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DEADLY police force often directed towards individuals with mental health issues 12/12/2012

Posted by ALT in Mental Health News, Mental Health Policy and Inititatives.
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6 comments

The Portland Press Herald [Maine] has exhibited exemplary journalistic skill and integrity (rare, these days) by publishing an extensive report on police shootings of individuals with mental health issues. The focus is, of course, on Maine:

In Maine, 42% of people shot by police since 2000 – and 58% of those who died from their injuries – had mental health problems. The Maine Attorney General’s Office, which investigates all police shootings, has never found one to be unjustified. The office doesn’t ask whether violence could have been avoided.

But the national statistic they published shocked me, too:

About half of the estimated 375-500 people shot and killed by police each year have mental health issues. In many cases, the officers knew from the start that the subjects were unstable.

Thinking back over the past few years, I can remember a few specific incidents nationally where police murdered – there’s really no other word for it – an individual who could NOT reasonably be believed to possess even the means (let alone the intention) to use deadly force against the officers in question.

Kelly Thomas.

Brian Claunch.

The Press Herald report documents an astonishing number of stories from Maine as well (click here to peruse the database of incidents and Attorney General’s reports compiled by the reporters). Many of these stories are complicated; there’s a lot of pain and desolation here. A fair amount of misunderstanding, fear, and police aggression as well.

One of the main points of the series is that reform is needed…

Specifically:

1. a more rigorous system for official review of the use of deadly force (that actually includes consideration of administrative/disciplinary action and asks the question: “could the use of deadly force been avoided?”)

2. better training for officers in dealing with crisis situations, so that the use of deadly force can be avoided.

I find myself thinking of Michael Cornwall’s recommendations for using a heart-centered approach to individuals in extreme emotional distress.

Michael not only has his own personal experience of distress to draw on, but also years of working with individuals in these states (several of those years taking place in the medication and diagnosis-free sanctuary for the treatment of first-break psychosis, I-Ward) to inform this wise approach:

Responding to Madness with Loving Receptivity: A Practical Guide

Aggression, rage, and other extreme out-pourings of energy — sometimes taking the form of physical force — were not uncommon on I-Ward, according to Michael. But the staff was dedicated to a.) using a heart-centered approach to address these challenges and b.) not involving the police. What happened most frequently was that the emotions were discharged (often, the staff would use what Michael calls a “loving embrace” to hold the person in the throes of such emotion) and then staff took the opportunity to process what happened with the individuals involved.

We used no restraints [on I-Ward] and every time after long periods of wild raging people would wind down and end up cuddling into the sometimes 2 or 3 staff needed to hold them. They would then softly start to cry and sometimes sob in a deep regrression of safely being held by strong and loving parental figures.

-Michael Cornwall, in a description of I-Ward 

The contrast between the heart-centered approach and the gun-centered approach is clear. Can we, as a people, a community, a society, choose the path that leads towards a life preserved, healing begun?

I hope we can.

Laboring In Madness: the birth of a new consciousness 01/10/2012

Posted by ALT in Mental Health Awareness, Philosophy/Spirituality.
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3 comments

The new* “Mad in America” website/blog/forum has seriously got it going on

It’s got research.  Resources.  Recovery stories.  Best of all, the “Blogs” section showcases multiple writers, representing a wide spectrum of experiences and credentials… from “providers” and “consumers” to healers, advocates, researchers — and many of these folks sit at the crossroads of these different paths.  

What unites them is Robert Whitaker’s literary message (as put forth most recently in Anatomy of an Epidemic): the (mal)practice of institutionalized psychiatry in America, and his more recent efforts to bring the message into the real world, to actively practice a solutions- and positivity-based response to the evils he outlines in his works.

LOVE IT!

I can really see this site growing into the preeminent online gathering place for alternative thinkers in mental health.  Our community needs a home base, a place to process our experiences and articulate the many amazing ideas for reform and recovery we’ve all got cooking in our various noggins.  

Look what I found…

I found this true gem buried in the comments section of a Michael Cornwall article entitled “Initiatory Madness” (a stark and moving depiction of his own dealings with madness and abrupt loss of innocence at the age of 20).

[We must understand] the necessity for our waiting on madness to continue its often pain-filled birthing process in the sanctuary of our heartfelt compassion. Our first impulse when a loved one is in intense emotional distress and pain is to give them anything to relieve their hellish pain. It appears grossly irresponsible, if not cruel, to withhold medicine that would quickly numb the emotional suffering of a person in the throes of madness. But what the paradoxical evidence shows, is that if …any young person in their initial experiences of madness is not allowed to go through their purposive madness in the requisite healing crucible of a heart center sanctuary, then a huge majority of us would be stuck, trapped in a laboring process that can go on our whole lives. Birthing is painful but it accomplishes its task of bringing new life forward. But being suspended in the birth canal indefinitely, emotionally numbed out of fear of the raw emotions of transformative, life-renewing madness, is a tragic waste of our birthright.

- Michael Cornwall, PhD; in the comments section of his article “Initiatory Madness

Two things

  1. the parallel he draws between madness/the emergence of a new, awakened consciousness and labor/the emergence of a new human life
  2. the fact that both of these experiences, in all their terrible power, are our birthright

Labor is a (sometimes) painful opening.  A birthing woman is truly exposed in a way she may never again be in her life.  Emotions raw, body and mind experiencing something fundamentally new and perhaps even frightening, she needs support, comfort, and reassurance to pass through to the other side.  But despite the difficulties, remember that labor is a natural process, one for which she is designed by nature.   She was made to do this!  And it is her right, as a woman, to do it in the way that she sees fit.

Now our modern, institutionalized, corporate medical structures would have us believe that birth is a medical emergency (perhaps even pathological!) requiring numerous invasive techniques and expensive procedures to deliver mother and baby from death’s door. 

And, of course, the machine that goes "PING!"

Cesarean rates in the US are skyrocketing  (the national rate rose by 53% between 1996 and 2007), and as a sometimes direct result so is the maternal death rate.  No amount of fuzzy math (don’t think they haven’t tried it!)** can hide this alarming trend.

But here’s the thing… women have been giving birth at home, without doctors, for literally thousands of years! And the majority of women around the world are still doing it.  And doing just fine.  How did we survive so long without these “life-saving” doctors and their “miraculous” procedures?

We don’t need them.  We are strong enough to do it with only the support and love of a few who care for us… and be the better for the experience!  By coming that close to our spiritual origin and our mortality as well, we are people with a new, heightened knowledge of our humanity.  We are people who know a deeper kind of love: visceral, unconditional, of the soul.  And by doing it together, we share this experience with our loved ones, we build community, we further cement the bonds of humanity.

Michael is right on… all of the above applies to madness as well.   In madness, we are opened to a new, deeper experience of reality.  This can be terrifying, and we will probably need some serious support and love to get through it safely. 

But we can do it!  Without coercion, or unwanted chemical intervention.  We wouldn’t have survived for thousands of years on this planet if we couldn’t. 

Taking the birth metaphor a little further…

Labor is divided into three stages: opening (first stage), expulsion (second stage), and placental (third stage). 

(click to see a larger image)

Between the first and second stages is a period called “transition.”

In transition, the woman is fully dilated and the head (usually) of the baby must pass through the opening and into the birth canal.  It is widely considered to be the most difficult part of giving birth.  Luckily it is also the shortest; usually just 15 minutes or so.

At this point, almost universally, women have a psychological crisis.  A mother previously handling birth well may go entirely to pieces.  “I can’t do this,” many mothers at this stage of labor have said.

Labor support people (doulas, midwives, etc.) are trained to recognize and perhaps even warn the mother about transition.  A mother who feels she can’t go on at this point may need nothing more than some strong encouragement from her supporters to move beyond the crisis.

Unfortunately, the purveyors of birth medications are also trained to recognize transition, and most women who had not planned on a medicated birth accept medication during this period (which is rather unfortunate, as the period is often over before the medication can take effect and the mother is subsequently numbed, unable to follow her body’s cues as her baby descends the birth canal).  

Back to madness

I can’t help but think that the well-known crisis of faith in oneself at “transition” has some parallels in the experience of madness.  If only professionals were trained to recognize the crisis (which sometimes takes a suicidal bent), and coach the person through it – seeing it as a phase of the process, rather than a medical emergency requiring immediate incapacitation – perhaps more people would be allowed to transition into later stages of their journey.

What Michael is saying is that many psychiatric patients are frozen (by medication) in early stages of their journey, never being allowed to follow their path.  They are “laboring” their whole life long, their bodies and minds prohibited from opening, their souls unable to heal. A transition to wellness and rebirth never takes place.

Their birthing processes halted, their strength and resources untested, resolution and rest an impossibility—it is a senseless waste.  And, in this consuming culture, I think we’ve all seen enough of senseless waste to last a lifetime. 

Enough.

      


*Well, it may not be brand, spanking “new”… I have been out of the loop for a couple of months.  But I’m happy to report I’ve gotten myself a little part-time office job, so I find myself suddenly blessed with plenty of free time for mental health blogging.  Which means: ALT is back in the game!

** In 1998, the CDC reported that the US maternal death rate could be as much as three times higher than the officially reported number (which is bad enough!), because maternal death reporting is a.) not standardized and b.) optional.  Every other developed nation has a standardized, mandatory, national system for counting maternal deaths and makes that data available to the public.  For example, the UK issues one of these — a comprehensive report containing data on all maternal deaths that occurred during the period spanned by the journal — every 2 years. 

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