28 June, 2019

Mental Illnesses and How to Treat Them

First, because litigation has replaced dialogue as a form of communication, this is not medical or legal advice. This remains the blog of a layperson who expresses a perspective in order to challenge and support others to explore various topics which concern us all.

I will propose that we are still in a Dark Age of understanding mental health; even though we have gone from chaining patients in cells to giving them pills, it is only a first step. Let's briefly review some history of medical knowledge to draw some analogies. Even though intricate knowledge of the human body has been available since ancient Egypt, how to treat diseases was subject to debate and misapprehension. Most people know that prayer, bleeding, and trepanning were all considered actual medical treatment at various times in history (and many discredited 'treatments' still have adherents, sadly). Only in the last 200 years have necessary items like antiseptics, anesthetics, and antibiotics been understood and used generally. Out of thousands of years of recorded history, only the last couple centuries have contained advancements we now consider fundamental to restoring physical health. We still cannot regrow limbs, treat genetic diseases by altering DNA, nor even repair nerves to correct paralysis. Our medical knowledge has finally reached an adequate level; most people, most of the time, can be treated and restored to a physically functional level.

Similarly, our understanding of mental health has advanced. Whereas what has been seen as insanity (or aberrant behavior) must depend upon the surrounding culture, history does have records of various conditions. What we call schizophrenia, for example, shows up reliably; it may be supposed that religious figures who heard, saw, and/or felt things no one else did could have had it. This actually leads to my point: what is a mental illness? In the history of modern psychology, sexuality was grouped in with mental illnesses. Until about 50 years ago, anything other than heterosexuality was considered a mental disorder. Again, some still hold this absurd, dangerous, and disproven idea. PTSD was recognized by the mid-1900s, and has only seen significant treatment in the past 20 years. This, I think demonstrates that we are subject to the ongoing discovery of how our minds work and how to treat disease and injury of the mind. This is not to denigrate the advancements or profession of healthcare, just to recognize the limitations.

Now, I will suggest that some things we do not currently consider mental health issues could be, such as prejudice, conspiracy theories, and procrastination. Even if it turns out to be inaccurate, possibly using the model as laypersons could be helpful in our everyday lives. For example, rather than thinking of someone who is racist as a 'bad person', just think of them as struggling with a mental illness. Just as we can have compassion and sadness for someone with an anxiety disorder, we could think of the conspiracy theorist as deserving empathy. Additionally, this allows us to separate ourselves from those peoples' conditions. Just as I can acknowledge a persons' cancer, lupus, or other self-sustaining pathology, I can put aggression in its proper place. It is something that they suffer from and I can only see the outward signs of, but it is not contagious and I can take precautions to prevent being harmed by their disease.