I have been in and out of the psychiatric hospital myself several times. Most of them were before I started to form any kind of philosophy as a teen.Trevor wrote:Yes, I was mookestink. But no, I've never been in a "nuthouse". I have, however, been commited to a hospital. Psychiatry certainly has changed a lot in the last hundred and fifty years! Maybe you should read up on it, before you start spouting something ignorant. In fact, if you want an introduction to what mental illness actually is like, it could even make the topic for an interesting thread. I am more than willing to share my experiences....
I did occasionally receive some medication. Three times I was given a drug I told them repeatedly I refused to take because it made me ill (an antiseizure/mood stabilizer). Once I was given an anti-depressant but no antipsychotic. Once I was given an antipsychotic, and once an antianxiety medication. Oh - and once I was given benedryl and ritalin... good going, guys. But the point of this is to mention that the care I received was... disgusting. Nobody listened to me trying to explain what was happening and certainly no one talked to me in any way that would help. Instead, I was treated to an indoctrination and enculturation program.
I have only once found the experience to be helpful in any way. Two of these used a variation of the 12-step method. I'd like to know what idiot came up with the idea of using "believe and trust God" as a method of dealing with a true illness. It seems the 12 steps have become so indoctrinated into our culture that we have forgotten their purpose - if they ever had one. At any rate, it appears the most common method of dealing with mental illness is to forget that it is as serious as physical illness and requires a medical solution.
Most combined the significantly mentally ill with people with depression or otherwise incapable of understanding severe mental illness. Quite frankly, someone who swallowed a month's worth of pills because their husband and boyfriend found out about eachother and left her has very little to say that could be in any way beneficial to someone who swallowed a month's worth of pills because vampires don't like metalic blood and swallowing lithium would allow her to live.
Either I wind up wanting to slap the selfish slut, or she winds up dismissing me as an idiot. I, however, am told by the nursing staff that I must be attentive and compassionate and never minimize another person's problems. Indeed, my chances of acheiving freedom are dependant upon me having positive and normal interactions with the other people in the hospital.
Even during "down time" socialization was required. My boyfriend brought me several books and crossword (and most recently sudoku) puzzles along with a pack of cigarettes. For a while, I attempted to read quietly, but was told that I was "not participating in my therapy" and would be kept in the hospital longer with that attitude. The books lay unread while the cigarettes got smoked. By the way, this is true even of the times I went into the hospital when I didn't smoke on the outside. Smoking at a table outside was seen as appropriate socialization and enforced.
Socialization, however, was limited to the other patients. The nurses had a glass wall surrounding their station and no contact with patients except for monitoring blood pressure and temperature daily, and occasionally blood tests. They also gave instructions in a manner a parent might speak to a child. In addition, you were denied the privalige of going to the cafeteria until you conformed to the accepted standards of behavior. While you were given food, it was of lower quality and there were no options. During one of my stays I was a muslim, and was forced to eat ham and cheese. In other words this was the authority and you must obey.
An inability or unwillingness to conform leads to some dramatic consequences. At one point, I tried to refuse the drug that made me ill. After my refual became a shouting match (and btw, I was not the first to shout; the nurse was) a security guard was called in to physically force me to take it. I fought back and was given a shot of something (I believe it was haldol, but they never were willing to tell me) and found myself with my arms and legs strapped to a restraining board. This is something that would simply never take place anywhere else with "sane" people. (perhaps prison is an exception, however I believe we are currently required to be more humane to prisoners.)
Socialize with your own class, obey authority and smoke to forget your problems. This is the only way to acheive freedom. Though I wasn't able to quite put a finger on it, it disgusted me at the time. Now that I have had the time and ability to look at what was demanded and trained I realize how truly evil the way we treat people is. Conform perfectly, or be removed.
*It amazes me that the Army was the one exception to most of this. We were treated with respect, permitted (and encouraged) to read alone in bed, not expected to speak to eachother, and even taken out of the hospital for walks in the woods. It is also the only place that gave me any form of official test to determine what was wrong. However this is also where the only drug I received was benedryl.
I'm afraid I have to disagree with Trevor that care has changed all that much. Perhaps it is better if you have better insurance, or can afford a private hospital. But for the majority of us...
I'd be interested, Trevor (and anyone else, of course), in hearing your experiences. Were they similar to mine or not? I've also considered starting a thread on the experience of mental illness (rather than the system) a few times (I've been asked by two different posters but wasn't entirely certain where to start or go with it so I haven't yet. Though if you have an idea of where to start I'd also be interested)
*incidentally, my favorite quote from a TV show ever is based on the 12 step program. From House MD "Ok, Step 1, I can go along with believing in a higher power. Maybe not a god per se, but the Jolly Green Giant is definitly higher, and he looks pretty powerful..."
Sheesh this turned into a longer post than I expected. Oh well, hopefully it will be of interest to someone and encourage people to think...