Elizabeth Barrette (ysabetwordsmith) wrote,
Elizabeth Barrette
ysabetwordsmith

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Discussing Mental Illness

Blog Explosion is a traffic engine that has given me some great viewers over on Gaiatribe and Hypatia's Hoard of Reviews. It also introduces me to some interesting blogs along the way. A couple of these deal with various flavors of mental illness; anxiety seems big right now.

One of them gave me a shout-out today for a comment I left. We're talking about how and why the treatment of mental complaints lags behind that of physical complaints, and it started with a previous discussion about whether and why drugs can be helpful.

Basically, I have noticed certain patterns in dealing with friends who have mental challenges, and that has built up a little basket of ideas on the topic. Sometimes when an opportunity arises, I set one of them out. One of these days I need to flesh these out and present them in full. You can see bits of several here: different solutions work for different people because there are many different causes of mental complaints, and there's a difference between mental illness and mental </i> injury, and we just don't have ways of perceiving exactly what needs to be fixed let alone the ability to reach in and repair it. So we ... muddle.
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  • 36 comments
I wonder if we're not all mentally ill, if that doesn't explain the status quo. Our failure to adapt, to thrive, to establish a more rational and ethical society.

That's somewhat akin so saying because we all sneeze in a dusty environment, we are all physically ill. The concept of mental illness does not seek to explain what one might call existential problems, which are philosophical in origin, but specific potentially crippling anomalies that are present in a percentage of the population.

Also, you suggest that this endemic "mental illness" prevents us from creating "a more rational and ethical society". There are two problems with this statement. First, addressing the "rational" portion of your statement, keep in mind that, unlike the fictional Vulcans, humans are not perfectly rational beings. They have an emotive element that is not based on reason as such. Second, addressing the "ethical" portion of your statement, whose ethics shall we put in place? Plato's? Hume's? Kant's? Nietzsche's? Rand's? There is little agreement among philosophers (and, for that matter, religious leaders) of what constitutes ethical behavior - trust me, I was a philosophy major in college. So which set of ethics do you wish to choose? And enforce (noting that some will inevitably disagree with you)?

Raven

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I'd say a rational, ethical society would be one that prefers consideration for/understanding of the consequences of one's actions and empathy with other human beings, without regard to any dictatorship or traditional prejudice and bigotry.

Okay, how did you arrive at that conclusion? What is your basis? Rand, for example, would say that society should be based on an ethic of "rational self-interest" (whose derivation I won't bore you with - I'm only picking on her because I'm familiar with her work, not because I prefer her position). How do you refute her position?

You can just as easily add the writers you mentioned to the list I gave and my point would be just as valid, which was that there are many different schools of thought in ethics, and that to simply say that you want an "ethical" society, you have to determine what set of ethics and why.

I wonder if that isn't philosophy's avocation: to confuse issues and reinforce the status quo, keep their jobs in academia.

Have you ever actually studied philosophy? It's really not as convoluted as you imply (Kant beside the point...). I sense that we're rather hijacking Ysabet's thread, which was a discussion of mental illness, not philosophy. But I'll posit that philosophy's point is to clarify issues, not confuse them.

Raven
>>Okay, how did you arrive at that conclusion? What is your basis?<<

Well, I think the description was very well put. I've come to a similar one myself, based on exploring a wide range of philosophers, religions, political systems, and historical examples.

There are various sources of input: thoughts and facts are of the mind, desires and feelings are of the heart, and faith and virtues are of the soul. For best function, use all of them. Ignoring any can cause problems. Ignore rationality and the facts can kill you or others. Ignore emotional reality and you can quite logically arrange a life that leaves you miserable. Ignore spirituality and you will be without higher support in dark challenges.

I worry about people who eschew the use of logic and facts when making decisions, and make theirs exclusively or primarily based on emotion and/or faith, because I have observed that those decision-making methods tend to generate choices with very unpleasant consequences. Compare the Dark Ages (a faith-dominant cultural wave) to the Classical and Renaissance periods (both favoring rational lines, with some extra emotional upwelling in the Renaissance). This does not necessarily mean that all faith-based or emotion-based decisions are wrong -- merely that it is very easy to be blindsided by facts if you ignore them in your decision-making.

>> Rand, for example, would say that society should be based on an ethic of "rational self-interest" (whose derivation I won't bore you with - I'm only picking on her because I'm familiar with her work, not because I prefer her position). How do you refute her position?<<

There's a very useful test to see how effective a philosophical premise is: What would happen if everyone followed it? Rational self-interest is another way of saying "every man for himself" -- Rand's philosophy maximizes personal freedom by minimizing responsibility to take care of, or refrain from harming, others. It's a splendid system if you have the power to take and hold what you want. It's a horror if you lack such power ... and nobody keeps that kind of power forever, for time and your body will betray you in the end. If practiced by everyone, rational self-interest would produce not a society but anarchy. That is ineffective and therefore undesirable on a large scale, although it is extremely attractive to people who believe they have the power to take advantage of such a system.

One of the drawbacks of rationality is that logic can justify all manner of things that are wicked. Hence the need for counterbalances in emotion and spirituality to remind us that too much selfishness is wrong and destructive.

>>Have you ever actually studied philosophy? It's really not as convoluted as you imply (Kant beside the point...)<<

For my part, yes, including a couple of actual classes. I was only somewhat impressed by it. Some of it is straightforward, some is intricate, some is sublime, and some is just dumb.

>>I sense that we're rather hijacking Ysabet's thread, which was a discussion of mental illness, not philosophy. <<

If folks are interested in philosophy, I have no objection to it. Do you want to keep discussing it here, or would you like me to start a separate thread for it?

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>>I think it's rational to acknowledge the fact that we are emotional animals, that we can be fooled and misled, that we can all benefit from scientific skepticism. <<

I agree. Also, emotional and spiritual aspects can be beneficial. We are not minds alone.

>>It's irrational to accept excuses for the suffering of others; we'd all benefit if everyone gets the help that he or she needs.<<

Too true. It frustrates and baffles me that people don't see the connections there -- how widespread suffering and illness harm everyone.

>>For ex., how many victims of PTSD are referred to their chaplains because it's "cheaper" to treat suffering with make-believe than solutions that work? "cheaper" to blame the victims and delegate responsibility to our imaginary friends?<<

I'm not in favor of picking treatment based on how cheap it is, but rather on how effective it is. Sometimes a chaplain can help with PTSD, other times not (and it depends on the chaplain's skill, too). PTSD often entails spiritual trauma; frex, a person whose faith commands "thou shalt not kill" may suffer spiritual injury from killing another human being. If they thinks that their soul is now marred by that killing, no amount of medication is going to fix that, although it may dull awareness of the problem. For spiritual injuries, clerical care is usually required. On the other hoof, someone whose PTSD involves neurochemical damage that makes them shaky and insomniac is unlikely to be helped by spiritual means; a quiet environment and soothing physical activity are required, and possibly chemical assistance.

PTSD is a messy, complicated nightmare of a condition -- for bystanders as well as sufferers. There are no easy assessments and no quick fixes. It's so ugly and scary that it makes people want to sweep it under the rug. That is often fatal for the sufferer. It keeps happening because, for the bystanders, that does make the problem not theirs anymore, unless someone sues them for negligent death.

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The military tries very hard to modify people's ethics. It does not always succeed; other times, it succeeds too well. After all, their understanding of the human mind and brain is no more advanced than the health care industry's understanding. And their overall understanding of the human soul is ... rather lacking, which is what the chaplains are there for.

Once someone has learned that certain things are "wrong," those things are difficult or impossible to change. People may do them anyway, particularly with the sort of terrific justifications that the military provides for the wholesale slaughter of other human beings -- but deep down inside, most sane people still believe that killing is wrong. So they tend to be distressed and damaged if they do it; this is a known factor in PTSD. In fact it's on the test for that.

The fact that killing people tends to be injurious to the soul is one reason why so many higher powers have told humans not to do it. Don't stick a fork in the light socket, you'll hurt yourself.

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>>I think religion offers a kind of Catch-22, with the "higher" or hired powers jerking people around.<<

That is true of some religions, though not all of the ones I have encountered.

>>You'd think that the omnipotent would be able to pass his/her wisdom down in a way that cannot be mistaken or corrupted by mere mortals.<<

Dude. I think you just identified something that the Omnipotent God can't do. Or at least, demonstrably has not yet figured out how to do.
The modern translators of the Ten Commandments have, in general, stuck to the King James version, placing the generic "kill" where "murder" is the more appropriate verb. Thus, ancient Jews were allowed to claim territory or drive off invaders through combat, but killing someone without a just reason is banned by the highest law.

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Re: Hmm...

ysabetwordsmith

11 years ago

Sorry for the delay - yesterday got very busy...

Rational self-interest is another way of saying "every man for himself" -- Rand's philosophy maximizes personal freedom by minimizing responsibility to take care of, or refrain from harming, others.

Actually, that's not so. Rand had an equal dislike for self-sacrifice (altruism) and the sacrifice of others to self, seeing both as two sides of the same coin. Her "Atlantean Oath" - "I swear by my life and my love of it that I will not live for the sake of another man, nor ask another man to live for the sake of mine" - is in its essence a restatement of the Wiccan Rede - "An it harm none, do what thou wilt". I will note that she herself did not include larger social responsibility within that statement, which could be argued was a logical mistake on her part. But to say that she "minimizes" the risk of harm to others ultimately misrepresents her position.

I should emphasize that I'm not personally arguing for or against her philosophy - I mainly brought it up as a contrast to bearlyport's position, to illustrate that there are other philosophical positions to choose from, and that one must make a choice between contrasting philosophies and have some reason for doing so.

I'm always interested in philosophical discussion, wherever it exists, as long as it is based on reason and not arbitrary statements of position without the possibility of discussion, if you know what I mean.

Raven

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So far, I'm cool with it. If the medical stuff gets too steep for me, I'll let you know. But I think there are folks in the audience here who would be interested in this stuff. If you want to keep going in this thread, that's fine; if you want me to launch a new one, let me know.
This is very well said.

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