stigma

...some patients resist the diagnosis of a post-traumatic disorder. They may feel stigmatized by any psychiatric diagnosis or wish to deny their condition out of a sense of pride. Some people feel that acknowledging psychological harm grants a moral victory to the perpetrator, in a way that acknowledging physical harm does not.

Calling it lunacy makes it easier to explain away the things we don't understand.

With DID patients, if they feel hostility or aggression they take it out on themselves with self-harm... They__e self-destructive and repeatedly suicidal, more so than any other psychological disorder. So that's what's typical _ not this wild aggression, or stalking women [or robbery].- Dr Bethany Brand, on Billy Milligan and Multiple Personality Disorder (DID)

To not have your suffering recognized is an almost unbearable form of violence.

Attitude Is EverythingWe live in a culture that is blind to betrayal and intolerant of emotional pain. In New Age crowds here on the West Coast, where your attitude is considered the sole determinant of the impact an event has on you, it gets even worse.In these New Thought circles, no matter what happens to you, it is assumed that you have created your own reality. Not only have you chosen the event, no matter how horrible, for your personal growth. You also chose how you interpret what happened__s if there are no interpersonal facts, only interpretations.The upshot of this perspective is that your suffering would vanish if only you adopted a more evolved perspective and stopped feeling aggrieved. I was often kindly reminded (and believed it myself), __here are no victims._ How can you be a victim when you are responsible for your circumstances?When you most need validation and support to get through the worst pain of your life, to be confronted with the well-meaning, but quasi-religious fervor of these insidious half-truths can be deeply demoralizing. This kind of advice feeds guilt and shame, inhibits grieving, encourages grandiosity and can drive you to be alone to shield your vulnerability.

A more fundamental problem with labelling human distress and deviance as mental disorder is that it reduces a complex, important, and distinct part of human life to nothing more than a biological illness or defect, not to be processed or understood, or in some cases even embraced, but to be __reated_ and __ured_ by any means possible__ften with drugs that may be doing much more harm than good. This biological reductiveness, along with the stigma that it attracts, shapes the person__ interpretation and experience of his distress or deviance, and, ultimately, his relation to himself, to others, and to the world. Moreover, to call out every difference and deviance as mental disorder is also to circumscribe normality and define sanity, not as tranquillity or possibility, which are the products of the wisdom that is being denied, but as conformity, placidity, and a kind of mediocrity.

In this chapter I restrict myself to exploring the nature of the amnesia which is reported between personality states in most people who are diagnosed with DID. Note that this is not an explicit diagnostic criterion, although such amnesia features strongly in the public view of DID, particularly in the form of the fugue-like conditions depicted in _ms of the condition, such as The Three Faces of Eve (1957). Typically, when one personality state, or __lter_, takes over from another, they have no idea what happened just before. They report having lost time, and often will have no idea where they are or how they got there. However, this is not a universal feature of DID. It happens that with certain individuals with DID, one personality state can retrieve what happened when another was in control. In other cases we have what is described as __o-consciousness_ where one personality state can apparently monitor what is happening when another personality state is in control and, in certain circumstances, can take over the conversation.

Success and failure can both make you lose appetite and concentration, don't let it bother or over-excite you, just think them away as a mere thing that had just happened, and get along with your life.

Although it is important to be able to recognise and disclose symptom of physical illnesses or injury, you need to be more careful about revealing psychiatric symptoms. Unless you know that your doctor understands trauma symptoms, including dissociation, you are wise not to reveal too much. Too many medical professionals, including psychiatrists, believe that hearing_voices_is a sign of schizophrenia, that mood swings mean_bipolar_disorder which has to be_medicated, and that depression requires electro-convulsive therapy if medication does not relieve it sufficiently. The __edical model_ simply does not work for dissociation, and many treatments can do more harm than good... You do not have to tell someone everything just because he is she is a doctor. However, if you have a therapist, even a psychiatrist, who does understand, you need to encourage your parts to be honest with that person. Then you can get appropriate help.

When we criticize the suicidal for being selfish, we are actually criticizing them for not enduring their pain with grace and good manners. These are nice qualities; we may be correct to reproach average citizens for not having them. But to expect everyone in pain to have them is unrealistic. Bearing pain quietly is what moralists call a supererogatory act--an act that is above the call of duty. Expecting everyone to who is suicidal to behave in a way that is morally above average is simply abusive.

On Major Depression, quoted by the great William Styron of Sophie's Choice & Darkness Visible:From Darkness Visible, William Styron"It is a positive and active anguish, a sort of psychical neuralgia, wholly unknown to normal life.

I'll say it again - mental illness is a physical illness. You wouldn't consider going up to someone suffering from Alzheimers to yell, "Come on, get with it, you remember where you left your keys?" Let us shout it from the rooftops until everyone gets the message; depression has and nothing to do with having a bad day or being sad, it's a killer if not taken seriously.

It's an unfortunate word, 'depression', because the illness has nothing to do with feeling sad, sadness is on the human palette. Depression is a whole other beast. It's when your old personality has left town and been replaced by a block of cement with black tar oozing through your veins and mind. This is when you can't decide whether to get a manicure or jump off a cliff. It's all the same. When I was institutionalised I sat on a chair unable to move for three months, frozen in fear. To take a shower was inconceivable. What made it tolerable was while I was inside, I found my tribe - my people. They understood and unlike those who don't suffer, never get bored of you asking if it will ever go away? They can talk medication all hours, day and night; heaven to my ears.

It's so common, it could be anyone. The trouble is, nobody wants to talk about it. And that makes everything worse.

Why, when you have a mental disease, is it always considered an act of imagination? Why is it that every organ in your body can get sick and you get sympathy except the brain?

My mother smiled. "I knew my baby wasn't like that."I looked at her. "Like what?""Like those awful people. Those awful dead people at that hospital." She paused. "I knew you'd decide to be all right again.

Julian had heard stories-whispers really-of other Shadowhunter children who thought or felt differently. Who had trouble focusing. Who claimed letters rearranged themselves on the page when they tried to read them. Who fell prey to dark sadnesses that seemed to have no reason, or fits of energy they couldn't control.Whispers were all there were, though, because the Clave hated to admit that Nephilim like that existed. They were disappeared into the 'dregs' portion of the Academy, trained to stay out of the way of other Shadowhunters. Sent to the far corners of the globe like shameful secrets to be hidden. There were no words to describe Shadowhunters whose minds were shaped differently, no real words to describe differences at all.Because if there were words, Julian thought, there would have to be acknowledgement. And there were things the Clave refused to acknowledge.

I can understand why some people might look at me and say, 'What's she got to be depressed about?' I get that a lot in Britain, where mental health issues seem to be a big taboo.