating, or will have many confused alters popping out who think they are actually other people or movie stars. The identities of the copy alters change when the survivor's surrounding change.
Dissociation, a form of hypnotic trance, helps children survive the abuse…The abuse takes on a dream-like, surreal quality and deadened feelings and altered perceptions add to the strangeness. The whole scene does not fit into the 'real world.' It is simple to forget, easy to believe nothing happened.
What do you know about bipolar disorder?” I almost say, What do you know about it? But I make myself breathe and smile. “Is that the Jekyll-Hyde thing?” My voice sounds flat and even. Maybe a little bored, even though my mind and body are on alert. “Some people call it manic depression. It’s a brain disorder that causes extreme shifts in mood and energy. It runs in families, but it can be treated.” I continue to breathe, even if I’m not smiling anymore, but here is what is happening: my brain and my heart are pounding out different rhythms; my hands are turning cold and the back of my neck is turning hot; my throat has gone completely dry. The thing I know about bipolar disorder is that it’s a label. One you give crazy people. I know this because I’ve taken junior-year psychology and I’ve seen movies and I’ve watched my father in action for almost eighteen years, even though you could never slap a label on him because he would kill you. Labels like “bipolar” say This is why you are the way you are. This is who you are. They explain people away as illnesses.
I thought the doctor's diagnosis was the first step to mending her. I know now that a diagnosis is taken in like an orphaned dog. We brought it home, unsure how to care for it, to live with it. It raised its hackles, snarled, hid in the farthest corner of the room; but it was ours, her diagnosis. The diagnosis was timid and confused, and genetically wired to strike out.
[I have] occasional depersonalization disorder, (which makes me feel utterly detached from reality, but in less of a "this LSD is awesome" kind of way and more of a "I wonder what my face is doing right now" and "it sure would be nice to feel emotions again" sort of thing).
Insanity is a very lonely and empty existence - it’s painfully true. They may laugh and smile, and skip and dance, but behind all the faces there is hollowness like a bottomless pit. The living dead, depression is a terrible illness, so is psychosis, the mentally inflicted beyond cure.
When Gran finally came home she stepped into the house and wept. She grabbed Sophie and I to her and cried, “Oh my dears…” and though Gran was usually a harsh woman and we were uncomfortable with her affection, we were grateful for it this day. In the months she was gone we realized she was what held us all together. Broken or not, crazy or not—Gran kept us and made us a family. Truly she did.
The term 'deinstitutionalization' conceals some simple truths, namely, that old, unwanted persons, formerly housed in state hospitals, are now housed in nursing homes; that young, unwanted persons, formerly also housed in state hospitals, are now housed in prisons or parapsychiatric facilities; and that both groups of inmates are systematically drugged with psychiatric medications.
Unlike ‘mere’ medical or physical disorders, mental disorders are not just problems. If successfully navigated, they can also present opportunities. Simply acknowledging this can empower people to heal themselves and, much more than that, to grow from their experiences.
A vast amount of psychiatric effort has been, and continues to be, devoted to legal and quasi-legal activities. In my opinion, the only certain result has been the aggrandizement of psychiatry. The value to the legal profession and to society as a whole of psychiatric help in administering the criminal law, is, to say the least, uncertain. Perhaps society has been injured, rather than helped, by the furor psychodiagnosticus and psychotherapeuticus in criminology which it invited, fostered, and tolerated.
The pressure to reduce health care costs is aimed only at the treatment of real diseases. There is no pressure to reduce the costs of treating fictitious diseases. On the contrary, there is pressure to define ever more types of undesirable behaviors as mental disorders or addictions and to spend ever more tax dollars on developing new psychiatric diagnoses and facilities for storing and treating the victims of such diseases, whose members now include alcoholics, drug abusers, smokers, overeaters, self-starvers, gamblers, etc.
If two people with no symptoms in common can both receive the same diagnosis of schizophrenia, then what is the value of that label in describing their symptoms, deciding their treatment, or predicting their outcome, and would it not be more useful simply to describe their problems as they actually are? And if schizophrenia does not exist in nature, then how can researchers possibly find its cause or correlates? If psychiatric research has made so little progress in recent decades, it is in large part because everyone has been barking up the wrong tree. It is not a question of getting a bigger and better scanner, but of going right back to the drawing board.What’s more, medical-type labels can be as harmful as they are hollow. By reducing rich, varied, and complex human experiences to nothing more than a mental disorder, they not only sideline and trivialize those experiences but also imply an underlying defect that then serves as a pseudo-explanation for the person’s disturbed behaviour. This demeans and disempowers the person, who is deterred from identifying and addressing the important life problems that underlie his distress.
Other pressing problems with the current medical model [of mental disorder] is that it encourages false epidemics, most glaringly in bipolar disorder and ADHD, and the wholesale exportation of Western mental disorders and Western accounts of mental disorder. Taken together, this is leading to a pandemic of Western disease categories and treatments, while undermining the variety and richness of the human experience.
The fear of not living is a deep, abiding dread of watching your own potential decompose into irredeemable disappointment when 'should be' gets crushed by what is. Sometimes I think it would be easier to die than to face that, because 'what could have been' is much more highly regarded than 'what should have been.' Dead kids are put on pedestals, but mentally ill kids get hidden under the rug.
The baby was warm against my chest. I knew I was broken too. I wasn't like other people. I was scared and weird and anxious and sad lots of the time, and I didn't know why. My parents thought I was abnormal, I was pretty sure. They said I wasn't, but you don't get sent to a therapist if you're normal.Sometimes we really aren't supposed to be the way we are. It's not good for us. And people don't like it. You've got to change. You've got to try harder and do deep breathing and maybe one day take pills and learn tricks so you can pretend to be more like other people. Normal people. But maybe Vanessa was right, and all those other people were broken too in their own ways. Maybe we all spent too much time pretending we weren't.
And while a bald head and a looped ribbon were seen as badges of courage and hope, her reluctant vocabulary and vanishing memories advertised mental instability and impending insanity. Those with cancer could expect to be supported by their community. Alice expected to be an outcast.
The Parents, as my mother and father refer to Mr. Finch and Mrs. Finch, are insisting it was an accident, which, I guess, means we're free to mourn him out in the open in a normal, healthy, unstigmatised way. No need to be ashamed or embarrassed since suicide isn't involved.
There is clear evidence from internal investigations in the past that some raters actually see themselves as adversaries to veterans. If a claim can be minimized, then the government has saved money, regardless of the need of the veteran. Just recently, the press exposed an official e-mail from a high-level staff person who stated in essence that PTSD diagnosis was becoming too prevalent and offered ways to delay and deflect ratings in order to save the government money.
There may not be any romance to mental illness but who needs romance when the preferable route is agency? The prevailing conversation around mental health issues is agency and the lack thereof on the part of the mentally ill. But what do you do if you’re a paid-up member of the mentally ill populace in question? Do you curl up into a ball and give up? No, you look for solutions. Ultimately, it’s about keeping despair at bay and sometimes simple things like running, taking up a hobby, doing charity work, painting or, in my case, writing can be a galvanizing part of the recovery process. Keeping the brain and the body active can give life a semblance of pleasure and hope. This is what writing has done for me. I took every traumatic element of my condition and channelled it into something useful.
Psychiatric diagnoses are considered to be technical and bounded; you are either in or out. In contrast, a biblical perspective puts many interpersonal differences on a continuum: people may have more or less of something. This is relevant to sins, spiritual gifts, weaknesses, and character qualities.
In the life cycle of an intense emotion, if it isn't acted upon, it eventually peaks and then decreases. But as Dr. Linehan explains, people with BPD have a different physiological experience with this process because of three key biological vulnerabilities (1993a): First, we're highly sensitive to emotional stimuli (meaning we experience social dynamics, the environment, and our own inner states with an acuteness similar to having exposed nerve endings). Second, we respond more intensely and much more quickly, than other people. And third, we don't 'come down' from our emotions for a long time. One the nerves have been touched, the sensations keep peaking. Shock waves of emotion that might pass through others in minutes keep cresting in us for hours, sometimes days.
We need this help from the outside because we don't know how to to do this for ourselves. We start with a deep deficit—a chasm really—when it comes to understanding and being tolerant of ourselves, and that's even before we go forth to do battle with the rest of the world. As soon as someone judges, criticizes, dismisses, or ignores, the cycle of pain and reactivity ramps up, compounded by shame, remorse, and rejection. The act of validation, simply saying, 'I can see things from your perspective,' can short-circuit that emotional detour.
I've grown up with an ethic, call it a part, that insists I hide my pain at all costs. As I talk, I feel this pain leaking out—not just the core symptom of BPD, but all the years of being blamed or ignored for my condition, and all the years I've blamed others for how I am. It's the pain of being told I was too needy even as could never get the help I needed.
It's not about blame or wallowing...you are all molded by so much more than a dysfunctional past, and you must ultimately take responsibility for creating the life you want.
Accepting a psychiatric diagnosis is like a religious conversion. It's an adjustment in cosmology, with all its accompanying high priests, sacred texts, and stories of religion. And I am, for better or worse, an instant convert.
Deception' is the word I most associate with anorexia and the treachery which comes from falsehood. The illness appears inviting. It would seem to offer something to those unwary or unlucky enough to suffer from it - friendship, a get-out, or a haven - when, in fact, it is a trap.
Do you still have any delusions? For instance, does the furniture threaten you like you said the bureau did at home?" "No, not really. That bureau at the end of my bed here got a little threatening the other day, but I got up and smacked it, and told it that it was nothing but a bureau, and it hasn't bothered me since.
At the lip of a cliff, I look out over Lake Superior, through the bare branches of birches and the snow-covered branches of aspens and pines. A hard wind blows snow up out of a cavern and over my face. I know this place, I know its seasons - I have hiked these mountains in the summer and walked these winding pathways in the explosion of colour that is a northern fall. And now, the temperature drops well below zero and the deadly cold lake rages below, I feel the stirrings of faith that here, in this place, in my heart, spring will come again.But first the winter must be waited out. And that waiting has worth.
Psychiatrists look for twisted molecules and defective genes as the causes of schizophrenia, because schizophrenia is the name of a disease. If Christianity or Communism were called diseases, would they then look for the chemical and genetic “causes” of these “conditions”?
And then I realized that my sister was trying to LIVE a romance novel. Man, that takes courage and imagination. Well, it also took some degree of mental illness, too, but I was suddenly happy for her. And a little scared. Well, a lot scared.
His body had become a companion which seemed always about to leave him: it had its own pains which moved him to pity, and its own particular movements which he tried hard to follow. He had learned from it how to keep his eyes down on the road, so that he could see no one, and how important it was never to look back - although there were times when memories of an earlier life filled him with grief and he lay face down upon the grass until the sweet rank odour of the earth brought him to his senses. But slowly he forgot where it was he had come from, and what it was he was escaping.
...I am uncontrollable and dangerous. But of course I do not say this to Jake, mostly because he has never been locked up and doesn't understand what it feels like to lose control, and he only wants to watch the football game now, and none of this means anything to him, because he has never been married and he has never lost someone like Nikki and he is not trying to improve his life at all, because he doesn't ever feel the war that goes on in my chest every single fucking day--the chemical explosions that light up my skull like the Fourth of July and the awful needs and impulses and...
While you were busy trying to prove God stands behind you, God was before me lighting the trail, so he could lead us both.
The process of reforming the mental health system never includes the complaints that families and caregivers have regarding a need for increased access to resources, treatment, education, and financial support. Reform has continued to ignore the basic needs of families and suffering individuals with severe mental illness and special needs.
Parents, families, and caregivers are a “minority” group in the mental health system. This population is hungry for knowledge, direction, and peace of mind. The first step toward these things is embracing truth about our “fallen” mental health system
PART 2 I felt doomed to death,But in a flash, Before I could reduce my thoughts To an emotion, I felt a mass leave my body:Departing. Then my mind becomes anonymous As is each night. Just unfinished thoughts, and a deep sickness inside,As I was forced to swallow it, Something I've tried to bury deep inside mypsyche to this day. (poem written by alter personality)
The word is dissociate. There is no 'a' before the 'ss'. People invariably say dis-a-ssociate, which, if you're suffering Disso-ciative Identity Disorder/Multiple Personality Disorder, can be irritating. People then want to know how many personalities I have and the answer is: I don't know. The first book about Multiple Personality Disorder to make an impact was Flora Rheta Schreiber's Sybil, published in 1973, which carries the subtitle: The True and Extraordinary Story of a Woman Possessed by Sixteen Separate Personalities. Corbett H. Thigpen and Hervey M. Cleckley published the controversial The Three Faces of Eve much earlier in 1957, and Pete Townshend from The Who wrote the song 'Four Faces'. People seem to feel safe with numbers. The truth is more complicated. The kids emerged over time. Billy, the boisterous five-year-old, was at first the most dominant. But he slowly stood aside for JJ, the self-confident ten-year-old who appears when Alice is under stress and handles complicated situations like travelling on the Underground and meeting new people. The first entity to visit was the external voice of the Professor. But he had a choir of accomplices without names. So, how many actual alter personalities are there? I would say more than fifteen and less than thirty, a combination of protectors, persecutors and friends - my own family tree.
Viscosity occurs on a cellular level. And so does velocity.In contrast to viscosity's cellular coma, velocity endows every platelet and muscle fiber with a mind of its own, a means of knowing and commenting on its own behavior. There is too much perception, and beyond the plethora of perceptions, a plethora of thoughts about the perceptions and about the fact of having perceptions. Digestion could kill you! What I mean is the unceasing awareness of the processes of digestion could exhaust you to death. And digestion is just an involuntary sideline to thinking, which is where the real trouble begins
What's the difference between sanity and madness anyway? We all play headgames with ourselves. We all have baggage. We all cope somehow. I'm not sure if I'm mad or sane. I mean, I hold my life together, I pay my bills, I raise my kids. But the world is so polarized and bizarre now that for some people, none of these these things matter if they're not wearing the right shoes or don't have the right credit score or a fancy family car. Some people think the most important things to worry about are handbags and tan lines. Meanwhile, war and crime and poverty unfold all around us, and we ignore it. In that environment, how can we even begin to talk about sanity and madness?
Once I had found the courage to tell Rebecca about the children in my head, it wasn't so hard in the coming months to tell Roberta. On the train from Huddersfield one day in May I made a roll call of the usual suspects: Baby Alice; Alice 2, who was two years old and liked to suck sticky lollipops; Billy; Samuel; Shirley; Kato; and the enigmatic Eliza. There was boy I would grow particularly fond of named limbo, who was ten, but like Eliza he was still forming. There were others without names or specific behaviour traits. I didn't want to confuse the issue with this crowd of 'others' and just counted off the major players with their names, ages and personalities, which Roberta scribbled down on a pad. Then she looked slightly embarrassed. 'You know, I've met Billy on a few occasions, and Samuel once too,' she said. 'You're joking.' I felt betrayed. 'Why didn't you tell me?' 'I wanted it to come from you, Alice, when you were ready.' For some reason I pulled up my sleeves and showed he my arms. 'That's Kato,' I said, 'or Shirley.' She looked a bit pale as she studied the scars. I had feeling she didn't know what to say. The problem with counsellors is that they are trained to listen, not to give advice or diagnosis. We sat there with my arms extended over the void between us like evidence in court, then I pushed down my sleeves again. 'I'm so sorry, Alice,' she said finally and I shrugged. 'It's not your fault, is it?' Now she shrugged, and we were quiet once more.
You survived by seizing every tiny drop of love you could find anywhere, and milking it, relishing it, for all it was worth. And as you grew up, you sought love, anywhere you could find it, whether it was a teacher or a coach or a friend or a friend's parents. You sought those tiny droplets of love, basking in them when you found them. They sustained you. For all these years, you've lived under the illusion that somehow, you made it because you were tough enough to overpower the abuse, the hatred, the hard knocks of life. But really you made it because love is so powerful that tiny little doses of it are enough to overcome the pain of the worst things life can dish out. Toughness was a faulty coping mechanism you devised to get by. But, in reality, it has been your ability to never give up, to keep seeking love, and your resourcefulness to make that love last long enough to sustain you. That is what has gotten you by.
Statistics say that a range of mental disorders affects more than one in four Americans in any given year. That means millions of Americans are totally batshit.but having perused the various tests available that they use to determine whether you're manic depressive. OCD, schizo-affective, schizophrenic, or whatever, I'm surprised the number is that low. So I have gone through a bunch of the available tests, and I've taken questions from each of them, and assembled my own psychological evaluation screening which I thought I'd share with you.So, here are some of the things that they ask to determine if you're mentally disordered1. In the last week, have you been feeling irritable?2. In the last week, have you gained a little weight?3. In the last week, have you felt like not talking to people?4. Do you no longer get as much pleasure doing certain things as you used to?5. In the last week, have you felt fatigued?6. Do you think about sex a lot?If you don't say yes to any of these questions either you're lying, or you don't speak English, or you're illiterate, in which case, I have the distinct impression that I may have lost you a few chapters ago.
I can't describe the feeling when I go down – it's down down down and there's never going to be an up again. And whatever was good isn't good any more; white becomes grey, music becomes dictionaries, honey becomes beer and the sky a curdled lemon. There's no caramel anymore.
One of them hasn't got a uniform on or plainclothes either like the rest. He has on the white coat that is my nightmare and my horror. And in the crotch of one arm he is upending two long poles intertwined with canvas.The long-drawn-out death within life. The burial-alive of the mind, covering it over with fresh graveyard earth each time it tries to struggle through to the light. In this kind of death you never finish dying.("New York Blues")
Sharon dropped to her knees and reached her hand over the edge. The gesture was supposed to be a sign of support. But she realized then that it was useless. His insanity was like the stream beneath the ground. It only flowed in one direction, into deeper and deeper darkness. She was going to lose him.
Are you crazy? It's a common phrase, I know. But it means something particular to me: the tunnels, the security screens, the plastic forks, the shimmering, ever-shifting borderline that like all boundaries beckons and asks to be crossed. I do not want to cross it again.
Am I cured?” “No. You’re someone who is different, but who wants to be the same as everyone else. And that, in my view, is a serious illness.” “Is wanting to be different a serious illness?” “It is if you force yourself to be the same as everyone else. It causes neuroses, psychoses, and paranoia. It’s a distortion of nature, it goes against God’s laws, for in all the world’s woods and forests, he did not create a single leaf the same as another. But you think it’s insane to be different, and that’s why you chose to live in Villete, because everyone is different here, and so you appear to be the same as everyone else. Do you understand?” Mari nodded. “People go against nature because they lack the courage to be different, and then the organism starts to produce Vitriol, or bitterness, as this poison is more commonly known.
The people we love get under our skin and crawl through our veins and fine their way into our heart. They choke up our blood flow and mess up our breathing and tangle themselves through our bodies like wire. Like razors, like fire.We remember them even when we don't remember them.We try and forget, but it's pointless.Even amnesia. Even comas and brain damage and traumatic shock.Whatever makes us not remember, we still remember.Our minds flounder like fish but our bodies...Our bodies remember.
If you expand the boundaries of mental illness, which is clealry what has happened in this country during the past twenty-five years, and you treat the people so diagnosed with psychiatric medications, do you run the risk of turning an anger-ridden teenager into a lifelong mental patient? (p. 30)
Like a lot of people with mental illness, I spend a lot of time fronting. It’s really important to me to not appear crazy, to fit in, to seem normal, to do the things “normal people” do, to blend in. As a defense mechanism, fronting makes a lot of sense, and you hone that mechanism after years of being crazy. Fronting is what allows you to hold down a job and maintain relationships with people, it’s the thing that sometimes keeps you from falling apart. It’s the thing that allows you to have a burst of tears in the shower or behind the front seat of your car and then coolly collect yourself and stroll into a social engagement…We are rewarded for hiding ourselves. We become the poster children for “productive” mentally ill people, because we are so organized and together. The fact that we can function, at great cost to ourselves, is used to beat up the people who cannot function.Because unlike the people who cannot front, or who fronted too hard and fell off the cliff, we are able to “keep it together,” whatever it takes.
We all have scars; both inside and out. Use your experience to support those who are going down the same road of destruction you once went down. Know that your past is worth more than the pain you once carried, because it can now be used to comfort and give strength to another soul who is suffering. Cherish your trials and tribulations as gifts; embrace these opportunities to share the grace you have been given.
Sadly, psychiatric training still includes far too little on the very serious psychiatric sequelae of childhood trauma, especially CSA [child sexual abuse]. There is inadequate recognition within mental health services of the prevalence and importance of Dissociative Disorders, sufferers of which are frequently misdiagnosed as Borderline Personality Disorder (BPD), or, in the cases of DID, schizophrenia.This is to some extent understandable as some of the features of DID appear superficially to mimic those of schizophrenia and/or Borderline Personality Disorder.
~~You are not alone~~ No, really. Literally. Maybe you have always known (or suspected) this. Maybe this news is shocking, baffling, dismaying, even unbelievable to you. Despite what you might believe or may have been told about yourself, you are not just 'moody'. Nor are you crazy or defective or possessed. You have what is commonly called 'multiple personalities'.
Sometimes healthy and whole people make you long for your old, 'undepressed' self, and it is hard to smile when you just feel like sobbing your heart out. People are going out, you aren't. People are vacationing, you aren't. They are getting ahead in their careers, you aren't. They are partying, you aren't. Socializing reminds you of everything you have lost to depression.
Interestingly, the patients who presented to me self-diagnosed [with Dissociative Identity Disorder had tried to tell previous therapists of their plight, but had been disbelieved. These therapists had used fallacious "capricious criteria" (KIuft, 1988) to discredit the diagnosis; e.g., that the patient could not possibly have MPD because she was aware of the other alters [sic!].
The case of a patient with dissociative identity disorder follows:Cindy, a 24-year-old woman, was transferred to the psychiatry service to facilitate community placement. Over the years, she had received many different diagnoses, including schizophrenia, borderline personality disorder, schizoaffective disorder, and bipolar disorder. Dissociative identity disorder was her current diagnosis.Cindy had been well until 3 years before admission, when she developed depression, "voices," multiple somatic complaints, periods of amnesia, and wrist cutting. Her family and friends considered her a pathological liar because she would do or say things that she would later deny. Chronic depression and recurrent suicidal behavior led to frequent hospitalizations. Cindy had trials of antipsychotics, antidepressants, mood stabilizers, and anxiolytics, all without benefit. Her condition continued to worsen.Cindy was a petite, neatly groomed woman who cooperated well with the treatment team. She reported having nine distinct alters that ranged in age from 2 to 48 years; two were masculine. Cindy’s main concern was her inability to control the switches among her alters, which made her feel out of control. She reported having been sexually abused by her father as a child and described visual hallucinations of him threatening her with a knife. We were unable to confirm the history of sexual abuse but thought it likely, based on what we knew of her chaotic early home life.Nursing staff observed several episodes in which Cindy switched to a troublesome alter. Her voice would change in inflection and tone, becoming childlike as ]oy, an 8-year-old alter, took control. Arrangements were made for individual psychotherapy and Cindy was discharged.At a follow-up 3 years later, Cindy still had many alters but was functioning better, had fewer switches, and lived independently. She continued to see a therapist weekly and hoped to one day integrate her many alters.
In the moments when I forgot to remind myself to remain calm, I rewarded myself with a multiversed chorus of self-denigration and blame. Weak. Inadequate. Damaged. A problem and a disappointment. The litany of criticism stuck in my brain, skipping through the same tired phrases, like an old, scratched, forty-five speed record, drumming my failure into the silence of the night, adding to my desperation and frustration. I had been singled out for the universe for a reason, and this illness was my fault. I knew that, even though saying as much out loud sounded like crazy talk. I couldn't explain why, but I felt like I deserved what I was getting.
Our brains are embodied—much of the problem with the debate over addiction and psychiatry more generally is a refusal to accept this and our ongoing need to see “physical,” “neurological,” and “psychological” as completely distinct.
The primary driver to pathological dissociation is attachment disorganization in early life: when that is followed by severe and repeated trauma, then a major disorder of structural dissociation is created (Lyons-Ruth, Dutra, Schuder, & Bianchi, 2006).
Perfectionism is the unparalleled defense for emotionally abandoned children. The existential unattainability of perfection saves the child from giving up, unless or until, scant success forces him to retreat into the depression of a dissociative disorder, or launches him hyperactively into an incipient conduct disorder. Perfectionism also provides a sense of meaning and direction for the powerless and unsupported child. In the guise of self-control, striving to be perfect offers a simulacrum of a sense of control. Self-control is also safer to pursue because abandoning parents typically reserve their severest punishment for children who are vocal about their negligence.
Does the person report having had the experience of meeting people she does not know but who seem to know her, perhaps by a different name? Often, those with DID are thought by others to be lying because different parts will say different things which the host has no knowledge of.
...when different identity states convey contradictory information and then have amnesia for what the other identity states said, the patient may be thought to be lying. This can appear to be characterological mendacity when it is not.
Although Dissociative Disorders have been observed from the beginnings of psychiatry, the Structured Clinical Interview for DSM-III-R Dissociative Disorders (Steinberg 1985) was the first diagnostic instrument for the comprehensive evaluation of dissociative symptoms and to diagnose the presence of Dissociative Disorders.
When preparing for Book One, I talked to a couple of psychiatrists about psychosomatic phenomena, neuroses and dissociative conditions, for example the so—called hysterical blindness suffered by many who saw the Killing Fields in Pol Pot’s Cambodia: their eyes objectively see, but they are not aware of it and are blind because they believe they can’t see. One specialist told me that among modern Western people, ’metaphorical’ symptoms such as Fredy or those Cambodians evince are much rarer now than earlier in the twentieth century or before. Nowadays most people are better equipped by education to verbalise their neuroses, and have lots of jargon in which to do so. For most of the dissociative dimension, I could draw on things I knew from within myself.
I again invoke my favorite analogy for eating disorders: abusive lovers. And what do you do when someone is in an abusive relationship? You don’t allow visitation rights, weekly dates. You don’t put them in the vicinity of or let the abuser flirt with them. You keep them the fuck away.
The measure of a man, or a woman for that matter, is not so much how much they have done, but what they have overcome to do what they have done. My favorite poets have said:"Do not go gentle into that good night!"-Dylan Thomas"...fill the unforgiving minute with sixty seconds worth of distance ran..."-Rudyard Kipling
The main reason why clinicians may not diagnose personality disorders is that they think that doing so supports therapeutic pessimism. Recent research has shown this is not true; most patients get better, either with time or with treatment, that the prognosis is actually better than in many patients with severe mood and anxiety disorders.
To become a fad, a psychiatric diagnosis requires 3 preconditions: a pressing need, an engaging story, and influential prophets. The pressing need arises from the fact that disturbed and disturbing kids are very often encountered in clinical, school, and correctional settings. They suffered and cause suffering to those around them—making themselves noticeable to families, doctors, and teachers. Everyone feels enormous pressure to do something. Previous diagnoses (especially conduct or oppositional disorder) provided little hope and no call to action. In contrast, a diagnosis or childhood Bipolar Disorder creates a justification for medication and for expanded school services. The medications have broad and nonspecific effects that are often helpful in reducing anger, even if the diagnosis is inaccurate.
What is actually observed in so-called 'biplar children'? If you read the research reports carefully, they describe broad and persistent emotional dysregulation. Although these children have mood swings, they do not develop manic or hypomanic episodes. They are moody, irritable, oppositional and likely to misbehave—like all children with disruptive behavior disorders. Their grandiose thinking usually consists of little beyond boastfulness. No evidence from genetics, neurobiology, follow-up studies or treatment response shows that this syndrome has anything in common with classical bipolarity.
Trauma destroys the fabric of time. In normal time you move from one moment to the next, sunrise to sunset, birth to death. After trauma, you may move in circles, find yourself being sucked backwards into an eddy or bouncing like a rubber ball from now to then to back again. ... In the traumatic universe the basic laws of matter are suspended: ceiling fans can be helicopters, car exhaust can be mustard gas.
Results of two independent factor analyses of the survey responses of more than 2000 English and American citizens parallel these findings (19,33):- fear and exclusion: persons with severe mental illness should be feared and, therefore, be kept out of most communities;- authoritarianism: persons with severe mental illness are irresponsible, so life decisions should be made by others;- benevolence: persons with severe mental illness are childlike and need to be cared for."World Psychiatry. 2002 Feb; 1(1): 16–20.PMCID: PMC1489832Understanding the impact of stigma on people with mental illnessPATRICK W CORRIGAN and AMY C WATSON
Several themes describe misconceptions about mental illness and corresponding stigmatizing attitudes. Media analyses of film and print have identified three: people with mental illness are homicidal maniacs who need to be feared; they have childlike perceptions of the world that should be marveled; or they are responsible for their illness because they have weak character (29-32)."World Psychiatry. 2002 Feb; 1(1): 16–20.PMCID: PMC1489832Understanding the impact of stigma on people with mental illnessPATRICK W CORRIGAN and AMY C WATSON
While binge drinking is a significant issue, it is likely that many members of the public would be surprised by its categorisation as a mental illness, particularly at the milder end."Public confusion caused by differing understandings of the term 'mental illness'.Jorm AF, Reavley NJ.Aust N Z J Psychiatry. 2012 May;46(5):397-9. PMID: 22535288
I have spent years ... clinging to the understanding that Iwas a defective biological unit .... This may truly be a valuableperspective for those who observe mental illness, but forme, as a subject, this tree bore only dry and tasteless fruit ...I have a chemical imbalance; I really didn't feel thosethings.I have a chemical imbalance; I didn't really experiencethose things.I have a chemical imbalance; I didn't really thinkthose things ...Here is an insight! The entire human drama of love, suffering,ecstasy, and joy, just chemistry.
Advances in biological knowledge have highlighted the potential chronicity of effects of childhood maltreatment, demonstrating particular life challenges in managing emotions, forming and maintaining healthy relationships, healthy coping, and holding a positive outlook of oneself.
I'm not the kind of person who likes to shout out my personal issues from the rooftops, but with my bipolar becoming public, I hope fellow sufferers will know it's completely controllable. I hope I can help remove any stigma attached to it, and that those who don't have it under control will seek help with all that is available to treat it.
Several themes describe misconceptions about mental illness and corresponding stigmatizing attitudes. Media analyses of film and print have identified three: people with mental illness are homicidal maniacs who need to be feared; they have childlike perceptions of the world that should be marveled; or they are responsible for their illness because they have weak character (29-32). Results of two independent factor analyses of the survey responses of more than 2000 English and American citizens parallel these findings (19,33):- fear and exclusion: persons with severe mental illness should be feared and, therefore, be kept out of most communities;- authoritarianism: persons with severe mental illness are irresponsible, so life decisions should be made by others;- benevolence: persons with severe mental illness are childlike and need to be cared for.- Although stigmatizing attitudes are not limited to mental illness, the public seems to disapprove persons with psychiatric disabilities significantly more than persons with related conditions such as physical illness (34-36).
Severe mental illness has been likened to drug addiction, prostitution, and criminality (37,38). Unlike physical disabilities, persons with mental illness are perceived by the public to be in control of their disabilities and responsible for causing them (34,36). Furthermore, research respondents are less likely to pity persons with mental illness, instead reacting to psychiatric disability with anger and believing that help is not deserved (35,36,39).Understanding the impact of stigma on people with mental illness. World Psychiatry. Feb 2002; 1(1): 16–20.PMCID: PMC1489832PATRICK W. CORRIGAN and AMY C. WATSON
According to Hoge and colleagues (2007), the key to reducing stigma is to present mental health care as a routine aspect of health care, similar to getting a check up or an X-ray. Soldiers need to understand that stress reactions-difficulty sleeping, reliving incidents in your mind, and emotional detachment-are common and expected after combat... The soldier should be told that wherever they go, they should remember that what they're feeling is "normal and it's nothing to be ashamed of.
Pathological dissociation is characterized by profound, functional amnesias and significant alterations in identity; normal dissociation is expressed primarily in the form of intense absorption with internal stimuli (e.g., daydreams) or external stimuli (e.g., a fascinating book or television program).
the stigma of severe mental illness leads to prejudice and discrimination. Stigmas are negative and erroneous attitudes about these persons. Unfortunately, stigma's impact on a person's life may be as harmful as the direct effects of the disease.Corrigan, P. W., & Penn, D. L. (1999). Lessons from social psychology on discrediting psychiatric stigma. American Psychologist, 54(9), 765–776.
Public stigma Stereotype Negative belief about a group (e.g., dangerousness, incompetence, character weakness)Prejudice Agreement with belief and/or negative emotional reaction (e.g., anger, fear)Discrimination Behavior response to prejudice (e.g., avoidance, withhold employment and housing opportunities, withhold help)Self-stigma Stereotype Negative belief about the self (e.g., character weakness, incompetence)Prejudice Agreement with belief, negative emotional reaction (e.g., low self-esteem, low self-efficacy)Discrimination Behavior response to prejudice (e.g., fails to pursue work and housing opportunities)Understanding the impact of stigma on people with mental illness. World Psychiatry. Feb 2002; 1(1): 16–20.PMCID: PMC1489832
The authors analyzed 695 news items. The content of 47.9% (n = 333) of the articles was not strictly related to mental illness, but rather clinical or psychiatric terms were used metaphorically, and frequently in a pejorative sense. The remaining 52.1% (n = 362) consisted of news items related specifically to mental illness. Of these, news items linking mental illness to danger were the most common (178 texts, 49.2%), specifically those associating mental illness with violent crime (130 texts, 35.9%) or a danger to others (126 texts, 34.8%). The results confirm the hypothesis that the press treats mental illness in a manner that encourages stigmatization. The authors appeal to the press's responsibility to society and advocate an active role in reducing the stigma towards mental illness.Reinforcing Stigmatization: Coverage of Mental Illness in Spanish Newspapers. Journal of Health Communication: International Perspectives. Volume 19, Issue 11, 2014
Librarians are trained to be polite, patient, and helpful, no matter who stands across the reference desk.The most important thing is that we look them in the eye and take them seriously. Our work demands that we become dreamers, holding onto hope that our society can be better, that we affirm for our patrons that they are still part of this society, no matter how marginalized they have become. I was raised on the notion that the public library is a civilizing institution. And if our work calms someone's demons or teaches someone else how to treat the mentally ill with respect, then I am proud to be part of the process.
The thesis that DID is merely a North American phenomenon has been refuted in the past decade by research reports based on standardized assessment from diverse countries, such as from The Netherlands, Turkey, and Germany (Boon & Draijer, 1993; Gast, Rodewald, Nickel, & Emrich, 2001; S ̧ar et al, 1996). Clinicians and researchers should be careful to avoid categorizing a universal human condition as culture-bound.
For eight years I was an inmate in a state asylum for the insane. During those years I passed through such unbearable terror that I deteriorated into a wild, frightened creature intent only on survival. And I survived. I was raped by orderlies, gnawed on by rats and poisoned by tainted food. I was chained in padded cells, strapped into strait-jackets and half-drowned in ice baths. And I survived. The asylum itself was a steel trap, and I was not released from its jaws alive and victorious. I crawled out mutilated, whimpering and terribly alone. But I did survive.
...his condition in Roanoke is a strong testament that lassitude, indifference and the peculiarities of his thought were primarily the consequences of his illness and not of the early attempts to treat it. The popular view that anti-psychotics were chemical straight jackets that suppressed clear thinking and voluntary activity seems not to be borne out in Nash's case.If anything, the only periods when he was relatively free of hallucinations, delusions and the erosion of will were the periods following either insulin treatment or the use of anti psychotics. In other words, rather than reducing Nash to a zombie, medication seemed to reduce zombie like behavior.
During my sorrowful outburst, my mother had remained entirely impassive. But then why not? Was she not mad? Nay, she was not. She had successfully discarded, as I also wished to do, the arduous yoke of a troublesome existence and had escaped to a tranquil haven somewhere beyond the reach of our world.
At the end of his life, which had included financial ruin in the Great Depression, his wife's barbiturate addiction and death by overdose, and then his own lung cancer, Doc said, "It was enough to have been a unicorn." What he meant was that he got to do art. It was magic to him that his hands and mind got to make wonderful things, that he didn't have to be just another goat or horse.
The implication that the change in nomenclature from “Multiple Personality Disorder” to “Dissociative Identity Disorder” means the condition has been repudiated and “dropped” from the Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association is false and misleading. Many if not most diagnostic entities have been renamed or have had their names modified as psychiatry changes in its conceptualizations and classifications of mental illnesses. When the DSM decided to go with “Dissociative Identity Disorder” it put “(formerly multiple personality disorder)” right after the new name to signify that it was the same condition. It’s right there on page 526 of DSM-IV-R. There have been four different names for this condition in the DSMs over the course of my career. I was part of the group that developed and wrote successive descriptions and diagnostic criteria for this condition for DSM-III-R, DSM–IV, and DSM-IV-TR.While some patients have been hurt by the impact of material that proves to be inaccurate, there is no evidence that scientifically demonstrates the prevalence of such events. Most material alleged to be false has been disputed by someone, but has not been proven false.Finally, however intriguing the idea of encouraging forgetting troubling material may seem, there is no evidence that it is either effective or safe as a general approach to treatment. There is considerable belief that when such material is put out of mind, it creates symptoms indirectly, from “behind the scenes.” Ironically, such efforts purport to cure some dissociative phenomena by encouraging others, such as Dissociative Amnesia.
Bipolar illness, manic depression, manic-depressive illness, manic-depressive psychosis. That’s a nice way of saying you will feel so high that no street drug can compete and you will feel so low that you wish you had been hit by a Mack truck instead.
A personality disorder is not the foreign presence of demonic possession or a cancerous cluster of cells spreading among the internal organs. It is a pattern of cognition and reaction that impares the capacity to be productive, happy and generally at ease. It is a fractured sense of self giving way to the weight of stressful interpersonal dynamics.
What sticks with me now is that this man said he needed to get to a hospital. He probably needed to reach his destination more than anyone else on the bus, yet he lacked the capacity to ride without getting kicked off. Maybe he reached the hospital eventually, and maybe he was connected with social workers and housing specialists who will help him transform his life. But I fear he got on another bus, and another bus after that, without going anywhere at all.
Kate was about to protest when something caused her to look in her mother’s direction. She was standing statue-like in front of the television with that brave, painted-on smile. Then Kate realized what had caught her attention: her mother’s tear-filled eyes were reflecting the on-off motion of the blinkers like a watery mirror. Kate stared transfixed at the flashing points of light that betrayed her mother’s pain. The urge to tell her father how much she wanted him to be proud of her and how much he had hurt her, faded in the dark depths of her mother’s eyes.
And Kate thought about a time, long ago, when she had witnessed an ongoing romance between two mental patients. As a teenager watching their unlikely relationship unfold in front of her, she had understood that people did whatever they needed to do to be happy, regardless of their unfortunate circumstances. She supposed her mother’s day care center was born out of the desire to feel needed, while making use of the skills that were practically all she had managed to acquire during decades of battling a debilitating illness.
Many empaths are diagnosed with chronic illnesses such as fibromyalgia, CFS, lupus, and various autoimmune diseases, as well as psychological disorders such as agoraphobia, social anxiety, ADHD, depression, sensory processing disorder, among many others.