Which is worse – the experience or the stigma of mental illness?

According to Beyond Blue, it is estimated that in 1 year, 1 million Australian adults will experience depression and 2 million will experience anxiety; that 45% of Australians will experience mental health problem in their lifetime; that; and that 1 in 4 women and 1 in 6 men will experience depression.

However, anxiety, depression and sadness are only some of the difficult (or what I would call primary) emotions associated with mental illness. Those who experience it also have to deal with the stigma associated with mental illness, and with a range of secondary emotions associated – disgust, embarrassment, guilt and shame – associated with the experience of stigma. Erving Goffman described stigma as a discrepancy between a virtual and an actual social identity, where a person is “reduced in our minds from a whole and usual person to a tainted, discounted one.” Whether at work, home, school or in public, having to hide one’s condition – or suffer the indignity of being treated as a ‘tainted’ person – only compounds the difficult emotional experience of managing a mental illness.

Kathy Charmaz provides a critical sociological perspective to the problem, in arguing that our society sets up standards of normal health – a ‘core’ of healthy images and spaces – and expects people to either commit to a clear core (be consistently healthy) or accept a marginalized position outside of this (with an internalized, stigmatized, and shameful identity), but not to ‘pretend’ health or ‘exaggerate’ one’s illness, as those with mental illness are often suspect of doing. Gillian Bendelow notes that the great rise in pharmacological treatments over previous decades and that the use of anti-depressants is seen as the more socially conventional and acceptable approach to the ‘treatment’ of mental illness. Evidence of this can be seen in the fact that Australia now ranks second in the world in anti-depressant prescriptions.

Are more anti-depressants the solution? Davey and Chan (2012) challenge their effectiveness, and suggest that they should be increasingly used only in combination with psychotherapeutic approaches. However, this approach still individualises the problem, and does little to look at the social conditions and the stigma that compounds the experience of mental illness. Perhaps its time to move the focus away from the ‘core’ and towards the periphery, and do more to end the stigma associated with mental illness, anxiety and depression?

#S327UOW16 #Tut11

What do we feel when we do ‘bad’ things?

Why do people do ‘bad’ things? Is it because they feel bad – or because those bad things feel good? It’s not hard to find instances of terrible, scary things in popular media – youth gone wild, health epidemics, crime waves, etc. Sometimes these are beat-ups and moral panics; and sometimes they are more common than we think, or even unbelievably real. Nasty incidents of online trolling and attacks are commonplace, and mass gatherings channeling anger and even hatred occurred as recently as just over ten years ago Australia in the form of the Cronulla Riots.

But why do these things happen? What are the emotions that drive these acts? There can be a simple thrill or joy in doing the wrong thing – what Jack Katz calls the ‘seductions of crime’ – that tricks and compels some people into committing anti-social acts, but are these secretive, individualized compulsions not shaped by how we relate – or fail to relate authentically – to the people around us? Do we not deviate because we feel (and often hide) a sense of deviance, and maybe even shame? Is it shame and fear of the challenge to identities – to conventional masculine dominance, or the threat of job loss from globalization – that compels some young men to anger and violence, as Ghassan Hage has argued occurred on Cronulla Beach eleven years ago? How do all these feeling mix and feed off each other – fear, shame, repression, thrills, and anger – in the dynamics of deviance?

#S327UOW16 #Tut9

The social experience of bodies and feelings

How do you feel? Bodies and emotions seem like the most basic and essential parts of us. You knew your body before you could talk, and your feelings before you could think. They form the core of you. How can such primal things as bodies and emotions – the greatest markers of who you are as an individual – be influenced by society?

Perhaps a few questions might help answer the question:

  • Do you have a tattoo?
  • Do you wear a dress?
  • Did you have braces?
  • How well do you throw a ball?
  • Do you tell people in your life that you love them regularly?
  • Can you restrain your anger?
  • Are you envious of anyone around you?
  • How happy are you?

Think about your answers to these questions. Were these just simple choices that you made as an individual, or skills you did or didn’t pick up at random? Or did your society shape your answers in predictable ways, based on your sex, age, race, education, wealth, health, and social class background? How has society shaped your body, and the way you display and use it? How has society shaped your feelings, their expression, and how you manage them?

#S327UOW16 #Tut1