Look, part of the whole problem with the deinstitutionalisation of the mentally ill, which goes all the way back to the early seventies at least, and as far as theory is concerned probably a lot further, is that health professionals started, DELIBERATELY blurring the lines between mental illness and mental health.
Part of this was – I think – a genuine effort to make it possible for some people classified as “mentally ill” to be able to make a go of it in the community. A lot of new psychiatric drugs had been discovered which, while they didn’t heal, masked the symptoms of mental illness and therefore made it possible for these people to integrate in normal society – provided they would take their meds (more on that later.)
The other part – I know, my SIL took the mental-health portion of her MD in the late seventies – was the insane “equivalence brigade” which tried very hard to convince themselves that the US too did EXACTLY the same things the USSR did. Since the USSR put political dissenters in mental hospitals, then the people in US hospitals MUST be also political dissenters. This was hard to prove, since the Soviet system provided ideological support for mental treatment of dissenters: i.e. the Marxist system was perfect, so anyone disagreeing must be mad, while the American system mostly tried to get people off the streets who would do harm to themselves and/or others. However the medical profession found their justification in an upside-down of the Marxist system. Since Capitalism was bad for humans and other living things, then everyone who went mad under capitalism were, ipso facto, political dissenters. So, if you happened to be a woman who liked to throw rocks at strangers and go into bizarre monologues on the subject of cabbage, you weren’t mad, you were a feminist protesting male aggression.
Now I have no proof this was intentional or a coordinated AGITPROP operation. It’s entirely possible it was (merely) the predictable mix of ill-intentioned agents and well-intentioned idiot fellow travelers.
However the end result was making people too crazy to live alone into political victims and incidentally to give the USSR room to claim the capitalist system created homelessness.
Sarah A. Hoyt, “I’m Not Crazy, I’m Just A Little Unwell – A blast from the past post 10/12”, According to Hoyt, 2015-10-12.
January 6, 2016
QotD: De-institutionalization and mental health
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