scholarly journals Fragile minds, porous selves: Shining a light on autoethnography of mental illness

2021 ◽  
pp. 147332502110466
Author(s):  
Alison Fixsen

This article sheds light on autoethnographic accounts of mental illness, to address author and reader concerns and questions and to consider what practitioners can learn from these narrative accounts. Drawing from my own and others’ trajectories, I discuss the drawbacks and dangers of exposing a ‘flawed’ identity, the stigma of serious mental illness, intertextuality issues, the tangled nature of revelation and redemption, framing the ‘Other’ in mental illness autoethnography and depictions of ‘life in the asylum.’ I explain how in telling my own ‘psychiatric’ tale, I looked to the symbolic concept of ‘communitas’ as a means of examining inter-relational processes and collective experience in a psychiatric facility. I argue that, while the act of writing about one’s illness experience can be rightly perceived as a way of reclaiming personal ‘power’ and facilitating healing, attempts to ‘evidence’ recovery can run counter to the writer’s reality of life with or beyond mental illness as personally and socially messy. In answer to the question, ‘at what point does a ‘life in the asylum’ narrative become autoethnographic?' I argue for the potential of autoethnography to contribute to broader sociological, ethnographic and medical debates and thus impact on policy. Speaking up about mental health through autoethnography can help to promote awareness of the unpredictability and socially constructed nature of mental illness and can inform strategies toward reducing public stigma, tackle the cyclical impact of labels, highlight the need to change social and medical attitudes, and revisualize treatment and support.

2021 ◽  
pp. 095269512098224
Author(s):  
Chakravarthi Ram-Prasad

The Caraka Saṃhitā (ca. first century BCE–third century CE), the first classical Indian medical compendium, covers a wide variety of pharmacological and therapeutic treatment, while also sketching out a philosophical anthropology of the human subject who is the patient of the physicians for whom this text was composed. In this article, I outline some of the relevant aspects of this anthropology – in particular, its understanding of ‘mind’ and other elements that constitute the subject – before exploring two ways in which it approaches ‘psychiatric’ disorder: one as ‘mental illness’ ( mānasa-roga), the other as ‘madness’ ( unmāda). I focus on two aspects of this approach. One concerns the moral relationship between the virtuous and the well life, or the moral and the medical dimensions of a patient’s subjectivity. The other is about the phenomenological relationship between the patient and the ecology within which the patient’s disturbance occurs. The aetiology of and responses to such disturbances helps us think more carefully about the very contours of subjectivity, about who we are and how we should understand ourselves. I locate this interpretation within a larger programme on the interpretation of the whole human being, which I have elsewhere called ‘ecological phenomenology’.


Author(s):  
Saba Syed ◽  
Michael Couse ◽  
Rashi Ojha

Background There is still a lot unknown about the novel Coronavirus Disease 19 (COVID-19) and its effects in humans. This pandemic has posed several challenging clinical situations to healthcare providers. Objective We hope to highlight the distinctive challenges that COVID-19 presents in patients with serious mental illness and what steps primary medical teams can take to co-manage these patients with the psychiatry consultants. Methods We present a retrospective chart review of four patients who were on psychotropic polypharmacy and admitted to our hospital from the same long-term psychiatric facility with COVID-19 delirium and other associated medical complications. Results We illustrate how the primary medical teams and psychiatrists collaborated in clinical diagnosis, treatment, and management. Conclusions Patients with serious mental illness and COVID-19 infection require active collaboration between primary medical teams and psychiatrists for diagnostic clarification, reduction of psychotropic polypharmacy to avoid adverse effects and drug-drug interactions, prevention of psychiatric decompensation, and active management of agitation while balancing staff and patient safety concerns.


2005 ◽  
Vol 187 (3) ◽  
pp. 203-205 ◽  
Author(s):  
Mark Weiser ◽  
Jim van Os ◽  
Michael Davidson

SummaryMany manifestations of mental illness, risk factors, course and even response to treatment are shared by several diagnostic groups. For example, cognitive and social impairments are present to some degree in most DSM and ICD diagnostic groups. The idea that diagnostic boundaries of mental illness, including schizophrenia, have to be redefined is reinforced by recent findings indicating that on the one hand multiple genetic factors, each exerting a small effect, come together to manifest as schizophrenia, and on the other hand, depending on interaction with the environment, the same genetic variations can present as diverse clinical phenotypes. Rather than attempting to find a unitary biological explanation for a DSM construct of schizophrenia, it would be reasonable to deconstruct it into the most basic manifestations, some of which are common with other DSM constructs, such as cognitive or social impairment, and then investigate the biological substrate of these manifestations.


CALL ◽  
2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Dite Nursyamsi Mahmutami

This research discusses the representation and discourse which focused on the elements of characterization and narration which is presented by mental disorder character in Silver Linings Playbook (2012), Touched with Fire (2015), and The Other Half (2016). In this research, mental illness is not analyzed as a medical narration but also is one of signifying practices. The approaches of media representation analysis from Simon Cross (2014) and Harper (2008) are used to determine the representation of life experiences and disassemble the emerging discourses. The result indicates that when mental illness is represented in the romantic film, the stereotype about abnormality, rejection, and exclusion still becomes the main structure of the narrative. The romance story that wraps it up still refers to the stereotype. Therefore, those three films can be concluded as a part of dominant statements on abnormality discourse against mental disorder sufferers. In this case, mental disorder sufferers are subjected as a subject that must change. It is because only one choice for mental disorder sufferers to be accepted in society, that is recovery.Keywords: Mental Disorder Character, Discourse, Representation, Film


2020 ◽  
Author(s):  
Marco Romano

Against the backdrop of a critical reflection on the psychiatric concepts of organicism and predisposition to mental illness, the research investigates the relationship between psychiatry and the Great War from a perspective that considers the complexity of the orientations assumed by both the Italian alienists on war pathologies and the health practices implemented towards soldiers. The study highlights the comparison/clash between two totally different approaches forced to coexist during the conflict: on one side, the one from military psychiatry, and on the other the distinctive one from civil asylums. The two perspectives were not always clearly separated, but it is possible to detect a constant tension between the duties towards the war effort and the professional ethics dictated by the neuropsychiatric discipline.


ANALITIKA ◽  
2018 ◽  
Vol 9 (2) ◽  
pp. 68
Author(s):  
Anita Novianty

<p><em>The prevalence of mental illness was increasing every year, yet many cases were not treated by professional treatment. Mental health literacy is one of factors in which influence people’s intention to seek professional treatment. This study aimed to find out the knowledge and public’s perception about mental illness (depression &amp; schizophrenia case). The participants of this study was 89 people (N=89; Men: 32, Women: 57), aged 15-38 years old. The method of this study was online survey that consisted of two vignettes about depression and schizophrenia case that were adapated from Angermeyer et al. (2005). Participant’s responses on vignette described public’s knowledge and perception, help-seeking references, and stigma. Descriptive statistics and thematic analysis were used to analyze data. The result showed only 21% of participants recognized vignette as depression, eventhough 81% of them ever met family/friends with similar symptoms on vignette. On the other hand, Only </em><em>12%</em><em> of participants recognized vignette as schizophrenia, eventhough 45% of them ever met family/friend with similar symptoms on vignette. Only </em><em>25</em><em>% of participants referred family/friend with schizophrenia symptoms to profesional treatment, the rest was reffered to informal treatment such as local healer. The theme of perception, help-seeking reference and stigma that were analyzed by thematic analysis will be disscussed later.</em></p>


2018 ◽  
Vol 29 (2) ◽  
pp. 206-219 ◽  
Author(s):  
Christopher Grey ◽  
Michelle O’Toole

This paper explores the symbiotic relationship between place and identity. On one hand, it asks what role place plays in the formation of identity. On the other hand, it asks how place itself is invested with meaning by actors. This theoretical concept of “place-identity” is analyzed through the case of volunteer lifeboaters in the Republic of Ireland, to illustrate how place itself is socially constructed so as to acquire a range of social meanings which interact in a recursive relationship with identity over time. The particularity of dangerous maritime places is shown to shape identity, while those places are shown to be bound up with a mosaic of other factors (such as history, family, and community) which make them meaningful. The paper theorizes a more social, temporal, and dynamic relationship between place and identity than is offered by extant literature and offers refinements to the concept of place-identity.


Author(s):  
Samuel Teague ◽  
Peter Robinson

This chapter reflects on the importance of the historical narrative of mental illness, arguing that Western countries have sought new ways to confine the mentally ill in the post-asylum era, namely through the effects of stigma and medicalization. The walls are invisible, when once they were physical. The chapter outlines how health and illness can be understood as socially constructed illustrating how mental health has been constructed uniquely across cultures and over time. To understand this process more fully, it is necessary to consider the history of madness, a story of numerous social flashpoints. The trajectories of two primary mental health narratives are charted in this chapter. The authors argue that these narratives have played, and continue to play, an important role in the social construction of mental illness. These narratives are “confinement” and “individual responsibility.” Drawing on the work of Michel Foucault and Roy Porter, the authors describe how Western culture has come to consider the mentally ill as a distinct, abnormal other.


2011 ◽  
Vol 17 (2) ◽  
Author(s):  
Lizardo Herrera

This article explores the hallucinations and the utopian desire in The Rose Seller (1998), a movie by the Colombian director Víctor Gaviria. On the one hand, the film shows the death of the street children of Medellín-Colombia and that the surrounding world of drugs is extremely violent; thus the audience can watch how these children live in very precarious conditions and how they are forced to face death on a daily basis. On the other hand, drugs lead these children to an imaginary space where they experience their affective world intensely. I suggest that this imaginary space constitute their utopian desire, which helps the children to make their world livable again and to remain alive. The importance of the utopian desire lies in how it makes the imagination of a different kind of collective experience possible and generates solidarity with those who live in dangerous and difficult conditions.


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