: SCOTUS rhymes with a most unfortunate sound of a body part that is certainly compromised, was this intentional?
Supreme Court USA.
Controls, POTUS, FLOTUS, and the proof is in the A$$E$ bent over for the family that has been an AGENT of great harm to the U.S. Constitutional Republic.
Spooks Scare Reality into Terrorism Forever & Ever, KILLING and spying and name a preying upon the Americans the criminally insane don't pay THEIR 'retirements' to be mass murderers and tyrants of apartheid of our own species and what year did this begin. Are we advancing?
Wall Street Was and Is a Racket.
IT Put All the PUTS (IE "Retirements") in basically a gulag global, Strait Jackets on Intelligence in Fashions of Incredible Holographic UN- Realities and about as UN-natural as Any Blubbering Bilderberger Et Al Pile of Protoplasm BLOBS and SLOBS, Can 'Hope' to Be Ask Berry-barry-bo-fairie Fe Fi Fo cum Dum-dums
While historically some Americans have
consciously faked mental illness to rebel from oppressive societal
demands (e.g., a young Malcolm X acted crazy to successfully avoid
military service), today, the vast majority of Americans who are
diagnosed and treated for mental illness are in no way proud malingerers
in the fashion of Malcolm X. Many of us, sadly, are ashamed of our
inefficiency and nonproductivity and desperately try to fit in. However,
try as we might to pay attention, adapt, adjust, and comply with our
alienating jobs, boring schools, and sterile society, our humanity gets
in the way, and we become anxious, depressed and dysfunctional.
Severe, disabling mental illness has dramatically increased in the Untied States. Marcia Angell, in her 2011
New York Review of Bookspiece,
summarizes:
“The tally of those who are so disabled by mental disorders that they
qualify for Supplemental Security Income (SSI) or Social Security
Disability Insurance (SSDI) increased nearly two and a half times
between 1987 and 2007—from 1 in 184 Americans to 1 in 76. For children,
the rise is even more startling—a thirty-five-fold increase in the same
two decades.”
Angell also reports that a large survey of adults
conducted between 2001 and 2003 sponsored by the National Institute of
Mental Health found that at some point in their lives, 46% of Americans
met the criteria established by the American Psychiatric Association for
at least one mental illness.
In 1998, Martin Seligman, then president of the American Psychological Association,
spoke to
the National Press Club about an American depression epidemic: “We
discovered two astonishing things about the rate of depression across
the century. The first was there is now between ten and twenty times as
much of it as there was fifty years ago. And the second is that it has
become a young person’s problem. When I first started working in
depression thirty years ago. . . the average age of which the first
onset of depression occurred was 29.5. . . .Now the average age is
between 14 and 15.”
In 2011, the
U.S. Centers for Disease Control and Prevention (CDC)
reported that antidepressant use in the United States has increased
nearly 400% in the last two decades, making antidepressants the most
frequently used class of medications by Americans ages 18-44 years. By
2008, 23% of women ages 40–59 years were taking antidepressants.
The CDC, on May 3, 2013,
reported that
the suicide rate among Americans ages 35–64 years increased 28.4%
between 1999 and 2010 (from 13.7 suicides per 100,000 population in 1999
to 17.6 per 100,000 in 2010).
The
New York Times reported
in 2007 that the number of American children and adolescents treated
for bipolar disorder had increased 40-fold between 1994 and 2003. In May
2013, CDC reported in “
Mental Health Surveillance Among Children—United States, 2005–2011,”
the following: “A total of 13%–20% of children living in the United
States experience a mental disorder in a given year, and surveillance
during 1994–2011 has shown the prevalence of these conditions to be
increasing.”
Over-Diagnosis, Pathologizing the Normal and Psychiatric Drug Adverse Effects
Even
within mainstream psychiatry, few continue to argue that the increase
in mental illness is due to previous under-diagnosis of mental
disorders. The most common explanations for the mental illness epidemic
include recent over-diagnosis of psychiatric disorders, diagnoses
expansionism, and psychiatry’s pathologizing normal behavior.
The first DSM (Diagnostic and Statistical Manual of Mental Disorders),
psychiatry’s diagnostic bible, was published by the American
Psychiatric Association in 1952 and listed 106 disorders (initially
called “reactions”). DSM-2 was published in 1968, and the number of
disorders increased to 182. DSM-3 was published in 1980, and though
homosexuality was dropped from it, diagnoses were expanded to 265, with
several child disorders added that would soon become popular, including
oppositional defiant disorder (ODD). DSM-4, published in 1994, contained
365 diagnoses.
DSM-5 was published in May, 2013. The journal
PLOS Medicine reported in 2012, “69% of the DSM-5 task force members report having ties to the pharmaceutical industry.” DSM-5 did not add as many
new diagnoses as
had previous revisions. However, DSM-5 has been criticized even by some
mainstream psychiatrists such as Allen Frances, the former chair of the
DSM-4 taskforce, for creating more mental patients by making it easier
to qualify for a mental illness, especially for depression. (See
Frances’ “
Last Plea To DSM-5: Save Grief From the Drug Companies.”)
In
the last two decades, there have been a slew of books written by
journalists and mental health professionals about the lack of science
behind the DSM, the over-diagnosis of psychiatric disorders, and the
pathologizing of normal behaviors. A sample of these books includes:
Paula Caplan’s They Say You’re Crazy (1995), Herb Kutchins and Stuart
Kirk’s Making Us Crazy (1997), Allan Horwitz and Jerome Wakefield’s The
Loss of Sadness: How Psychiatry Transformed Normal Sorrow into
Depressive Disorder (2007), Christopher Lane’s Shyness: How Normal
Behavior Became a Sickness (2008), Stuart Kirk, Tomi Gomory, and David
Cohen’s Mad Science: Psychiatric Coercion, Diagnosis, and Drugs (2013),
Gary Greenberg’s The Book of Woe: The DSM and the Unmaking of Psychiatry
(2013), and Allen Frances’ Saving Normal (2013).
Even
more remarkable than former chair of the DSM-4 taskforce, Allen Frances,
jumping on the DSM-trashing bandwagon has been the
harsh critique of
DSM-5 by Thomas Insel, director of the National Institute of Mental
Health (NIMH). Insel recently announced that the DSM’s diagnostic
categories lack validity, and that “NIMH will be re-orienting its
research away from DSM categories.” And psychiatrist Robert Spitzer,
former chair of the DSM-3 task force, wrote the foreword to Horwitz and
Wakefield’s
The Loss of Sadness and is
now critical of DSM’s inattention to context in which the symptoms occur which, he points out, can medicalize normal experiences.
So,
in just two decades, pointing out the pseudoscience of the DSM has gone
from being an “extremist slur of radical anti-psychiatrists” to a
mainstream proposition from the former chairs of both the DSM-3 and
DSM-4 taskforces and the director of NIMH.
Yet another
explanation for the epidemic may also be evolving from radical to
mainstream, thanks primarily to the efforts of investigative journalist
Robert Whitaker and his book
Anatomy of An Epidemic (2010).
Whitaker argues that the adverse effects of psychiatric medications are
the primary cause of the epidemic. He reports that these drugs, for
many patients, cause episodic and moderate emotional and behavioral
problems to become severe, chronic and disabling ones.
Examining
the scientific literature that now extends over 50 years, Whitaker
discovered that while some psychiatric medications for some people may
be effective over the short term, these drugs increase the likelihood
that a person will become chronically ill over the long term. Whitaker
reports, “The scientific literature shows that many patients treated for
a milder problem will worsen in response to a drug—say have a manic
episode after taking an antidepressant—and that can lead to a new and
more severe diagnosis like bipolar disorder.”
With
respect to the dramatic increase of pediatric bipolar disorder, Whitaker
points out that, “Once psychiatrists started putting ‘hyperactive’
children on Ritalin, they started to see prepubertal children with manic
symptoms. Same thing happened when psychiatrists started prescribing
antidepressants to children and teenagers. A significant percentage had
manic or hypomanic reactions to the antidepressants.” And then these
children and teenagers are put on heavier duty drugs, including drug
cocktails, often do not respond favorably to treatment and deteriorate.
And that, for Whitaker, is a major reason for the 35-fold increase
between 1987 and 2007 of children classified as being disabled by mental
disorders. (See my 2010 interview with him, “
Are Prozac and Other Psychiatric Drugs Causing the Astonishing Rise of Mental Illness in America?”)
Whitaker’s
explanation for the epidemic has now, even within mainstream
psychiatric institutions, entered into the debate; for example, Whitaker
was invited by the National Alliance for the Mentally Ill (NAMI) to
speak at their
2013 annual convention that
took place last June While Whitaker concludes that psychiatry’s
drug-based paradigm of care is the primary cause of the epidemic, he
does not rule out the possibility that various cultural factors may also
be contributing to the increase in the number of mentally ill.
Mental Illness as Rebellion Against Society
“The
most deadly criticism one could make of modern civilization is that
apart from its man-made crises and catastrophes, is not humanly
interesting. . . . In the end, such a civilization can produce only a
mass man: incapable of spontaneous, self-directed activities: at best
patient, docile, disciplined to monotonous work to an almost pathetic
degree. . . . Ultimately such a society produces only two groups of men:
the conditioners and the conditioned, the active and passive
barbarians.” —Lewis Mumford, 1951
Once it
was routine for many respected social critics such as Lewis Mumford and
Erich Fromm to express concern about the impact of modern civilization
on our mental health. But today the idea that the mental illness
epidemic is also being caused by a peculiar rebellion against a
dehumanizing society has been, for the most part, removed from the
mainstream map. When a societal problem grows to become all
encompassing, we often no longer even notice it.
We are
today disengaged from our jobs and our schooling. Young people are
pressured to accrue increasingly large student-loan debt so as to
acquire the credentials to get a job, often one which they will have
little enthusiasm about. And increasing numbers of us are completely
socially isolated, having nobody who cares about us.
Returning to that June 2013 Gallup survey, “
The State of the American Workplace: Employee Engagement,”
only 30% of workers “were engaged, or involved in, enthusiastic about,
and committed to their workplace.” In contrast to this “actively engaged
group,” 50% were “not engaged,” simply going through the motions to get
a paycheck, while 20% were classified as “actively disengaged,” hating
going to work and putting energy into undermining their workplace. Those
with higher education levels reported more discontent with their
workplace.
How engaged are we with our schooling? Another Gallup poll “
The School Cliff: Student Engagement Drops With Each School Year”
(released in January 2013), reported that the longer students stay in
school, the less engaged they become. The poll surveyed nearly 500,000
students in 37 states in 2012, and found nearly 80% of elementary
students reported being engaged with school, but by high school, only
40% reported being engaged. As the pollsters point out, “If we were
doing right by our students and our future, these numbers would be the
absolute opposite. For each year a student progresses in school, they
should be more engaged, not less.”
Life clearly sucks more than it
did a generation ago when it comes to student loan debt. According to
American Student Assistance’s “
Student Debt Loan Statistics,”
approximately 37 million Americans have student loan debt. The majority
of borrowers still paying back their loans are in their 30s or older.
Approximately two-thirds of students graduate college with some
education debt. Nearly 30% of college students who take out loans drop
out of school, and students who drop out of college before earning a
degree struggle most with student loans. As of October 2012, the average
amount of student loan debt for the Class of 2011 was $26,600, a 5%
increase from 2010. Only about 37% of federal student-loan borrowers
between 2004 and 2009 managed to make timely payments without postponing
payments or becoming delinquent.
In addition to the
pain of jobs, school, and debt, there is increasingly more pain of
social isolation. A major study reported in the
American Sociological Review in 2006, “
Social Isolation in America: Changes in Core Discussion Networks Over Two Decades,”
examined Americans’ core network of confidants (those people in our
lives we consider close enough to trust with personal information and
whom we rely on as a sounding board). Authors reported that in 1985, 10%
of Americans said that they had no confidants in their lives; but by
2004, 25% of Americans stated they had no confidants in their lives.
This study confirmed the continuation of trends that came to public
attention in sociologist Robert Putnam’s 2000 book
Bowling Alone.
Underlying
many of psychiatry’s nearly 400 diagnoses is the experience of
helplessness, hopelessness, passivity, boredom, fear, isolation, and
dehumanization—culminating in a loss of autonomy and
community-connectedness. Do our societal institutions promote:
- Enthusiasm—or passivity?
- Respectful personal relationships—or manipulative impersonal ones?
- Community, trust, and confidence—or isolation, fear and paranoia?
- Empowerment—or helplessness?
- Autonomy (self-direction)—or heteronomy (institutional-direction)?
- Participatory democracy—or authoritarian hierarchies?
- Diversity and stimulation—or homogeneity and boredom?
Research (that I documented in
Commonsense Rebellion)
shows that those labeled with attention deficit hyperactivity disorder
(ADHD) do worst in environments that are boring, repetitive, and
externally controlled; and that ADHD-labeled children are
indistinguishable from “normals” when they have chosen their learning
activities and are interested in them. Thus, the standard classroom
could not be more imperfectly designed to meet the learning needs of
young people who are labeled with ADHD.
As I discussed last year in AlterNet in “
Would We Have Drugged Up Einstein? How Anti-Authoritarianism Is Deemed a Mental Health Problem,”
there is a fundamental bias in mental health professionals for
interpreting inattention and noncompliance as a mental disorder. Those
with extended schooling have lived for many years in a world where all
pay attention to much that is unstimulating. In this world, one
routinely complies with the demands of authorities. Thus for many M.D.s
and Ph.D.s, people who rebel against this attentional and behavioral
compliance appear to be from another world—a diagnosable one.
The
reality is that with enough helplessness, hopelessness, passivity,
boredom, fear, isolation, and dehumanization, we rebel and refuse to
comply. Some of us rebel by becoming inattentive. Others become
aggressive. In large numbers we eat, drink and gamble too much. Still
others become addicted to drugs, illicit and prescription. Millions work
slavishly at dissatisfying jobs, become depressed and passive
aggressive, while no small number of us can’t cut it and become homeless
and appear crazy.
Feeling misunderstood and uncared about, millions of
us ultimately rebel against societal demands, however, given our
wherewithal, our rebellions are often passive and disorganized, and
routinely futile and self-destructive.
When we have hope, energy
and friends, we can choose to rebel against societal oppression with,
for example, a wildcat strike or a back-to-the-land commune. But when we
lack hope, energy and friends, we routinely rebel without consciousness
of rebellion and in a manner in which we today commonly call mental
illness.
For some Americans, no doubt, the conscious
goal is to get classified as mentally disabled so as to receive
disability payments (
averaging $700 to 1,400 per month).
But isn’t that too a withdrawal of cooperation with society and a
rebellion of sorts, based on the judgment that this is the best paying
and least miserable financial option?
WOUND OF THE SOUL: I'M NOT WORTHY. Can't ever be filled this kind of vacuous emptiness. WOE INDUSTRIES, the POTU$E$, FLOTU$E$, $CROTUM$ /$COTU$E$ ET AL, PUBLIC RETIREMENT SYSTEMS [PERS] all retire using the flesh of commoners to enrich occupiers of a foreign criminally insane cabal, www.kahudes.net for due process rule of law!
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