Quotulatiousness

March 29, 2013

Demonizing smokers hasn’t forced them to quit … let’s start sending them to psychiatric care instead

Filed under: Britain, Health, Media — Tags: , , , , , — Nicholas @ 09:53

When the all the persuasion, “nudging”, shaming, harassment, and legal shenanigans haven’t worked, try taking a leaf out of the old Soviet Union playbook for dealing with dissidents:

Smoking may be a sign of psychiatric illness, experts say. Doctors should routinely consider referring people who smoke to mental health services, in case they need treatment, they add.

The controversial recommendation from the British Lung Foundation, a charity, comes in response to a major report, Smoking and Mental Health, published this week by the Royal College of Physicians and the Royal College of Psychiatrists with the Faculty of Public Health. It says that almost one in three cigarettes smoked in Britain today is smoked by someone with a mental disorder. When people with drug and alcohol problems are included the proportion is even higher.

The reason is that smoking rates have more than halved over the past 50 years, but the decline has not happened equally in all parts of society.

“Smoking is increasingly becoming the domain of the most disadvantaged: the poor, homeless, imprisoned and those with mental disorder. This is a damning indictment of UK public health policy and clinical service provision,” the report says.

December 16, 2012

The domestic terror: “I live with a son who is mentally ill. I love my son. But he terrifies me.”

Filed under: Health, USA — Tags: , , , , — Nicholas @ 12:39

Anarchist Soccer Mom has a story to tell. It’s neither pleasant nor uplifting, but it needs to be told:

I live with a son who is mentally ill. I love my son. But he terrifies me.

A few weeks ago, Michael pulled a knife and threatened to kill me and then himself after I asked him to return his overdue library books. His 7 and 9 year old siblings knew the safety plan — they ran to the car and locked the doors before I even asked them to. I managed to get the knife from Michael, then methodically collected all the sharp objects in the house into a single Tupperware container that now travels with me. Through it all, he continued to scream insults at me and threaten to kill or hurt me.

That conflict ended with three burly police officers and a paramedic wrestling my son onto a gurney for an expensive ambulance ride to the local emergency room. The mental hospital didn’t have any beds that day, and Michael calmed down nicely in the ER, so they sent us home with a prescription for Zyprexa and a follow-up visit with a local pediatric psychiatrist.

We still don’t know what’s wrong with Michael. Autism spectrum, ADHD, Oppositional Defiant or Intermittent Explosive Disorder have all been tossed around at various meetings with probation officers and social workers and counselors and teachers and school administrators. He’s been on a slew of antipsychotic and mood altering pharmaceuticals, a Russian novel of behavioral plans. Nothing seems to work.

[. . .]

When I asked my son’s social worker about my options, he said that the only thing I could do was to get Michael charged with a crime. “If he’s back in the system, they’ll create a paper trail,” he said. “That’s the only way you’re ever going to get anything done. No one will pay attention to you unless you’ve got charges.”

[. . .]

No one wants to send a 13-year old genius who loves Harry Potter and his snuggle animal collection to jail. But our society, with its stigma on mental illness and its broken healthcare system, does not provide us with other options. Then another tortured soul shoots up a fast food restaurant. A mall. A kindergarten classroom. And we wring our hands and say, “Something must be done.”

I agree that something must be done. It’s time for a meaningful, nation-wide conversation about mental health. That’s the only way our nation can ever truly heal.

God help me. God help Michael. God help us all.

H/T to Drew M. for the link.

February 18, 2012

The skeleton of Eugenics rattles in the socialist closet

Filed under: Britain, History, Liberty — Tags: , , , , , , — Nicholas @ 11:22

In, of all places, the Guardian, Jonathan Freedland discusses the attraction to Eugenics for mainstream socialists in the 1930s:

It is eugenics, the belief that society’s fate rested on its ability to breed more of the strong and fewer of the weak. So-called positive eugenics meant encouraging those of greater intellectual ability and “moral worth” to have more children, while negative eugenics sought to urge, or even force, those deemed inferior to reproduce less often or not at all. The aim was to increase the overall quality of the national herd, multiplying the thoroughbreds and weeding out the runts.

Such talk repels us now, but in the prewar era it was the common sense of the age. Most alarming, many of its leading advocates were found among the luminaries of the Fabian and socialist left, men and women revered to this day. Thus George Bernard Shaw could insist that “the only fundamental and possible socialism is the socialisation of the selective breeding of man”, even suggesting, in a phrase that chills the blood, that defectives be dealt with by means of a “lethal chamber”.

Such thinking was not alien to the great Liberal titan and mastermind of the welfare state, William Beveridge, who argued that those with “general defects” should be denied not only the vote, but “civil freedom and fatherhood”. Indeed, a desire to limit the numbers of the inferior was written into modern notions of birth control from the start. That great pioneer of contraception, Marie Stopes — honoured with a postage stamp in 2008 — was a hardline eugenicist, determined that the “hordes of defectives” be reduced in number, thereby placing less of a burden on “the fit”. Stopes later disinherited her son because he had married a short-sighted woman, thereby risking a less-than-perfect grandchild.

Yet what looks kooky or sinister in 2012 struck the prewar British left as solid and sensible. Harold Laski, stellar LSE professor, co-founder of the Left Book Club and one-time chairman of the Labour party, cautioned that: “The time is surely coming … when society will look upon the production of a weakling as a crime against itself.” Meanwhile, JBS Haldane, admired scientist and socialist, warned that: “Civilisation stands in real danger from over-production of ‘undermen’.” That’s Untermenschen in German.

I’m afraid even the Manchester Guardian was not immune. When a parliamentary report in 1934 backed voluntary sterilisation of the unfit, a Guardian editorial offered warm support, endorsing the sterilisation campaign “the eugenists soundly urge”. If it’s any comfort, the New Statesman was in the same camp.

Lest Canadians get smug about those evil Brits and their morally dubious theories, let us remember that our own sainted Tommy Douglas, first leader of the NDP, wrote his Master’s thesis on the subject of eugenics:

Douglas graduated from Brandon College in 1930, and completed his Master’s degree (M.A.) in Sociology from McMaster University in 1933. His thesis entitled The Problems of the Subnormal Family endorsed eugenics.[16] The thesis proposed a system that would have required couples seeking to marry to be certified as mentally and morally fit. Those deemed to be “subnormal” because of low intelligence, moral laxity or venereal disease would be sent to state farms or camps while those judged to be mentally defective or incurably diseased would be sterilized.[17]

Douglas rarely mentioned his thesis later in his life and his government never enacted eugenics policies even though two official reviews of Saskatchewan’s mental health system recommended such a program when he became premier and minister of health.[17] By that time, many people questioned eugenics after Nazi Germany had embraced it to create a “master race”.[18] Instead, Douglas implemented vocational training for the mentally handicapped and therapy for those suffering from mental disorders.[19] (It may be noted that two Canadian provinces, Alberta and British Columbia, had eugenics legislation that imposed forced sterilization. Alberta’s law was first passed in 1928 while B.C. enacted its legislation in 1933.[20] It was not until 1972 that both provinces repealed the legislation.)[21][22]

March 1, 2010

Miami considers new ways to marginalize the homeless

Filed under: Bureaucracy, USA — Tags: , , , , , — Nicholas @ 12:05

Miami has a problem with the homeless, so it has come up with a new and innovative way to address it: making it even more difficult for people to (legally) help feed them.

Miami residents may have to think twice before giving up their leftovers to the homeless.

The Miami City Commission is set to consider a proposal next month that would prohibit unauthorized people and groups from feeding the homeless downtown, an ordinance proponents say will cut down on litter and ensure the safety of the food the homeless do eat.

The Miami Downtown Development Authority recently approved the measure, sending it up to the commission.

Though the change could draw objections, David Karsh, spokesman for Development Authority Chairman Marc Sarnoff, said the rule isn’t a blanket ban. He said that anybody would be able to feed the homeless, but they would have to go through formal training first — amateurs couldn’t just give up part of their lunch to help someone they meet on the street.

I’m sure there are problems . . . few people are homeless voluntarily unless they have other issues (commonly mental health problems). But this proposal appears to be moving in the wrong direction, by discouraging individual efforts to help. Give a homeless man a sandwich and face a $300 fine? Two predictable results 1) fewer ad hoc efforts to help the homeless, and 2) fewer meals for the homeless.

November 24, 2009

Friendly reminder to UK readers: you do not have a right to remain silent

Filed under: Britain, Law, Technology — Tags: , , , , , — Nicholas @ 07:28

A fascinating story about a case in Britain where the government’s shiny new powers under Regulation of Investigatory Powers Act (RIPA) have been used to jail a schizophrenic man for refusing to divulge the passwords to access his files:

The first person jailed under draconian UK police powers that Ministers said were vital to battle terrorism and serious crime has been identified by The Register as a schizophrenic science hobbyist with no previous criminal record.

His crime was a persistent refusal to give counter-terrorism police the keys to decrypt his computer files.

The 33-year-old man, originally from London, is currently held at a secure mental health unit after being sectioned while serving his sentence at Winchester Prison.

In June the man, JFL, who spoke on condition we do not publish his full name, was sentenced to nine months imprisonment under Part III of the Regulation of Investigatory Powers Act (RIPA). The powers came into force at the beginning of October 2007.

[. . .]

Throughout several hours of questioning, JFL maintained silence. With a deep-seated wariness of authorities, he did not trust his interviewers. He also claims a belief in the right to silence — a belief which would later allow him to be prosecuted under RIPA Part III.

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