One in twelve males and one in eight females in Britain will spend some part of their lives in a psychiatric hospital. Most women between thirty and sixty are regularly prescribed tranquillisers by their family doctor. Since its introduction in the 1930s, ECT (electric shock treatment or electroconvulsive therapy) has been used on thousands of people. There is a widespread use of neurosurgery and other therapy methods, and admissions to psychiatric hospitals are increasing as daily life in our society becomes more tense and frenzied.
“Madness” is very often behaviour which conflicts with conventional ideas of normality or proper thinking. We all think as an involuntary activity, in ways which are specifically human and which differentiate us from our older animal relations. To think is to reflect m the brain the material reality of the environment: il is a relationship between matter and matter. The way in which we relate to our material surroundings determines how our thoughts are to be classified by other people. In primitive society people believed that they were in touch with another world when dreaming. In the Middle Ages people who rejected Christian morality were tortured as lunatics who were possessed by the devil. "Sanity” can be interpreted as a readiness to accept common experiences in conformity with common ideas; "insanity" can be dissent from the social conditioning process.
Mediaeval society had certain ideas about how women should behave. Those women who did not fit in with those ideas were often persecuted as witches. Sprenger and Kramer's hook on how to spot a witch, The Malleus Maleficarum, written m I486, was the downfall of many a woman who suffered from epilepsy. the symptoms of which were listed in the book as the classical characteristics of a witch. In 1515 five hundred unfortunate women were killed for witchcraft in Geneva in the space of three months. In the eighteenth century the "mad" were confined to institutions where they were chained up. beaten, humiliated and put on public display. The diaries of many a nineteenth century nobleman contain reports of Sunday afternoon outings to the lunatic asylum to be entertained by the misfortunes of the deranged.
Most British mental hospitals were built to fit m with nineteenth century ideas about mental health: these days the chains have gone, but the humiliation of the confined has not. Many inmates in modern asylums were first put there for moral or criminal transgressions An unmarried servant girl at the turn of the century who bore a child would face such moral outrage that she would become depressed and, instead of receiving sympathy from those around her, would be locked up in an asylum. Soldiers who could not take the conditions of war, homosexuals who cracked up trying to repress their feelings for the sake of acceptability, poor children who saw nothing wrong with stealing from the rich, men who broke under the monotony or responsibility of their jobs, wives who were left on their own by husbands who grew tired of them, girls who could not conform to the advertisers' modes of anatomical excellence —all of these may be found m any psychiatric hospital. They are not sick just sick of what society is.
Conventional mental disorders are experienced by almost everyone at some time. Depression is a perfectly natural response to a lifestyle in which we are taught to have expectations, but are denied the opportunity to fulfil them. If we are depressed because we are not allowed to do what is technically feasible but socially forbidden, we are simply reacting to a seemingly insoluble social dilemma. Socially produced ills are what cause such depression: people formulate their own reasons to be miserable. Another common mental illness is paranoia: the feeling that there is some force beyond you which is trying to dominate or oppress you. Most of us have felt vulnerable, threatened, unwanted or inadequate at some time. But are we ill because we have these feelings? In a society based on the hypocrisy, artificiality and authoritarianism of the sort that is an integral part of the buying and selling system, are those who are in the inferior social class wrong to have a feeling that we are being oppressed?
Recently, a young man in the NATO military forces, with a position in a chain of command to push a nuclear-missile "button”, decided to refuse to obey orders related to his job. He told his superiors that they should not command any man to do such a job. He was diagnosed as a schizophrenic and was hospitalised.
Mental problems are caused by the relationship between the human mind which is rational — and a mystifying social environment — which is irrational. If we misunderstand the world around us we are entitled to feel depressed and threatened and deluded. When one considers just how crazy the present system of organising human affairs is, mental non-conformity is to be strongly advised. What is often called “madness" is a rational response to such problems as war, poverty and insecurity. In The Inner World of Mental Illness, so-called psychiatric disorders are characterised as
. . . opposed to a normality which is intimately related to the major value orientations of western society. It may be asserted therefore that abnormality (psychosis) involves negative relationship to prevailing social normative prescriptions . . . In the jargon of the moment we may call this "alienation”.
The mental health pressure group. PROMPT, has stated that one of its roles is
. . . to demonstrate that what currently passes as "mental health" is often the measure of the person’s exploitability by those who own (or otherwise control) the means of production and distribution of that which is necessary to sustain life; and to show that a person called “mentally ill” is often someone strongly reacting against their exploitation.
In state capitalist Russia dissidents who try to criticise the bogus socialism are often locked away from the public on the grounds that they are mad. Once locked away, many of them are driven to actual mental derangement by excessive isolation and the use of drugs. Once diagnosed as being insane the dissenter loses whatever credibility he may have once had. Bukovsky and Gluzman, in their Manual on Psychiatry for Dissidents, points out that
Dissidents, as a rule, have enough legal grounding so as not to make mistakes during their investigation and trial, but when confronted by a qualified psychiatrist with a directive from above to have them declared non-accountable, they have found themselves absolutely powerless.
The other capitalist states use similar methods. British television, for instance, is quite expert at branding social dissenters in such a way as to lead acquiescent workers to reject what they are saying very often before they have even said it. Most socialists will have been called a crank or a lunatic at some time for having spoken about a world without money. Of course, men like the Duke of Edinburgh who dress up in military uniforms and talk about how safe nuclear weapons are, are considered to be perfectly sane and worthy of public respect.
The battle for socialism is the battle against the conventional ideas of our age. Socialists ask questions. We ask why it is that there are people who produce all of the wealth of society and yet live in poverty and people who are idle who live in luxury. Why do grown men and women cry when they run out of money in the middle of the week and they have a family to feed. Why are children sent to school to be conditioned? Why are otherwise rational men and women occasionally seen to address the sky and ask for help? Why must we live in constant fear of being killed by bombs that none of us want? Why are our fellow human beings dying of starvation by the minute while food rots? Why slums? Why palaces? Why unemployment? Either it is all normal and those of us who reject it are 'insane,' or else we are sane and it is mad.
Socialists aim to bring the ideas held by the majority of people in line with their experiences. This is the role of any scientist who is serious about his work. But instead of endeavouring to examine social reality, government scientists tend be employed to perpetuate the current form of reality. This is particularly true of modern psychiatry which is more concerned with the treatment of symptoms than with examining their cause. Indeed, if psychiatrists were to study causation they would be put to the impossible task of either giving up their occupations and trying to change society or continue their jobs in the knowledge that what they are doing is futile and often counter-productive.
If a man lives his life in chains and responds by kicking out at those around him, the psychiatrist’s solution of binding his legs or dulling his brain so that he is too weak to kick is less reasonable than the socialist solution of destroying the chains. However, under capitalism — the social system which prevails throughout the world today — the freedom of the parasites at the top can only he secured by the social constriction of the vast majority. So, reasonable a proposition as it may he to smash the chains which presently confine us, they who pay the psychiatrists are paying to ensure that symptoms are treated while the problem remains.
But surely if we, the majority class in society, are the victims of this system, we should be destroying the chains ourselves? Indeed we should but it is an unfortunate fact that a majority of that majority class have become accustomed to the confinement of life under capitalism and nothing would disturb them more than the prospect of social freedom. How is it that capitalism has spared its victims from such dangerous thoughts of non-conformity? We can begin by rejecting the most popular explanation: that human beings come into the world with ideas already implanted in their brains. This is the argument of the apologist for capitalist normality, who is anxious to inform us that we have "forgotten about human nature”. (As if the moment he reminds us we are going to stop being socialists!)
In fact, ideas are not inherent, but are acquired by convention. Our language is a learned code. Our concepts of right and wrong are products of historical change. Learning is the essence of our conformity. We learn to accept things as they are in three ways: firstly, by the overt agencies of thought control, such as schools, universities, newspapers, television, radio, parental guidance, and religion, secondly, by experience of the system which one comes to accept as natural phenomenon; thirdly, at an early age our feelings of freedom and human creativity are repressed to fit in with conventional social relationships. Rejection of these conditioning. processes is often labelled as insanity.
For instance, if a child takes no notice of the social norms imposed by its parents and teachers it will be persuaded, bribed, locked up, beaten — but if these things fail and the child does not step into line it may be labelled as disturbed, insane or subnormal. This label will have profound effects upon the future economic and personal prospects of the non-conformist. People who reject the 'naturalness' of their social environment are easily dismissed as fantasists or utopians. It in within the terms of sanity to complain that the rent is too high, but it is a case for psychiatric concern if one demands decent living conditions for everyone. Many innovative scientists, who have challenged conventional hypotheses, have been dismissed as lunatics. The non-repressed individual is virtually unknown in our society, but if you try to live in an unrepressed manner you are likely to end up either being isolated in squalor or confined to an institution. How many of us could honestly say that we would live as we are living now if we were really free?
In The Manufacture of Madness Thomas Szasz says that psychiatry
. . . is harmful to the so-called mental patient. This is not because it is liable to abuse, but rather because harming people categorised as insane is its essential function. Institutional psychiatry is, as it were, designed to protect and uplift the group (the state) by persecuting and degrading the individual as insane or ill.
He goes on to point out that there is no basic difference between modern ideas of madness and those of mediaeval society. Despite the so-called liberalism of the modem state
. . . there are still the disadvantaged, the disaffected, and the people who thought and criticised too much. The non-con formist, the objector, all who deny or refuse to affirm society's dominant values, are still the enemies of society.
This view is confirmed by an article in The New Scientist (21/6/79) in which it was reported that in South Africa, Germany and Japan
. . . doctors unabashedly carry out psychosurgery to make “patients" more obedient and supposedly as a “cure" for homosexuality.
It should be pointed out that many patients have died as result of needless psychosurgery. It should also be pointed out that many of those being presently held in such top security mental hospitals as Rampton are undergoing corrective treatment involving drugs and ECT, as well as brain surgery, simply because they have refused to obey the social norms. The terrible thing is that the more such people claim that they are being abused, the more the psychiatrists who are supposed to be treating them accuse them of being mentally ill. It is not only in Russia that offenders against the status quo are sentenced to insanity.
Dissent is safest when it is engaged in en masse. The purpose of the Socialist Party is to be an instrument for mass opposition to the capitalist system as a way of living. If you stand out against it alone your friends, family and workmates will try to dismiss your non-conformity as eccentricity or utopianism. The more of us there are, the harder it becomes for the Normals to ignore us with a nervous laugh. We, the overwhelming majority of the human race, have no weapon which is more effective than our capacity for critical thought. Ideas coupled with political solidarity will penetrate every single aspect of the social edifice which seems so unbreakable to the lone dissenter. If we are bitter and vociferous and impatient it is only because the system which aims to control us has driven us to it. Now let us be mad and sane enough to learn to control the system.
Steve Coleman
No comments:
Post a Comment